Inspection Reports for
Crestpark Wynne, LLC
400 Arkansas Street, Wynne, AR 72396, AR, 72396
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
10.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
106% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Routine
Deficiencies: 1
Date: Jul 24, 2025
Visit Reason
The inspection was conducted to assess the facility's compliance with infection prevention and control requirements, specifically focusing on the implementation of Enhanced Barrier Precautions (EBP) for residents with wounds.
Findings
The facility failed to ensure Enhanced Barrier Precautions were implemented for one resident with wounds, including failure to wear appropriate personal protective equipment during wound care and lack of EBP signage. Staff and administration demonstrated limited knowledge of EBP and the facility lacked a policy or procedure regarding isolation and EBP.
Deficiencies (1)
Failure to implement Enhanced Barrier Precautions for Resident #11 during wound care, including not wearing a gown and absence of EBP signage or PPE outside the resident's room.
Report Facts
Residents reviewed for wounds: 3
Assessment Reference Date: May 20, 2025
Skin/Wound Log date: Jul 9, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #10 | Observed providing wound care without proper EBP and confirmed lack of gown use | |
| Certified Nursing Aide (CNA) #5 | Interviewed about EBP knowledge and PPE use | |
| Certified Nursing Aide (CNA) #6 | Interviewed about EBP knowledge and PPE use | |
| Certified Nursing Aide (CNA) #8 | Interviewed about EBP knowledge and PPE use | |
| Director of Nursing/Infection Preventionist (DON/IP) | Interviewed about EBP knowledge, facility policies, and provided Skin/Wound Log | |
| Licensed Practical Nurse (LPN) #11 | Interviewed about EBP knowledge and PPE use | |
| Administrator | Interviewed about facility policies regarding EBP and isolation | |
| Advanced Practice Registered Nurse | Interviewed about EBP knowledge and resident applicability |
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Jul 24, 2025
Visit Reason
The inspection was conducted as part of the facility's annual recertification survey to assess compliance with health and safety regulations, including food storage, staffing data reporting, and infection prevention and control.
Findings
The facility was found deficient in multiple areas including improper food storage with expired and uncovered items, failure to submit required Payroll Based Journal staffing data for the 2nd quarter of 2025, and inadequate implementation of Enhanced Barrier Precautions for residents with wounds, including lack of PPE use and absence of related policies or training.
Deficiencies (3)
Stored foods were not properly covered, meats were improperly placed, seasoning container lids were open, and expired food items were not promptly discarded.
Failed to electronically submit Provider Enhanced Reporting Payroll Based Journal (PBJ) staffing data for the 2nd quarter of 2025.
Failed to ensure Enhanced Barrier Precautions (EBP) were implemented for one resident with wounds, including failure to wear gowns and lack of EBP signage or PPE outside the resident's room.
Report Facts
Expired frozen fruit juice cups: 1
Expired chocolate shakes: 1
Expired honey consistency beverage containers: 23
Expired BBQ sauce container: 1
Weight of self-rising flour bags: 50
PBJ quarters missing: 3
Residents reviewed for wounds: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #10 | Licensed Practical Nurse | Observed providing wound care without gown and unfamiliar with Enhanced Barrier Precautions |
| CNA #5 | Certified Nursing Aide | Interviewed about EBP and PPE use, unfamiliar with EBP |
| CNA #6 | Certified Nursing Aide | Interviewed about EBP and PPE use, unfamiliar with EBP |
| CNA #8 | Certified Nursing Aide | Interviewed about EBP and PPE use, partially familiar with PPE requirements |
| Director of Nursing/Infection Preventionist | Director of Nursing/Infection Preventionist | Interviewed about EBP, unfamiliar with full requirements and facility lacked policy |
| LPN #11 | Licensed Practical Nurse | Interviewed about EBP, unfamiliar with full requirements |
| Administrator | Administrator | Confirmed failure to submit PBJ data and lack of EBP policy |
| Advanced Practice Registered Nurse | Advanced Practice Registered Nurse | Interviewed about EBP and residents requiring precautions |
Inspection Report
Routine
Deficiencies: 1
Date: Jul 24, 2025
Visit Reason
The inspection was conducted to assess the facility's compliance with infection prevention and control program requirements, specifically focusing on the implementation of Enhanced Barrier Precautions (EBP) for residents with wounds.
Findings
The facility failed to ensure Enhanced Barrier Precautions were implemented for one resident with wounds. Several staff members, including licensed practical nurses, certified nursing aides, and the Director of Nursing/Infection Preventionist, demonstrated unfamiliarity with EBP and appropriate personal protective equipment (PPE) use. The facility lacked a policy or procedure regarding EBP or isolation.
Deficiencies (1)
Failure to implement Enhanced Barrier Precautions for Resident #11 during wound care, including failure to wear a gown and absence of EBP signage or PPE outside the resident's room.
Report Facts
Resident reviewed for wounds: 3
Assessment Reference Date: May 20, 2025
Brief Interview for Mental Status (BIMS) score: 6
Resident admission date: May 24, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #10 | Licensed Practical Nurse | Observed providing wound care without proper PPE and unfamiliar with Enhanced Barrier Precautions |
| CNA #5 | Certified Nursing Aide | Interviewed about EBP familiarity and PPE use |
| CNA #6 | Certified Nursing Aide | Interviewed about EBP familiarity and PPE use |
| CNA #8 | Certified Nursing Aide | Interviewed about EBP familiarity and PPE use |
| Director of Nursing/Infection Preventionist | Director of Nursing/Infection Preventionist | Interviewed about EBP familiarity, PPE use, and facility policies |
| LPN #11 | Licensed Practical Nurse | Interviewed about EBP familiarity and PPE use |
| Administrator | Administrator | Interviewed about facility policies regarding EBP or isolation |
| Advanced Practice Registered Nurse | Advanced Practice Registered Nurse | Interviewed about EBP familiarity and resident applicability |
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Jul 24, 2025
Visit Reason
The inspection was conducted as part of the facility's annual recertification survey to assess compliance with health and safety regulations, including food storage, staffing data reporting, and infection prevention and control.
Findings
The facility was found deficient in multiple areas including improper food storage with expired and uncovered foods, failure to submit required Payroll Based Journal staffing data for the 2nd quarter of 2025, and inadequate implementation of Enhanced Barrier Precautions (EBP) for wound care on a resident. Staff demonstrated lack of knowledge regarding EBP and the facility lacked relevant policies.
Deficiencies (3)
Stored foods were not properly covered, meats were improperly placed, seasoning container lids were open, and expired food items were not promptly discarded.
Failure to provide Provider Enhanced Reporting Payroll Based Journal (PBJ) mandatory staffing data for the 2nd quarter 2025 in a uniform format to CMS.
Failed to ensure Enhanced Barrier Precautions (EBP) were implemented for one resident with wounds; staff lacked knowledge of EBP and facility lacked policies.
Report Facts
Expired food items: 23
PBJ quarters not submitted: 1
Residents reviewed for wounds: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #10 | Licensed Practical Nurse | Failed to wear gown during wound care for Resident #11 and was unfamiliar with EBP |
| CNA #5 | Certified Nursing Aide | Unfamiliar with EBP and PPE requirements for wound care |
| CNA #6 | Certified Nursing Aide | Unfamiliar with EBP and PPE requirements for wound care |
| CNA #8 | Certified Nursing Aide | Unfamiliar with EBP but stated PPE should include mask, gloves, gown, shoe covers |
| LPN #11 | Licensed Practical Nurse | Unfamiliar with EBP and PPE requirements for wound care |
| Administrator | Responsible for PBJ submission; confirmed failure to submit 2nd quarter data and lack of EBP policy | |
| Director of Nursing/Infection Preventionist | DON/IP | Unfamiliar with EBP details and confirmed lack of policy or training on EBP |
| Advanced Practice Registered Nurse | Familiar with EBP and residents requiring it |
Inspection Report
Routine
Deficiencies: 8
Date: Apr 12, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, assessment submissions, care planning, hygiene, fall prevention, food safety, and infection control at Crestpark Wynne, LLC nursing home.
Findings
The facility was found deficient in multiple areas including failure to complete timely change of condition assessments, late submission of Minimum Data Set (MDS) assessments, incomplete care plans, inadequate personal hygiene and nail care for residents, failure to apply hand rolls to prevent contractures, improper positioning of fall mats and unsafe call light cords, poor food storage and sanitation practices, and improper disposal of soiled incontinence care products.
Deficiencies (8)
Failure to complete a change of condition assessment within 14 days for Resident #30.
Quarterly Minimum Data Set (MDS) assessments for Residents #7 and #13 were 120 days late.
Failure to apply hand rolls to prevent decline in range of motion for Residents #13 and #28.
Failure to revise individualized care plans to reflect current needs for Residents #13, #19, and #30.
Residents #13 and #3 were not shaved to promote good personal hygiene; Resident #3's fingernails were dirty and uncleaned.
Fall mats were improperly positioned under Resident #13's bed; call light for Resident #11 had exposed wires and was not reported.
Food items were not sealed after opening, some were past use-by dates; kitchen equipment and dining tables had rust and grease buildup; utensils and pans stored in a manner allowing contamination.
Failure to properly dispose of soiled incontinence care waste for Resident #26, posing infection control risk.
Report Facts
Days late: 120
Assessment Reference Date: Apr 2, 2023
Assessment Reference Date: Feb 21, 2023
Assessment Reference Date: Feb 14, 2023
Assessment Reference Date: Jan 15, 2023
Use by date: Apr 5, 2024
Years: 11
Years: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #3 | Confirmed Resident #13 and #28 had contractures with no device present; confirmed Resident #13 was not shaved | |
| Director of Nursing | DON | Confirmed contractures for Residents #13 and #28; confirmed Resident #13 was not shaved; provided policy on MDS submission |
| Certified Nursing Assistant #2 | Described Resident #3's nails and chin condition; stated soiled briefs should not be left in trash | |
| Licensed Practical Nurse #1 | LPN | Described Resident #3's nails and chin condition |
| Dietary Manager | DM | Provided information on food storage, rust on kitchen equipment, and grease buildup on fryer baskets |
| Registered Nurse #1 | RN | Redirected Resident #26 from soiled brief; confirmed brief should have been changed |
| Maintenance Employee | Described electrical issues with call light and cable hazards | |
| Certified Nursing Assistant #1 | Reported call light issue and maintenance reporting protocol |
Inspection Report
Routine
Deficiencies: 8
Date: Apr 12, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, assessment, safety, infection control, and food safety at Crestpark Wynne, LLC nursing home.
Findings
The facility was found deficient in multiple areas including failure to complete timely change of condition assessments, late transmission of Minimum Data Set (MDS) assessments, incomplete care plans, inadequate personal hygiene care, failure to apply hand rolls to prevent contractures, improper fall prevention measures, unsafe call light equipment, food safety violations including improper food storage and equipment maintenance, and inadequate infection control related to disposal of soiled incontinence care products.
Deficiencies (8)
Failure to complete a change of condition assessment within 14 days after a significant change for Resident #30.
Quarterly Minimum Data Set (MDS) assessments for Residents #7 and #13 were transmitted late by 120 days.
Failure to document contractures and apply hand rolls to prevent decline in range of motion for Residents #13 and #28.
Failure to update individualized care plans to reflect current needs including falls, oxygen therapy, and hospice services for Residents #13, #19, and #30.
Failure to ensure residents were shaved and fingernails cleaned and clipped for Residents #13 and #3.
Fall mats were improperly positioned under Resident #13's bed and call lights had exposed wires for Resident #11.
Food safety violations including unsealed food items, use of food past use-by dates, improper storage of kitchen equipment allowing contamination, rust on kitchen equipment and dining tables, and greasy deep fryer baskets.
Failure to properly dispose of soiled incontinence care waste for Resident #26, posing an infection control risk.
Report Facts
Days late: 120
Use by date: Apr 5, 2024
Assessment Reference Date: Dec 4, 2023
Assessment Reference Date: Feb 21, 2024
Assessment Reference Date: Feb 14, 2024
Assessment Reference Date: Jan 15, 2024
Assessment Reference Date: Apr 2, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #3 | CNA | Confirmed contractures and lack of hand rolls for Residents #13 and #28; confirmed Resident #13 was unshaven |
| Director of Nursing | DON | Confirmed contractures and lack of hand rolls for Residents #13 and #28; confirmed Resident #13 was unshaven; provided policy on MDS submission; confirmed fall mat placement and call light issues |
| MDS Coordinator | Acknowledged oversight in change of condition assessment for Resident #30; discussed MDS submission issues; explained care plan update requirements | |
| Certified Nursing Assistant #2 | CNA | Described Resident #3's unclean fingernails and chin hair; confirmed brief should not be left in trash after incontinence care |
| Licensed Practical Nurse #1 | LPN | Described Resident #3's unclean fingernails and chin hair |
| Dietary Aide #1 | Dietary Aide | Observed improper food storage and thermometer use |
| Dietary Manager | DM | Discussed food storage practices, rust on kitchen equipment and dining tables, and grease buildup on fryer baskets |
| Registered Nurse #1 | RN | Observed soiled brief in Resident #26's trash and removed it |
| Maintenance Employee | Confirmed call light and cable hazards and lack of reporting |
Inspection Report
Routine
Census: 38
Deficiencies: 4
Date: Mar 16, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to food preparation, immunization policies, and pest control at Crestpark Wynne, LLC nursing home.
Findings
The facility was found deficient in ensuring pureed food consistency, maintaining clean and sanitary kitchen and storage areas, accurate pneumococcal immunization documentation and administration, and effective pest control measures. These deficiencies had the potential to affect multiple residents.
Deficiencies (4)
Failed to ensure pureed food items were blended to a smooth, lump-free consistency for residents requiring pureed diets.
Failed to maintain kitchen and dry storage floors free of debris and stains, and failed to keep ice machines clean, risking food borne illness.
Failed to ensure pneumococcal immunizations were administered and accurately documented for eligible residents.
Failed to maintain an effective pest control program, with multiple live and dead roaches observed in kitchen and storage areas.
Report Facts
Residents affected by pureed food deficiency: 8
Residents affected by kitchen sanitation deficiency: 38
Residents affected by immunization deficiency: 38
Residents affected by pest control deficiency: 36
Census: 38
Dead roaches observed: 20
Pest control service dates: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Employee #1 | Observed preparing pureed food with improper consistency | |
| Dietary Supervisor | Provided information on diet lists, kitchen sanitation, ice machine cleaning, and pest control | |
| Certified Nursing Assistant #1 | Interviewed about consistency of pureed sausage | |
| DON/ICP (Director of Nursing/Infection Control Practitioner) | Interviewed regarding immunization record accuracy and vaccine administration |
Inspection Report
Annual Inspection
Census: 38
Deficiencies: 4
Date: Mar 16, 2023
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory standards related to food preparation, immunizations, pest control, and overall facility sanitation.
Findings
The facility was found deficient in ensuring pureed food consistency, maintaining clean kitchen and storage areas, accurate immunization documentation and administration, and effective pest control. These deficiencies posed minimal harm or potential for actual harm to residents.
Deficiencies (4)
Failed to ensure pureed food items were blended to a smooth, lump-free consistency for residents requiring pureed diets.
Failed to maintain kitchen and dry storage floors free of debris and stains, and failed to keep ice machines clean, risking foodborne illness.
Failed to ensure pneumococcal immunizations were administered and accurately documented for eligible residents.
Failed to maintain an effective pest control program, with multiple live and dead roaches observed in kitchen and storage areas.
Report Facts
Residents affected by pureed food deficiency: 8
Residents affected by kitchen sanitation and ice machine deficiencies: 38
Residents affected by pneumococcal immunization deficiencies: 38
Residents affected by pest control deficiencies: 36
Current census: 38
Dead roaches observed: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Employee #1 | Observed preparing pureed food with improper consistency and contaminating clean equipment. | |
| Dietary Employee #2 | Observed contaminating gloves and handling food improperly. | |
| Dietary Employee #3 | Observed contaminating gloves and handling bowls improperly. | |
| Dietary Supervisor | Provided information on diet lists, cleaning schedules, and pest control issues. | |
| Certified Nursing Assistant #1 | Interviewed regarding consistency of pureed food. | |
| DON/ICP (Director of Nursing/Infection Control Practitioner) | Interviewed regarding immunization records and policies. | |
| Administrator | Interviewed regarding immunization record accuracy. |
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