Inspection Reports for
Nightingale At Arkadelphia
2701 Twin Rivers Dr., Arkadelphia, AR, 71923
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
42% better than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Sep 18, 2025
Visit Reason
The inspection was conducted as an annual survey of the nursing home facility to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jun 20, 2024
Visit Reason
The inspection was conducted due to a complaint regarding the facility's failure to ensure refunds were issued to discharged residents within 30 days.
Complaint Details
The complaint investigation found that six residents discharged from the facility had balances remaining beyond 30 days. The Business Office Manager and Administrator both acknowledged the 30-day refund requirement. The facility policy on conveyance of funds upon death was also reviewed.
Findings
The facility failed to return funds to six discharged residents within the required 30-day period, as evidenced by outstanding balances on resident trust accounts. Interviews with the Business Office Manager and Administrator confirmed the 30-day refund policy, and a related policy was provided.
Deficiencies (1)
Failure to ensure a refund was received by the resident or responsible party within 30 days from the date of discharge for 6 residents.
Report Facts
Residents with overdue refunds: 6
Resident balances: 8
Resident balances: 520
Resident balances: 598.37
Resident balances: 100.21
Resident balances: 0.22
Resident balances: 63.08
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Business Office Manager | Interviewed regarding overdue resident account balances | |
| Administrator | Interviewed about resident funds and refund policy |
Inspection Report
Routine
Census: 73
Deficiencies: 5
Date: Aug 31, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to resident care, facility maintenance, food safety, and safety equipment in a nursing home setting.
Findings
The facility was found deficient in multiple areas including failure to repair water damage, incomplete implementation of a resident's fall prevention care plan, inadequate nail care for residents, unsanitary food storage and handling practices, and failure to ensure call devices were available and within reach for a resident. All deficiencies were cited with minimal harm or potential for actual harm.
Deficiencies (5)
Failed to repair water damage in the wall of a resident room caused by a malfunctioning air conditioning unit.
Failed to implement the plan of care for a resident at high risk for falls, including lack of required safety interventions such as helmet, chair alarm, and activity rack.
Failed to ensure nail care was regularly provided for residents requiring assistance, resulting in long fingernails with dark brown substance under them.
Failed to maintain ice machine and scoop holder in clean and sanitary condition; food items were improperly stored, uncovered, expired, or undated; door frames and floors were chipped and rusty; dietary staff failed to follow proper handwashing procedures.
Failed to ensure call devices were available and within reach for a resident in the bathroom and bathing area.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 70
Residents affected: 1
Total census: 73
Expired food items: 3
Falls: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #1 | CNA | Interviewed regarding missing fall prevention interventions for Resident #53 |
| Licensed Practical Nurse #1 | LPN | Interviewed regarding missing fall prevention interventions for Resident #53 |
| Certified Nursing Assistant #2 | CNA | Interviewed regarding nail care for Resident #22 |
| Registered Nurse #1 | RN | Interviewed regarding nail care for Resident #20 |
| Director of Nursing | DON | Confirmed fall prevention interventions and nail care responsibilities |
| Dietary Supervisor | Interviewed regarding food safety and sanitation practices | |
| Certified Nursing Assistant #3 | CNA | Interviewed regarding call device availability for Resident #27 |
| Dietary Employee #1 | Observed improper handwashing and food handling | |
| Dietary Employee #2 | Checked temperature of milk and responded to surveyor | |
| Dietary Employee #3 | Interviewed about milk temperature check |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Jul 11, 2023
Visit Reason
The inspection was conducted due to complaints regarding resident abuse, failure to monitor residents during treatments, and food safety violations in the facility.
Complaint Details
The complaint investigation substantiated that Resident #1 was verbally and physically abused by a Certified Nursing Assistant. The facility also failed to monitor Resident #3 during breathing treatments and had food safety violations affecting many residents.
Findings
The facility failed to protect a resident from verbal and physical abuse by staff, failed to ensure a resident was monitored during a breathing treatment, and failed to maintain proper food safety practices including discarding cooked food timely, sealing and dating food, proper thawing, and cleanliness of kitchen floors.
Deficiencies (3)
Failed to protect Resident #1 from verbal and physical abuse by staff.
Failed to ensure Resident #3 was monitored by a nurse during breathing treatments.
Failed to ensure cooked food was discarded within 3 days, food was sealed and dated, food was thawed at appropriate temperatures, and kitchen floors were cleaned properly.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 68
Date of incident report: Jun 30, 2023
Date of survey completion: Jul 11, 2023
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