Inspection Reports for
Pioneer Therapy and Living
1506 East Main Street, Melbourne, AR, 72556
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
4% better than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
88% occupied
Based on a October 2024 inspection.
Occupancy rate over time
Inspection Report
Routine
Census: 76
Deficiencies: 2
Date: Oct 31, 2024
Visit Reason
The inspection was conducted to assess compliance with care planning and food safety standards at the nursing home.
Findings
The facility failed to revise the care plan interventions to address behavioral-emotional health for a resident with dementia and anxiety, and failed to follow proper hand hygiene procedures while preparing food for residents.
Deficiencies (2)
Failed to revise the care plan interventions to include behavioral-emotional health for Resident #43 with dementia and anxiety.
Failed to follow proper hand hygiene while preparing food for 76 residents.
Report Facts
Residents affected: 1
Residents affected: 76
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Stated that Resident #43's care plan should include interventions for aggressive episodes | |
| Dietary Aide #1 | Observed failing to perform proper hand hygiene during food preparation |
Inspection Report
Annual Inspection
Census: 74
Deficiencies: 8
Date: Oct 26, 2023
Visit Reason
The survey was conducted as a recertification annual inspection to assess compliance with regulatory requirements related to resident care, environment, medication administration, wound care, and infection control.
Findings
The facility was found deficient in maintaining a safe, clean, and homelike environment, proper coding of Minimum Data Set (MDS) assessments, providing adequate personal hygiene care, ensuring correct wound care and medication administration, implementing effective infection control practices, and maintaining an effective pest control program.
Deficiencies (8)
Failure to maintain a safe, clean, and homelike environment, including unclean toilets with mold and debris in resident rooms and bathrooms.
Failure to correctly code MDS assessment for a resident prescribed antipsychotic medication.
Failure to provide adequate personal hygiene care including shaving and nail care for residents.
Failure to apply correct medication per physician order for a resident's pressure ulcer wound care.
Medication administration errors including incorrect dosage and incomplete documentation of enteral feeding.
Failure of Quality Assurance and Performance Improvement (QAPI) program to prevent repeated deficiencies in wound care and pest control.
Failure to follow proper infection prevention and control practices including hand hygiene and glove use during wound care.
Failure to provide effective pest control resulting in presence of roaches in resident rooms and bathrooms.
Report Facts
Residents affected: 74
Medication error rate: 5
Pressure ulcer risk score: 15
Pressure ulcer risk score: 22
Enteral feed volume ordered: 1320
Enteral feed volume administered: 948
Nail length: 0.25
Number of medication errors observed: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Observed failing to sanitize hands between glove changes and improper wound care technique |
| CNA #3 | Certified Nursing Assistant | Mentioned in relation to resident nail care deficiencies |
| Director of Nursing | Director of Nursing | Interviewed regarding cleaning schedules, wound care, and medication administration |
| Administrator | Facility Administrator | Provided documentation and interviewed regarding QAPI and pest control |
| MDS Coordinator | Minimum Data Set Coordinator | Interviewed regarding incorrect MDS coding for antipsychotic medication |
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Aug 4, 2022
Visit Reason
The inspection was conducted as an annual survey to assess compliance with federal and state regulations for nursing home operations, including resident rights, wound care, sanitation, infection control, and pest control.
Findings
The facility was found deficient in multiple areas including failure to provide residents access to survey results, improper pressure ulcer care and infection control practices, inadequate waste management with overflowing dumpsters, lack of negative air pressure in the laundry room increasing cross contamination risk, and ineffective pest control evidenced by roach infestations in the kitchen and dry storage areas.
Deficiencies (5)
Failed to ensure residents and visitors had access to all survey results and plans of correction for the past 3 years without asking.
Failed to follow physician orders for antibacterial soap use and proper glove changes during pressure ulcer care for Resident #42.
Failed to properly contain and cover garbage in dumpsters to prevent insect and rodent infestation.
Failed to ensure negative air pressure from clean to dirty side in laundry room to prevent cross contamination.
Failed to maintain an effective pest control program; multiple roaches observed in kitchen and storage areas, and lack of documentation of pest control visits since May 2022.
Report Facts
Residents Affected: 1
Residents Affected: Few
Residents Affected: Many
Residents Affected: Many
Residents Affected: Some
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | Registered Nurse | Named in pressure ulcer care deficiency for improper wound treatment and infection control practices |
| Director of Nursing | Director of Nursing | Interviewed regarding physician orders and wound care policies |
| Maintenance Supervisor | Maintenance Supervisor | Interviewed regarding hand soap and laundry room conditions |
| Dietary Manager | Dietary Manager | Interviewed regarding dumpster conditions and pest control |
| Pest Control Employee | Pest Control Employee | Interviewed regarding pest control visits and record keeping |
Viewing
Loading inspection reports...
