Inspection Reports for
The Green House Cottages of Homewood
215 Homewood Circle, Mena, AR, 71953
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
6.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
21% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
16
12
8
4
0
Occupancy
Latest occupancy rate
59% occupied
Based on a February 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Routine
Deficiencies: 1
Date: Feb 27, 2025
Visit Reason
The inspection was conducted to evaluate the facility's compliance with infection prevention and control protocols, specifically focusing on adherence to Enhanced Barrier Precautions during intravenous catheter care and antibiotic administration.
Findings
The facility failed to follow Enhanced Barrier Precautions during intravenous catheter care for one resident, including failure to perform hand hygiene and wear a gown as required. Policies on hand hygiene and PPE use were reviewed and found to require staff to perform hand hygiene before and after glove use and to use gloves and gowns for residents on Enhanced Barrier Precautions.
Deficiencies (1)
Failure to follow Enhanced Barrier Precautions during intravenous catheter care for Resident #33, including lack of hand hygiene and not wearing a gown.
Report Facts
Residents Affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #1 | Observed failing to follow Enhanced Barrier Precautions during IV catheter care | |
| Assistant Director of Nursing (ADON) | Interviewed regarding staff expectations for infection control practices |
Inspection Report
Annual Inspection
Census: 82
Deficiencies: 13
Date: Feb 1, 2024
Visit Reason
The inspection was an annual recertification survey conducted to assess compliance with regulatory requirements related to resident care, safety, and facility operations.
Findings
The facility was found deficient in multiple areas including resident dignity during meal service, accuracy and timeliness of resident assessments and care plans, proper respiratory care and oxygen orders, staff competency in enteral feeding tube care, medication storage and documentation, food safety and hygiene practices, therapeutic diet adherence, and COVID-19 vaccination documentation. Deficiencies were generally of minimal harm but affected multiple residents.
Deficiencies (13)
Failed to ensure residents were fed in a manner to promote dignity, including delayed meal service to Resident #283 and inadequate assistance to Resident #71.
Failed to implement a procedure to monitor declines in activities of daily living (ADL) to ensure accuracy of resident assessments affecting all 82 residents.
Failed to develop and implement a comprehensive care plan addressing monitoring and precautions related to shaving for Resident #32.
Failed to revise care plan to reflect Resident #41's ability to self-administer oxygen therapy; oxygen use without physician order.
Failed to provide regular fingernail care and shaving for 4 sampled residents requiring assistance.
Failed to ensure licensed staff were properly trained on enteral feeding tube care and placement verification.
Failed to accurately document receipt and concentration of stock Lorazepam (Ativan) syringes, risking medication errors.
Failed to ensure stock medications in the Emergency Medication Kit were labeled and documented with correct concentration.
Failed to ensure Resident #71 received meals at appropriate temperature and palatability, with observed unheated food and delayed assistance.
Failed to ensure therapeutic diet was prescribed by attending physician for Resident #283 who received incorrect diet tray.
Failed to ensure proper hand hygiene by staff during food preparation and serving in multiple cottages, and failed to date opened food containers.
Failed to develop and implement effective Quality Assurance and Performance Improvement (QAPI) plans to prevent repeated deficiencies related to care plan revisions and ADLs.
Failed to obtain COVID-19 vaccine declination form with education for Resident #30 who refused vaccination.
Report Facts
Residents affected: 82
Residents affected: 4
Residents affected: 3
Residents affected: 1
Deficiencies cited: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | LPN | Failed to check enteral feeding tube placement before medication administration; lacked in-service training |
| Certified Nursing Assistant #1 | CNA | Observed failing to perform hand hygiene before serving food |
| Certified Nursing Assistant #2 | CNA | Observed failing to perform hand hygiene before serving food |
| Certified Nursing Assistant #3 | CNA | Handled raw meat and bread without hand hygiene |
| Certified Nursing Assistant #4 | CNA | Observed failing to perform hand hygiene before serving food |
| Certified Nursing Assistant #5 | CNA | Interviewed about therapeutic diet knowledge and meal service dignity |
| Certified Nursing Assistant #6 | CNA | Interviewed about therapeutic diet knowledge and shaving practices |
| Certified Nursing Assistant #7 | CNA | Interviewed about shaving practices and resident assistance |
| Certified Nursing Assistant #8 | CNA | Observed assisting Resident #71 with meal and reheating food |
| Director of Nursing | DON | Interviewed extensively regarding care plans, oxygen orders, meal service dignity, QAPI, and medication practices |
| Administrator | Administrator | Interviewed regarding QAPI processes and care plan monitoring |
| Minimum Data Set Nurse #1 | MDS Nurse | Interviewed about monitoring ADL declines and MDS process |
| Minimum Data Set Nurse #2 | MDS Nurse | Interviewed about monitoring ADL declines and MDS process |
| Licensed Practical Nurse #1 | LPN | Verified no physician order for oxygen for Resident #41 |
| Dietician | Dietician | Provided regulation portion on meal temperature and food storage policy |
| Nurse Consultant | Nurse Consultant | Interviewed about MDS policy absence and medication storage |
| Assistant Director of Nursing | ADON | Unable to locate COVID-19 vaccine declination form for Resident #30 |
Inspection Report
Routine
Census: 78
Deficiencies: 5
Date: Dec 1, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident rights, care planning, personal hygiene, range of motion care, and infection control at The Green House Cottages of Homewood nursing facility.
Findings
The facility was found deficient in ensuring accurate and up-to-date advance directives documentation, timely revision of care plans, adequate personal hygiene for residents, appropriate care to prevent decline in range of motion, and consistent implementation of infection control measures including proper use and storage of N95 masks.
Deficiencies (5)
Failed to ensure resident wishes/documentation for Cardiopulmonary Resuscitation/Advanced Directives were accurate and up to date for 2 of 8 sampled residents, potentially affecting all 78 residents.
Failed to review and revise the Care Plan to meet the needs for 1 sampled resident; no policy on Care Plan revision.
Failed to ensure a female resident's facial hair was trimmed or shaved to promote good personal hygiene for 1 of 3 sampled residents.
Failed to ensure necessary services were provided to promote function and prevent decline in Range of Motion for 1 of 5 sampled residents with a right-hand/wrist contracture.
Failed to ensure infection control measures were consistently implemented to reduce potential for spread of disease and infection, including improper donning and storage of N95 masks, potentially affecting all 78 residents.
Report Facts
Residents affected: 78
Sample residents reviewed for Advance Directives: 8
Sample residents reviewed for Care Plans: 1
Sample residents reviewed for personal hygiene: 3
Sample residents reviewed for range of motion care: 5
Open paper bags with used N95 masks: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing (DON) | Interviewed regarding advance directives, care plan revision policies, and CPR policy | |
| Licensed Practical Nurse (LPN) #1 | Interviewed regarding facial hair removal and resident contracture care | |
| Certified Nursing Assistant (CNA) #1 | Observed improperly donning N95 mask and interviewed about mask use | |
| Infection Preventionist (IP) | Interviewed about N95 mask training and facility policies | |
| Registered Nurse (RN) #1 | Interviewed about resident's dialysis access and care plan details | |
| MDS Coordinator | Assisted in reviewing care plan documentation for resident dialysis access |
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