Inspection Reports for
Dardanelle Nursing and Rehabilitation Center, Inc.
2199 State Hwy 7 North, Dardanelle, AR, 72834
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
42% better than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jun 27, 2025
Visit Reason
The inspection was conducted due to a complaint investigation following an incident where Resident #4 eloped from the facility unsupervised, raising concerns about the facility's supervision and safety measures.
Complaint Details
The complaint investigation substantiated that Resident #4 eloped from the facility on 03/07/2025 at 5:55 PM by blocking the front door with a motorized scooter and exiting without staff knowledge. The resident was found by an off-duty CNA 1.1 miles away. The facility was unaware of the resident's absence until notified by the CNA. The resident had a history of elopement attempts and was high risk. The facility took corrective actions including discharge of the resident.
Findings
The facility failed to adequately monitor and supervise Resident #4, who had known high-risk elopement behaviors, resulting in the resident leaving the facility unsupervised and being found 1.1 miles away. The facility implemented corrective actions including a door monitoring program, installation of a secondary alarm system, staff in-service, and discharged Resident #4 for safety.
Deficiencies (1)
Failed to monitor and supervise a resident with high-risk elopement behaviors, allowing the resident to exit the facility unsupervised.
Report Facts
Distance resident traveled: 1.1
Time resident exited facility: 1755
Time resident found: 1821
Date of survey: Jun 27, 2025
Date of internal investigation: Mar 7, 2025
Date alarm system ordered: Mar 31, 2025
Date alarm system installed: Apr 17, 2025
Brief Interview of Mental Status score: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Assistant | Located Resident #4 after elopement and notified Director of Nursing |
| Director of Nursing | DON | Interviewed regarding Resident #4 elopement and facility response |
| Licensed Practical Nurse #3 | LPN | Reported Resident #4 had multiple elopement attempts |
| Administrator | Facility Administrator | Reviewed camera footage and assessed Resident #4 after elopement |
| Assistant Administrator | Assistant Administrator | Stayed with Resident #4 after return and reported resident's statements |
| CNA #2 | Certified Nursing Assistant | Assigned to Resident #4 and assisted with discharge packing |
| CNA #4 | Certified Nursing Assistant | Reported previous unsuccessful elopement attempts by Resident #4 |
| CNA #5 | Certified Nursing Assistant | Reported previous unsuccessful elopement attempts by Resident #4 |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Aug 29, 2024
Visit Reason
The inspection was conducted to assess compliance with infection prevention and control protocols, specifically focusing on enhanced barrier precautions and hand hygiene practices for residents with indwelling medical devices or wounds.
Findings
The facility failed to ensure proper hand hygiene and adherence to enhanced barrier precautions for two sampled residents with indwelling devices. Observations and interviews revealed staff did not consistently wear gowns and gloves as required, and hand hygiene was not properly performed before and after care.
Deficiencies (1)
Failure to ensure proper hand hygiene and enhanced barrier precautions were followed for residents with indwelling medical devices.
Report Facts
Residents reviewed for enhanced barrier precautions: 2
BIMS score: 3
Body Mass Index: 36
Medication dosage: 75
Medication volume: 3
Water flush volume: 30
Air volume: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Observed not wearing gloves or gown while providing care to Resident #68 and interviewed regarding infection control practices | |
| Certified Nursing Assistant #5 | Observed not wearing gloves or gown while providing care to Resident #68 and interviewed about proper precautions | |
| Licensed Practical Nurse #1 | Observed administering medication to Resident #7 and interviewed about proper hand hygiene and glove use |
Inspection Report
Routine
Census: 74
Deficiencies: 5
Date: Jun 16, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to resident care, hygiene, respiratory therapy, nutrition, food safety, and pest control at Dardanelle Nursing and Rehabilitation Center.
Findings
The facility was found deficient in multiple areas including inadequate nail care for residents requiring assistance, failure to date oxygen tubing and water bottles for residents on oxygen therapy, failure to honor resident food preferences, improper food storage and preparation practices, and ineffective pest control resulting in a fly infestation affecting the facility.
Deficiencies (5)
Failure to ensure nail care was regularly provided to maintain good hygiene and prevent potential injuries or infections for residents requiring assistance.
Failure to ensure oxygen tubing and water bottles were dated and humidifier water bottles were not empty for residents receiving oxygen therapy.
Failure to ensure resident food preferences were honored and foods listed as dislikes were not served.
Failure to ensure food stored in the freezer was sealed and dated, dietary staff washed hands before handling food, and excessive additives were not used in pureed foods.
Failure to maintain an effective pest control program to prevent flies in the facility, affecting residents and food preparation areas.
Report Facts
Residents sampled for nail care deficiency: 19
Residents affected by nail care deficiency: 33
Residents sampled for oxygen therapy deficiency: 8
Residents affected by oxygen therapy deficiency: 2
Residents affected by food preference deficiency: 1
Residents affected by food safety deficiency: 74
Residents affected by pest control deficiency: 74
Cubed steaks in freezer not sealed and dated: 22
Spoons of mixed vegetables added to pureed diet: 9
Scoops of rice added to pureed diet: 6
Scoops of cantaloupe added to pureed diet: 6
Fly bait amount sprayed: 16
Fly trap lights installed: 9
Fly sticky poles hung outside: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing | ADON | Responsible for toenail care; explained nurses trim nails for diabetics and aides for non-diabetics |
| Licensed Practical Nurse #2 | LPN | Interviewed about undated oxygen tubing and humidifier water |
| Director of Nursing | DON | Interviewed about humidifier water bottle dating and pest control measures |
| Nursing Assistant #1 | NA | Observed serving incorrect meal to Resident #71 |
| Licensed Practical Nurse #1 | LPN | Encouraged Resident #71 to try oatmeal despite dislike |
| Certified Nursing Assistant #2 | CNA | Attempted to feed Resident #71 and noted refusal |
| Dietary Manager | Manager | Interviewed about food service errors and pest control |
| Dietary Employee #1 | Cook | Admitted forgetting to serve certain foods and adding excessive additives to pureed diets |
| Dietary Employee #2 | DE | Observed wiping nose and then handling utensils without proper hand hygiene |
| Laundry Supervisor | Supervisor | Interviewed about fly problem and control methods |
| Maintenance Supervisor | Supervisor | Responsible for fly control measures including fly trap lights and fly bait application |
| Administrator | Administrator | Provided information on pest control efforts and fly light installations |
Inspection Report
Routine
Deficiencies: 5
Date: Mar 25, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, treatment, safety, and food handling at Dardanelle Nursing and Rehabilitation Center.
Findings
The facility was found deficient in several areas including inaccurate Minimum Data Set assessments for insulin administration, incomplete care plan revisions for aspiration risk, failure to follow physician orders for knee high compression hose application and documentation, improper use of mechanical lift increasing risk of injury, and inadequate food storage and labeling practices.
Deficiencies (5)
Failure to ensure Minimum Data Set assessments were completed accurately for insulin administration for Resident #19.
Failure to revise care plan to reflect monitoring for signs and symptoms of aspiration for Resident #13.
Failure to ensure physician's order for knee high compression hose was followed and documented for Resident #64.
Failure to use mechanical lift according to manufacturer's instructions, risking transfer-related injuries for Resident #19.
Failure to ensure food was dated and utilized prior to expiration and food in open containers was properly sealed, potentially affecting 88 residents.
Report Facts
Residents sampled: 19
Residents sampled: 1
Residents sampled: 1
Residents sampled: 4
Residents affected: 88
Insulin administrations: 11
Compression hose application days: 23
Compression hose removal days: 22
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MDS Coordinator | Interviewed regarding insulin administration and care plan revisions | |
| Certified Nursing Assistant #1 | CNA | Observed using mechanical lift and interviewed about training |
| Certified Nursing Assistant #2 | CNA | Observed using mechanical lift and interviewed about training and locking casters |
| Licensed Practical Nurse #1 | LPN | Interviewed about responsibility for compression hose application and documentation |
| Licensed Practical Nurse #2 | LPN | Interviewed about Resident #13 swallowing precautions |
| Director of Nursing | DON | Interviewed about responsibility for compression hose application and documentation |
| Speech Therapist | Interviewed about Resident #13 swallowing precautions | |
| Dietary Manager | Interviewed about food storage and handling practices |
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