Inspection Reports for
Harris Health and Rehab
287 S. Country Club Road, Osceola, AR, 72370
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
7.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
40% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
63% occupied
Based on a April 2024 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Aug 1, 2025
Visit Reason
The inspection was conducted as an annual survey to assess compliance with health and safety regulations at Harris Health and Rehab.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Aug 1, 2025
Visit Reason
The inspection was conducted to investigate a complaint regarding the facility's failure to ensure resident rights were maintained, specifically related to Resident #71's care and treatment during a shower.
Complaint Details
The complaint investigation found that Resident #71 was combative and resistant to care during a shower on 06/03/2025, resulting in a skin tear. Staff did not follow the resident's Care Plan, which required alternative approaches to care refusal. Interviews with CNAs and LPNs confirmed the resident was forced to shower despite resistance, violating resident rights.
Findings
The facility failed to follow Resident #71's person-centered Care Plan when the resident was combative and resistant to care during a shower, resulting in a skin tear. Staff did not appropriately attempt alternative approaches as directed by the Care Plan, and the resident's rights to dignity and self-determination were not upheld.
Deficiencies (1)
Failure to honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights, specifically related to care refusal and handling of Resident #71 during a shower.
Report Facts
Residents Affected: 1
Assessment Reference Date: Jun 6, 2025
Admission Date: May 28, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #2 | Certified Nursing Assistant | Witness statement and interview regarding Resident #71's combative behavior and care refusal |
| LPN #3 | Licensed Practical Nurse | Interviewed regarding Resident #71's care and staff instructions during shower incident |
| Director of Nursing | Director of Nursing | Confirmed staff responsibilities related to combative residents and care refusal |
| Administrator | Administrator | Confirmed staff did not follow Resident #71's person-centered Care Plan |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: May 14, 2025
Visit Reason
The inspection was conducted due to a complaint investigation following an incident where Resident #1 eloped from the facility on 03/23/2025 by exiting through an unsecured front door.
Complaint Details
The complaint investigation was substantiated as Resident #1 eloped from the facility on 03/23/2025 at 3:01 am due to unsecured exit doors. The resident was found and returned by law enforcement at 4:53 pm the same day. The immediate jeopardy was removed on 03/28/2025 after corrective actions were implemented.
Findings
The facility failed to ensure exit doors were secured and functioning properly to prevent elopement, resulting in immediate jeopardy to resident health or safety. Resident #1, who was identified as an elopement risk with severe cognitive impairment, exited the facility unnoticed and was later found by law enforcement. The facility implemented corrective actions including securing the resident on a locked unit, re-inservicing staff, and repairing door locks and alarms.
Deficiencies (1)
Failed to ensure exit doors were secured and functioned properly to prevent elopement for Resident #1.
Report Facts
Residents affected: 1
Date of elopement incident: Mar 23, 2025
Date immediate jeopardy removed: Mar 28, 2025
Staff in-service dates: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #3 | LPN | Provided witness statement locating Resident #1 after elopement |
| Maintenance | Reported on door lock issues and maintenance actions related to elopement | |
| LPN #1 | LPN | Verified door locking mechanism and described resident's exit-seeking behavior |
| Certified Nursing Assistant #8 | CNA | Reported on door locking issues and resident confusion during elopement |
| Director of Nursing | DON | Verified resident placement on secure unit and described elopement incident |
| Administrator | Administrator | Reported on resident return and lock changes after elopement |
Inspection Report
Routine
Census: 57
Deficiencies: 8
Date: Apr 18, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, activities, infection control, and other facility operations at Harris Health and Rehab.
Findings
The facility was found deficient in multiple areas including failure to notify the Ombudsman of resident hospital transfers, incomplete and outdated care plans, inadequate personal hygiene care, insufficient activity programming especially on the secure unit and weekends, lack of certified activity director, failure to apply hand rolls to prevent contractures, improper feeding tube medication administration, and poor infection control practices during dressing changes.
Deficiencies (8)
Failed to ensure the Ombudsman was notified when residents were transferred to the hospital.
Failed to ensure residents' individualized plan of care was revised to reflect current needs including contractures.
Failed to provide adequate personal hygiene care including fingernail trimming, shaving, and oral care for residents.
Failed to ensure the activity program met individual resident needs and interests, especially on the secure unit and weekends.
Failed to ensure the activities program was directed by a certified activity director.
Failed to ensure hand rolls or devices were applied to prevent further contracture and decline in range of motion for a resident's contracted hand.
Failed to ensure residual was checked per physician's orders prior to medication administration via gastrostomy tube.
Failed to implement infection control measures including handwashing, avoidance of cross contamination, and proper disposal of soiled dressings during dressing changes.
Report Facts
Residents affected: 57
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 57
Duration: 2
Residual volume: 150
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aide #08 | CNA | Interviewed regarding Resident #45's contracted hand and device use. |
| Director of Nursing | DON | Interviewed regarding Resident #45's contracture and care plan, activity director training, and gastrostomy tube medication administration. |
| Licensed Practical Nurse #1 | LPN | Observed administering medications by gastrostomy tube without checking residual. |
| Certified Nurse Assistant #7 | CNA | Observed removing soiled dressings and providing shower care without proper infection control. |
| Activity Director | Activity Director | Reported no certification and lack of formal training; responsible for activity programming. |
| Certified Nursing Assistant #1 | CNA | Interviewed about shaving and activities on secure unit. |
| Certified Nursing Assistant #3 | CNA | Interviewed about weekend activities. |
| Certified Nursing Assistant #4 | CNA | Interviewed about weekend activities. |
| Certified Nursing Assistant #5 | CNA | Interviewed about weekend activities. |
| Licensed Practical Nurse #02 | LPN | Interviewed about shaving care for Resident #24. |
Inspection Report
Annual Inspection
Census: 62
Deficiencies: 12
Date: Feb 23, 2023
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in multiple areas including residents' rights to smoke and retain personal possessions, environmental safety and cleanliness, accuracy and timeliness of Minimum Data Set (MDS) assessments, care planning for weight loss, supervision during smoking, provision of fluids, respiratory care, food preparation and handling, infection control practices, and maintenance of the physical environment.
Deficiencies (12)
Failed to ensure residents' right to smoke without interference and proper supervision during smoking.
Failed to ensure residents' right to retain and use personal possessions including clothing.
Failed to provide a safe, clean, comfortable and homelike environment; multiple maintenance and cleanliness issues observed.
Failed to complete Significant Change MDS assessments timely and accurately for residents with changes in condition.
Failed to ensure accurate MDS assessments for a resident.
Failed to review and revise care plan to address weight loss and implement dietitian recommendations.
Failed to provide adequate supervision and assistive devices to prevent accidents during smoking.
Failed to ensure water pitchers were accessible and interventions for weight loss were implemented.
Failed to follow physician orders for oxygen therapy and BiPAP/CPAP use.
Failed to ensure pureed food items were blended to a smooth, lump-free consistency.
Failed to ensure food items were properly stored, covered, sealed, dated, and dietary staff washed hands before handling food or equipment.
Failed to ensure proper infection prevention and control practices including PPE availability, use, and contaminated laundry handling.
Report Facts
Residents affected: 15
Residents affected: 62
Residents affected: 5
Residents affected: 3
Residents affected: 5
Residents affected: 60
Residents affected: 62
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Mentioned in relation to oxygen therapy and CPAP order confusion for Resident #29 |
| LPN #2 | Licensed Practical Nurse | Mentioned in relation to oxygen therapy and CPAP order confusion for Resident #29 |
| Dietary Employee #1 | Dietary Employee | Mentioned in relation to improper handwashing and food handling |
| Dietary Employee #2 | Dietary Employee | Mentioned in relation to improper handwashing and food handling |
| Dietary Employee #3 | Dietary Employee | Mentioned in relation to improper handwashing and food handling |
| Certified Nursing Assistant #1 | CNA | Mentioned in relation to pureed food consistency |
| Certified Nursing Assistant #2 | CNA | Mentioned in relation to water pitcher accessibility and infection control PPE misuse |
| Dietary Manager | Dietary Manager | Mentioned in relation to weight loss interventions and food provision |
| Infection Control and Preventionist | ICP | Mentioned in relation to PPE stocking and infection control practices |
| Laundry Supervisor | Laundry Supervisor | Mentioned in relation to contaminated laundry handling |
| Director of Nursing | DON | Mentioned in relation to smoking supervision, COVID-19 resident movement, and weight loss interventions |
Viewing
Loading inspection reports...
