Inspection Reports for
Oak Manor Nursing and Rehabilitation Center, Inc.
150 Morton Avenue, Booneville, AR, 72927
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
15% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Routine
Deficiencies: 2
Date: Sep 5, 2024
Visit Reason
The inspection was conducted to evaluate compliance with medication labeling and storage standards, as well as food safety and sanitation practices in the facility.
Findings
The facility failed to discard expired medications found in one of two medication carts and lacked a policy on medication expiration. Additionally, the facility failed to ensure food was prepared safely by not properly cleaning the deep fryer and grease traps, and lacked policies or staff competencies related to food preparation and equipment cleaning.
Deficiencies (2)
Failed to discard 3 expired medications from 1 of 2 medication carts observed for medication labeling and storage standards.
Failed to ensure food was prepared in a safe manner by not cleaning the deep fryer and grease traps.
Report Facts
Expired medications found: 3
Cleaning frequency: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #5 | Licensed Practical Nurse | Stated nurses are responsible for removing expired medications and discarding insulin after 28 days |
| Director of Nursing | Director of Nursing | Stated facility policy on 28-day rule for multi-use medications and responsibility for checking expired medications |
| Dietary Manager | Dietary Manager | Reported cleaning schedule for grease traps and deep fryer and acknowledged importance of cleaning to prevent foodborne illness |
Inspection Report
Routine
Deficiencies: 12
Date: Aug 10, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident rights, care, hygiene, medication management, nutrition, infection control, and facility safety.
Findings
The facility was found deficient in multiple areas including failure to maintain resident privacy with posted signs, improper feeding assistance positioning, failure to follow resident preferences on tray cards, inadequate personal hygiene care, incomplete dressing changes, improper respiratory equipment maintenance, medication storage issues, food preparation and storage deficiencies, improper infection control practices with glucometer cleaning, delayed pneumococcal vaccination administration, and inadequate cleaning of resident personal fans and bathroom items.
Deficiencies (12)
Failure to ensure signs containing resident care instructions were posted to provide privacy and dignity for residents using low air loss mattresses.
Staff did not sit at eye level when assisting residents with meals, which may cause discomfort and disrespect.
Resident preferences listed on tray cards were not followed, resulting in missed or incorrect food and beverage items.
Failure to ensure personal hygiene including shaving and nail care was adequately provided, resulting in residents with long fingernails and untrimmed facial hair.
Physician orders for daily dressing changes were not consistently followed or documented.
Respiratory equipment tubing and accessories were not properly changed, dated, or stored to prevent infections.
Medications were left unattended at bedside and medication storage areas contained unlabeled or undated items.
Meals were not prepared or served according to planned menus and pureed foods were not blended to smooth consistency, affecting palatability and safety.
Food storage areas contained expired or undated items, and kitchen equipment and surfaces were not properly cleaned.
Multi-resident use glucometer was not disinfected properly between uses, risking infection transmission.
Pneumococcal vaccines were not administered timely after consent was obtained.
Resident personal fans and bathroom items were not properly cleaned, bagged, or labeled, risking infection and dignity issues.
Report Facts
Residents sampled for personal hygiene: 29
Residents sampled for shaving: 22
Residents affected by feeding assistance deficiency: 1
Residents affected by privacy signage deficiency: 2
Residents affected by tray card noncompliance: 1
Residents affected by respiratory equipment deficiency: 3
Residents affected by medication storage deficiency: 1
Residents affected by food preparation deficiencies: 56
Residents affected by infection control glucometer deficiency: 2
Residents affected by delayed pneumococcal vaccination: 1
Residents affected by personal fan and bathroom item cleaning deficiency: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Provided multiple clarifications on care practices, policies, and deficiencies |
| Licensed Practical Nurse #3 | Licensed Practical Nurse | Observed and commented on respiratory equipment storage and feeding assistance |
| Licensed Practical Nurse #5 | Licensed Practical Nurse | Observed performing glucose finger sticks and cleaning glucometer |
| Certified Nursing Assistant #1 | Certified Nursing Assistant | Interviewed about resident care instructions and dignity issues |
| Certified Nursing Assistant #2 | Certified Nursing Assistant | Interviewed about resident care instructions and dignity issues |
| Certified Nursing Assistant #6 | Certified Nursing Assistant | Interviewed about storage of personal items in shared bathrooms |
| Housekeeper #1 | Housekeeper | Interviewed about responsibility for cleaning resident personal fans |
| Dietary Employee #2 | Dietary Employee | Observed food preparation and handling practices |
| Dietary Employee #3 | Dietary Employee | Observed food preparation and handling practices |
| Dietary Supervisor | Dietary Supervisor | Provided information on food service and storage practices |
Inspection Report
Routine
Census: 54
Deficiencies: 4
Date: Jun 2, 2022
Visit Reason
The inspection was conducted to assess compliance with food safety, sanitation, and pest control standards in the facility's kitchen and food preparation areas.
Findings
The facility failed to ensure proper food labeling, dating, covering, and sanitary preparation; the kitchen was infested with flies; sanitizer solution levels were inadequate; and pest control measures were ineffective, posing potential risk of foodborne illness to residents.
Deficiencies (4)
Food items stored in refrigerator and freezer were not properly labeled, dated, covered, or sealed.
Kitchen was infested with flies on food, utensils, walls, ceilings, and prep areas.
Sanitizing solution in dishwashing area was below required levels and inconsistently monitored.
Facility failed to maintain an effective pest control program to prevent insects/pests.
Report Facts
Residents affected: 53
Census: 54
Sanitizer ppm levels: 0
Sanitizer ppm levels: 100
Sanitizer ppm levels: 150
Sanitizer ppm levels: 200
Flies observed: 30
Flies observed: 6
Flies killed by Resident #27: 828
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager | Dietary Manager | Named in relation to sanitizer issues and food safety deficiencies |
| Director of Nursing | Director of Nursing | Mentioned regarding Resident #27 and fly issues |
| Administrator | Administrator | Informed about flies and sanitizer issues |
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