Deficiencies (last 4 years)
Deficiencies (over 4 years)
9.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
79% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Deficiencies: 1
Date: Mar 13, 2025
Visit Reason
The inspection was conducted to assess the facility's compliance with requirements related to conducting and documenting a facility-wide assessment to determine necessary staffing resources for competent resident care during day-to-day operations and emergencies.
Findings
The facility failed to update the facility assessment to include staffing levels needed for specific shifts such as days, evenings, weekends, and memory care units. The assessment was last updated on 07/04/2024 and was not divided by shifts or care units as required.
Deficiencies (1)
Failure to update the facility assessment to include staffing levels needed for specific shifts such as days, evenings, weekends, and memory care units.
Report Facts
Licensed Practical Nurses (LPN) daily average FTEs: 6
Licensed Practical Nurses (LPN) daily average FTEs: 9
Certified Nursing Assistants (CNA) daily average FTEs: 22
Certified Nursing Assistants (CNA) daily average FTEs: 30
Nursing Administration daily average FTEs: 4
Nursing Administration daily average FTEs: 5
Social Services daily average FTEs: 1
Social Services daily average FTEs: 2
Dietary Manager daily average FTEs: 1
Food and Nutrition Services daily average FTEs: 6
Food and Nutrition Services daily average FTEs: 8
Administration daily average FTEs: 2
Activities daily average FTEs: 3
Environmental Services/Maintenance daily average FTEs: 1
Environmental Services/Maintenance daily average FTEs: 2
Therapy Staff daily average FTEs: 2
Therapy Staff daily average FTEs: 5
Infection Preventionist daily average FTEs: 1
24/7 Registered Nurse coverage daily average FTEs: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Interviewed regarding facility assessment update and staffing levels |
Inspection Report
Deficiencies: 1
Date: Mar 13, 2025
Visit Reason
The inspection was conducted to assess whether the facility had updated its facility-wide assessment to determine necessary staffing resources for competent resident care during day-to-day operations and emergencies, including nights, weekends, and memory care units.
Findings
The facility failed to update the facility assessment to include staffing levels needed for specific shifts such as days, evenings, weekends, and memory care units. The last update was in July 2024 and did not reflect current requirements or shift-specific staffing needs.
Deficiencies (1)
Failure to update the facility assessment to include staffing levels needed for specific shifts such as days, evenings, weekends, and memory care units.
Report Facts
Licensed Practical Nurses (LPN) daily average FTEs: 6
Licensed Practical Nurses (LPN) daily average FTEs: 9
Certified Nursing Assistants (CNA) daily average FTEs: 22
Certified Nursing Assistants (CNA) daily average FTEs: 30
Nursing Administration daily average FTEs: 4
Nursing Administration daily average FTEs: 5
Social Services daily average FTEs: 1
Social Services daily average FTEs: 2
Dietary Manager daily average FTEs: 1
Food and Nutrition Services daily average FTEs: 6
Food and Nutrition Services daily average FTEs: 8
Administration daily average FTEs: 2
Activities daily average FTEs: 3
Environmental Services/Maintenance daily average FTEs: 1
Environmental Services/Maintenance daily average FTEs: 2
Therapy Staff daily average FTEs: 2
Therapy Staff daily average FTEs: 5
Infection Preventionist daily average FTEs: 1
24/7 Registered Nurse coverage daily average FTEs: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Interviewed regarding facility assessment update and staffing levels |
Inspection Report
Routine
Deficiencies: 4
Date: Oct 3, 2024
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident care, safety, and food service in a nursing home facility.
Findings
The facility failed to ensure comprehensive care plans addressed individualized resident needs, specifically regarding smoking aprons for Resident #101 and activity provisions for Resident #9. Additionally, the facility did not ensure residents wore smoking aprons during smoke breaks, allowed possession of lighters contrary to policy, served meals at improper temperatures, and failed to maintain sanitary conditions in the kitchen and food handling practices.
Deficiencies (4)
Failure to ensure comprehensive care plan addressed and individualized appropriate care and services for residents, including smoking apron use for Resident #101 and activity provisions for Resident #9.
Failure to ensure residents assessed to wear smoking aprons wore them during smoke breaks and failure to prevent possession of lighters by Resident #101.
Failure to ensure meals were served at acceptable temperatures to maintain palatability and encourage nutritional intake.
Failure to maintain kitchen and food service areas in a clean and sanitary condition, including improper hand hygiene by dietary staff and presence of expired food.
Report Facts
Residents reviewed for care plan: 2
Residents present during smoke break: 8
BIMS score: 15
Temperature of milk: 48
Temperature of various pureed foods: 89
Expiration date: 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aid (CNA) #12 | Supervised smoke break and interviewed regarding smoking apron assessments | |
| Assistant Director of Nursing (ADON) | Interviewed regarding smoking apron policy and resident care plans | |
| Director of Nursing (DON) | Interviewed regarding smoking apron policy and resident care plans | |
| Certified Nursing Assistant (CNA) #11 | Observed interacting with Resident #9 during dining and activity observations | |
| Training Nursing Assistant (TNA) #8 | Observed interacting with Resident #9 during dining and activity observations | |
| Restorative Certified Nursing Assistant #7 | Interviewed regarding food cart handling and temperature control | |
| Dietary Manager | Conducted food temperature checks and confirmed sanitation issues | |
| Assistant Dietary Manager | Observed handling food and beverages without proper hand hygiene | |
| Dietary [NAME] (DC) #13 | Observed handling food with contaminated gloves |
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Oct 3, 2024
Visit Reason
The inspection was conducted to investigate complaints regarding failure to implement individualized care plans, ensure safety during smoking breaks, and maintain proper supervision and care for residents, including concerns about meal temperature and food safety.
Complaint Details
The investigation was complaint-driven, focusing on concerns about care plan implementation, resident safety during smoking breaks, supervision and engagement of cognitively impaired residents, meal temperature and palatability, and food safety and sanitation practices.
Findings
The facility failed to ensure comprehensive care plans addressed residents' needs, specifically for Resident #101 regarding smoking apron use and possession of a lighter, and Resident #9 regarding appropriate supervision and engagement. Additionally, the facility failed to maintain safe food temperatures during meal service and uphold sanitary conditions in the kitchen and food handling practices.
Deficiencies (5)
Failed to ensure Resident #101 wore a smoking apron as assessed and care planned.
Failed to ensure Resident #101 was not in possession of a lighter during smoking breaks.
Failed to provide adequate supervision and engagement for Resident #9, including failure to provide activities and proper interaction.
Failed to ensure meals were served at safe and appetizing temperatures, with multiple instances of cold food items on unheated carts.
Failed to maintain kitchen and food service areas in a clean and sanitary condition, including contaminated dishware, unclean equipment, improper hand hygiene by dietary staff, expired food products, and unsanitary ice scoop holder.
Report Facts
Residents present during smoking break: 8
Care plan initiation date: Feb 7, 2024
MDS Assessment Reference Date: Jul 10, 2024
Smoking Safety Screening date: Sep 18, 2024
Food temperature: 48
Food temperature: 114.6
Food temperature: 105.5
Food temperature: 113
Food temperature: 91.4
Food temperature: 48.7
Expired food date: Sep 30, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #12 | Certified Nurse Aid | Supervised smoking break and interviewed regarding smoking apron assessments |
| Assistant Director of Nursing | ADON | Interviewed about smoking apron policy and resident care plans |
| Director of Nursing | DON | Interviewed about smoking apron policy and resident care plans |
| CNA #11 | Certified Nursing Assistant | Observed interacting with Resident #9 during dining and care |
| TNA #8 | Training Nursing Assistant | Observed interacting with Resident #9 during dining and care |
| LPN #10 | Licensed Practical Nurse | Interviewed about Resident #9's placement and care |
| Activity Assistant | Interviewed about availability of activities and equipment for residents | |
| Activities Director | Interviewed about awareness of Resident #9's care plan activities | |
| MDS/Care Planner | Interviewed about care plan task lists and activities for Resident #9 | |
| Certified Nursing Assistant #3 | CNA | Delivered food carts during meal service |
| Dietary Manager | Checked food temperatures and observed sanitation issues | |
| Restorative Certified Nursing Assistant #7 | Restorative CNA | Observed loading food trays and interviewed about food cart temperature |
| Certified Nursing Assistant #4 | CNA | Delivered food carts during meal service |
| Certified Nursing Assistant #5 | CNA | Delivered food carts during meal service |
| Certified Nursing Assistant #6 | CNA | Delivered food carts during meal service |
| Dietary [NAME] (DC) #13 | Dietary Cook | Observed handling food with contaminated gloves |
Inspection Report
Routine
Deficiencies: 1
Date: May 3, 2024
Visit Reason
The inspection was conducted to assess the facility's compliance with infection prevention and control protocols, specifically related to staff use of gloves during blood sampling procedures.
Findings
The facility failed to ensure that staff wore gloves while obtaining a blood sample from a fingerstick for one resident. Interviews with staff and review of facility policies confirmed that gloves should have been worn during the procedure to prevent infection and maintain resident dignity.
Deficiencies (1)
Failure to ensure staff wore gloves while obtaining a blood sample from a fingerstick for one resident.
Report Facts
Residents reviewed for infection control: 3
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Named in infection control deficiency for not wearing gloves during blood sampling |
| Director of Nursing | Director of Nursing | Confirmed gloves should have been worn and sampling location was inappropriate |
| Assistant Director of Nursing | Assistant Director of Nursing | Confirmed gloves should have been worn during blood sampling |
Inspection Report
Routine
Deficiencies: 1
Date: May 3, 2024
Visit Reason
The inspection was conducted to assess the facility's compliance with infection prevention and control protocols, specifically related to staff use of gloves during blood sampling procedures.
Findings
The facility failed to ensure that staff wore gloves while obtaining a blood sample from a fingerstick for one resident, which posed a minimal harm or potential for actual harm. Interviews with staff and review of facility policies confirmed the gloves should have been worn and the procedure should not have been performed in the hallway.
Deficiencies (1)
Failure to ensure staff wore gloves while obtaining a blood sample from a fingerstick for Resident #1.
Report Facts
Residents reviewed for infection control: 3
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Named in infection control deficiency for not wearing gloves during blood sampling |
| Director of Nursing | Director of Nursing | Confirmed gloves should have been worn and procedure should not have been done in hallway |
| Assistant Director of Nursing | Assistant Director of Nursing | Confirmed gloves should have been worn during blood sampling |
Inspection Report
Complaint Investigation
Deficiencies: 8
Date: Oct 26, 2023
Visit Reason
The inspection was conducted to investigate complaints regarding the facility's failure to properly care for residents, including inadequate care planning for an indwelling foley catheter, diabetic nail care, skin tear treatment, food preparation and sanitation, trash containment, and pest control.
Complaint Details
The investigation was complaint-driven, focusing on multiple allegations including inadequate care planning and treatment for residents, poor food preparation and sanitation, improper waste management, and pest infestation. Substantiation status is not explicitly stated.
Findings
The facility was found deficient in multiple areas including failure to document and care plan for an indwelling foley catheter for Resident #210, inadequate diabetic nail care for Resident #1, lack of physician orders and treatment for skin tears in Residents #1 and #36, improper preparation and consistency of pureed foods, unsanitary food storage and handling practices, improper trash containment, and presence of pests in the kitchen and dining areas.
Deficiencies (8)
Failure to ensure baseline care plan addressed use of indwelling foley catheter for Resident #210.
Failure to ensure appropriate care and services for Resident #210 with indwelling foley catheter to prevent complications and infections.
Failure to provide necessary diabetic nail care for Resident #1 to promote hygiene and prevent infection.
Failure to recognize skin tears/wounds of unknown origin and obtain physician orders for treatment for Residents #1 and #36.
Failure to ensure pureed food items were blended to a smooth, lump-free consistency for residents requiring pureed diets.
Failure to ensure foods stored in refrigerator and freezer were covered and sealed; failure to maintain ice machines and scoop holders in sanitary condition; failure to maintain clean kitchen environment; failure to ensure hand hygiene and food handling practices to prevent food borne illness.
Failure to properly contain trash within dumpsters to minimize foul odors and pest infestation.
Failure to ensure kitchen and dining room were free of pests including flies and gnats.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 5
Residents affected: 100
Nutrition drink cartons expired: 14
Dumpster debris count: 11
Flies counted: 13
Flies counted: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #5 | CNA | Interviewed about monitoring and care of Resident #210's foley catheter |
| Licensed Practical Nurse #2 | LPN | Interviewed about Resident #210's foley catheter orders and care |
| Director of Nursing | DON | Interviewed about importance of physician orders and care planning for foley catheter and skin tears |
| Certified Nursing Assistant #4 | CNA | Interviewed about Resident #1's nail care and meal assistance |
| Licensed Practical Nurse #1 | LPN | Confirmed lack of treatment orders for skin tears |
| Dietary Employee #1 | Dietary Employee | Observed preparing pureed foods and handling food without proper hand hygiene |
| Dietary Employee #2 | Dietary Employee | Interviewed about hand hygiene practices |
| Dietary Supervisor | Dietary Supervisor | Interviewed and observed regarding food preparation, sanitation, pest control, and trash management |
| Certified Nursing Assistant #1 | CNA | Interviewed about consistency of pureed food items served |
Inspection Report
Annual Inspection
Deficiencies: 8
Date: Oct 26, 2023
Visit Reason
The inspection was conducted to evaluate the facility's compliance with regulatory standards, including care planning, provision of services, food safety, sanitation, and pest control.
Findings
The facility was found deficient in multiple areas including failure to properly document and care plan for residents with indwelling foley catheters, inadequate diabetic nail care, lack of physician orders for skin tears/wounds, improper preparation and consistency of pureed foods, poor food storage and sanitation practices, improper hand hygiene by staff, inadequate trash containment, and presence of pests in the kitchen and dining areas.
Deficiencies (8)
Failed to ensure baseline care plan addressed use of indwelling foley catheter for Resident #210.
Failed to ensure appropriate care and services for Resident #210 with indwelling foley catheter to prevent complications and infections.
Failed to provide necessary diabetic nail care for Resident #1 to promote hygiene and prevent infection.
Failed to recognize skin tears/wounds of unknown origin and obtain physician orders or notify family for Residents #1 and #36.
Failed to ensure pureed food items were blended to a smooth, lump-free consistency for residents requiring pureed diets.
Failed to ensure foods stored in refrigerator and freezer were covered and sealed; failed to maintain clean and sanitary ice machines and scoop holders; failed to ensure hand hygiene before food handling; failed to offer hand sanitation to residents before meals.
Failed to properly contain trash within dumpsters to minimize foul odors and pest infestation.
Failed to ensure kitchen and dining room were free of pests including flies and gnats.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 2
Meals observed: 2
Flies observed: 13
Nutrition drink cartons expired: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #3 | Licensed Practical Nurse | Mentioned in relation to care planning for Resident #210's foley catheter |
| CNA #5 | Certified Nursing Assistant | Interviewed about monitoring Resident #210's foley catheter |
| LPN #2 | Licensed Practical Nurse | Interviewed about Resident #210's foley catheter orders and monitoring |
| Director of Nursing | Director of Nursing | Interviewed about importance of physician orders and care planning for foley catheter and wound care |
| CNA #4 | Certified Nursing Assistant | Interviewed about Resident #1's nail care and meal assistance |
| LPN #1 | Licensed Practical Nurse | Interviewed about wound treatment orders for Residents #1 and #36 |
| Dietary Employee #1 | Dietary Employee | Observed preparing pureed foods and handling food without proper hand hygiene |
| Dietary Employee #2 | Dietary Employee | Interviewed about hand hygiene after touching dirty objects |
| Dietary Supervisor | Dietary Supervisor | Interviewed and observed regarding food preparation, sanitation, pest control, and hand hygiene |
| Certified Nursing Assistant #1 | Certified Nursing Assistant | Interviewed about consistency of pureed food items |
| Certified Nursing Assistant #2 | Certified Nursing Assistant | Interviewed about Resident #36's band aid |
Inspection Report
Annual Inspection
Census: 109
Capacity: 120
Deficiencies: 4
Date: Jul 22, 2022
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory standards related to resident care, food service, and facility sanitation.
Findings
The facility was found deficient in multiple areas including failure to have a physician's order for colostomy care, improper meal preparation and portioning, serving food at unsafe temperatures, and unsanitary kitchen conditions including poor hand hygiene and expired or improperly stored food items.
Deficiencies (4)
Failure to ensure a physician's order for treatment, monitoring, and care of a colostomy for a resident.
Failure to prepare and serve meals according to the planned menu and proper portion sizes, affecting nutritional needs.
Failure to ensure food was served at safe and appetizing temperatures, affecting palatability and nutritional intake.
Failure to ensure dietary staff washed hands before handling clean equipment or food, and failure to maintain kitchen cleanliness and proper food storage.
Report Facts
Residents affected: 1
Residents affected: 58
Residents affected: 13
Residents affected: 3
Residents affected: 6
Residents affected: 1
Residents affected: 27
Total census: 109
Food temperature: 52
Food temperature: 113.3
Portion weight: 1.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding lack of physician order for colostomy care | |
| Licensed Practical Nurse (LPN) #1 | Interviewed regarding colostomy care responsibilities and documentation | |
| Dietary Employee (DE) #1 | Observed handling clean plates without washing hands | |
| Dietary Employee (DE) #2 | Observed improper meal preparation and glove contamination | |
| Dietary Employee (DE) #3 | Observed glove contamination and improper hand hygiene | |
| Dietary Employee (DE) #4 | Observed serving inadequate meal portions | |
| Dietary Supervisor | Provided information on meal preparation, food temperatures, and kitchen sanitation | |
| Certified Nursing Assistant (CNA) #1 | Observed delivering unheated food carts | |
| Certified Nursing Assistant (CNA) #2 | Observed delivering unheated food carts | |
| Certified Nursing Assistant (CNA) #3 | Observed delivering unheated food carts | |
| Certified Nursing Assistant (CNA) #4 | Observed delivering unheated food carts |
Inspection Report
Annual Inspection
Census: 109
Deficiencies: 4
Date: Jul 22, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to resident care, dietary services, and facility sanitation at The Springs Searcy nursing home.
Findings
The facility was found deficient in multiple areas including failure to have a physician's order for colostomy care, improper meal preparation and portioning not meeting nutritional needs, serving food at unsafe temperatures, and unsanitary kitchen conditions including poor hand hygiene and expired or improperly stored food items.
Deficiencies (4)
Failure to ensure a physician's order for treatment, monitoring, and care of a colostomy for a resident with a colostomy.
Failure to prepare and serve meals according to planned menus and recipes, resulting in inadequate portions and missing ingredients.
Failure to ensure food was served at safe and appetizing temperatures, with multiple food items served cold.
Failure to maintain a clean and sanitary kitchen environment, including poor hand hygiene by dietary staff, dirty kitchen vents, expired and improperly stored food, and unsanitary equipment and surfaces.
Report Facts
Residents affected: 1
Residents affected: 58
Residents affected: 13
Residents affected: 3
Residents affected: 6
Residents affected: 1
Residents affected: 27
Total census: 109
Temperature: 52
Temperature: 113.3
Weight: 1.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing (DON) | Interviewed regarding lack of physician order and care plan for colostomy | |
| Licensed Practical Nurse (LPN) #1 | Interviewed regarding colostomy care responsibilities and documentation | |
| Dietary Employee (DE) #1 | Observed handling clean plates without washing hands | |
| Dietary Employee (DE) #2 | Observed improper meal preparation and portioning, and glove contamination | |
| Dietary Employee (DE) #3 | Observed improper glove use and food handling | |
| Dietary Employee (DE) #4 | Observed serving inadequate portions and food handling | |
| Dietary Supervisor | Provided information on menu, food preparation, and kitchen conditions | |
| Certified Nursing Assistant (CNA) #1 | Observed delivering unheated food trays | |
| Certified Nursing Assistant (CNA) #2 | Observed delivering unheated food trays | |
| Certified Nursing Assistant (CNA) #3 | Observed delivering unheated food trays | |
| Certified Nursing Assistant (CNA) #4 | Observed delivering unheated food trays |
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