Inspection Reports for
Randolph County Nursing Home
500 Camp Road, Pocahontas, AR, 72455
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
4.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
13% better than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Routine
Deficiencies: 2
Date: Apr 3, 2025
Visit Reason
The inspection was conducted to assess compliance with food safety and hygiene standards, specifically to ensure expired food items were removed and dietary staff followed proper handwashing protocols during meal preparation.
Findings
The facility failed to ensure expired food items were promptly discarded and dietary staff did not consistently wash their hands between dirty and clean tasks or before handling clean equipment, posing a minimal harm risk to residents.
Deficiencies (2)
Expired food items such as sweet corn, skim milk, bagel bites, and pepperoni were found in storage and refrigeration areas.
Dietary staff failed to wash hands between dirty and clean tasks and before handling clean equipment, contaminating food and utensils.
Report Facts
Expired food items: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager/Registered Dietician | Stated she checked stock and acknowledged missed expired items | |
| Dietary Aide (DA) #1 | Observed contaminating hands and not washing before handling clean equipment | |
| Dietary Aide (DA) #2 | Observed contaminating hands and not washing before handling clean equipment | |
| Dietary Aide (DA) #3 | Observed contaminating hands and not washing before handling clean equipment | |
| Dietary [NAME] (DC) #3 | Observed contaminating hands and not washing before handling clean equipment |
Inspection Report
Routine
Deficiencies: 10
Date: Jan 11, 2024
Visit Reason
The inspection was conducted as a routine regulatory survey to assess compliance with healthcare facility regulations and standards.
Findings
The facility was found to have multiple deficiencies including failure to honor residents' rights regarding meal service, breaches in confidentiality, failure to follow physician orders, improper medication storage, inadequate respiratory care, failure to post nurse staffing schedules, improper food preparation and storage, and lapses in infection control practices.
Deficiencies (10)
Resident #16 was served food on a paper towel instead of a plate, violating the resident's right to dignified care.
Facility failed to keep 19 residents' personal information confidential by posting care plan meeting lists publicly.
Physician's orders were not followed for Resident #111 who had topical ointments without orders.
Medication and topical ointments were left unattended at bedside for Residents #1 and #111, posing accident hazards.
CPAP storage bag for Resident #119 was not changed weekly as required; oxygen tubing for Resident #5 was not dated.
Daily nurse staffing schedules were not posted in a public location as required.
Controlled medications were stored in plastic boxes that were not permanently affixed in medication refrigerators.
Meals were not prepared and served according to the planned menu; pureed food portions were incorrect and consistency was lumpy.
Foods in freezer, refrigerator, and dry storage were not properly covered, sealed, or dated; expired items were present; dietary staff failed to wash hands properly; hot foods were not maintained at safe temperatures.
Staff failed to wear appropriate Personal Protective Equipment (PPE) when providing care to Resident #62 on enhanced barrier precautions for MRSA.
Report Facts
Residents affected: 1
Residents affected: 19
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: 2
Residents affected: 8
Residents affected: 125
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aide #2 | CNA | Interviewed about serving food on paper towel for Resident #16 |
| Director of Nursing | DON | Interviewed multiple times regarding policies, medication orders, PPE use, and staffing schedules |
| Licensed Practical Nurse #2 | LPN | Confirmed no order for topical ointments for Resident #111 and discussed medication storage |
| Licensed Practical Nurse #3 | LPN | Observed removing controlled medications from unlocked refrigerator |
| Dietary Employee #2 | Dietary Staff | Observed serving incorrect food portions and improper hand hygiene |
| Dietary Employee #3 | Dietary Staff | Observed improper hand hygiene |
| Registered Nurse #1 | RN | Confirmed oxygen tubing was not dated |
| Certified Nursing Assistant #1 | CNA | Observed providing care without PPE to Resident #62 |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Sep 14, 2023
Visit Reason
The inspection was conducted to investigate complaints regarding failure to promptly act on resident concerns expressed during the Resident Council Meeting and failure to notify responsible parties/family members of changes in residents' conditions after new orders were obtained.
Complaint Details
The complaint investigation found that resident concerns about staff behavior were not properly documented or acted upon, and that family members were not notified of changes in residents' conditions as required. The complaint was substantiated based on interviews and record reviews.
Findings
The facility failed to ensure resident concerns from the Resident Council Meeting were acted upon promptly and failed to notify responsible parties/family members of changes in condition for three sampled residents. These failures had the potential to affect 129 residents. Interviews and record reviews confirmed these deficiencies.
Deficiencies (2)
Failure to ensure resident concerns from the Resident Council Meeting were acted upon promptly for 1 of 1 sampled residents.
Failure to notify responsible party/family member of changes in condition after new orders were obtained for 3 of 3 sampled residents.
Report Facts
Residents affected: 129
Sample residents with notification failure: 3
Sample residents with unacted concerns: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #1 | Confirmed that verbal abuse reports should be reported to DON or Administrator. | |
| Licensed Practical Nurse #1 | Confirmed that verbal abuse reports should be reported to next person in chain of command. | |
| Director of Nursing (DON) | Director of Nursing | Stated verbal abuse should be reported to immediate supervisor and followed through; confirmed no report received regarding Resident #3's complaint. |
| Social Worker (SW) | Reported Resident #3's complaint to nurse but did not file a grievance. |
Inspection Report
Routine
Census: 129
Deficiencies: 4
Date: Oct 13, 2022
Visit Reason
The inspection was conducted to evaluate the facility's compliance with food safety and nutritional standards, including meal temperature, food handling, and sanitation practices.
Findings
The facility failed to ensure meals were served at acceptable temperatures to residents, potentially affecting 131 residents across multiple halls. Additionally, the facility failed to ensure proper handwashing by staff, proper food storage, and prevention of cross contamination, which could lead to foodborne illness.
Deficiencies (4)
Meals were served at temperatures that were not acceptable to residents, with some food items being cold.
Staff failed to wash hands before handling clean equipment or food items, leading to potential cross contamination.
Expired food items were not promptly removed or discarded, and leftover food items were not used by the use-by date.
Opened food items in a rubber container were not covered to maintain freshness and prevent cross contamination.
Report Facts
Residents affected: 131
Total census: 129
Food item temperatures: 46.7
Food item temperatures: 113.7
Expired food item date: Sep 12, 2022
Expired food item date: Sep 20, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Employee #1 | Failed to wash hands before handling food and equipment, contaminated gloves, and handled expired food items | |
| Dietary Employee #2 | Failed to wash hands before handling clean equipment and food items, contaminated gloves | |
| Dietary Employee #3 | Failed to wash hands before handling food and equipment, contaminated gloves, and handled expired food items | |
| Dietary Supervisor | Conducted food temperature checks during meal delivery |
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