Inspection Reports for
The Blossoms at North Little Rock Rehab and Nursing Center

2501 John Ashley Dr., North Little Rock, AR, 72114

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 9 deficiencies/year

Deficiencies are regulatory findings recorded during state inspections.

73% worse than Arkansas average
Arkansas average: 5.2 deficiencies/year

Deficiencies per year

16 12 8 4 0
2023
2024
2025

Inspection Report

Routine
Deficiencies: 2 Date: Apr 24, 2025

Visit Reason
The inspection was conducted to evaluate compliance with food safety, infection prevention, and control standards at The Blossoms at North Little Rock Rehab & Nursing.

Findings
The facility failed to ensure dietary staff washed hands and changed gloves appropriately during food handling, maintain the ice machine in sanitary condition, and implement Enhanced Barrier Precautions (EBP) for residents requiring such precautions. Observations included contamination risks in food preparation and failure to wear gowns during wound care and IV medication administration.

Deficiencies (2)
Dietary staff failed to wash hands and change gloves before handling food items and clean equipment; ice machine was not maintained in clean and sanitary conditions; walls had dust accumulation near food preparation areas.
Failure to implement Enhanced Barrier Precautions (EBP) for two residents requiring gowns and gloves during wound care and IV medication administration.
Report Facts
Residents affected: 2 Meals observed: 2 Dates of observations: 4

Employees mentioned
NameTitleContext
Dietary ManagerInterviewed regarding ice machine cleaning and food safety practices
Maintenance SupervisorInterviewed about ice machine cleaning frequency
Treatment NurseObserved performing wound care without gown
Licensed Practical Nurse #5Observed administering IV medication without gown
Director of NursingInterviewed about proper gown use during wound care
AdministratorInterviewed about gown use during wound care

Inspection Report

Annual Inspection
Census: 98 Deficiencies: 3 Date: Mar 28, 2024

Visit Reason
The inspection was conducted as an annual survey to assess compliance with care planning, dietary, and food safety regulations at The Blossoms at North Little Rock Rehab & Nursing.

Findings
The facility failed to ensure that a resident or their representative was invited to a comprehensive care plan meeting, failed to provide pureed food items with appropriate consistency for residents requiring pureed diets, and failed to maintain proper food storage, handling, and hygiene practices in the kitchen, potentially affecting multiple residents.

Deficiencies (3)
Failed to ensure Resident or Resident representative was invited to a comprehensive care plan meeting for 1 of 98 residents.
Failed to ensure pureed food items were blended to a smooth, lump-free consistency for residents requiring pureed diets.
Failed to ensure foods stored in the refrigerator were covered and sealed, expired foods were removed, foods were dated for first in, first out usage, and dietary staff washed hands before handling clean equipment or food items.
Report Facts
Residents receiving care plans: 98 Residents affected by pureed diet deficiency: 6 Residents affected by food safety deficiencies: 96

Employees mentioned
NameTitleContext
Dietary Employee #1Observed preparing pureed food and handling food without washing hands
Dietary SupervisorInterviewed regarding pureed food consistency and hand washing policy
Social Services DirectorInterviewed about care plan meeting invitations for Resident #45
AdministratorProvided Resident Rights information and reported lack of care plan policy

Inspection Report

Routine
Deficiencies: 10 Date: Mar 28, 2024

Visit Reason
The inspection was conducted to assess the facility's compliance with regulations regarding maintaining a safe, clean, comfortable, and homelike environment for residents.

Findings
The facility failed to ensure a clean and homelike environment, with multiple observations of chipped paint, missing floor tiles, black and brown matter in bathrooms and on walls, broken blinds, a loose commode, and maintenance issues that were not reported or addressed timely.

Deficiencies (10)
Chipped and missing paint with black rub marks on walls in D-Hall and multiple rooms.
Bathroom on D-Hall had missing floor tiles and thick black matter under the shower seat, along baseboards, corners, and around the commode.
Cobweb in the corner behind the entrance door on Secure Unit D-Hall and brown matter on the wall above the rail.
A bag with dry pink matter and an empty medicine cup tucked behind the handrail.
Fire extinguisher cover had small rust spots along the bottom of the door.
Heating and air conditioning wall unit in room D29 had dark matter with loose particles inside the vent and a broken vent slat.
Horizontal blinds in room D29 were broken and nonfunctional.
Bathroom between rooms D27 and D29 had black, crusty matter around the commode and in corners; commode was twisted 5-6 inches to the right.
Scrapped paint observed on walls in rooms B1, B8, B10, and B12.
Maintenance issues including loose bolts on commode and lack of maintenance requests for observed problems.
Report Facts
Deficiencies cited: 10

Employees mentioned
NameTitleContext
Maintenance SupervisorStated that walls with scrapped paint were being worked on
Director of NursingDONConfirmed responsibility for reporting maintenance concerns
HousekeeperHSKPProvided information about cleaning frequency and described observed conditions
AdministratorConfirmed observations of environmental deficiencies

Inspection Report

Routine
Census: 98 Deficiencies: 3 Date: Mar 28, 2024

Visit Reason
The inspection was conducted to assess compliance with care planning, dietary services, and food safety standards at The Blossoms at North Little Rock Rehab & Nursing.

Findings
The facility failed to ensure that a resident or their representative was invited to a comprehensive care plan meeting, failed to provide pureed food items with appropriate consistency for residents requiring pureed diets, and failed to maintain proper food storage, handling, and hygiene practices in the kitchen, potentially risking foodborne illness.

Deficiencies (3)
Failed to ensure Resident or Resident representative was invited to a comprehensive care plan meeting for 1 of 98 residents.
Failed to ensure pureed food items were blended to a smooth, lump-free consistency for residents requiring pureed diets.
Failed to ensure foods stored in the refrigerator were covered and sealed, expired food items were removed promptly, foods were dated for first in, first out usage, and dietary staff washed hands before handling clean equipment or food items.
Report Facts
Residents affected: 1 Residents affected: 6 Residents affected: 96 Residents receiving care plans: 98

Employees mentioned
NameTitleContext
AdministratorProvided Resident Rights and reported no policy for care plans
Social Services DirectorInterviewed regarding care plan meeting invitations
Dietary Employee #1Observed preparing pureed food and handling food without washing hands
Dietary SupervisorInterviewed about pureed food consistency and hand washing policy

Inspection Report

Routine
Deficiencies: 9 Date: Feb 24, 2023

Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, safety, environment, and facility operations at The Blossoms at North Little Rock Rehab & Nursing.

Findings
The facility was found deficient in multiple areas including failure to honor resident food preferences, maintain a safe and clean environment, develop timely baseline care plans, provide adequate bathing and nail care, ensure appropriate wound and catheter care, maintain kitchen hygiene and food safety, and implement effective quality assurance and equipment maintenance programs.

Deficiencies (9)
Failed to consider residents' food preferences and serve items listed on meal tickets affecting 1 resident and potentially 92 residents.
Failed to maintain a safe, clean, comfortable, and homelike environment for 2 residents including bathroom and wheelchair cleanliness issues.
Failed to develop a Baseline Care Plan within 48 hours of admission for 1 resident.
Failed to provide regular bathing and nail care for multiple residents dependent on staff.
Failed to ensure nursing staff assessed and obtained treatment orders for a laceration with sutures for 1 resident.
Failed to provide appropriate incontinence care to promote a healthy and odor-free environment for 1 resident with a suprapubic catheter.
Failed to ensure kitchen equipment was clean and in good condition, staff washed hands and changed gloves appropriately, and opened food containers were refrigerated.
Failed to implement and track corrective actions in the Performance Improvement Plan related to freezer maintenance and other quality issues.
Failed to maintain mechanical and electrical kitchen equipment in safe operating condition, specifically the walk-in freezer with ongoing water leakage and ice buildup.
Report Facts
Residents affected by food preference deficiency: 92 Residents sampled for environment deficiency: 17 Residents admitted in past 30 days: 4 Residents dependent on staff for bathing: 29 Residents dependent on staff for nail care: 93 Residents with Foley catheter: 3 Residents receiving meals from kitchen: 96 Residents in facility: 93

Employees mentioned
NameTitleContext
Certified Nursing Assistant #1CNAInvolved in serving incorrect meal to Resident #66
Dietary ManagerDietary ManagerInterviewed regarding meal ticket and food preferences
Licensed Practical Nurse #1LPNProvided wound care and discussed suture removal
Licensed Practical Nurse #2LPN/Unit ManagerDiscussed responsibility for wound orders and suture removal
Director of NursingDONInterviewed regarding policies, care plans, and wound care
Maintenance DirectorMaintenance DirectorInterviewed about freezer water leakage and maintenance logs
Dietary ConsultantDietary ConsultantProvided policies and discussed kitchen hygiene and freezer issues
Certified Nursing Assistant #3CNAInterviewed about incontinent care and care plans
Certified Nursing Assistant #4CNAInterviewed about wheelchair cleaning
Certified Nursing Assistant #5CNAInterviewed about shower responsibilities
Dietary Aide #1Dietary AideObserved handling food without washing hands
Dietary Aide #2Dietary AideObserved handling food without washing hands

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