Inspection Reports for
The Maples at Har-Ber Meadows
6456 Lynchs Prairie Cove, Springdale, AR, 72762
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5.7 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
10% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Dec 4, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding a significant medication error where a resident was administered an incorrect, unordered medication, and concerns about infection control practices during wound care.
Complaint Details
The complaint investigation was substantiated as the facility confirmed the medication error involving Resident #84 and identified infection control lapses during wound care for Resident #2. The medication error involved administration of another resident's opioid medication, and the infection control issue involved failure to change gloves and perform hand hygiene. Family members were involved and requested emergency care for Resident #84.
Findings
The facility failed to prevent a significant medication error involving the administration of the wrong opioid medication to Resident #84, causing potential harm. Additionally, the facility failed to ensure proper infection control practices during wound care for Resident #2, specifically failure to change gloves and perform hand hygiene.
Deficiencies (2)
Failure to ensure a resident was not administered an incorrect, unordered medication resulting in a significant medication error for Resident #84.
Failure to follow appropriate infection control practices during wound care for Resident #2, including not changing gloves or performing hand hygiene after cleaning the wound.
Report Facts
Residents reviewed for medication errors: 4
Residents affected by medication error: 1
Residents reviewed for skin issues: 3
Residents affected by infection control deficiency: 1
Medication order date: Jul 15, 2024
Assessment Reference Date: Jul 20, 2025
Reportable initiated date: Oct 28, 2025
Vital sign monitoring period: 19
Wound care order date: Dec 2, 2025
Assessment Reference Date: Sep 15, 2025
Care Plan revision date: Jun 16, 2025
Policy revision dates: 201712
Policy revision dates: 201904
Policy revision dates: 202302
In-service date: Oct 28, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Administered incorrect opioid medication to Resident #84 |
| LPN #2 | Licensed Practical Nurse | Assisted in identifying medication error and communicated with family |
| Director of Nursing | Director of Nursing | Confirmed medication administration practices and in-serviced staff |
| Administrator | Administrator | Provided information about the medication error and resident allergies |
| Treatment Nurse | Treatment Nurse | Observed failing to change gloves and perform hand hygiene during wound care for Resident #2 |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Jul 18, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to notify the resident's responsible party/legal representative when a resident refused treatment, and concerns about nursing staffing and posting of nurse staffing information.
Complaint Details
The complaint investigation found that the facility did not notify the responsible party of Resident #110's refusals of physical, occupational, and speech therapy. Interviews with staff confirmed lack of notification and documentation. The facility also failed to maintain required RN coverage and failed to post nurse staffing information properly.
Findings
The facility failed to notify the responsible party of Resident #110's refusals of therapy and treatment, and failed to ensure a Registered Nurse worked at least 8 consecutive hours daily. Additionally, the facility did not post nurse staffing information daily with required details such as facility name, census, and actual hours worked.
Deficiencies (3)
Failure to notify resident's responsible party/legal representative of refusals of treatment and therapy for Resident #110.
Failure to ensure a Registered Nurse worked at least 8 consecutive hours a day.
Failure to post nurse staffing information daily including facility name, current date, number and actual hours worked by staff, and resident census.
Report Facts
RN hours worked: 7.1
RN hours worked: 7.88
RN hours worked: 7.63
RN hours worked: 6.79
RN hours worked: 7.9
RN hours worked: 7.9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #5 | Licensed Practical Nurse | Interviewed regarding notification of resident refusals |
| Certified Occupational Therapy Aid | Certified Occupational Therapy Aid (COTA) | Interviewed about therapy refusals and family notification |
| Social Services | Social Services (SS) | Interviewed about notification of resident refusals |
| Licensed Practical Nurse #8 | Licensed Practical Nurse | Interviewed about notification of resident refusals and new orders |
| Director of Nursing | Director of Nursing (DON) | Interviewed about notification responsibilities and RN coverage |
| Licensed Practical Nurse #4 | Licensed Practical Nurse | Interviewed about posting nurse staffing information |
| Administrator | Administrator | Interviewed about RN hours and staffing |
Inspection Report
Routine
Deficiencies: 7
Date: Jul 18, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, nursing staffing, medication management, food service safety, and infection control at The Maples at Har-Ber Meadows nursing home.
Findings
The facility was found deficient in multiple areas including failure to provide preferred foods to a resident, inadequate nail and hair care for residents, failure to ensure an RN worked at least 8 consecutive hours daily, failure to post nurse staffing information daily, discrepancies in narcotic medication records, failure to perform proper hand hygiene before serving meals, and failure to prevent cross-contamination of food between residents.
Deficiencies (7)
Failed to provide foods preferable to a resident to meet their abilities to feed themselves.
Failed to ensure proper nail care and regular hair care for residents requiring assistance.
Failed to ensure a Registered Nurse worked at least 8 consecutive hours a day.
Failed to post nurse staffing information daily including facility name, current date, actual hours worked, and resident census.
Failed to ensure narcotic medication for a resident was recorded correctly, with a discrepancy in medication count.
Failed to perform hand hygiene after touching clothing and face before serving a meal tray to a resident.
Failed to ensure a resident's food was not touched by another resident prior to consumption, risking cross-contamination.
Report Facts
RN hours worked: 7.88
RN hours worked: 7.97
RN hours worked: 7.63
RN hours worked: 7.9
RN hours worked: 7.9
Resident #83 SAMS score: 3
Resident #27 BIMS score: 3
Resident #96 BIMS score: 1
Medication count discrepancy: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Provided statements regarding meal tray preparation, shower schedules, RN coverage, hand hygiene, and infection control practices. |
| CNA #2 | Certified Nursing Assistant | Observed serving meals and involved in food contamination incident; provided statements about meal tray items and hand hygiene. |
| CNA #3 | Certified Nursing Assistant | Interviewed about meal tray orders and shower schedules for residents. |
| CNA #6 | Certified Nursing Assistant | Interviewed about nail care and shower provision for Resident #27. |
| LPN #4 | Licensed Practical Nurse | Interviewed about nurse staffing postings and narcotic medication administration. |
| LPN #5 | Licensed Practical Nurse | Interviewed about narcotic medication administration process. |
| LPN #7 | Licensed Practical Nurse | Interviewed about nail care observations for Resident #27. |
Inspection Report
Routine
Deficiencies: 2
Date: Jul 21, 2023
Visit Reason
The inspection was conducted to assess compliance with physician orders and proper administration of oxygen therapy for residents, specifically focusing on adherence to prescribed oxygen flow rates and the presence of physician orders for oxygen use.
Findings
The facility failed to ensure staff followed physician's orders for prescribed oxygen flow rates for Resident #105 and failed to ensure a physician order was obtained for oxygen administration for Resident #83. Interviews with nursing staff and the Director of Nursing confirmed responsibility for ensuring oxygen orders are followed and that oxygen use requires a physician's order.
Deficiencies (2)
Failed to ensure staff followed physician's orders for prescribed oxygen flow rates for Resident #105.
Failed to ensure a physician order was obtained to administer oxygen for Resident #83.
Report Facts
Oxygen flow rate for Resident #105: 1.5
Oxygen flow rate for Resident #83: 2
Date of physician order for Resident #105: Jun 11, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #2 | LPN | Confirmed oxygen flow rate for Resident #105 was below ordered rate and nurses are responsible for ensuring oxygen is at ordered rate |
| Licensed Practical Nurse #1 | LPN | Confirmed Resident #83 needed oxygen and that there should be an order for oxygen |
| Director of Nursing | DON | Confirmed nurses are responsible for ensuring oxygen orders are followed and oxygen use requires a physician's order |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Jul 21, 2023
Visit Reason
The inspection was conducted to investigate complaints regarding the facility's failure to ensure staff followed physician's orders for prescribed oxygen flow rates and to verify that a physician's order was obtained for oxygen administration for two sampled residents.
Complaint Details
The complaint investigation found substantiated deficiencies related to oxygen administration orders and adherence for two residents, with minimal harm or potential for actual harm and few residents affected.
Findings
The facility failed to ensure Resident #105 received oxygen at the prescribed flow rate of 3-6 liters per minute, with observations showing oxygen running at 1.5 liters per minute. Additionally, the facility failed to obtain a physician's order for oxygen administration for Resident #83, despite oxygen being administered at 2 liters per minute. Interviews with nursing staff and the Director of Nursing confirmed these failures and responsibility for ensuring orders are followed.
Deficiencies (2)
Failed to ensure staff followed physician's orders for prescribed oxygen flow rates for Resident #105.
Failed to ensure a physician order was obtained to administer oxygen for Resident #83.
Report Facts
Oxygen flow rate prescribed: 3
Oxygen flow rate prescribed: 6
Oxygen flow rate observed: 1.5
Oxygen flow rate observed: 2
Date of physician order start: Jun 11, 2023
Date of care plan initiation: Jun 12, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #2 | Interviewed confirming oxygen flow rate discrepancy for Resident #105 | |
| Director of Nursing (DON) | Confirmed responsibility for ensuring oxygen orders are followed and oxygen requires a physician's order | |
| Licensed Practical Nurse (LPN) #1 | Interviewed regarding oxygen order for Resident #83 and confirmed nurses' responsibility for ensuring orders |
Inspection Report
Routine
Deficiencies: 1
Date: Apr 5, 2023
Visit Reason
The inspection was conducted to assess the facility's compliance with care standards related to activities of daily living, specifically focusing on hygiene and dignity for residents requiring assistance.
Findings
The facility failed to ensure that facial hair was removed to promote good hygiene and dignity for one resident (#3) who required assistance with activities of daily living. Interviews with staff confirmed that shaving female residents is the responsibility of CNAs and nurses and is considered important for dignity.
Deficiencies (1)
Failure to ensure facial hair was removed to promote good hygiene and dignity for one resident requiring assistance with activities of daily living.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #1 | CNA | Named in discussion about responsibility for shaving female residents |
| Certified Nursing Assistant #2 | CNA | Named in discussion about responsibility for shaving female residents |
| Certified Nursing Assistant #3 | CNA | Named in discussion about responsibility for shaving female residents |
| Licensed Practical Nurse #1 | LPN | Named in discussion about responsibility for shaving female residents |
| Director of Nursing | DON | Named in discussion about responsibility for shaving female residents and facility policy |
| Administrator | Named in discussion about expectations for staff regarding policy and CMS guidelines |
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