Inspection Reports for
Des Arc Nursing And Rehabilitation Center
2216 West Main Street, Des Arc, AR, 72040
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
11.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
117% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Routine
Deficiencies: 8
Date: Jan 16, 2025
Visit Reason
The inspection was a routine survey conducted to assess compliance with regulatory requirements related to resident rights, care planning, infection control, food service, and other aspects of facility operations.
Findings
The facility was found deficient in multiple areas including failure to maintain resident dignity during meal service, improper placement of call lights for residents with limited range of motion, incomplete and inaccurate care plans, failure to ensure mechanical soft food was prepared to correct consistency, inadequate cleaning of the ice machine, and lapses in infection control practices including improper handling of eating utensils and failure to place a resident with herpes zoster on contact isolation.
Deficiencies (8)
Failed to ensure dignity was maintained for a resident while passing meal trays.
Failed to ensure call lights were placed in reach for residents with limited range of motion.
Failed to ensure Advance Directives were up to date in the electronic medical record for a resident.
Failed to complete an accurate Minimum Data Set (MDS) for a resident.
Failed to ensure comprehensive care plans addressed and individualized appropriate care and services for residents.
Failed to ensure mechanical soft food was ground to the right consistency to meet residents' needs.
Failed to ensure internal components of the ice machine and ice scoop container were cleaned to prevent waterborne illnesses.
Failed to ensure infection control processes were maintained, including improper handling of eating utensils and failure to place a resident with herpes zoster on contact isolation.
Report Facts
Residents affected: 1
Residents affected: 3
Residents affected: 1
Residents affected: 1
Residents affected: 3
Residents affected: 8
Residents affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Assistant | Named in dignity and call light placement findings and improper handling of eating utensils |
| LPN #5 | Licensed Practical Nurse | Interviewed regarding call light placement |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding call light placement, Advance Directives, care plans, and infection control |
| RN #3 | Registered Nurse | Interviewed regarding call light placement and hospital transfer paperwork |
| Rehab Director | Rehabilitation Director | Interviewed regarding call light placement |
| Dietary Manager | Dietary Manager | Interviewed regarding mechanical soft food preparation and ice machine cleaning |
| Maintenance Supervisor | Maintenance Supervisor | Interviewed regarding ice machine cleaning |
| APRN | Advanced Practice Registered Nurse | Documented and treated resident's herpes zoster rash |
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Jan 16, 2025
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements related to resident rights, call light accessibility, and food preparation consistency.
Findings
The facility was found deficient in maintaining resident dignity during meal tray service, ensuring call lights were accessible to residents with limited mobility, and providing mechanically altered food at the correct consistency for residents requiring mechanical soft diets. All deficiencies were assessed as minimal harm or potential for actual harm.
Deficiencies (3)
Failed to ensure dignity was maintained for a resident while passing meal trays.
Failed to ensure call lights were placed in reach and accessible for use for residents with limited range of motion.
Failed to ensure mechanical soft food was ground to the right consistency to meet the needs of residents requiring mechanical soft diets.
Report Facts
Residents affected: 1
Residents affected: 3
Residents affected: 8
Temperature: 157.8
Number of residents sampled: 59
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #1 | CNA | Named in dignity and call light accessibility findings |
| Licensed Practical Nurse #5 | LPN | Interviewed regarding tray service and call light placement |
| Director of Nursing | DON | Interviewed regarding tray service and call light placement |
| Registered Nurse #3 | RN | Interviewed regarding call light placement for Resident #270 |
| Rehab Director | Interviewed regarding call light placement for Resident #270 | |
| Dietary Manager | Interviewed regarding mechanical soft food preparation | |
| Cook #4 | Involved in preparation of mechanically altered pork chops |
Inspection Report
Re-Inspection
Census: 66
Deficiencies: 14
Date: Jan 8, 2024
Visit Reason
The inspection was conducted to investigate multiple complaints and deficiencies including resident rights, care planning, infection control, mechanical lift safety, food safety, and environmental conditions.
Findings
The facility was found deficient in multiple areas including failure to ensure resident dignity during meals, inadequate privacy during care, failure to provide ordered food choices, unsanitary and unsafe environmental conditions, failure to timely report and investigate injuries of unknown origin, incomplete PASRR evaluations, untimely care plan revisions, inadequate nail and oral care, failure to follow respiratory care orders, unsafe use of mechanical lifts, expired medications and unlabeled food items, and poor infection control practices. Immediate Jeopardy was identified related to mechanical lift safety and injury reporting but was removed after corrective actions.
Deficiencies (14)
Failure to ensure staff sat at eye level while assisting residents with meals and failure to provide privacy during care.
Failure to ensure resident received lunch choices ordered.
Failure to maintain a safe, clean, comfortable, and homelike environment including odors, furniture repair, and cleanliness.
Failure to timely report suspected abuse and injuries of unknown origin resulting in Immediate Jeopardy.
Failure to ensure PASRR evaluation was completed for a resident with mental disorder.
Failure to review and revise care plan timely to address decline in resident function.
Failure to provide regular nail care and oral care for dependent residents.
Failure to follow physician's orders for cleaning BiPAP mask and machine and failure to maintain oxygen humidifier bottle properly.
Failure to demonstrate competency in safely conducting manual transfers using mechanical lifts, including use of defective equipment and failure to lock wheelchair brakes, resulting in Immediate Jeopardy.
Failure to remove expired medications and label opened multi-dose containers.
Failure to ensure food items were labeled, dated, stored properly in sealed packaging, and dishes properly cleaned and sanitized.
Failure to develop and implement effective QAPI plans to prevent repeated deficiencies.
Failure to implement infection control measures including hand hygiene, glove changes, containment of oxygen tubing, and proper handling of urinals.
Failure to maintain a safe, sanitary, and comfortable environment including odors, furniture damage, and maintenance issues.
Report Facts
Residents affected: 66
Deficiency sample size: 19
Deficiency sample size: 21
Deficiency sample size: 62
Deficiency sample size: 66
Deficiency sample size: 14
Deficiency sample size: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #6 | Certified Nursing Assistant | Named in mechanical lift safety and infection control deficiencies. |
| Director of Nursing | Director of Nursing | Named in multiple findings including mechanical lift safety, injury reporting, and QAPI. |
| LPN #1 | Licensed Practical Nurse | Named in respiratory care and infection control deficiencies. |
| Maintenance #1 | Maintenance Supervisor | Named in mechanical lift and environmental maintenance deficiencies. |
| Housekeeping #1 | Housekeeping Staff | Named in infection control and environmental cleanliness deficiencies. |
| Administrator | Administrator | Named in QAPI and overall facility management. |
Inspection Report
Routine
Deficiencies: 9
Date: Oct 14, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident rights, care planning, safety, Medicaid trust account notifications, PASRR screening, catheter care, food safety, and environmental safety in the nursing home.
Findings
The facility was found deficient in multiple areas including failure to reasonably accommodate resident needs for independence, failure to support resident self-determination regarding roommate compatibility, failure to notify Medicaid residents about trust account balances, incomplete PASRR screening, incomplete care planning for pressure ulcers, unsafe water temperatures, inadequate fire safety in smoking areas, improper catheter bag storage risking infection, and poor food storage and labeling practices.
Deficiencies (9)
Failed to reasonably accommodate resident's request to lower closet shelves and refrigerator for independence.
Failed to support resident self-determination by not providing compatible roommate.
Failed to notify Medicaid residents when trust account balances approached SSI resource limits.
Failed to complete PASRR screening for resident with serious mental disorder.
Failed to revise care plan to include interventions for resident's Stage 3 pressure ulcer.
Exposed residents to unsafe water temperatures exceeding 120 degrees Fahrenheit.
Failed to provide adequate fire safety equipment (fire extinguisher) in resident smoking areas.
Indwelling urinary catheter collection bag hung on trash can with bottom touching floor and trash inside, risking infection.
Failed to ensure food items were sealed, labeled, and dated; spices were outdated; unit refrigerators contained unlabeled items.
Report Facts
Residents affected: 16
Residents affected: 19
Residents affected: 26
Residents affected: 11
Residents affected: 4
Residents affected: 16
Residents affected: 6
Residents affected: 3
Total census: 62
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