Inspection Reports for
The Springs of Mine Creek
1407 North Main Street, Nashville, AR, 71852
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
7.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
40% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
95% occupied
Based on a October 2023 inspection.
Occupancy rate over time
Inspection Report
Routine
Deficiencies: 3
Date: Aug 8, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident transfer notifications, food safety and sanitation, and infection prevention and control programs including water management.
Findings
The facility failed to notify the Ombudsman timely of a resident's hospital transfer, maintain the ice machine in a clean and sanitary condition affecting 72 residents, and ensure the water management program contained necessary monitoring components for legionella and other waterborne pathogens.
Deficiencies (3)
Failed to ensure the Ombudsman was notified of a resident's transfer to the hospital.
Failed to maintain the ice machine in a clean and sanitary condition to prevent potential bacterial growth affecting 72 residents.
Failed to ensure the water management program contained necessary components to monitor for legionella and other waterborne pathogens.
Report Facts
Residents affected: 1
Residents affected: 72
Residents affected: Water management program deficiency affecting 1 facility
Dates: 3
Water temperatures: 104
Water temperatures: 173
Water temperatures: 154
Water temperatures: 106
Water temperatures: 105
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Provided reports, interviewed regarding transfer notifications and water management program | |
| Dietary Manager | Interviewed regarding ice machine cleaning and sanitation | |
| Maintenance Director | Responsible for ice machine cleaning and water management program monitoring | |
| Business Office Manager | Confirmed information about Ombudsman notifications |
Inspection Report
Routine
Deficiencies: 3
Date: Aug 8, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including notification procedures for resident transfers, food safety and sanitation practices, and infection prevention and control programs.
Findings
The facility failed to notify the Ombudsman timely of a resident's hospital transfer, maintain the ice machine in a clean and sanitary condition affecting 72 residents, and implement a comprehensive water management program to monitor for legionella and other waterborne pathogens. Documentation and monitoring of water temperatures were incomplete or missing.
Deficiencies (3)
Failed to ensure the Ombudsman was notified of a resident's transfer to the hospital.
Failed to maintain the ice machine in clean and sanitary condition, risking bacterial contamination affecting 72 residents.
Failed to ensure the water management program contained necessary components to monitor for legionella and other waterborne pathogens; lacked documentation and monitoring.
Report Facts
Residents affected: 1
Residents affected: 72
Residents affected: Some
Dates: 2024
Water temperatures: 104
Water temperatures: 173
Water temperatures: 154
Water temperatures: 106
Water temperatures: 105
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Provided reports, policies, and interviews regarding Ombudsman notification, ice machine cleaning, and water management program | |
| Dietary Manager | Interviewed about ice machine cleaning and condition | |
| Maintenance Director | Responsible for ice machine cleaning and water management program monitoring; interviewed about cleaning schedules and documentation |
Inspection Report
Routine
Census: 74
Deficiencies: 4
Date: Oct 27, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to medication self-administration, respiratory care, medication storage, and facility safety.
Findings
The facility was found deficient in ensuring residents who self-administer medications were properly assessed, maintaining safe respiratory care practices including weekly changing and proper storage of nebulizer equipment, securing refrigerated narcotic medications in permanently affixed compartments, and providing a safe and functional kitchen environment due to malfunctioning stove burners.
Deficiencies (4)
Failed to ensure residents who self-administer medications were assessed to safely self-administer medications.
Failed to ensure nebulizer mask and tubing were changed weekly and stored in a closed container to prevent bacterial accumulation.
Failed to ensure refrigerated narcotic medications were stored in a permanently affixed compartment to prevent misappropriation.
Failed to provide a safe, functional, sanitary, and comfortable environment due to malfunctioning gas stove burners requiring use of a lighter to ignite.
Report Facts
Residents affected: 74
Medication reservoir liquid volume: 2
Medication reservoir liquid volume: 2.2
Nebulizer tubing change frequency: 1
Lorazepam quantity: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #1 | Interviewed about nebulizer medication and self-administration | |
| Licensed Practical Nurse (LPN) #2 | Interviewed about nebulizer mask and tubing change frequency and narcotic refrigerator key | |
| Licensed Practical Nurse (LPN) #3 | Interviewed about nebulizer treatment process and narcotic refrigerator key | |
| Director of Nursing (DON) | Interviewed about nebulizer treatment process, self-administration approvals, and narcotic storage | |
| Dietary worker #1 | Interviewed about stove burner ignition practices | |
| Dietary worker #2 | Interviewed about stove burner ignition practices | |
| Dietary manager | Interviewed about stove burner ignition practices and maintenance reporting |
Inspection Report
Routine
Census: 74
Deficiencies: 4
Date: Oct 27, 2023
Visit Reason
The inspection was conducted to assess compliance with medication self-administration, respiratory care, medication storage, and facility safety standards.
Findings
The facility failed to ensure proper assessment for residents self-administering medications, proper maintenance and storage of nebulizer equipment, secure storage of refrigerated narcotics, and safe operation of kitchen stove burners. Deficiencies were noted in medication self-administration assessment, nebulizer equipment hygiene, narcotic storage security, and stove safety.
Deficiencies (4)
Failed to ensure residents who self-administer medications were assessed to safely self-administer medications.
Failed to ensure nebulizer mask and tubing were changed weekly and stored in a closed container to prevent bacterial accumulation.
Failed to ensure refrigerated narcotic medications were stored in a permanently affixed compartment to prevent misappropriation.
Failed to provide a safe, functional, sanitary, and comfortable environment due to malfunctioning gas stove burners requiring manual lighting with a lighter.
Report Facts
Residents affected: 1
Residents affected: 74
Medication volume: 2
Medication volume: 2.2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Interviewed about nebulizer medication and self-administration |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Interviewed about nebulizer mask change frequency and medication self-administration |
| Licensed Practical Nurse #3 | Licensed Practical Nurse | Interviewed about nebulizer treatment process and narcotic storage |
| Director of Nursing | Director of Nursing | Interviewed about nebulizer treatment process, medication self-administration, and narcotic storage |
| Dietary worker #1 | Dietary worker | Interviewed about stove burner lighting practices |
| Dietary worker #2 | Dietary worker | Interviewed about stove burner lighting practices |
| Dietary manager | Dietary manager | Interviewed about stove burner lighting practices and maintenance reporting |
Inspection Report
Routine
Census: 72
Deficiencies: 4
Date: Jul 22, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, medication storage, dietary services, and infection control at The Springs of Mine Creek nursing home.
Findings
The facility was found deficient in multiple areas including improper oxygen administration flow rates for residents, unsecured medication carts, failure to prepare and serve meals according to planned menus, and inadequate food safety and hygiene practices in the dietary department. These deficiencies had the potential to affect multiple residents with minimal harm noted.
Deficiencies (4)
Failed to ensure oxygen was administered at the flow rate ordered by the physician for a resident receiving oxygen therapy.
Medication/biologicals were stored unlocked and unattended in a wound care cart in the hallway.
Meals were not prepared and served according to the planned written menu for a resident on a pureed diet.
Dietary staff failed to wash hands before handling clean equipment or food items; ice machine was unclean; cold food items were not maintained at safe temperatures.
Report Facts
Residents receiving oxygen therapy: 9
Residents receiving food from kitchen: 70
Facility census: 72
Temperature of pureed ham: 59
Temperature of pureed bread with milk: 71
Temperature of regular ham and cheese: 53
Temperature of ground ham and cheese: 57
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | LPN | Named in oxygen flow rate deficiency finding |
| Director of Nursing | DON | Named in oxygen flow rate deficiency finding |
| Registered Nurse #1 | RN | Named in medication cart security deficiency finding |
| Dietary Employee #1 | Named in dietary hygiene and food handling deficiencies | |
| Dietary Employee #2 | Named in dietary menu preparation deficiency | |
| Dietary Supervisor | Provided dietary resident list and involved in ice machine cleaning | |
| Administrator | Provided policy on medication cart security |
Inspection Report
Annual Inspection
Census: 72
Deficiencies: 4
Date: Jul 22, 2022
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements related to resident care, medication storage, nutrition, and food safety.
Findings
The facility was found deficient in several areas including improper oxygen administration flow rates for residents, unsecured medication carts, failure to prepare and serve meals according to the planned menu for residents on pureed diets, and poor food handling and hygiene practices by dietary staff, including improper handwashing and unsafe food temperatures.
Deficiencies (4)
Failed to ensure oxygen was administered at the flow rate ordered by the physician for a resident receiving oxygen therapy.
Failed to ensure medication/biologicals were stored safely and locked when unattended on Hallway 1.
Failed to ensure meals were prepared and served according to the planned written menu for residents on pureed diets.
Failed to ensure dietary staff washed hands before handling clean equipment or food items, maintain ice machine cleanliness, and keep cold food items at safe temperatures.
Report Facts
Residents affected by oxygen flow rate deficiency: 9
Total census: 72
Temperature of pureed ham: 59
Temperature of pureed bread with milk: 71
Temperature of regular ham and cheese: 53
Temperature of ground ham and cheese: 57
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | LPN | Named in oxygen flow rate deficiency finding. |
| Director of Nursing | DON | Named in oxygen flow rate deficiency and medication cart security findings. |
| Registered Nurse #1 | RN | Named in medication cart security deficiency. |
| Dietary Employee #1 | Named in food preparation and hygiene deficiencies. | |
| Dietary Employee #2 | Named in food preparation and menu compliance deficiencies. |
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