Inspection Reports for
Superior Health and Rehab, LLC
625 Tommy Lewis Dr., Conway, AR, 72034
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: Aug 14, 2025
Visit Reason
The inspection was conducted to assess compliance with resident dignity and respect, care plan implementation, and overall facility adherence to regulatory requirements.
Findings
The facility failed to ensure residents were treated with dignity and respect, as evidenced by staff referring to residents as 'feeders.' Additionally, the facility failed to consistently implement care plan interventions for a resident with a history of falls, resulting in a fall due to improper transfer by staff.
Deficiencies (2)
Failure to ensure residents were treated with dignity and respect, including use of derogatory terms such as 'feeders' for residents requiring feeding assistance.
Failure to develop and implement a complete care plan that meets all resident needs, specifically failure to follow care plan interventions for safe transfers, resulting in a resident fall.
Report Facts
Residents affected: 2
Residents affected: 1
BIMS score: 3
BIMS score: 8
BIMS score: 15
Date of fall incident: Apr 23, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Assistant | Named in dignity deficiency for referring to residents as 'feeders' and participating in dignity training |
| CNA #2 | Certified Nursing Assistant | Named in care plan deficiency for independently transferring Resident #109 despite two-person assist requirement, resulting in fall |
| Director of Nursing | Director of Nursing | Reported on facility expectations and staff conduct regarding dignity and care plan compliance |
| Administrator | Administrator | Reported on policy changes and staff training related to dignity and care plan compliance |
| Dietary Manager | Dietary Manager | Made inappropriate comment referring to residents as 'feeders' and committed to changing meal cards |
| Medication Aide-Certified | Medication Aide-Certified | Witnessed fall incident involving Resident #109 |
| CNA #4 | Certified Nursing Assistant | Provided information on use of closet care plans |
| CNA #5 | Certified Nursing Assistant | Provided information on use of closet care plans |
| CNA #6 | Certified Nursing Assistant | Provided information on use of closet care plans |
| CNA #7 | Certified Nursing Assistant | Provided information on use of closet care plans |
| Assistant Director of Nursing | Assistant Director of Nursing | Reported on admission procedures and care plan communication |
Inspection Report
Annual Inspection
Deficiencies: 4
Date: May 3, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including accurate resident assessments, care planning, foot care, and food safety standards at the facility.
Findings
The facility was found deficient in accurately coding position change alarms on the Minimum Data Set and care plans for a resident at risk of falls, providing appropriate foot care to a resident with dry, scaly feet and untrimmed toenails, and ensuring food items were stored and used properly to prevent contamination and spoilage.
Deficiencies (4)
Failed to accurately assess the resident and code the Minimum Data Set (MDS) to reflect the use of position change alarms for Resident #54.
Failed to initiate on the care plan goals and interventions for the use of position change alarms for Resident #54.
Failed to ensure necessary foot/toenail treatment and care was provided to keep toenails trimmed and dry and to prevent flaky skin for Resident #367.
Failed to ensure food items were used prior to their use by date and stored in a manner to limit cross contamination.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: Many
Use by date: Feb 14, 2024
Use by date: Mar 19, 2024
Use by date: Apr 29, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing | Assistant Director of Nursing (ADON) | Confirmed alarms were in place but not coded on MDS or care plan |
| Licensed Practical Nurse #1 | Licensed Practical Nurse (LPN) | Confirmed alarms were in place for months but not on care plan |
| Certified Nursing Assistant #1 | Certified Nursing Assistant (CNA) | Reported on foot care and toenail trimming needs for Resident #367 |
| Treatment Nurse #1 | Treatment Nurse | Described condition of Resident #367's feet |
| Director of Nursing | Director of Nursing (DON) | Commented on nursing assessment and foot care deficiencies |
| Dietary Manager | Dietary Manager | Reported on food storage and contamination issues |
| Administrator | Administrator | Provided food storage policy and commented on lack of foot care policies |
Inspection Report
Routine
Census: 104
Deficiencies: 4
Date: May 12, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident privacy, personal care, food preparation, and food storage at the nursing home.
Findings
The facility was found deficient in maintaining privacy of resident medical records, providing adequate nail care for a dependent resident, ensuring pureed food consistency, and properly covering and sealing foods stored in the walk-in freezer. All deficiencies were assessed as minimal harm or potential for actual harm affecting few or many residents.
Deficiencies (4)
Failure to ensure privacy and confidentiality of resident personal and medical records by not locking computer screens and leaving confidential information visible.
Failure to provide adequate nail care for a resident dependent on staff, resulting in long, jagged nails with debris underneath.
Failure to ensure pureed food items were blended to a smooth, lump-free consistency for residents requiring pureed diets.
Failure to ensure foods stored in the walk-in freezer were covered and sealed to minimize potential for food borne illness.
Report Facts
Residents affected: 104
Residents affected: 14
Residents affected: 1
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Named in privacy and nail care findings |
| Director of Nursing | Director of Nursing | Interviewed regarding privacy, nail care responsibilities, and facility policies |
| Certified Nursing Assistant #1 | Certified Nursing Assistant | Interviewed regarding resident nail care |
| Dietary Employee #1 | Dietary Employee | Observed preparing pureed food items |
| Dietary Supervisor | Dietary Supervisor | Provided diet list and described pureed food consistency and food storage |
| Assistant Dietary Supervisor | Assistant Dietary Supervisor | Described consistency of pureed food items |
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