Inspection Reports for
Montgomery County Nursing Home
741 South Drive, Mount Ida, AR 71957, AR, 71957
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
9.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
79% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Routine
Deficiencies: 1
Date: May 30, 2025
Visit Reason
The inspection was conducted to assess the facility's compliance with infection prevention and control protocols, specifically regarding the implementation of Enhanced Barrier Precautions (EBP) during wound care.
Findings
The facility failed to ensure that Enhanced Barrier Precautions were implemented and that staff wore proper personal protective equipment during wound care for one resident. Staff, including the Licensed Practical Nurse, Director of Nursing, and Infection Preventionist, were unaware or misinformed about the requirement to wear gowns during wound care despite facility training indicating otherwise.
Deficiencies (1)
Failure to implement Enhanced Barrier Precautions and proper use of personal protective equipment during wound care for Resident #61.
Report Facts
Residents reviewed for wound care: 3
Resident BIMS score: 15
Date of Physician's Order: May 29, 2025
Date of Care Plan revision: May 13, 2025
Date of facility training: Feb 26, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Performed wound care without wearing gown and unaware of Enhanced Barrier Precautions |
| Director of Nursing | Director of Nursing | Unaware of the need for gowns during wound care |
| Infection Preventionist nurse | Infection Preventionist | Stated gowns were only for indwelling devices and not for wound care |
Inspection Report
Routine
Deficiencies: 1
Date: May 30, 2025
Visit Reason
The inspection was conducted to evaluate the facility's infection prevention and control program, specifically focusing on the implementation of Enhanced Barrier Precautions (EBP) and proper use of personal protective equipment (PPE) during wound care.
Findings
The facility failed to ensure that Enhanced Barrier Precautions were implemented and that staff wore proper PPE during wound care for one resident with a diabetic ulcer. Observations and interviews revealed that staff, including the Licensed Practical Nurse, Director of Nursing, and Infection Preventionist, were not fully aware of the requirement to wear gowns during wound care despite facility training indicating otherwise.
Deficiencies (1)
Failure to implement Enhanced Barrier Precautions and proper PPE use during wound care for Resident #61 with a diabetic ulcer.
Report Facts
Residents reviewed for wound care: 3
Resident #61 BIMS score: 15
Date of Physician's Order: May 29, 2025
Date of facility training: Feb 26, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Performed wound care without wearing gown and unaware of EBP requirements |
| Director of Nursing | Director of Nursing | Unaware of the need for gowns during wound care |
| Infection Preventionist | Infection Preventionist Nurse | Stated gloves only to be worn for wound care and EBP including gowns were for indwelling devices only |
Inspection Report
Routine
Deficiencies: 4
Date: Mar 21, 2024
Visit Reason
The inspection was conducted to assess compliance with regulations regarding resident privacy, personal hygiene, accident prevention, and food safety in the nursing home.
Findings
The facility was found deficient in protecting resident privacy by leaving medication records open and unattended, failing to maintain proper nail care for residents dependent on staff, not securing medication carts to prevent access, and improper sanitary practices in food handling and storage. These deficiencies posed minimal harm or potential for actual harm to residents.
Deficiencies (4)
Failed to protect resident privacy by leaving the Medication Administration Record book open and unattended on the medication cart.
Failed to ensure fingernails were kept clean to promote good personal hygiene and grooming for a resident dependent on staff for nail care.
Failed to ensure medication carts containing medications were locked to prevent access and possible misappropriation.
Failed to ensure dishcloths and scouring pads were stored in a safe, sanitary manner and failed to ensure proper hand hygiene when handling food, risking cross contamination.
Report Facts
Residents affected: 4
Residents affected: 1
Residents affected: 67
Residents sampled: 23
Residents sampled: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Mentioned in relation to medication administration and nail care deficiencies | |
| Licensed Practical Nurse #3 | Mentioned in relation to diabetic nail care process | |
| Certified Nursing Assistant #1 | Mentioned in relation to cleaning resident fingernails | |
| Director of Nursing | Provided information on medication privacy, nail care responsibilities, and medication cart security | |
| Assistant Director of Nursing | Provided Resident Rights in-service and dietary in-service training | |
| Dietary Manager | Interviewed regarding sanitary storage of dishcloths and rags | |
| Dietary #1 | Interviewed regarding food preparation and sanitary practices | |
| Dietary #2 | Observed and interviewed regarding food handling practices | |
| Dietary #3 | Observed washing dishes and storage of dishcloths | |
| Infection Preventionist | Provided infection control policies and training documentation | |
| Administrator | Provided information on Resident Rights and privacy policies |
Inspection Report
Routine
Deficiencies: 4
Date: Mar 21, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident privacy, personal hygiene, accident hazards, and food safety in the nursing home.
Findings
The facility was found to have multiple deficiencies including failure to protect resident privacy by leaving medication records unattended, inadequate personal hygiene care for a resident, unlocked medication carts posing accident hazards, and unsanitary food handling practices in the kitchen. These issues had the potential to affect multiple residents with minimal harm.
Deficiencies (4)
Failed to protect resident privacy by leaving the Medication Administration Record book open and unattended on the medication cart.
Failed to ensure fingernails were kept clean to promote good personal hygiene and grooming for a resident dependent on staff for nail care.
Failed to ensure medication carts containing medications were locked to prevent access and possible misappropriation.
Failed to ensure dishcloths and scouring pads were stored in a safe, sanitary manner and failed to ensure proper hand hygiene when handling food, risking cross contamination.
Report Facts
Residents affected: 4
Residents affected: 1
Residents affected: 67
Residents sampled: 23
Residents sampled: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #1 | Named in privacy and medication cart findings | |
| Assistant Director of Nursing (ADON) | Provided Resident Rights in-service and dietary in-service training | |
| Director of Nursing (DON) | Provided information on medication privacy and medication cart locking procedures | |
| Licensed Practical Nurse (LPN) #3 | Described diabetic nail care process | |
| Certified Nursing Assistant (CNA) #1 | Described nail cleaning process | |
| Dietary Manager | Commented on dishcloth storage procedures | |
| Dietary #1 | Interviewed about food handling policies | |
| Dietary #2 | Observed and interviewed regarding food handling | |
| Dietary #3 | Observed washing dishes | |
| Infection Preventionist (IP) nurse | Provided infection control policies |
Inspection Report
Routine
Census: 68
Deficiencies: 9
Date: Feb 10, 2023
Visit Reason
The inspection was a routine survey to assess compliance with federal and state regulations regarding resident care, food service, financial management, and facility operations at Montgomery County Nursing Home.
Findings
The facility was found deficient in multiple areas including failure to serve meals concurrently to dependent residents, improper management of resident Trust Funds, inadequate respiratory care equipment storage, failure to prepare and serve meals according to planned menus and nutritional standards, poor food storage and sanitation practices, incomplete and improperly signed admission packets, and lack of effective compliance and ethics program monitoring.
Deficiencies (9)
Failed to ensure residents in the same Dining Room and at the same table were served concurrently to promote dignity and respect.
Failed to ensure residents with Trust Fund accounts received monthly applicable interest and proper account reconciliation.
Failed to ensure BiPAP mask was properly stored in a bag when not in use to prevent contamination.
Failed to ensure meals were prepared and served in accordance with the planned menu to meet nutritional needs.
Failed to ensure food was palatable, attractive, and served at safe temperatures.
Failed to ensure pureed food items were blended to a smooth, lump-free consistency.
Failed to ensure food items were properly stored, sealed, dated, and handled with proper hygiene and sanitation.
Failed to ensure admission packets were completed with original signatures and properly dated forms.
Failed to ensure monitoring and auditing were conducted regularly by the Compliance Officer for resident trusts and admissions.
Report Facts
Residents affected: 21
Residents affected: 20
Residents affected: 68
Residents affected: 11
Residents affected: 4
Residents affected: 7
Negative Trust Fund balances: 3
Negative Trust Fund balance amount: -914.9
Negative Trust Fund balance amount: -13.28
Negative Trust Fund balance amount: -968.4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bookkeeper | Discussed Trust Fund account mismanagement and unauthorized interest allocation | |
| Administrator | Unaware of Trust Fund issues and pre-signed admission packet forms; identified as Compliance Officer | |
| Licensed Practical Nurse #1 | LPN | Noted BiPAP mask should be stored in a bag to prevent contamination |
| Certified Nursing Assistant #3 | CNA | Observed delaying feeding Resident #29 and not assisting properly |
| Dietary Supervisor | Provided menus, described food preparation and storage deficiencies | |
| Dietary Employee #1 | Prepared pureed foods with improper consistency and poor hygiene | |
| Human Resource/Assistant Administrator | HRAA | Acknowledged use of copied signatures on admission packets and undated DNR forms |
| Social Service Director | SSD | Involved in admission packet documentation with copied signatures |
Inspection Report
Routine
Census: 68
Deficiencies: 9
Date: Feb 10, 2023
Visit Reason
The inspection was conducted to assess compliance with federal and state regulations related to resident care, financial management, food service, and facility operations at Montgomery County Nursing Home.
Findings
The facility was found deficient in multiple areas including failure to serve meals concurrently to dependent residents, improper management of resident Trust Funds including failure to allocate interest and reconcile accounts, inadequate food preparation and storage practices, failure to maintain proper documentation and signatures on admission packets, and lack of effective compliance and ethics program monitoring.
Deficiencies (9)
Failed to ensure residents in the same Dining Room and at the same table were served concurrently to promote dignity and respect.
Failed to ensure residents with Trust Fund accounts received monthly applicable interest and proper account reconciliation.
Failed to ensure BiPAP mask was properly stored in a bag when not in use to prevent contamination.
Failed to ensure meals were prepared and served according to the planned menu and nutritional needs.
Failed to ensure food was palatable, attractive, and served at safe temperatures.
Failed to ensure pureed food items were blended to a smooth, lump free consistency.
Failed to ensure food items were properly stored, sealed, dated, and staff followed hand hygiene and sanitary practices.
Failed to ensure admission packets were completed with original signatures and dated forms.
Failed to ensure monitoring and auditing were conducted regularly by the Compliance Officer to prevent and detect violations.
Report Facts
Residents affected: 21
Residents affected: 20
Residents affected: 68
Residents affected: 11
Residents affected: 4
Residents affected: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bookkeeper | Named in findings related to resident Trust Fund mismanagement and use of pre-signed admission packet forms | |
| Administrator | Named in findings related to compliance oversight, admission packet issues, and ethics training | |
| Licensed Practical Nurse #1 | LPN | Named in finding related to improper BiPAP mask storage |
| Dietary Supervisor | Named in findings related to food preparation, storage, and sanitation issues | |
| Certified Nursing Assistant #3 | CNA | Named in findings related to meal serving and assistance |
| Human Resource/Assistant Administrator | HRAA | Named in findings related to admission packet documentation and signature issues |
| Social Service Director | SSD | Named in findings related to admission packet documentation and signature issues |
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