Inspection Reports for
The Blossoms at Rogers Rehab & Nursing Center
AR, 72758
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
16.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
221% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
24
18
12
6
0
Inspection Report
Routine
Deficiencies: 5
Date: Dec 22, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, safety, hygiene, environment, and infection control at The Blossoms at Rogers Rehab & Nursing Center.
Findings
The facility was found deficient in multiple areas including failure to ensure call lights were accessible to residents, inadequate housekeeping and maintenance leading to odors and damaged furniture, failure to provide proper oral care to residents, improper hand hygiene during meal tray delivery, and failure to perform hand hygiene when administering eye drops and nasal spray.
Deficiencies (5)
Call lights were not placed within reach for residents with limited range of motion.
Housekeeping and maintenance services failed to repair damages and control odors in resident areas.
Resident oral care was not performed adequately, resulting in poor hygiene.
Hand sanitizer was not used between delivery and setup of resident meal trays, risking cross contamination.
Failure to perform hand hygiene when administering eye drops and nasal spray to a resident.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: Many
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #1 | CNA | Named in call light accessibility finding |
| Licensed Practical Nurse #1 | LPN | Interviewed regarding urine odor in secured men's unit |
| Director of Nursing | DON | Interviewed regarding urine odor, maintenance issues, and oral care documentation |
| Certified Nursing Assistant #2 | CNA | Interviewed regarding maintenance issues in resident rooms |
| Maintenance Manager #1 | Maintenance Manager | Interviewed regarding maintenance and repair of resident rooms |
| Registered Nurse #1 | RN | Interviewed regarding oral hygiene responsibility |
| Certified Nursing Assistant #3 | CNA | Interviewed regarding oral care for Resident #3 |
| Business Office Manager | BOM | Observed and interviewed regarding hand sanitizer use during meal tray delivery |
| Infection Control Preventionist | ICP | Interviewed regarding hand hygiene during meal tray service |
| Licensed Practical Nurse #2 | LPN | Observed and interviewed regarding hand hygiene when administering nasal spray and eye drops |
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Dec 22, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, safety, environment, infection control, and facility maintenance at The Blossoms at Rogers Rehab & Nursing Center.
Findings
The facility was found deficient in multiple areas including failure to ensure call lights were accessible to residents, inadequate housekeeping and maintenance resulting in damaged walls and furniture, failure to provide proper oral care to residents, improper hand hygiene during meal tray delivery, and failure to perform hand hygiene when administering eye drops and nasal spray to a resident.
Deficiencies (5)
Failed to ensure call lights were placed in reach for resident's use and accessible for residents with limited range of motion.
Failed to maintain a safe, clean, and homelike environment due to damaged walls, furniture, and persistent urine odors in certain areas.
Failed to ensure oral care was performed to meet daily personal hygiene needs for sampled residents.
Failed to ensure hand sanitizer was used between delivery and setup of resident meal trays.
Failed to perform hand hygiene when giving eye drops and nasal spray to a resident.
Report Facts
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: Some
Residents affected: Few
Residents affected: Many
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #1 | CNA | Named in call light accessibility finding |
| Licensed Practical Nurse #1 | LPN | Interviewed about urine odor in Men's Secured Unit |
| Director of Nursing | DON | Interviewed about urine odor, maintenance issues, oral care, and infection control |
| Certified Nursing Assistant #2 | CNA | Interviewed about wall trim damage |
| Maintenance Manager #1 | Maintenance Manager | Interviewed about maintenance and repairs |
| Certified Nursing Assistant #3 | CNA | Interviewed about oral care for Resident #3 |
| Registered Nurse #1 | RN | Interviewed about oral care responsibility |
| Business Office Manager | BOM | Observed and interviewed about hand sanitizer use during meal tray delivery |
| Licensed Practical Nurse #2 | LPN | Observed and interviewed about hand hygiene during nasal spray and eye drop administration |
| Infection Control Preventionist | ICP | Interviewed about hand sanitizer use during meal tray service |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 26, 2023
Visit Reason
The inspection was conducted to investigate complaints regarding inadequate care, specifically that residents were not being cleaned and dried during the night shift as required by professional standards of practice.
Complaint Details
The complaint investigation found that residents were not checked or changed during the night shift, leading to wet sheets and mattresses. Staff acknowledged the requirement to check incontinent residents every two hours but lacked consistent policy enforcement. The Director of Nursing stated there was no policy about checking incontinent residents every two hours, despite it being standard care practice.
Findings
The facility failed to ensure appropriate treatment and care according to orders and resident preferences, as evidenced by three residents not being cleaned and dried during the night shift. Wet sheets and mattresses were observed, and staff interviews revealed inconsistent care practices and lack of policy enforcement regarding checking incontinent residents every two hours.
Deficiencies (1)
Failure to provide appropriate treatment and care according to orders, resident preferences, and goals, resulting in residents not being cleaned and dried during the night shift.
Report Facts
Residents affected: 3
Wet mattress size: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Interviewed about frequency of checking incontinent residents |
| Certified Nursing Assistant #1 | Certified Nursing Assistant | Interviewed about frequency of checking incontinent residents and wet sheets |
| Certified Nursing Assistant #2 | Certified Nursing Assistant | Interviewed about resident care during night shift |
| Certified Nursing Assistant #3 | Certified Nursing Assistant | Interviewed about frequency of checking incontinent residents |
| Director of Nursing | Director of Nursing | Stated no policy exists about checking incontinent residents every two hours |
| Assistant Director of Nursing | Assistant Director of Nursing | Interviewed about frequency of checking incontinent residents |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Apr 26, 2023
Visit Reason
The inspection was conducted to assess compliance with professional standards of care, specifically regarding resident treatment and care according to orders, preferences, and goals.
Findings
The facility failed to ensure residents received appropriate care during the night shift, as evidenced by three residents not being cleaned and dried, with wet sheets and mattresses observed. Staff acknowledged lack of policy for checking incontinent residents every two hours, which is standard care practice.
Deficiencies (1)
Failure to provide appropriate treatment and care according to orders, resident’s preferences and goals, resulting in residents not being cleaned and dried during the night shift.
Report Facts
Residents affected: 3
Wet mattress size: 6
Wet mattress size: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Interviewed about frequency of checking incontinent residents |
| Certified Nursing Assistant #1 | Certified Nursing Assistant | Interviewed about frequency and consequences of not checking incontinent residents |
| Certified Nursing Assistant #2 | Certified Nursing Assistant | Interviewed about resident care and ability of residents to self-care |
| Certified Nursing Assistant #3 | Certified Nursing Assistant | Interviewed about frequency and consequences of not checking incontinent residents |
| Director of Nursing | Director of Nursing | Stated no policy exists about checking incontinent residents every two hours |
| Assistant Director of Nursing | Assistant Director of Nursing | Interviewed about frequency and consequences of not checking incontinent residents |
Inspection Report
Routine
Deficiencies: 11
Date: Sep 29, 2022
Visit Reason
The inspection was conducted as a routine regulatory survey to assess compliance with healthcare facility regulations and standards.
Findings
The facility was found deficient in multiple areas including failure to notify the state agency for PASARR screening for a new mental illness diagnosis, inadequate care planning for smoking residents, failure to provide nail care, treatment without physician orders, improper labeling of feeding tubes, lack of proper respiratory equipment maintenance, medication storage and labeling issues, improper food handling and sanitation in the kitchen, improper refuse disposal, failure to follow infection control practices including glove use during blood glucose monitoring, and failure to timely notify residents and families of COVID-19 cases.
Deficiencies (11)
Failed to notify the state agency for a Pre-admission Screening and Resident Review (PASARR) for a new mental illness diagnosis for 1 resident.
Failed to ensure a baseline care plan was developed and implemented for safe smoking and storage of smoking materials for 1 resident.
Failed to provide nail care to promote good hygiene and prevent possible skin infections for 1 resident.
Provided treatment without a physician's order and failed to document assessments or monitoring for complications of impaired skin integrity for 1 resident.
Failed to ensure tube feedings hanging in bag were labeled with type of formula, date, time, and initials for 2 residents with feeding tubes.
Failed to ensure oxygen tubing and humidity bottle were dated consistent with professional standards for 1 resident on oxygen therapy.
Failed to ensure bottles of eye drops were labeled, dated, and disposed of according to manufacturer's instructions and failed to ensure medication was not left at bedside.
Failed to ensure dietary staff washed hands before handling clean equipment or food items, failed to ensure food items stored in dry goods area were sealed, failed to maintain ice machine scoop/holder in sanitary condition, and trash receptacles were unclean and not hands free.
Failed to dispose of refuse properly; dumpster door left open and recycling overflowed.
Failed to ensure proper hand hygiene and universal precautions during blood glucose monitoring; staff did not wear gloves.
Failed to inform residents, their representatives, and families of COVID-19 infections by 5 PM the next calendar day following occurrence.
Report Facts
Residents affected: 1
Residents affected: 22
Sample residents: 20
Residents affected: 1
Residents affected: 1
Residents with feeding tubes: 4
Residents affected: 2
Residents affected: 10
Residents affected: 4
Residents affected: 1
Residents affected: 92
Residents affected: 95
Residents affected: 18
Residents affected: 95
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #4 | Licensed Practical Nurse | Mentioned in nail care deficiency and treatment without physician order findings |
| Licensed Practical Nurse #5 | Licensed Practical Nurse | Mentioned in treatment without physician order findings |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Mentioned in feeding tube labeling deficiency |
| Licensed Practical Nurse #3 | Licensed Practical Nurse | Mentioned in infection control deficiency for blood glucose monitoring |
| Director of Nursing | Director of Nursing | Interviewed and provided facility policies related to multiple deficiencies |
| Dietary Manager | Dietary Manager | Mentioned in dietary sanitation deficiencies |
| Dietary Aide #1 | Dietary Aide | Observed in dietary sanitation deficiencies |
| Dietary Aide #2 | Dietary Aide | Observed in dietary sanitation deficiencies |
| Dietary Aide #3 | Dietary Aide | Observed in dietary sanitation deficiencies |
| Assistant Director of Nursing | Assistant Director of Nursing | Provided lists of residents affected by deficiencies |
| Social Director | Social Director | Responsible for notifying residents/families of COVID-19 status |
| Administrator | Administrator | Interviewed regarding COVID-19 notification policy |
Inspection Report
Annual Inspection
Deficiencies: 11
Date: Sep 29, 2022
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements and standards of care at The Blossoms at Rogers Rehab & Nursing Center.
Findings
The facility was found deficient in multiple areas including failure to notify the state agency for PASARR screening for a new mental illness diagnosis, inadequate care planning for smoking residents, failure to provide proper nail care, treatment without physician orders, improper labeling of feeding tubes, lack of proper oxygen equipment maintenance, medication storage and labeling issues, improper food handling and sanitation practices, improper refuse disposal, failure to follow infection control procedures including hand hygiene, and failure to timely notify residents and families of COVID-19 cases.
Deficiencies (11)
Failed to notify the state agency for a Pre-admission Screening and Resident Review (PASARR) for a new mental illness diagnosis for 1 resident.
Failed to ensure a baseline care plan was developed and implemented for safe smoking and storage of smoking materials for 1 resident.
Failed to provide nail care to promote good hygiene and prevent possible skin infections for 1 resident.
Provided treatment without a physician's order and failed to document assessments or monitoring for complications of impaired skin integrity for 1 resident.
Failed to ensure tube feedings hanging in bag were labeled with type of formula, date, time, and initials for 2 residents with feeding tubes.
Failed to ensure oxygen tubing and humidity bottles had dates consistent with standards to prevent infection for 1 resident.
Failed to ensure bottles of eye drops were labeled, dated, and disposed of properly and medications were not left at bedside.
Failed to ensure dietary staff washed hands before handling clean equipment or food, failed to ensure food items were sealed, and failed to maintain sanitary conditions in kitchen.
Failed to dispose of refuse properly; dumpster door left open allowing potential for spillage and rodents.
Failed to ensure proper hand hygiene and universal precautions during blood glucose monitoring; staff did not wear gloves.
Failed to inform residents and families of COVID-19 infections by 5 PM the next calendar day following occurrence.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: 4
Residents affected: 1
Residents affected: 92
Residents affected: 95
Residents affected: 18
Residents affected: 95
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #4 | Licensed Practical Nurse | Mentioned in relation to nail care and treatment without physician order findings |
| Licensed Practical Nurse #5 | Licensed Practical Nurse | Mentioned in relation to treatment without physician order finding |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Mentioned in relation to feeding tube labeling |
| Licensed Practical Nurse #3 | Licensed Practical Nurse | Mentioned in relation to blood glucose monitoring infection control deficiency |
| Director of Nursing | Director of Nursing | Interviewed regarding PASARR screening, feeding tube labeling, oxygen tubing dating, and infection control |
| Dietary Manager | Dietary Manager | Mentioned in relation to dietary sanitation and refuse disposal deficiencies |
| Dietary Aide #1 | Dietary Aide | Observed in dietary sanitation deficiencies |
| Dietary Aide #2 | Dietary Aide | Observed in dietary sanitation deficiencies |
| Dietary Aide #3 | Dietary Aide | Observed in dietary sanitation deficiencies |
| Administrator | Administrator | Interviewed regarding COVID-19 notification procedures |
| Social Director | Social Director | Responsible for notifying residents/families of COVID-19 status |
| Business Office Manager | Business Office Manager | Provided lists of residents and COVID-19 positive cases |
Inspection Report
Routine
Census: 82
Deficiencies: 8
Date: Nov 19, 2021
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident rights, infection control, care planning, medication storage, food safety, and resident supervision at The Blossoms at Rogers Rehab & Nursing Center.
Findings
The facility was found deficient in multiple areas including failure to provide requested medical records timely, unsanitary toileting equipment, inaccurate resident assessments, inadequate personal hygiene assistance, insufficient supervision of a resident during smoking, unauthorized access to medication storage, and multiple food safety violations including improper food storage and handling.
Deficiencies (8)
Failed to provide a copy of a resident's medical record upon request after 2 working days' notice.
Failed to ensure toileting equipment was maintained in sanitary condition for residents.
Failed to ensure a Minimum Data Set (MDS) assessment was completed with accurate and current information regarding a wound infection.
Failed to ensure facial hair was removed regularly to promote good grooming and personal hygiene for residents requiring assistance.
Failed to ensure a resident was supervised on his smoke break to prevent potential accident/injury.
Failed to ensure only authorized personnel had access to medication storage rooms.
Failed to ensure staff washed hands or changed gloves between clean and dirty tasks, wore proper hair coverings, and properly stored and dated food to prevent potential food borne illness.
Failed to develop and implement a person-centered care plan that included and supported a resident's dementia care needs.
Report Facts
Residents observed for toileting equipment sanitation: 82
Residents sampled for MDS review: 18
Residents sampled for facial hair removal assistance: 12
Residents sampled who smoked: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Former Medical Records Employee | Named in failure to provide medical records finding |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding toileting sanitation, shaving policies, medication storage, and supervision |
| Regional Director of Operations | Regional Director of Operations (DO) | Interviewed regarding medical records requests |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Interviewed regarding shaving residents |
| Certified Nursing Assistant #1 | Certified Nursing Assistant (CNA) | Interviewed regarding resident supervision during smoking |
| Certified Nursing Assistant #2 | Certified Nursing Assistant (CNA) | Interviewed regarding shaving residents |
| Maintenance Manager | Maintenance Manager | Observed to have unauthorized access to medication storage rooms |
| Administrator | Facility Administrator | Interviewed regarding medication storage access and medical records |
| Dietary Manager | Dietary Manager | Observed and interviewed regarding food safety violations |
| Dietary Employee #2 | Dietary Employee | Observed with improper hair covering |
| MDS Nurse | MDS Nurse | Interviewed regarding inaccurate MDS assessment |
| MDS Coordinator | MDS Coordinator | Interviewed regarding dementia care planning |
| Assistant Director of Nursing | Assistant Director of Nursing (ADON) | Interviewed regarding resident supervision during smoking |
Inspection Report
Routine
Census: 82
Deficiencies: 8
Date: Nov 19, 2021
Visit Reason
The inspection was a routine survey conducted to assess compliance with regulatory requirements related to resident rights, safety, care, and facility operations at The Blossoms at Rogers Rehab & Nursing Center.
Findings
The facility was found deficient in multiple areas including failure to provide requested medical records timely, unsanitary toileting equipment, inaccurate resident assessments, inadequate personal hygiene assistance, lack of supervision during resident smoking breaks, incomplete dementia care planning, unauthorized access to medication storage, and unsafe food handling and storage practices.
Deficiencies (8)
Failed to provide a copy of a resident's medical record upon request after 2 working days' notice.
Failed to ensure toileting equipment was maintained in sanitary condition for residents' rooms.
Failed to ensure a Minimum Data Set (MDS) assessment was completed with accurate and current information regarding a wound infection.
Failed to ensure facial hair was removed regularly to promote good grooming and personal hygiene for residents requiring assistance.
Failed to ensure a resident was supervised on his smoke break to prevent potential accident/injury.
Failed to ensure a person-centered care plan that included and supported a resident's dementia care needs was developed and implemented.
Failed to ensure only authorized personnel had access to medication storage rooms, risking drug diversion.
Failed to ensure staff washed hands or changed gloves between clean and dirty tasks, wore proper hair coverings, and properly dated and stored food, risking potential food borne illness.
Report Facts
Residents observed: 82
Residents sampled for MDS review: 18
Residents sampled for facial hair removal assistance: 12
Residents who smoked: 7
Residents with dementia diagnosis sampled: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Former Medical Records Employee | Named in failure to provide requested medical records finding |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding toileting equipment sanitation, facial hair removal, medication storage access, and smoking supervision |
| Regional Director of Operations | Regional Director of Operations (DO) | Involved in medical records request investigation |
| Licensed Practical Nurse #2 | Licensed Practical Nurse (LPN) | Interviewed about residents shaving practices |
| Certified Nursing Assistant #1 | Certified Nursing Assistant (CNA) | Interviewed about resident smoking supervision |
| Certified Nursing Assistant #2 | Certified Nursing Assistant (CNA) | Interviewed about shaving frequency for residents |
| Administrator | Facility Administrator | Interviewed about medical records requests and medication storage access |
| Maintenance Manager | Maintenance Manager | Observed to have unauthorized access to medication storage rooms |
| MDS Nurse | Minimum Data Set Nurse | Interviewed about inaccurate wound infection coding on MDS |
| MDS Coordinator | Minimum Data Set Coordinator | Interviewed about dementia care planning requirements |
| Dietary Manager | Dietary Manager | Observed and interviewed regarding food safety and hygiene practices |
| Dietary Employee #2 | Dietary Employee | Observed with improper hair covering during food preparation |
| Assistant Director of Nursing | Assistant Director of Nursing (ADON) | Interviewed about smoking supervision policies |
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