Inspection Reports for
The Blossoms at North Little Rock Rehab and Nursing Center
2501 John Ashley Dr., North Little Rock, AR, 72114
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
16 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
208% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
28
21
14
7
0
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
| Name | Title | Context |
|---|---|---|
| Dietary Manager | Interviewed regarding ice machine cleaning and food safety practices | |
| Maintenance Supervisor | Interviewed about ice machine cleaning frequency | |
| Treatment Nurse | Observed performing wound care without gown | |
| Licensed Practical Nurse #5 | Observed administering IV medication without gown | |
| Director of Nursing | Interviewed about proper gown use during wound care | |
| Administrator | Interviewed about gown use during wound care |
Inspection Report
Routine
Deficiencies: 2
Date: Apr 24, 2025
Visit Reason
The inspection was conducted to assess compliance with food safety, infection prevention, and control standards in the nursing home facility.
Findings
The facility failed to ensure dietary staff washed hands and changed gloves before handling food and equipment, maintain the ice machine in sanitary condition, and ensure walls were free of dust in food preparation areas. Additionally, staff did not consistently use Enhanced Barrier Precautions (EBP) such as gowns and gloves when providing care to residents requiring such precautions.
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 utilize Enhanced Barrier Precautions (EBP) including wearing gowns and gloves during wound care and IV antibiotic administration for residents requiring such precautions.
Report Facts
Residents reviewed for Enhanced Barrier Precautions: 2
Dates of observations: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager | Interviewed regarding ice machine cleaning and food safety practices | |
| Treatment Nurse | TN | Observed performing wound care without gown |
| Licensed Practical Nurse | LPN #5 | Observed administering IV antibiotic without gown |
| Director of Nursing | DON | Interviewed about gown use during dressing change |
| Administrator | Interviewed about gown use during dressing change |
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
| Name | Title | Context |
|---|---|---|
| Dietary Employee #1 | Observed preparing pureed food and handling food without washing hands | |
| Dietary Supervisor | Interviewed regarding pureed food consistency and hand washing policy | |
| Social Services Director | Interviewed about care plan meeting invitations for Resident #45 | |
| Administrator | Provided 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 ensuring a safe, clean, comfortable, and homelike environment for residents.
Findings
The facility failed to maintain a clean and homelike environment, with observations including chipped and missing paint, black and brown matter in bathrooms and on walls, broken blinds, a loose commode, and unreported maintenance issues.
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 the Secure Unit on D-Hall.
Wall above the rail behind the entrance door had brown matter and trash behind the handrail.
Fire extinguisher cover had small rust spots along the bottom of the door.
Heating and air conditioning 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 non-functional.
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 commode bolts were not reported in the maintenance request book.
Report Facts
Deficiencies cited: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Supervisor | Stated that walls with scrapped paint in rooms B8, B10, B12, and B1 were being worked on | |
| Director of Nursing | DON | Confirmed responsibility for reporting maintenance concerns |
| Housekeeper | HSKP | Described condition of walls, bathrooms, and cleaning frequency |
| Administrator | Confirmed observations of environmental deficiencies on D-Hall | |
| Maintenance | Described awareness and condition of loose commode bolts |
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
| Name | Title | Context |
|---|---|---|
| Maintenance Supervisor | Stated that walls with scrapped paint were being worked on | |
| Director of Nursing | DON | Confirmed responsibility for reporting maintenance concerns |
| Housekeeper | HSKP | Provided information about cleaning frequency and described observed conditions |
| Administrator | Confirmed 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
| Name | Title | Context |
|---|---|---|
| Administrator | Provided Resident Rights and reported no policy for care plans | |
| Social Services Director | Interviewed regarding care plan meeting invitations | |
| Dietary Employee #1 | Observed preparing pureed food and handling food without washing hands | |
| Dietary Supervisor | Interviewed 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, timely development of baseline care plans, provision of bathing and personal hygiene, appropriate wound and catheter care, food safety and kitchen sanitation, and maintenance of essential equipment. Several policies and procedures were missing or not followed, and a Performance Improvement Plan was not effectively implemented.
Deficiencies (9)
Failed to consider residents' food preferences and serve items listed on meal tickets for 1 resident, potentially affecting 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 grooming services for 2 residents and failed to ensure fingernail care for 1 resident.
Failed to ensure nursing staff assessed and obtained treatment orders for a laceration with sutures for 1 resident.
Failed to provide incontinence care to promote a healthy and odor-free environment for 1 resident with a urinary 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 after opening.
Failed to take effective actions directed at the Performance Improvement Plan (PIP) related to freezer maintenance and did not have a policy for the PIP process.
Failed to ensure all mechanical and electrical equipment in the kitchen was maintained in safe operating condition, specifically a leaking walk-in freezer.
Report Facts
Residents affected: 92
Residents affected: 29
Residents affected: 93
Residents affected: 96
Residents affected: 93
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Wound Nurse/Licensed Practical Nurse | Named in relation to suture care deficiency |
| LPN #2 | Unit Manager | Named in relation to suture care deficiency |
| Dietary Manager | Named in relation to food service and kitchen sanitation deficiencies | |
| Dietary Consultant | Named in relation to food service and kitchen sanitation deficiencies | |
| Maintenance Director | Named in relation to freezer maintenance deficiency | |
| Director of Nursing | DON | Named in relation to multiple care deficiencies and policy discussions |
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
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #1 | CNA | Involved in serving incorrect meal to Resident #66 |
| Dietary Manager | Dietary Manager | Interviewed regarding meal ticket and food preferences |
| Licensed Practical Nurse #1 | LPN | Provided wound care and discussed suture removal |
| Licensed Practical Nurse #2 | LPN/Unit Manager | Discussed responsibility for wound orders and suture removal |
| Director of Nursing | DON | Interviewed regarding policies, care plans, and wound care |
| Maintenance Director | Maintenance Director | Interviewed about freezer water leakage and maintenance logs |
| Dietary Consultant | Dietary Consultant | Provided policies and discussed kitchen hygiene and freezer issues |
| Certified Nursing Assistant #3 | CNA | Interviewed about incontinent care and care plans |
| Certified Nursing Assistant #4 | CNA | Interviewed about wheelchair cleaning |
| Certified Nursing Assistant #5 | CNA | Interviewed about shower responsibilities |
| Dietary Aide #1 | Dietary Aide | Observed handling food without washing hands |
| Dietary Aide #2 | Dietary Aide | Observed handling food without washing hands |
Viewing
Loading inspection reports...
