Inspection Reports for
Perry County Nursing and Rehabilitation Center

1321 Scenic Drive, Perryville, AR, 72126

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 3.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

37% better than Arkansas average
Arkansas average: 5.2 deficiencies/year

Deficiencies per year

8 6 4 2 0
2022
2023
2024

Inspection Report

Routine
Deficiencies: 4 Date: Sep 5, 2024

Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to resident safety, nutritional adequacy of meals, food preparation, and infection control in a nursing home setting.

Findings
The facility failed to ensure adequate supervision of residents on the Dementia Unit to prevent accidents, failed to serve meals according to the planned menu and proper food texture standards, and did not maintain proper food safety practices including handwashing, food storage, and hot food temperature maintenance.

Deficiencies (4)
Failed to ensure residents on the Dementia Unit were supervised at all times to prevent accidents and hazards, specifically Resident #50 was left unattended and placed arms inside a trash can.
Failed to ensure meals were prepared and served according to the planned written menu; residents on mechanical soft diets were not served gravy and pureed diets were missing bread substitutes.
Failed to ensure pureed food items were blended to a smooth, lump-free consistency, increasing risk of choking for residents requiring pureed diets.
Failed to ensure employees washed hands between handling dirty and clean equipment, food items in freezer were uncovered, and hot food items were not maintained at or above 135°F, risking foodborne illness.
Report Facts
Temperature of hot food items: 120 Temperature of hot food items: 119 Temperature of hot food items: 119 Duration unattended: 8 Date of inspection: Sep 3, 2024

Employees mentioned
NameTitleContext
Certified Nursing Assistant (CNA) #4Left dementia residents unattended and confirmed supervision standards
Licensed Practicing Nurse (LPN) #5Confirmed safety concerns regarding resident supervision in dining room
Director of Nursing (DON)Confirmed infection control and safety concerns related to resident supervision
Dietary ManagerProvided facility policies and confirmed food preparation and safety issues
Dietary [NAME] (DC) #1Confirmed meal preparation errors including gravy omission and food contamination
Dietary [NAME] (DC) #3Prepared pureed food items with improper consistency
Dietary Aide (DA) #2Commented on food storage practices in freezer

Inspection Report

Routine
Census: 54 Deficiencies: 5 Date: Jul 20, 2023

Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to medication self-administration, respiratory care, medication storage, nutritional services, and food safety at Perry County Nursing and Rehabilitation Center.

Findings
The facility was found deficient in multiple areas including failure to assess and properly manage resident self-administration of medications, failure to follow physician orders for oxygen tubing changes, improper medication storage including expired and unsecured medications, failure to prepare and serve meals according to the planned menu, and inadequate food safety practices such as improper food storage, expired food items, and poor hand hygiene among dietary staff.

Deficiencies (5)
Failed to prevent a resident from self-administering medications without assessment for self-administration.
Failed to follow physician orders to change oxygen tubing weekly for a resident receiving supplemental oxygen.
Failed to ensure medication was stored safely and expired medications were removed from medication room.
Failed to ensure meals were prepared and served according to the planned written menu to meet nutritional needs.
Failed to ensure foods stored in storage area, freezer, and refrigerator were covered, sealed, and dated; expired food items were removed; dietary staff practiced proper hand hygiene; and hot foods were maintained at safe temperatures.
Report Facts
Residents affected: 54 Residents affected: 44 Residents affected: 10 Residents affected: 8 Temperature: 118 Temperature: 113

Employees mentioned
NameTitleContext
Licensed Practical Nurse (LPN) #1Interviewed regarding medication self-administration and oxygen care
Licensed Practical Nurse (LPN) #2Interviewed regarding medication self-administration
Licensed Practical Nurse (LPN) #3Interviewed regarding oxygen tubing care and medication storage
Licensed Practical Nurse (LPN) #4Interviewed regarding medication self-administration and oxygen tubing care
Licensed Practical Nurse (LPN) #5Interviewed regarding medication storage and importance of open dates
Director of Nurses (DON)Interviewed regarding medication self-administration, oxygen care, and medication storage policies
Dietary Employee (DE) #1Observed and interviewed regarding meal preparation and portion sizes
Dietary Employee (DE) #2Observed regarding food handling and hygiene practices
Dietary Employee (DE) #3Observed regarding food temperature and hygiene practices
Dietary Employee (DE) #4Interviewed regarding meal preparation differences
Assistant Dietary SupervisorInterviewed and provided menu and food safety policy information

Inspection Report

Routine
Deficiencies: 1 Date: Apr 29, 2022

Visit Reason
The inspection was conducted to assess the facility's compliance with safe and appropriate respiratory care practices, specifically focusing on the proper dating and storage of oxygen tubing, CPAP equipment, and nebulizer equipment to prevent cross contamination and respiratory infections.

Findings
The facility failed to ensure that respiratory equipment was properly dated and stored when not in use, posing potential risk for cross contamination and respiratory infections. Observations and interviews revealed oxygen tubing and CPAP equipment were often undated and improperly stored, with inconsistent adherence to facility policy.

Deficiencies (1)
Failure to ensure oxygen tubing, CPAP equipment, and nebulizer equipment were properly dated and stored when not in use to prevent potential cross contamination and respiratory infections.
Report Facts
Residents affected: 17 Residents sampled: 2

Employees mentioned
NameTitleContext
Licensed Practical Nurse (LPN) #1Interviewed regarding process for care and storage of respiratory equipment
Licensed Practical Nurse (LPN) #2Interviewed regarding process for care and storage of respiratory equipment
Director of Nursing (DON)Interviewed regarding facility policy on dating and storage of respiratory equipment

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