Deficiencies (last 4 years)
Deficiencies (over 4 years)
5.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
2% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Mar 11, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to notify a resident's family member of a fall and change in condition for Resident #2.
Complaint Details
The complaint investigation found that Resident #2's son was upset that he was not notified of the fall that occurred on 2/24/2025. The nurse responsible was written up and received counseling for failure to notify the family. The family was eventually notified on 2/27/2025. The complaint was substantiated.
Findings
The facility failed to notify Resident #2's family member of the resident's fall on 2/24/2025, despite notifying the medical doctor and Director of Nursing immediately. The nurse responsible was counseled and received a verbal warning for the failure to notify the family.
Deficiencies (1)
Failure to notify a resident's family member/responsible party of the resident's fall and change in condition for Resident #2.
Report Facts
Residents reviewed for falls: 5
BIMS score: 1
Dates: Feb 24, 2025
Dates: Feb 27, 2025
Dates: Mar 11, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | Registered Nurse | Named in failure to notify family member of Resident #2's fall |
| CNA #2 | Certified Nursing Assistant | Notified RN #1 of Resident #2's fall |
| Director of Nursing | Director of Nursing | Notified of Resident #2's fall and involved in counseling RN #1 |
| Licensed Practical Nurse #3 | Licensed Practical Nurse | Interviewed about notification procedures for resident falls |
| Licensed Practical Nurse #4 | Licensed Practical Nurse | Interviewed about notification procedures and recent in-service training |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Feb 26, 2025
Visit Reason
The inspection was conducted due to a complaint investigation following an incident where Resident #3 fell from the lift of a borrowed van during transport, raising concerns about adequate supervision and staff training on the borrowed van's lift.
Complaint Details
The complaint investigation was substantiated. Resident #3 fell approximately 4-5 feet backwards from a wheelchair lift that was not level and had a lean, causing the wheelchair to roll backwards off the lift. Resident #3 sustained bruises, scratches, and soreness but no loss of consciousness. Staff interviews revealed inadequate training on the borrowed van lift and lack of proper demonstration during training. The facility acknowledged the incident and implemented corrective training and safety measures.
Findings
The facility failed to ensure adequate supervision and proper training of staff using a borrowed van lift, resulting in Resident #3 falling from the lift and sustaining injuries. The facility's non-compliance posed immediate jeopardy to resident health or safety, but corrective actions were implemented prior to survey completion, resulting in a Past Noncompliance citation.
Deficiencies (2)
Failed to ensure Resident #3 received adequate supervision and assistance devices to prevent an accident during transport using a borrowed van lift.
Failed to ensure the Transport Driver (CNA #2) was properly trained in the use of the borrowed van lift prior to transporting Resident #3.
Report Facts
Date of incident: Nov 6, 2024
Date of survey: Feb 26, 2025
Assessment Reference Date: Feb 10, 2025
BIMS score: 15
Training date: Nov 6, 2024
Training completion dates: Nov 14, 2024
Training completion dates: Nov 18, 2024
Invoice date: Nov 12, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #2 | Transport Driver | Named in the finding for inadequate training and involvement in the incident where Resident #3 fell from the borrowed van lift |
| CNA #1 | Certified Nursing Aide | Mentioned as trained on facility van but not on borrowed van; provided written statement about lack of training |
| CNA #3 | Certified Nursing Aide | Reported as van driver in the past, not trained on van since May 2024, provided written statement about recent transport without van lift training |
| Administrator | Provided multiple interviews about training, incident details, and corrective actions |
Inspection Report
Routine
Deficiencies: 8
Date: Oct 10, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident privacy, accident prevention, medication administration, drug storage, feeding tube medication procedures, and dietary hygiene practices at The Springs of Texarkana nursing home.
Findings
The facility was found deficient in protecting resident personal and medical information, ensuring equipment safety and supervision to prevent accidents, proper medication administration and storage, adherence to feeding tube medication protocols, and maintaining dietary hygiene and food safety standards. Multiple minimal harm deficiencies were identified involving resident privacy breaches, unsafe lift pads, unsecured medication carts, improper medication administration, and inadequate food handling practices.
Deficiencies (8)
Failed to ensure a resident's personal and medical information was protected from potential unauthorized persons.
Failed to ensure lift pads were in appropriate working order, free of fraying and loose strings to prevent potential accidents or injury.
Aerosol disinfectant was not stored at the bedside to prevent accidents or injury.
Failed to ensure the resident's environment remained free of accidents and each resident received adequate supervision to prevent accidents.
Medication carts were left unlocked when unattended, risking medication misappropriation.
Failed to flush feeding tube before and after administering medication as ordered.
Failed to ensure dietary staff washed hands before handling clean equipment; ice machine was not maintained in clean and sanitary condition; cold food items were not maintained at 41 degrees Fahrenheit or below.
Left narcotic and Albuterol medication with resident without proper supervision or assessment for self-administration.
Report Facts
Assessment Reference Date: Aug 14, 2024
Assessment Reference Date: Aug 21, 2024
Assessment Reference Date: Sep 20, 2024
Medication temperature: 50.4
Medication temperature: 44.1
Medication temperature: 53.2
Medication dosage: 1
Medication dosage: 3
Medication flush volume: 15
Medication flush volume: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Named in findings related to leaving medication cart unlocked, improper medication administration, and privacy violations. |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding privacy policies, medication administration, lift pad inspections, and training. |
| CNA #9 | Certified Nursing Assistant | Observed and interviewed regarding frayed lift pads. |
| CNA #10 | Certified Nursing Assistant | Interviewed about disinfectant spray policy. |
| Infection Preventionist RN #5 | Registered Nurse | Interviewed about resident self-administration of breathing treatments. |
| Care Consultant #7 | Care Consultant | Provided policy on administering oral medications. |
| Dietary Manager | Dietary Manager | Interviewed about ice machine cleanliness and food temperature control. |
| DC #4 | Dietary Staff | Interviewed about cold food temperature maintenance. |
| DA #2 | Dietary Aide | Observed handling clean equipment without washing hands. |
| DA #3 | Dietary Aide | Observed handling glasses without washing hands. |
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Nov 9, 2023
Visit Reason
The inspection was conducted to investigate complaints related to resident dignity, safety, accurate assessments, hydration, and food service practices at The Springs of Texarkana nursing home.
Complaint Details
The complaint investigation was triggered by reports of disrespectful staff behavior towards residents, lack of hot water, inaccurate resident assessments, insufficient hydration, and unsafe food handling practices. Resident and family interviews, observations, and record reviews substantiated these issues.
Findings
The facility was found deficient in multiple areas including failure to treat residents with respect and dignity, lack of hot running water in resident rooms, inaccurate Minimum Data Set (MDS) assessments for mental illness, insufficient fluids at the bedside for hydration, and unsafe food handling practices by staff.
Deficiencies (5)
Failure to ensure residents were treated with respect and dignity, affecting 1 resident with potential to affect 11 residents on the 600 Hall.
Failure to ensure functioning running hot water in resident rooms, affecting 1 resident with potential to affect 11 residents on the 500 Hall.
Failure to ensure the Minimum Data Set (MDS) accurately reflected serious mental illness for 2 residents with potential to affect 14 residents with level II PASRR.
Failure to ensure residents had sufficient water at the bedside to maintain hydration and health, affecting 1 resident with potential to affect 7 residents on the 400 Hall.
Failure to ensure staff distributed and served food in a safe and sanitary manner, affecting 1 resident with potential to affect 13 residents who eat in the Dining Room.
Report Facts
Residents sampled: 3
Residents potentially affected: 11
Residents sampled: 1
Residents potentially affected: 11
Residents sampled: 3
Residents potentially affected: 14
Residents sampled: 3
Residents potentially affected: 7
Residents sampled: 3
Residents potentially affected: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Assistant | Named in dignity and respect deficiency related to rude tone and communication with Resident #7 |
| Director of Nursing | Director of Nursing (DON) | Provided information on staff in-service, resident rights, and policies related to dignity, MDS accuracy, hydration, and food service |
| MDS Coordinator | MDS Coordinator | Responsible for MDS accuracy; acknowledged errors in coding serious mental illness for residents |
| CNA #2 | Certified Nursing Assistant | Observed and interviewed regarding hydration procedures and water pitcher replacement |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Observed touching face and scrub top without hand hygiene while passing trays |
| CNA #3 | Certified Nursing Assistant | Observed serving drinks unsafely by touching rims and cups |
| Maintenance Supervisor | Maintenance Supervisor | Observed and confirmed lack of hot water in Resident #34's room |
| Administrator | Administrator | Provided Concern/Grievance Log documenting resident complaints about staff tone |
| Business Office Manager | Business Office Manager | Provided Preventative Maintenance Policy related to facility environment |
Inspection Report
Routine
Census: 84
Deficiencies: 5
Date: Aug 11, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, medication administration, dietary services, and other facility operations at The Springs of Texarkana.
Findings
The facility was found deficient in multiple areas including failure to ensure privacy during incontinent care, failure to notify appropriate authorities for PASARR evaluation after significant resident condition change, inadequate foot care, medication errors exceeding 5%, and multiple food safety and sanitation violations in the dietary services.
Deficiencies (5)
Failed to ensure privacy during incontinent care for Resident #49.
Failed to promptly notify state mental health authority for PASARR evaluation for Resident #82 after significant change.
Failed to provide appropriate toenail care for Resident #36.
Medication error rate exceeded 5% affecting Residents #21 and #50.
Failed to ensure proper food safety and sanitation practices in dietary services affecting many residents.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 2
Resident census: 84
Medication error rate: 5.13
Medications observed: 39
Medication errors: 2
Bottles of water: 240
Temperature: 130
Temperature: 50.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #1 | CNA | Named in privacy during incontinent care deficiency |
| Certified Nursing Assistant #3 | CNA | Interviewed about privacy curtain use during incontinent care |
| Certified Nursing Assistant #4 | CNA | Interviewed about privacy curtain use during incontinent care |
| Certified Nursing Assistant #5 | CNA | Interviewed about privacy curtain use during incontinent care and toenail care |
| Business Development Employee | Interviewed regarding PASARR screening for Resident #82 | |
| Licensed Practical Nurse #1 | LPN | Named in medication error involving aspirin administration |
| Licensed Practical Nurse #3 | LPN | Named in medication error involving eye drop administration |
| Dietary Employee #1 | Observed failing to change gloves and wash hands properly during food handling | |
| Dietary Employee #2 | Observed food safety violations and temperature checks | |
| Dietary Supervisor | Interviewed about food safety practices and ice machine cleaning |
Report
March 11, 2025
Report
February 26, 2025
Report
October 10, 2024
Report
November 9, 2023
Report
August 11, 2022
Viewing
Loading inspection reports...
