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)
6.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
29% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Deficiencies: 2
Date: Aug 14, 2025
Visit Reason
The inspection was conducted to investigate deficiencies related to resident dignity and respect, and care plan implementation following incidents and observations at the facility.
Findings
The facility failed to ensure residents were treated with dignity and respect, specifically regarding the use of the term 'feeder' for residents requiring feeding assistance. Additionally, the facility failed to consistently implement care plan interventions, resulting in a resident fall due to improper transfer by staff.
Deficiencies (2)
Failure to honor residents' right to a dignified existence, self-determination, communication, and to exercise their rights, including inappropriate labeling of residents as 'feeders'.
Failure to develop and implement a complete care plan that meets all resident needs, with measurable timetables and actions, resulting in a resident fall due to non-compliance with transfer assistance requirements.
Report Facts
Residents observed for dignity: 2
Residents reviewed for care plan implementation: 4
Resident fall incident date: Apr 23, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Assistant | Named in dignity training and observed labeling residents as 'feeders' |
| CNA #2 | Certified Nursing Assistant | Named in fall incident for transferring Resident #109 independently against care plan |
| Director of Nursing | Director of Nursing | Reported on facility expectations and staff compliance regarding dignity and care plans |
| Administrator | Administrator | Reported on policy changes and staff training related to dignity and care plans |
| Dietary Manager | Dietary Manager | Made statements regarding labeling residents as 'feeders' and committed to changing meal cards |
| Medication Aide-Certified (MA-C) #3 | Medication Aide-Certified | Observed fall incident involving Resident #109 |
| CNA #4 | Certified Nursing Assistant | Reported on use of closet care plans for resident care instructions |
| CNA #5 | Certified Nursing Assistant | Reported on use of face sheets and care plans for resident care |
| CNA #6 | Certified Nursing Assistant | Reported on review frequency of closet care plans |
| CNA #7 | Certified Nursing Assistant | Reported on caregivers learning about residents through closet care plans |
| Assistant Director of Nursing | Assistant Director of Nursing | Reported on communication of fall history and interventions to staff |
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 related to resident care, including accurate assessments, care planning, foot care, and food safety standards at Superior Health & Rehab, LLC.
Findings
The facility was found deficient in accurately coding the use of position change alarms on the Minimum Data Set and care plans for Resident #54, failed to provide appropriate foot care for Resident #367, and did not ensure proper food storage and handling practices to prevent contamination.
Deficiencies (4)
Failed to accurately assess and code the use of position change alarms on the Minimum Data Set for Resident #54.
Failed to initiate care plan goals and interventions for the use of position change alarms for Resident #54.
Failed to provide necessary foot/toenail treatment and care to Resident #367 to prevent foot complications.
Failed to ensure food items were used prior to their use by date and stored properly to limit cross contamination.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: Many
BIMS score: 11
BIMS score: 10
Use by date: Feb 14, 2024
Use by date: Mar 19, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing (ADON) | Interviewed regarding position change alarms and care plan updates | |
| MDS Coordinator | Confirmed alarms were not coded on the MDS | |
| Licensed Practical Nurse (LPN) #1 | Confirmed alarms were in place but not addressed on care plan | |
| Certified Nursing Assistant (CNA) #1 | Provided information about foot care for Resident #367 | |
| Treatment Nurse #1 | Described condition of Resident #367's feet | |
| Director of Nursing (DON) | Commented on nursing assessment and foot care | |
| Dietary Manager | Interviewed regarding food storage and handling practices | |
| Administrator | Provided policy on food storage and commented on ADL/nail care policies |
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 Superior Health & Rehab, LLC.
Findings
The facility was found deficient in maintaining resident privacy by failing to secure medication carts and computer screens, inadequate personal hygiene care for a resident with long, jagged fingernails, improper preparation of pureed food items with inconsistent texture, and failure to properly cover and seal food stored in the walk-in freezer.
Deficiencies (4)
Failed to ensure privacy and confidentiality of resident's personal and medical records by not locking computer screens and leaving confidential information visible.
Failed to ensure nails were trimmed, smooth, and free of jagged edges for a resident dependent on nail care.
Failed to ensure pureed food items were blended to a smooth, lump-free consistency to minimize risk of choking.
Failed to ensure foods stored in the walk-in freezer were covered and sealed to minimize potential for food borne illness.
Report Facts
Residents affected: 1
Residents affected: 104
Residents sampled: 14
Deficiencies cited: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #1 | Interviewed regarding medication cart privacy and resident nail care | |
| Director of Nursing (DON) | Interviewed regarding medication cart privacy, resident nail care responsibility, and facility policies | |
| Certified Nursing Assistant (CNA) #1 | Interviewed regarding resident nail care | |
| Dietary Employee (DE) #1 | Observed preparing pureed food items | |
| Dietary Supervisor | Interviewed regarding pureed food consistency and food storage | |
| Assistant Dietary Supervisor | Interviewed regarding pureed food consistency |
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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