Inspection Reports for
Southfork River Therapy and Living

624 Hwy 62/412 West, Salem, AR, 72576

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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

Annual Inspection
Deficiencies: 0 Date: Aug 15, 2024

Visit Reason
Annual inspection survey completed for regulatory compliance of the nursing home facility.

Findings
No health deficiencies were found during the inspection.

Inspection Report

Routine
Deficiencies: 4 Date: Sep 8, 2023

Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident safety, respiratory care, medication management, and infection control at Southfork River Therapy and Living nursing home.

Findings
The facility was found deficient in securing hazardous chemicals and personal care items, lacking physician orders for CPAP use, improper labeling and storage of medications including expired drugs, and failure to follow proper glove use during medication administration, all posing minimal harm or potential for actual harm to residents.

Deficiencies (4)
Failure to ensure potentially hazardous chemicals and hygiene products were stored securely to prevent resident access.
Failure to obtain a physician's order for CPAP usage for one resident.
Failure to ensure drugs and biologicals were properly labeled, dated, and expired medications removed from medication rooms and carts.
Failure to follow appropriate glove use during medication administration, risking cross contamination.
Report Facts
Residents affected: 1 Residents affected: 1 Residents affected: 2 Residents affected: 27

Employees mentioned
NameTitleContext
Certified Nursing Assistant (CNA) #2Interviewed about storage of razors and denture cleanser tablets
Licensed Practical Nurse (LPN) #1Interviewed about storage of hazardous items and medication labeling responsibilities; observed during medication administration
Licensed Practical Nurse (LPN) #2Interviewed about presence of physician order for CPAP
Licensed Practical Nurse (LPN) #3Observed medication cart with expired and unlabeled medications
Licensed Practical Nurse (LPN) #4Observed medication cart with expired medications
Director of Nursing (DON)Interviewed about storage policies and glove use during medication administration
Nurse ConsultantInterviewed about physician orders for CPAP
AdministratorProvided facility policies and statements regarding storage and infection control

Inspection Report

Routine
Deficiencies: 6 Date: Jun 17, 2022

Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, including accurate assessments, care planning, hygiene, range of motion interventions, food preparation, and food safety.

Findings
The facility was found deficient in ensuring accurate Minimum Data Set (MDS) assessments, comprehensive care plans addressing contractures and range of motion, proper incontinent care and hygiene, consistent use of positioning devices to prevent decline in range of motion, preparation of pureed food to appropriate consistency, and proper food storage and hand hygiene in the dietary department. Deficiencies were generally noted as minimal harm with few or some residents affected.

Deficiencies (6)
Failed to ensure Minimum Data Set (MDS) assessments were accurate and complete for residents with indwelling catheter and tracheostomy.
Failed to develop and implement a complete care plan addressing functional limitations in range of motion to prevent further decline for a resident with contractures.
Failed to provide incontinent care that promotes good hygiene, maintains skin integrity, and ensures privacy; failed to ensure residents' fingernails were cleaned and trimmed.
Failed to ensure consistent use of splint, hand roll, or other positioning device to prevent further decline in range of motion for a resident with contractures.
Failed to ensure pureed food items were blended to a smooth, lump-free consistency to minimize risk of choking or complications.
Failed to ensure food items stored in the freezer were covered or sealed and dietary staff washed hands before handling clean equipment or food items to prevent potential food borne illness.
Report Facts
Residents affected: 1 Residents affected: 1 Residents affected: 1 Residents affected: 1 Residents affected: 2 Residents affected: 6

Employees mentioned
NameTitleContext
LPN #1Licensed Practical NurseInterviewed regarding resident's ability to open hand and nail care
RN #1Registered NurseObserved performing feeding tube site care and interviewed about resident care
MDS CoordinatorInterviewed about responsibility for MDS sections and care plan revisions
DONDirector of NursingInterviewed about care planning and nail care responsibilities
CNA #1Certified Nursing AssistantObserved performing peri-care and interviewed about privacy and hygiene procedures
CNA #2Certified Nursing AssistantInterviewed about nail care responsibilities and frequency
Dietary Employee #1Observed preparing pureed food and handling food without washing hands
Dietary Employee #2Observed preparing sandwiches and handling food without washing hands
Dietary Employee #3Observed preparing pureed food with improper consistency
Dietary SupervisorInterviewed about pureed food consistency and food safety practices

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