Deficiencies (last 3 years)
Deficiencies (over 3 years)
3.3 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
37% better than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Routine
Deficiencies: 6
Date: Sep 6, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, nutrition, safety, infection control, and food service at The Springs of Fairfield Bay nursing home.
Findings
The facility was found deficient in multiple areas including failure to develop and update comprehensive care plans for residents with wandering behaviors, failure to provide nutritional supplements as ordered due to supply shortage, unsafe storage of hazardous materials in resident bathrooms, improper food preparation and handling practices, inadequate food labeling and storage, and failure to maintain proper infection prevention and control measures for residents on enhanced barrier precautions.
Deficiencies (6)
Failed to initiate and update a comprehensive care plan for a resident with wandering and exit seeking behaviors.
Failed to ensure 2 residents received nutritional supplements as ordered due to facility running out of supplements.
Failed to ensure an accident/hazard free environment by storing perineal skin cleanser and antiseptic mouthwash in a resident's bathroom despite warning labels.
Failed to ensure food was prepared in the proper form to meet resident needs; mechanical soft diet meats contained large chunks that could cause choking.
Failed to ensure food in kitchen storage areas was labeled with receive dates, expired food was discarded timely, and cross contamination was prevented during food service.
Failed to maintain proper infection prevention and control for a resident on enhanced barrier precautions; staff did not wear gowns and gloves as required during care and showering.
Report Facts
Residents affected: 1
Residents affected: 2
Residents affected: 1
Meals observed: 1
Residents affected: 1
Residents with nutritional supplement orders: 2
Expired granola bags: 2
Date of survey completion: Sep 6, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Confirmed care plan deficiencies and nutritional supplement shortage; involved in infection control observations |
| Certified Nursing Assistant #4 | Certified Nursing Assistant | Reported resident wandering behaviors; observed repositioning resident without proper precautions |
| Licensed Practical Nurse #3 | Licensed Practical Nurse | Interviewed regarding storage of hazardous materials in resident bathroom |
| Dietary Manager | Dietary Manager | Confirmed food storage and labeling deficiencies; interviewed about food preparation and hygiene practices |
| Infection Prevention Nurse | Infection Prevention Nurse | Interviewed regarding enhanced barrier precautions and staff compliance |
Inspection Report
Deficiencies: 2
Date: Oct 6, 2023
Visit Reason
The inspection was conducted to assess compliance with physician orders and facility policies regarding respiratory care, specifically oxygen administration for residents.
Findings
The facility failed to follow physician orders for oxygen flow rate for one resident, Resident #137, with observed discrepancies in oxygen concentrator settings and lack of an oxygen administration policy.
Deficiencies (2)
Failed to follow Physician Orders for oxygen flow rate for Resident #137.
No Oxygen Administration Policy present in the facility.
Report Facts
Residents sampled: 2
Oxygen flow rate orders: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding oxygen concentrator settings and monitoring responsibilities | |
| Nurse Consultant | Stated there is no Oxygen Administration Policy |
Inspection Report
Routine
Census: 36
Deficiencies: 2
Date: Jul 8, 2022
Visit Reason
The inspection was conducted to evaluate the facility's compliance with nutritional and food safety standards, including meal preparation according to planned menus and proper food storage and handling practices.
Findings
The facility failed to ensure meals were prepared and served according to the planned menu, resulting in incorrect portion sizes and missing items for residents on special diets. Additionally, food safety violations were observed including improper food storage temperatures, uncovered food items, expired food products, and inadequate hand hygiene among dietary staff, all posing potential harm to residents.
Deficiencies (2)
Meals were not prepared and served in accordance with the planned menu, including incorrect portion sizes and missing items for residents on mechanical soft and pureed diets.
Food items stored in refrigerators and freezers were uncovered and unsealed; expired food items were present; improper temperatures were maintained for cold dairy products and hot foods; dietary staff failed to wash hands and contaminated gloves while handling food and equipment.
Report Facts
Residents affected: 25
Residents affected: 7
Residents affected: 4
Residents affected: 36
Census: 36
Temperature: 50
Temperature: 59
Temperature: 60.3
Temperature: 124
Portion size: 1.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Employees #1, #2, #3, #4, and #5 mentioned in relation to food handling and meal preparation deficiencies; no full names provided. |
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