Inspection Reports for
Lonoke Health and Rehab Center, LLC
1501 Lincoln Street, Lonoke, AR, 72086
Back to Facility ProfileDeficiencies (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
16
12
8
4
0
Inspection Report
Deficiencies: 0
Date: Jan 8, 2026
Visit Reason
The document is a statement of deficiencies and plan of correction for Lonoke Health and Rehab Center, LLC, related to a regulatory survey completed on January 8, 2026.
Findings
No health deficiencies were found during the survey.
Inspection Report
Routine
Capacity: 75
Deficiencies: 14
Date: Jul 25, 2024
Visit Reason
Routine inspection of Lonoke Health and Rehab Center to assess compliance with regulatory requirements including resident care, medication management, infection control, dietary services, and safety.
Findings
The facility was found deficient in multiple areas including improper management of residents' personal funds, failure to protect resident privacy, inaccurate resident assessments and care plans, improper use of mechanical lifts, inadequate perineal care, failure to implement nutritional interventions, incorrect oxygen administration, inaccurate controlled medication logs, improper food preparation and serving practices, poor infection control hand hygiene, and food safety violations in the kitchen.
Deficiencies (14)
Failed to ensure quarterly statements were provided to residents for trust accounts and properly record transactions for Resident #28.
Failed to keep residents' personal and medical records private and confidential; observed unlocked computer screen with resident information visible.
Failed to ensure minimum data set (MDS) accurately reflected PASRR Level II status for Residents #4 and #44.
Failed to incorporate PASRR Level II evaluation into care plans for Residents #4 and #44.
Failed to develop comprehensive care plans for Residents #26 and #44 including diabetes and oxygen therapy.
Failed to properly lift and lower Resident #28 using mechanical lift with legs closed instead of open.
Failed to provide sanitary peri care to Residents #14 and #17, increasing risk of infection.
Failed to implement nutritional interventions to prevent weight loss for Resident #14.
Failed to ensure oxygen was administered at physician ordered rate for Residents #26 and #50.
Failed to maintain accurate controlled medication logs for Resident #33's opioid medication.
Failed to prepare and serve meals according to planned recipes and menus, including pureed diets and enhanced diets.
Failed to ensure food was palatable and served at appropriate consistency and temperature, especially pureed foods.
Failed to ensure food safety and sanitation in kitchen including improper storage, uncovered and expired foods, dirty ice scoop, and poor hand hygiene among dietary staff.
Failed to ensure proper hand hygiene and infection control during perineal care and meal service, risking cross contamination.
Report Facts
Residents affected by trust account deficiency: 20
Total licensed capacity: 75
Residents affected by privacy deficiency: 75
Residents affected by MDS and care plan deficiencies: 4
Residents affected by mechanical lift deficiency: 1
Residents affected by peri care deficiency: 2
Residents affected by nutritional deficiencies: 17
Residents affected by oxygen administration deficiency: 2
Residents affected by medication log deficiency: 1
Residents affected by food safety deficiencies: 71
Residents affected by infection control deficiency: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #11 | Licensed Practical Nurse | Inaccurate controlled medication log for Resident #33. |
| Licensed Practical Nurse #17 | Licensed Practical Nurse | Confirmed oxygen concentrator set incorrectly for Resident #26. |
| Director of Nursing | Director of Nursing | Confirmed multiple deficiencies including medication log, oxygen policy, care planning, and infection control. |
| Certified Nursing Assistant #1 | Certified Nursing Assistant | Observed improper perineal care and meal service. |
| Certified Nursing Assistant #2 | Certified Nursing Assistant | Observed improper perineal care and meal service. |
| Dietary Manager | Dietary Manager | Observed food preparation and sanitation deficiencies. |
| Dietary Aid #3 | Dietary Aid | Observed improper food preparation and portioning. |
| Dietary Aid #5 | Dietary Aid | Observed poor hand hygiene and food handling. |
| Dietary Aid #6 | Dietary Aid | Observed poor hand hygiene and food handling. |
| Dietary Aid #7 | Dietary Aid | Observed poor hand hygiene and food handling. |
| Dietary Aid #10 | Dietary Aid | Observed improper food preparation and meal service. |
| Certified Nursing Assistant #8 | Certified Nursing Assistant | Observed improper hand hygiene during meal service. |
| Certified Nursing Assistant #21 | Certified Nursing Assistant | Observed improper hand hygiene during meal service. |
Inspection Report
Routine
Census: 69
Deficiencies: 5
Date: Jun 29, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, infection control, feeding procedures, food safety, and nutritional services at Lonoke Health and Rehab Center.
Findings
The facility was found deficient in multiple areas including failure to ensure call lights were accessible to residents, improper labeling and handling of enteral feeding bags, failure to follow feeding tube medication administration protocols, inadequate meal preparation and portioning according to menus, poor food storage and hygiene practices in the kitchen, and lapses in infection prevention and control during medication administration via feeding tubes.
Deficiencies (5)
Call light was not within reach for Resident #25, preventing her from accessing it.
Enteral feeding bags and water flush bags were not dated and timed for Residents #4 and #25; improper procedure followed for resolving feeding tube clogging for Resident #22.
Meals were not prepared or served according to the planned written recipe and menu, affecting nutritional needs of residents on pureed diets.
Food items in refrigerator and freezer were not covered or sealed; dietary staff failed to wash hands properly; ice scoop holder and ice machine were unclean.
Staff failed to follow standard infection control precautions during medication administration via peg tube for Resident #22.
Report Facts
Residents affected: 5
Residents affected: 3
Residents affected: 10
Residents affected: 64
Total census: 69
Feeding pump rate: 85
Feeding pump rate: 95
Water flush rate: 45
Medication administration time: 12.33
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | LPN | Observed administering medications via feeding tube and handling feeding tube supplies improperly |
| Licensed Practical Nurse #2 | LPN | Assisted in unclogging feeding tube for Resident #22 |
| Licensed Practical Nurse #3 | LPN | Interviewed about feeding bag labeling importance |
| Licensed Practical Nurse #4 | LPN | Interviewed about feeding bag labeling importance |
| Certified Nursing Assistant #2 | CNA | Interviewed about Resident #25's ability to use call light and observed assisting residents during meals |
| Certified Nursing Assistant #4 | CNA | Observed assisting residents during meals without sanitizing hands between residents |
| Certified Nursing Assistant #6 | CNA | Interviewed about Resident #25's ability to use call light |
| Certified Nursing Assistant #7 | CNA | Interviewed about hand sanitizing between assisting residents during meals |
| Dietary Employee #1 | Dietary Employee | Observed handling food and kitchen equipment without proper hand hygiene |
| Dietary Employee #2 | Dietary Employee | Observed preparing meals not according to recipe and handling food without proper hygiene |
| Dietary Employee #3 | Dietary Employee | Observed handling clean bowls with contaminated hands |
| Dietary Employee #4 | Dietary Employee | Observed handling food and cups without proper hand hygiene |
| Dietary Supervisor | Dietary Supervisor | Provided lists of affected residents, interviewed about food safety and hygiene practices |
| Director of Nursing | DON | Provided policy documents and interviewed about feeding tube procedures and infection control |
| Administrator | Administrator | Provided policy documents and interviewed about call light policy and infection control |
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