Inspection Reports for
Ozark Health Nursing and Rehab Center
2500 Highway 65 South, Clinton, AR, 72031
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 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
8
6
4
2
0
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Apr 17, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to timely report and properly investigate an allegation of sexual abuse between two residents.
Complaint Details
The complaint involved an allegation that Resident #34 sexually abused Resident #46. The facility conducted an internal investigation which found the allegation unfounded based on body audit and interviews, but failed to report the allegation timely and lost investigation documentation. Staff interviews revealed differing opinions on whether the incident should have been reported.
Findings
The facility failed to report an allegation of sexual abuse within two hours to the Office of Long-Term Care and failed to maintain evidence of the investigation. The internal investigation concluded the allegation was unfounded, but documentation was lost. Additionally, the facility failed to follow proper infection control procedures for one resident with a PICC line.
Deficiencies (2)
Failure to timely report suspected abuse and failure to maintain evidence of investigation for an allegation of sexual abuse between residents.
Failure to perform proper hand hygiene, don proper personal protective equipment (PPE), and follow infection control procedures for a resident on enhanced barrier precautions.
Report Facts
BIMS score: 12
BIMS score: 1
BIMS score: 14
Distance: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #5 | Registered Nurse | Interviewed regarding abuse allegation reporting |
| Licensed Practical Nurse #7 | Licensed Practical Nurse | Interviewed regarding abuse allegation and infection control practices |
| Director of Nursing | Director of Nursing | Conducted investigation and interviewed staff and residents regarding abuse allegation |
| Administrator | Administrator | Oversaw internal investigation of abuse allegation |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Observed failing to follow infection control procedures during medication administration |
| Registered Nurse #6 | Registered Nurse | Assisted with body audit and interviewed regarding abuse allegation |
| Medical Director | Medical Director | Interviewed regarding investigation and reporting of abuse allegation |
Inspection Report
Routine
Deficiencies: 5
Date: Jan 12, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, medication administration, infection prevention, and food safety at Ozark Health Nursing and Rehab Center.
Findings
The facility was found deficient in multiple areas including failure to ensure call lights were within reach for residents, inadequate assistance with hand hygiene prior to meals, medication errors due to failure to follow administration instructions, improper food handling and glove use in the kitchen, and failure to properly secure a resident's catheter bag to prevent contamination.
Deficiencies (5)
Failed to ensure call light was within reach for one resident.
Failed to assist two residents with hand hygiene prior to feeding to prevent contamination and illness.
Failed to maintain medication error rate below 5%, with errors including failure to shake medication bottles before administration.
Failed to ensure proper hand hygiene and glove changes by dietary staff, risking foodborne illness.
Failed to ensure resident's catheter bag was secured and off the floor to prevent cross contamination.
Report Facts
Residents sampled: 16
Residents sampled: 13
Residents observed for medication errors: 25
Medication error rate: 8
Residents affected: 35
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA) #3 | Mentioned in relation to call light deficiency | |
| Director of Nursing (DON) | Interviewed regarding call light and medication errors | |
| Certified Nursing Assistant (CNA) #4 | Interviewed regarding hand hygiene and catheter bag placement | |
| Licensed Practical Nurse (LPN) #1 | Observed and interviewed regarding medication administration errors | |
| Dietary Aide #1 | Observed for improper glove use during food service | |
| Dietary Aide #2 | Observed for improper glove use during food service | |
| Dietary Aide #3 | Observed for improper glove use and hand hygiene during food preparation | |
| Dietary Manager | Interviewed regarding hand hygiene and glove use policies |
Inspection Report
Routine
Census: 54
Deficiencies: 5
Date: Oct 20, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident trust fund management, notification of resident funds upon discharge, transfer/discharge notification, care plan development, and respiratory care safety in a nursing home.
Findings
The facility failed to ensure residents had reasonable access to trust funds, timely refund of resident funds after discharge, proper notification of transfers/discharges, complete and updated care plans reflecting current resident needs, and appropriate oxygen signage for residents using oxygen therapy. Deficiencies were noted in financial management, communication, care planning, and safety practices.
Deficiencies (5)
Failed to ensure residents had ready and reasonable access to funds managed by the facility for 1 of 17 sampled residents with trust funds.
Failed to ensure resident funds were refunded promptly after discharge/death for 11 sampled residents with trust funds.
Failed to notify resident and representative in writing of reason for transfer/discharge to hospital in a language they could understand for 2 of 6 sampled residents.
Failed to review and revise resident care plans to meet current needs for 2 of 16 sampled residents.
Failed to ensure oxygen signage was displayed in accordance with professional standards for 5 of 9 sampled residents using oxygen therapy.
Report Facts
Residents with trust funds: 65
Facility census: 54
Residents affected by delayed refund of trust funds: 11
Residents affected by lack of transfer/discharge notification: 2
Residents affected by incomplete care plans: 2
Residents affected by missing oxygen signage: 5
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