Inspection Reports for
Prairie Grove Health and Rehabilitation, LLC
621 South Mock Street, Prairie Grove, AR, 72753
Back to Facility ProfileDeficiencies (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/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Routine
Deficiencies: 2
Date: Dec 4, 2025
Visit Reason
The inspection was conducted to evaluate the facility's compliance with regulations regarding the management of residents' personal funds and food preparation practices.
Findings
The facility failed to properly hold, secure, and manage a resident's personal trust account funds, including lack of verification of purchases and absence of documented consent for expenditures. Additionally, the facility failed to ensure food was prepared under sanitary conditions, specifically avoiding cross-contamination during puree food preparation.
Deficiencies (2)
Failed to consistently ensure generally accepted accounting practices were followed as a steward of resident trust accounts for one resident, including lack of verification of purchases and absence of documented consent for expenditures.
Failed to ensure food was prepared under sanitary conditions during puree food process, risking cross-contamination affecting all six residents on a puree diet.
Report Facts
Transaction amount: 337.11
Transaction amount: 478.23
Transaction amount: 726.79
Transaction amount: 588.95
Date: 2025
Date: 2025
Date: 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Reported administration of Resident #38's trust account and lack of verification of purchases | |
| Social Services Director (SSD) | Responsible for marking personal items for residents and adding items to inventory sheet; did not verify purchases | |
| Dietary Manager (DM) | Observed preparing pureed food under unsanitary conditions and confirmed kitchen staff education on food safety | |
| Regional Dietary Manager (RDM) | Confirmed food preparation surfaces should be cleaned and sanitized before use |
Inspection Report
Routine
Deficiencies: 2
Date: Jun 20, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident discharge notification and the functionality of the call light system in the facility.
Findings
The facility failed to provide a written notice of facility-initiated discharge for one resident due to safety concerns, and failed to ensure the call light system was functioning properly for one resident, with no prior documentation of the issue in the maintenance log.
Deficiencies (2)
Failed to provide timely written notification of facility-initiated discharge for Resident #111.
Failed to ensure the call light system was functioning for Resident #39.
Report Facts
Residents reviewed for discharge: 2
Residents reviewed for call light function: 1
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jun 20, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to provide timely written notification of a facility-initiated discharge for a resident and concerns about kitchen cleanliness and food safety.
Complaint Details
The complaint investigation substantiated that the facility did not provide a written discharge notice to the resident representative despite verbal notification, and identified multiple sanitation issues in the kitchen including unclean equipment and improper dish storage.
Findings
The facility failed to provide a written notice of facility-initiated discharge for one resident with safety concerns related to suicidal ideations. Additionally, the facility failed to ensure kitchen equipment and surfaces were clean and that clean dishes were stored properly, posing potential infection control risks.
Deficiencies (2)
Failed to provide timely written notification of a facility-initiated discharge for Resident #111.
Failed to ensure kitchen equipment and surfaces were clean and clean dishes were stored properly.
Report Facts
Residents affected: 1
Residents affected: Many residents affected by kitchen sanitation deficiencies
Dates of observations: 4
Date of discharge summary: Feb 29, 2024
Assessment Reference Date: Jan 8, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Reported failure to provide written discharge notice and provided policy on discharge/transfer letter | |
| Dietary Manager | Interviewed regarding kitchen cleanliness, grease trap maintenance, and dish storage | |
| Dietary Aide | Observed handling food and cleaning blender during kitchen inspection |
Inspection Report
Routine
Census: 56
Deficiencies: 3
Date: Jun 22, 2023
Visit Reason
The inspection was conducted to evaluate compliance with regulations regarding resident dignity during feeding, medication administration, food safety, and hand hygiene practices in the nursing home.
Findings
The facility was found deficient in treating residents with dignity during feeding, ensuring proper medication administration including use of inhaler spacers, maintaining food safety and sanitation in the kitchen, and enforcing hand hygiene protocols among staff. These deficiencies posed minimal harm or potential for actual harm to some or many residents.
Deficiencies (3)
Failed to treat 3 of 5 sampled residents with dignity and respect while assisting with feeding, including feeding residents from a standing position.
Failed to ensure Physician's Orders were followed for medication administration for 1 of 2 sampled residents, including failure to use a spacer with inhaler and serving unlabeled thickened liquids.
Failed to ensure dietary staff washed hands and changed gloves before handling food, stored food properly, removed expired food, maintained frozen food frozen, and handled ice machine scoop in a sanitary manner.
Report Facts
Residents affected: 3
Residents affected: 1
Residents affected: 56
Census: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA) #1 | Mentioned in feeding residents while standing and hand hygiene deficiencies | |
| Certified Nursing Assistant (CNA) #2 | Mentioned in feeding residents while standing | |
| Certified Nursing Assistant (CNA) #3 | Mentioned in feeding residents while standing | |
| Licensed Practical Nurse (LPN) #1 | Mentioned in medication administration deficiencies including failure to use spacer | |
| Licensed Practical Nurse (LPN) #4 | Interviewed about thickened beverage handling | |
| Director of Nursing (DON) | Interviewed about feeding dignity, medication administration, and hand hygiene policies | |
| Dietary Employee (DE) #1 | Observed with multiple food handling and hygiene deficiencies | |
| Dietary Employee (DE) #2 | Observed with multiple food handling and hygiene deficiencies |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jun 6, 2023
Visit Reason
The inspection was conducted due to a complaint investigation following an elopement incident involving Resident #1, who left the facility without staff knowledge and was missing for approximately two hours.
Complaint Details
The investigation was triggered by a complaint related to Resident #1 eloping from the facility on 05/13/23. The elopement was substantiated as Resident #1 left the facility without notifying staff, was missing for about two hours, and was found safely with no injuries. The facility failed to prevent the elopement despite Resident #1 being identified as high risk.
Findings
The facility was found to be in past non-compliance for failing to provide adequate supervision and monitoring to prevent Resident #1's elopement, which posed immediate jeopardy to resident health and safety. Resident #1 left the facility using the door code, was missing for about two hours, and was found approximately one mile away without injury.
Deficiencies (1)
Failure to ensure adequate supervision and monitoring to prevent elopement of Resident #1.
Report Facts
Residents at risk for elopement: 11
Time missing: 2
Distance from facility: 1
Temperature: 83
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nursing Assistant #1 | Nursing Assistant | Witnessed Resident #1 missing from room and notified staff. |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Called the code for elopement and participated in search. |
| Director of Nursing | Director of Nursing | Responded to elopement, coordinated search, and retrieved Resident #1. |
| Social Services Director | Social Services Director | Assisted in contacting family and coordinating search. |
| Administrator | Administrator | Informed of elopement, reviewed video footage, and ordered audits and new assessments. |
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