Inspection Reports for
Maple Healthcare
200 S. Maple Street, Hazen, AR 72064, AR, 72064
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
6.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
29% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
43% occupied
Based on a March 2024 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jun 5, 2025
Visit Reason
The inspection was conducted due to complaints and allegations of resident-to-resident abuse involving Residents #5, #23, and #25, focusing on physical and psychosocial harm and failure to timely report incidents of abuse.
Complaint Details
The complaint investigation substantiated that Resident #25 physically assaulted Residents #5 and #23 multiple times, causing bruises and injuries. The facility failed to report the incident involving Residents #5 and #25 to the Office of Long-Term Care. Staff interviews and incident reports confirmed the abuse and the facility's delayed reporting.
Findings
The facility failed to ensure residents were free from physical and psychosocial harm, with documented incidents of Resident #25 physically assaulting Residents #5 and #23. The facility also failed to timely report a resident-to-resident altercation to the Office of Long-Term Care. Multiple staff witnessed the abuse, and interventions such as one-on-one supervision and door stop signs were implemented after the incidents.
Deficiencies (2)
Failure to protect residents from physical and psychosocial harm due to resident-to-resident abuse involving Residents #5 and #23.
Failure to timely report a resident-to-resident altercation to the Office of Long-Term Care for Residents #5 and #25.
Report Facts
BIMS score: 3
BIMS score: 15
BIMS score: 6
Incident date: May 10, 2025
Incident report notification time: 1938
Incident report notification time: 2039
Number of bruises: 3
Number of residents reviewed for abuse: 3
Number of residents affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #4 | Registered Nurse | Completed incident reports and witnessed abuse incidents |
| CNA #1 | Certified Nursing Assistant | Witnessed Resident #25 slapping Resident #5 and reported incident immediately |
| CNA #2 | Certified Nursing Assistant | Witnessed Resident #25 hitting Resident #5 and reported to nurse |
| LPN #3 | Licensed Practical Nurse | Verified stop sign placement and reported bruise on Resident #5 |
| CNA #5 | Certified Nursing Assistant | Witnessed Resident #25 hitting Resident #23 with a cane and attempted to intervene |
| CNA #6 | Certified Nursing Assistant | Assisted in removing Resident #25 from Resident #23's room |
| Director of Nursing | Director of Nursing | Notified of incidents and verified reports |
| Administrator | Administrator | Notified of incidents and confirmed stop sign placement |
| Medical Director | Medical Director | Notified of incidents after the fact and reported not being initially informed |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jun 5, 2025
Visit Reason
The inspection was conducted due to complaints and incidents involving resident-to-resident abuse, specifically physical altercations involving Residents #5, #23, and #25.
Complaint Details
The investigation was complaint-driven, focusing on allegations of resident-to-resident abuse involving Residents #5, #23, and #25. The abuse was substantiated through interviews, incident reports, and observations. The facility failed to report the incidents timely to regulatory authorities.
Findings
The facility failed to ensure residents were free from physical and psychosocial harm, with documented incidents of Resident #25 physically assaulting Residents #5 and #23. The facility also failed to timely report these incidents to the Office of Long-Term Care as required. Multiple staff and resident interviews, incident reports, and observations confirmed the abuse and inadequate reporting.
Deficiencies (2)
Failure to protect residents from physical and psychosocial harm due to resident-to-resident abuse involving Residents #5 and #23.
Failure to timely report suspected resident-to-resident abuse to the Office of Long-Term Care for Residents #5 and #25.
Report Facts
BIMS score: 3
BIMS score: 15
BIMS score: 6
Incident date: May 10, 2025
Incident date: May 27, 2025
Bruises observed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #4 | Registered Nurse | Completed incident reports and witnessed abuse incidents involving Resident #25 |
| CNA #1 | Certified Nursing Assistant | Witnessed Resident #25 slapping Resident #5 and reported the incident |
| CNA #2 | Certified Nursing Assistant | Witnessed Resident #25 hitting Resident #5 and reported the incident |
| CNA #5 | Certified Nursing Assistant | Witnessed Resident #25 hitting Resident #23 with a cane and attempted to intervene |
| CNA #6 | Certified Nursing Assistant | Assisted in removing Resident #25 from Resident #23's room during abuse incident |
| LPN #3 | Licensed Practical Nurse | Reported bruising on Resident #5 and confirmed safety interventions |
| DON | Director of Nursing | Notified of incidents, verified abuse reports, and confirmed interventions |
| Administrator | Facility Administrator | Notified of incidents and confirmed facility response and interventions |
| Medical Director | Medical Director | Notified late of incidents and reported on-call notification issues |
Inspection Report
Routine
Census: 30
Deficiencies: 5
Date: Mar 7, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to medication administration, personal hygiene, respiratory care, psychotropic medication use, and food safety practices at Maple Healthcare.
Findings
The facility was found deficient in multiple areas including failure to assess residents for safe self-administration of medications, inadequate personal hygiene care, lack of oxygen administration parameters, improper use of psychotropic medications without documented rationale, and failure of dietary staff to wash hands properly during meal preparation.
Deficiencies (5)
Failed to ensure a resident was assessed and deemed safe for self-administration of medications; medication was left at bedside without supervision.
Failed to ensure fingernails were cleaned and trimmed and facial hair was shaved to promote good personal hygiene and grooming for a resident requiring assistance.
Failed to ensure parameters were in place to ensure correct dosage of oxygen was administered and documented for a resident.
Failed to ensure psychotropic medication was not used on a PRN basis for more than 14 days without documented rationale by a provider.
Failed to ensure dietary staff washed their hands during meal preparation, increasing risk of food contamination.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 30
Census: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Named in medication self-administration and oxygen administration findings |
| Director of Nursing | Director of Nursing | Provided explanations and policies related to medication administration, oxygen administration, psychotropic medication, and dietary practices |
| Certified Nursing Assistant #1 | Certified Nursing Assistant | Named in personal hygiene deficiency related to nail care and shaving |
| Dietary Employee #1 | Dietary Employee | Named in dietary handwashing deficiency |
| Dietary Manager | Dietary Manager | Interviewed regarding handwashing practices and deficiencies |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Named in personal hygiene deficiency related to refusal documentation |
Inspection Report
Routine
Census: 30
Deficiencies: 5
Date: Mar 7, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to medication administration, personal hygiene care, respiratory care, psychotropic medication use, and food safety practices at Maple Healthcare.
Findings
The facility was found deficient in multiple areas including failure to assess residents for safe self-administration of medications, inadequate personal hygiene care for residents requiring assistance, lack of oxygen administration parameters, improper use of psychotropic medications without documented rationale, and failure of dietary staff to wash hands properly during meal preparation.
Deficiencies (5)
Failure to ensure a resident was assessed and deemed safe for self-administration of medications; medication was left at bedside without supervision.
Failure to ensure fingernails were cleaned and trimmed and facial hair was shaved to promote good personal hygiene and grooming for a resident requiring assistance.
Failure to ensure parameters were put in place to ensure correct dosage of oxygen was administered and documented for a resident.
Failure to ensure psychotropic medication (Ativan) was not used on a PRN basis for more than 14 days without documented rationale by a provider.
Failure to ensure dietary staff washed their hands during meal preparation, increasing potential for food contamination.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 30
PRN doses: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #2 | LPN | Interviewed regarding medication self-administration and oxygen administration |
| Director of Nursing | DON | Interviewed regarding medication administration policies, oxygen administration, psychotropic medication use, and dietary practices |
| Certified Nursing Assistant #1 | CNA | Confirmed knowledge of resident care plan and refusal documentation for personal hygiene care |
| Licensed Practical Nurse #1 | LPN | Confirmed documentation practices related to resident care refusals |
| Dietary Employee #1 | Dietary Staff | Observed failing to wash hands properly during meal preparation |
| Dietary Manager | Manager | Interviewed regarding handwashing policies and practices in the kitchen |
Inspection Report
Annual Inspection
Census: 32
Deficiencies: 3
Date: Dec 22, 2022
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements including residents' rights regarding advanced directives, discharge procedures, and respiratory care.
Findings
The facility failed to ensure residents' orders and care plans accurately reflected advanced directives for code status, failed to complete a discharge summary for a discharged resident, and failed to properly store oxygen tubing for residents with oxygen orders. These deficiencies had the potential to affect multiple residents.
Deficiencies (3)
Failed to ensure residents' orders and care plan accurately reflected advanced directive decision regarding cardiopulmonary resuscitation for Resident #134.
Failed to ensure a written discharge summary was completed for Resident #32 discharged in the past 90 days.
Failed to store and maintain oxygen tubing appropriately for Resident #6, risking contamination and infection.
Report Facts
Residents affected: 32
Residents affected: 7
Residents discharged: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Licensed Practical Nurse (LPN) | Interviewed regarding Resident #134's code status and oxygen tubing storage |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding Resident #134's code status, discharge summary, and oxygen tubing storage |
| Administrator | Administrator | Interviewed regarding importance of accurate advanced directive documentation and discharge summary |
Inspection Report
Annual Inspection
Census: 32
Deficiencies: 3
Date: Dec 22, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including residents' rights regarding advanced directives, discharge summary completion, and respiratory care practices.
Findings
The facility failed to ensure residents' orders and care plans accurately reflected advanced directives for code status, failed to complete a discharge summary for a discharged resident, and failed to properly store oxygen tubing for residents with oxygen orders. These deficiencies had the potential to affect multiple residents but were determined to cause minimal harm or potential for actual harm.
Deficiencies (3)
Failed to ensure residents' orders and care plans accurately reflected advanced directives regarding cardiopulmonary resuscitation status.
Failed to complete a written discharge summary that included a recapitulation of the resident's stay and course of treatment for a discharged resident.
Failed to store and maintain oxygen tubing appropriately, risking contamination and respiratory infection.
Report Facts
Residents affected: 32
Residents affected: 1
Residents affected: 7
Residents with oxygen orders: 7
Residents sampled for oxygen tubing observation: 4
Resident census: 32
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #1 | Interviewed regarding resident #134's code status and oxygen tubing storage | |
| Director of Nursing (DON) | Interviewed regarding resident #134's code status, discharge summary, and oxygen tubing storage | |
| Administrator | Interviewed regarding importance of accurate advanced directive documentation and discharge summary completion |
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