Deficiencies (last 3 years)
Deficiencies (over 3 years)
6.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
21% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
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
Routine
Deficiencies: 6
Date: Sep 6, 2024
Visit Reason
The inspection was conducted as a routine regulatory survey to assess compliance with healthcare facility standards, including care planning, nutritional support, safety, food preparation, infection control, and other regulatory requirements.
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 ordered nutritional supplements due to supply issues, unsafe storage of hazardous products in resident bathrooms, improper food preparation and handling practices leading to potential choking hazards and cross contamination, inadequate food labeling and storage practices, 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 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 posing choking risk.
Failed to ensure food stored in kitchen 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 transfer.
Report Facts
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: 1
Residents affected: Many
Residents with nutritional supplement orders: 2
Date survey completed: Sep 6, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Confirmed deficiencies related to care plan, nutritional supplements, and infection control |
| Certified Nursing Assistant #4 | Certified Nursing Assistant | Provided information about resident wandering and assisted in repositioning Resident #36 |
| Licensed Practical Nurse #3 | Licensed Practical Nurse | Interviewed regarding storage of hazardous products and nutritional supplement availability |
| Dietary Manager | Dietary Manager | Confirmed food safety, labeling, preparation, and hand hygiene deficiencies |
| Infection Prevention Nurse | Infection Prevention Nurse | Interviewed regarding enhanced barrier precautions and proper gown and glove use |
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
Deficiencies: 1
Date: Oct 6, 2023
Visit Reason
The inspection was conducted to assess compliance with physician orders and safe respiratory care practices for residents, specifically focusing on oxygen administration.
Findings
The facility failed to follow physician orders for oxygen flow rate for one resident (Resident #137), with observations showing inconsistent oxygen settings and lack of an oxygen administration policy.
Deficiencies (1)
Failure to follow Physician Orders for oxygen flow rate for Resident #137.
Report Facts
Residents sampled: 2
Residents affected: 1
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. |
Inspection Report
Routine
Census: 36
Deficiencies: 2
Date: Jul 8, 2022
Visit Reason
The inspection was conducted to assess compliance with nutritional and food safety standards in the facility's kitchen and dietary services.
Findings
The facility failed to ensure meals were prepared and served according to the planned menu to meet residents' nutritional needs, and failed to maintain proper food storage, handling, and temperature controls, posing potential risks to residents' health.
Deficiencies (2)
Meals were not 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; dietary staff failed to wash hands properly before handling clean equipment and food; hot foods were not maintained at proper temperatures.
Report Facts
Residents affected: 25
Residents affected: 7
Residents affected: 4
Residents affected: 36
Census: 36
Food temperature: 50
Food temperature: 59
Food temperature: 60.3
Food temperature: 124
Expiration date: Jun 12, 2022
Expiration date: Jun 19, 2022
Expiration date: Jul 2, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Employees #1, #2, #3, #4, and #5 mentioned in relation to food handling and preparation deficiencies but no full names provided |
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