Deficiencies (last 3 years)
Deficiencies (over 3 years)
8.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
60% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Routine
Deficiencies: 1
Date: May 8, 2025
Visit Reason
The inspection was conducted to evaluate the facility's compliance with food safety and nutritional standards, specifically to ensure that hot foods were served hot and cold foods/beverages were served cold to maintain palatability and encourage adequate nutritional intake.
Findings
The facility failed to maintain proper food temperatures during meal services on multiple occasions, with hot foods served below the recommended temperature and cold foods not kept sufficiently cold. Observations and interviews confirmed that food trays were placed in unheated carts with doors left open, resulting in temperature drops. Residents reported receiving cold food sometimes, and staff acknowledged lack of knowledge about keeping food cart doors closed.
Deficiencies (1)
Failure to ensure hot foods were served hot and cold foods/beverages were served cold to maintain palatability and encourage adequate nutritional intake.
Report Facts
Food temperature: 59
Food temperature: 113
Food temperature: 105.2
Food temperature: 98
Food temperature: 103.8
Food temperature: 44
Food temperature: 114
Food temperature: 111
Food temperature: 107
Food temperature: 45
Food temperature: 43.7
Food temperature: 94.8
Food temperature: 102.8
Food temperature: 102.2
Food temperature: 100.4
Food temperature: 113.6
Food temperature: 113
Food temperature: 107.7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | License Practical Nurse | Placed first lunch meal tray on shelf inside food cart |
| CNA #2 | Certified Nursing Assistant | Delivered lunch trays and checked food temperatures |
| CNA #3 | Certified Nursing Assistant | Delivered lunch trays and checked food temperatures |
| District Dietary Manager | District Dietary Manager (DDM) | Stated hall-trays food temperatures should be 120 degrees Fahrenheit and plates should be warm |
| LPN #7 | License Practical Nurse | Placed breakfast meal trays on shelf in unheated food cart with door open |
| CNA #4 | Certified Nursing Assistant | Delivered food cart and checked food temperatures, stated food should have been reheated |
| CNA #5 | Certified Nursing Assistant | Delivered breakfast meals and checked food temperatures, stated food should have been reheated |
| CNA #8 | Certified Nursing Assistant | Checked food temperatures after meal delivery |
| Dietary Manager | Dietary Manager (DM) | Informed LPN #7 that food cart door should remain closed to retain temperature |
Inspection Report
Deficiencies: 4
Date: May 8, 2025
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident financial management, comprehensive assessments, food service safety and quality, and food procurement and storage practices at The Springs of Camden nursing home.
Findings
The facility was found deficient in multiple areas including failure to pay interest on a resident trust account, inaccurate comprehensive assessments for PASRR status, serving food at improper temperatures, and inadequate food storage and hygiene practices in the dietary department.
Deficiencies (4)
Failed to ensure that interest was paid on a resident trust account for Resident #3.
Failed to ensure the comprehensive assessment accurately reflected the PASRR status for Resident #4.
Failed to ensure hot foods were served hot and cold foods/beverages were served cold to maintain palatability and encourage adequate nutritional intake.
Failed to ensure foods stored in the dry storage area were covered and sealed; expired food items were promptly removed; dietary staff washed hands appropriately; and the ice machine was maintained in a clean sanitary condition.
Report Facts
Resident trust account balance: 2025.36
Resident trust account balance: 1141.17
Withdrawal amount: 1025
BIMS score: 15
Food temperature: 59
Food temperature: 113
Food temperature: 105.2
Food temperature: 98
Food temperature: 103.8
Food temperature: 44
Food temperature: 114
Food temperature: 111
Food temperature: 55.9
Food temperature: 94.8
Food temperature: 102.8
Food temperature: 107.7
Food temperature: 45
Food temperature: 113
Food temperature: 43.7
Food expiration date: Apr 28, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Business Office Manager | Business Office Manager | Interviewed regarding Resident #3 trust account and withdrawal |
| Administrator | Administrator | Interviewed regarding Resident #3 trust account and knowledge of money in safe |
| MDS Coordinator | MDS Coordinator | Interviewed regarding inaccurate comprehensive assessments for Resident #4 |
| Director of Nursing | Director of Nursing | Interviewed regarding inaccurate comprehensive assessments for Resident #4 |
| License Practical Nurse #1 | LPN | Observed placing meal trays on food cart |
| Certified Nursing Assistant #2 | CNA | Observed checking food temperatures on 05/05/2025 |
| Certified Nursing Assistant #3 | CNA | Observed checking food temperatures on 05/05/2025 and 05/06/2025 |
| District Dietary Manager | District Dietary Manager | Interviewed regarding food temperature standards |
| License Practical Nurse #7 | LPN | Interviewed regarding food cart door policy |
| Certified Nursing Assistant #4 | CNA | Observed checking food temperatures on 05/06/2025 |
| Certified Nursing Assistant #5 | CNA | Observed checking food temperatures on 05/06/2025 |
| Dietary [NAME] #6 | Dietary Cook | Observed food handling and handwashing practices |
| Maintenance Supervisor | Maintenance Supervisor | Interviewed regarding ice machine cleaning |
| Dietary Manager | Dietary Manager | Interviewed and observed cleaning ice machine and food storage practices |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Mar 15, 2024
Visit Reason
The inspection was conducted to assess the facility's compliance with care standards, specifically focusing on appropriate care for residents who are continent or incontinent of bowel/bladder, catheter care, and prevention of urinary tract infections.
Findings
The facility failed to ensure proper incontinence care was provided to one resident (Resident #64) dependent on staff for incontinence care, which had the potential to affect nine residents and cause skin breakdown, poor hygiene, and/or infection. Observations and interviews revealed staff did not repeat incontinence care when a wet pad was noted before applying a clean brief.
Deficiencies (1)
Failure to ensure proper incontinence care was provided to Resident #64, including not repeating care after a wet incontinence pad was observed.
Report Facts
Residents affected: 9
Sampled residents: 4
Resident #64 incontinent status: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant | CNA #1 and CNA #2 observed providing incontinence care to Resident #64 | |
| Director of Nursing | DON interviewed regarding proper incontinence care procedures |
Inspection Report
Annual Inspection
Capacity: 74
Deficiencies: 9
Date: Mar 11, 2024
Visit Reason
The inspection was conducted as an annual survey to assess compliance with federal and state regulations regarding resident rights, privacy, care planning, safety, medication management, food safety, infection control, and other regulatory requirements.
Findings
The facility was found deficient in multiple areas including failure to treat residents with dignity during meal service, protect resident privacy, conduct care plan meetings with family involvement, maintain mechanical lift equipment safely, provide proper incontinence care, secure medications properly, serve food at safe temperatures, monitor food storage temperatures, and implement infection prevention protocols including proper PPE use and Legionella water management.
Deficiencies (9)
Failed to ensure residents were treated with respect and dignity during meal service for 4 of 5 sampled residents requiring assistance.
Failed to protect the privacy of 1 resident by leaving medication cards face up and unattended on medication cart.
Failed to conduct care plan meetings and notify family representatives for 1 resident.
Failed to maintain mechanical lift in safe, operational condition for 1 resident with potential to affect 17 residents.
Failed to provide proper incontinence care for 1 resident dependent on staff.
Failed to ensure medications were not stored at bedside or on top of medication carts, risking misappropriation.
Failed to serve meals at palatable, attractive, and safe appetizing temperatures to 1 resident.
Failed to monitor refrigerator and freezer temperatures and allowed use of dented cans, risking foodborne illness for many residents.
Failed to ensure droplet precautions and appropriate PPE use in COVID isolation rooms and failed to prevent cross contamination in laundry room; also failed to follow Legionella Water Management Program.
Report Facts
Residents affected: 74
Residents affected: 17
Residents affected: 9
Residents affected: 15
Residents affected: 70
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | Registered Nurse | Named in medication storage deficiency and interview about medication policies |
| LPN #1 | Licensed Practical Nurse | Observed assisting residents and interviewed about medication storage |
| LPN #2 | Licensed Practical Nurse | Observed assisting residents during meal service and interviewed about positioning |
| CNA #1 | Certified Nursing Assistant | Observed assisting residents during meal service and interviewed about positioning |
| CNA #2 | Certified Nursing Assistant | Observed assisting residents during meal service and interviewed about positioning |
| CNA #3 | Certified Nursing Assistant | Interviewed about mechanical lift use |
| Director of Nursing | Director of Nursing | Interviewed regarding privacy, medication policies, mechanical lift, infection control, and care planning |
| Social Worker | Social Worker | Interviewed about care plan meetings and family notification |
| Housekeeping #1 | Housekeeping Staff | Observed and interviewed about PPE use in COVID isolation room |
| Housekeeping #2 | Housekeeping Staff | Interviewed about sanitation practices in laundry room |
| Administrator | Facility Administrator | Interviewed about Legionella prevention and medication self-administration policy |
| Dietary #1 | Dietary Staff | Interviewed about food temperatures |
| Dietary #2 | Dietary Staff | Interviewed about food temperatures, dented cans, and refrigerator/freezer monitoring |
| Dietary Employee #3 | Dietary Staff | Interviewed about pantry practices and dented cans |
| RN #1 | Registered Nurse | Observed and interviewed about PPE and medication storage |
Inspection Report
Annual Inspection
Deficiencies: 10
Date: Jan 13, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including investigation of an injury incident, accuracy of resident assessments, care planning, activities of daily living assistance, catheter care, respiratory care, food safety, quality assurance processes, and staff COVID-19 vaccination status.
Findings
The facility was found deficient in timely investigation of an injury due to improper transfer, inaccurate resident assessments, incomplete care plans for pain management, inadequate assistance with activities of daily living, improper catheter care and documentation, failure to maintain oxygen flow rates per physician orders, unsanitary food preparation and storage conditions, ineffective quality assurance monitoring, incomplete staff COVID-19 vaccination compliance, and malfunctioning kitchen freezer equipment.
Deficiencies (10)
Failed to investigate an injury in a timely manner and investigate for other possible injuries to Resident #40 after an improper transfer by staff.
Failed to ensure Minimum Data Sets (MDS) were accurately encoded for oxygen and anticoagulants for selected residents.
Failed to include pain management and pain medication side effect care areas and interventions in the Individualized Care Plan for Resident #40.
Failed to provide adequate Activities of Daily Living (ADL) care including hygiene and shaving for Resident #41.
Failed to ensure catheter bags were maintained properly and catheter care and output were documented per physician orders for residents with catheters.
Failed to ensure oxygen was set at the physician ordered flow rate for Resident #41.
Failed to ensure food was prepared under sanitary conditions; food and equipment were stored in a manner that did not promote foodborne illness; and resident trays were free of chips and cracks.
Failed to ensure the Quality Assessment and Assurance (QAA) Committee effectively monitored and reassessed quality deficiencies related to respiratory care and ADL care.
Failed to ensure all staff were fully vaccinated for COVID-19 or had approved exemptions or temporary delays as required by CMS regulations.
Failed to ensure kitchen freezer operated safely and minimized possibility of food cross contamination due to ongoing maintenance issues.
Report Facts
Skin tear measurement: 3.3
Skin tear measurement: 0.8
Number of residents affected by food safety deficiency: 64
Number of trays in kitchen: 46
Number of trays damaged: 6
Hours worked by CNA #1: 2745.45
Hours worked by CNA #2: 1280.56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Named in investigation of skin tear and injury to Resident #40 |
| CNA #7 | Certified Nursing Assistant | Named in injury incident involving improper transfer of Resident #40 |
| ADON/ICP | Assistant Director of Nursing/Infection Control Professional | Provided retraining, infection control education, and policy information |
| Administrator | Facility Administrator | Responded to surveyor inquiries and provided documentation |
| Consultant #1 | Provided policy information and payroll documentation | |
| Consultant #2 | Provided policy information and assisted with surveyor questions | |
| Dietary Manager | Provided information on kitchen conditions and tray availability | |
| LPN #4 | Licensed Practical Nurse | Identified oxygen flow rate discrepancy for Resident #41 |
| CNA #5 | Certified Nursing Assistant | Interviewed regarding ADL care for Resident #41 |
| CNA #3 | Certified Nursing Assistant | Interviewed regarding catheter bag placement and care |
| LPN #3 | Licensed Practical Nurse | Interviewed regarding catheter care procedures |
| HR Employee | Human Resources Employee | Involved in COVID-19 vaccination exemption documentation |
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