Inspection Reports for
Manila Healthcare Center
2975 W State Highway 18, Manila, AR, 72442
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
23% better than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
24% occupied
Based on a January 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Routine
Census: 20
Deficiencies: 2
Date: Jan 24, 2025
Visit Reason
The inspection was conducted to evaluate the facility's compliance with environmental cleanliness and infection prevention and control standards, including housekeeping practices and infection control measures related to resident equipment.
Findings
The facility failed to maintain a clean and sanitary environment on the secured unit, with observations of cobwebs, peeling paint, dirty light covers, debris on handrails and vents, and unclean floors. Infection control deficiencies were noted related to the improper storage and cleaning of a smoking assistive device used by a resident.
Deficiencies (2)
Failure to ensure the environment was clean and sanitary on the secured unit, including cobwebs, peeling paint, dirty light covers, debris on handrails and vents, and unclean floors.
Failure to provide and implement an infection prevention and control program, including improper storage and cleaning of a resident's smoking assistive device.
Report Facts
Residents affected: 20
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Housekeeper #2 | Housekeeper | Observed cleaning practices related to environmental deficiencies |
| Housekeeper #3 | Housekeeper | Interviewed regarding staffing and cleaning duties |
| Infection Preventionist | Infection Preventionist | Interviewed regarding importance of clean environment and floor tech position |
| Maintenance | Maintenance Staff | Interviewed regarding reporting maintenance issues and mold in shower room |
| Director of Nursing | Director of Nursing | Interviewed regarding infection control practices for smoking device |
| Restorative Certified Nursing Assistant | RCNA | Observed handing smoking device to resident without cleaning |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jan 5, 2024
Visit Reason
The inspection was conducted due to a complaint regarding late medication administration to residents, specifically Resident #7 who filed a grievance about receiving night medications late.
Complaint Details
Resident #7 filed a grievance on 12/19/23 about receiving night medications late until 2:00 a.m. The grievance was substantiated, and the nurse responsible received a written warning and education. Staffing shortages and interruptions were noted as contributing factors.
Findings
The facility failed to ensure timely medication administration for two sampled residents, Resident #7 and Resident #44, potentially affecting 51 residents dependent on nursing staff for medications. The investigation confirmed late medication administration and staffing shortages contributing to delays.
Deficiencies (1)
Failure to provide medications within a timely manner to avoid adverse effects and ensure medications were administered without unnecessary interruptions.
Report Facts
Residents affected: 51
Medication doses: 7
Medication doses: 15
Medication doses: 70
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nurses | Director of Nurses | Interviewed regarding the grievance filed by Resident #7 and investigation of late medication administration. |
| Licensed Practical Nurse #1 | Administered insulin injections to Resident #44 and acknowledged staffing shortages contributing to late medication administration. | |
| Licensed Practical Nurse #3 | Observed performing glucose checks, blood pressure checks, and lung assessments during medication pass. |
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Jan 5, 2024
Visit Reason
The survey was a recertification annual inspection conducted to assess compliance with regulatory requirements including maintenance, medication administration, and quality assurance processes.
Findings
The facility was found deficient in maintaining a safe, clean, and homelike environment due to broken wall outlets, trim, holes in sheetrock, and leaking toilets in resident rooms. Additionally, medication administration was delayed for some residents due to staffing issues, and the Quality Assurance and Performance Improvement (QAPI) program failed to implement effective plans to prevent repeated deficiencies.
Deficiencies (3)
Failure to maintain and prevent broken and exposed wall plug outlets, broken trim on walls, holes in sheet rock, wall nail holes, and leaky toilet rims in resident rooms.
Failure to ensure medications were given within a timely manner to avoid adverse effects on residents' conditions and to prevent unnecessary interruptions during medication administration.
Failure to ensure the Quality Assurance and Performance Improvement program developed and implemented appropriate plans of action to prevent repeated deficiencies related to maintenance issues.
Report Facts
Residents affected: 51
Residents affected: 11
Deficiencies cited: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Supervisor | Interviewed regarding awareness and repair of maintenance issues including leaking toilets and broken wall outlets | |
| Director of Nurses | Director of Nursing | Investigated medication administration grievance and provided explanation about late medication passes |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Observed administering insulin and interviewed about medication delays and staffing issues |
| Administrator | Administrator | Provided information about QAPI program and maintenance corrective actions |
Inspection Report
Complaint Investigation
Census: 4
Deficiencies: 1
Date: Oct 6, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding medication safety and supervision on a secured unit.
Complaint Details
The complaint investigation found that medications were left unattended on a secured unit. The Director of Nursing confirmed this was a violation of facility policy.
Findings
The facility failed to ensure that staff did not leave medications unattended on a secured unit, as observed when a cup of medications was left unsupervised on a table with residents present. Interviews with staff confirmed this was not appropriate practice.
Deficiencies (1)
Staff left medications unattended on a secured unit, posing a risk to residents.
Report Facts
Residents present in day room: 4
Medication pills left unattended: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Interviewed regarding the medication left unattended |
| Director of Nursing | Director of Nursing | Confirmed that medications should not be left unattended on a secured unit |
Inspection Report
Routine
Deficiencies: 9
Date: Oct 6, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including facility maintenance, resident care, medication administration, infection control, dietary services, and COVID-19 reporting.
Findings
The facility was found deficient in multiple areas including failure to maintain bathrooms in good repair, failure to notify residents/families timely of COVID-19 positive cases, incomplete documentation of Bi-pap and oxygen use in care plans and assessments, improper medication administration and storage, inadequate pain management, improper dietary food preparation and hand hygiene, and unsanitary conditions of shower chairs and bedpans.
Deficiencies (9)
Failed to ensure all areas of the building were in good repair, specifically bathrooms with water on floors, missing baseboards, and strong urine odor.
Failed to timely notify residents and/or representatives of changes in COVID-19 status within required timeframe.
Failed to document use of Bi-pap and oxygen on Comprehensive Minimum Data Set (MDS) and Care Plans for sampled residents.
Failed to ensure Bi-pap masks and oxygen tubing were stored properly to prevent contamination.
Failed to administer scheduled oral pain medication to a resident, resulting in reported pain level of 9 out of 10.
Failed to ensure medications were stored and labeled properly, including undated insulin vials and pens, and presence of unlabeled medications in resident rooms.
Failed to prepare pureed food items to a smooth, lump-free consistency for residents requiring pureed diets.
Failed to ensure dietary staff washed hands before handling clean equipment, risking contamination.
Failed to maintain shower chair and resident bedpans in a sanitary and comfortable condition, including presence of fecal matter and dried brown substances.
Report Facts
Residents affected by COVID-19 notification deficiency: 63
Residents affected by bathroom maintenance deficiency: 2
Residents affected by Bi-pap and oxygen documentation deficiency: 6
Residents affected by pain medication administration deficiency: 1
Residents affected by medication storage and labeling deficiency: 7
Residents affected by pureed food preparation deficiency: 7
Residents affected by shower chair and bedpan sanitation deficiency: 5
Residents affected by toileting assistance sanitation deficiency: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #2 | Licensed Practical Nurse | Named in medication administration deficiency for not administering pain medication to Resident #4. |
| Certified Nursing Assistant (CNA) #4 | Certified Nursing Assistant | Mentioned in medication administration and shower chair sanitation deficiencies. |
| Director of Nursing | Director of Nursing | Interviewed regarding COVID-19 notification, Bi-pap and oxygen documentation, medication storage, and bedpan sanitation. |
| Dietary Employee #1 | Dietary Staff | Observed failing to wash hands before handling clean equipment and improper food handling. |
| Dietary Employee #2 | Dietary Staff | Observed preparing pureed food with improper consistency. |
| Housekeeper #1 | Housekeeper | Interviewed about cleaning bedpans. |
| Nurse Consultant | Nurse Consultant | Provided policies and lists of residents with orders. |
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