Deficiencies (last 3 years)
Deficiencies (over 3 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
4% better than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Routine
Deficiencies: 4
Date: Aug 14, 2025
Visit Reason
The inspection was conducted to evaluate the facility's compliance with nutritional and food safety standards, including meal preparation, food storage, and dietary staff hygiene practices.
Findings
The facility failed to ensure meals were served according to the planned menu portions and nutritional needs, food items were not properly stored or discarded when expired, and dietary staff did not consistently follow handwashing protocols before handling clean equipment.
Deficiencies (4)
F 0803: The facility failed to serve meals according to the planned menu portions for regular, mechanical soft, and pureed diets during the observed supper meal on 08/11/2025.
F 0803: Pureed dinner rolls were not served as per the menu because the temperature was above 41 degrees Fahrenheit and were not reheated as required.
F 0812: Food items in the refrigerator, freezer, and dry storage were not properly covered or sealed, and expired items were not promptly discarded, risking foodborne illnesses.
F 0812: Dietary staff failed to wash hands after contaminating them and before handling clean equipment during food preparation on 08/11/2025.
Report Facts
Scoop sizes: 0.75
Scoop sizes: 0.5
Expiration dates: Jul 10, 2025
Expiration dates: Aug 9, 2025
Expiration dates: Mar 9, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA) #5 | Named in findings related to incorrect meal portioning | |
| Certified Nursing Assistant (CNA) #6 | Named in findings related to incorrect meal portioning and not serving pureed dinner rolls | |
| Certified Nursing Assistant (CNA) #3 | Named in findings related to incorrect meal portioning | |
| Dietary Manager (DM) | Confirmed expired food items and improper food storage | |
| Dietary Aide (DA) #4 | Failed to wash hands before handling clean equipment | |
| Director of Nursing (DON) | Advised reheating pureed dinner rolls |
Inspection Report
Routine
Deficiencies: 6
Date: May 22, 2024
Visit Reason
Routine inspection of Wood-Lawn Heights nursing home to assess compliance with regulatory requirements including resident transfer notifications, care planning, fall prevention, medication administration, and psychotropic medication use.
Findings
The facility failed to provide timely and complete written transfer notifications to residents and their representatives. Care plans for residents at risk of falls were incomplete or not updated, leading to multiple falls and injuries. Blood pressure monitoring was not documented as ordered for residents on antihypertensive medications. PRN psychotropic medication orders lacked duration limits. Skin protection interventions were not implemented for residents with skin discolorations.
Deficiencies (6)
F 0623: The facility failed to notify residents and representatives in writing of hospital transfers and failed to include required information such as appeal rights and state agency contacts.
F 0641: The facility failed to ensure the Minimum Data Set assessment accurately reflected Resident #9's status, incorrectly indicating an ostomy.
F 0656: The facility failed to develop and implement comprehensive care plans addressing fall risks for residents, resulting in multiple falls and injuries.
F 0684: The facility failed to document blood pressures before administering antihypertensive medication as ordered, risking adverse effects.
F 0689: The facility failed to provide adequate supervision and interventions to prevent falls and skin injuries, and failed to ensure fall documentation and interventions were accessible to all staff.
F 0758: The facility failed to limit PRN psychotropic medication orders to 14 days or document clinical rationale and duration for continued use.
Report Facts
Number of falls: 25
Number of falls: 8
Number of falls: 22
Number of falls: 9
PRN psychotropic medication duration limit: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #7 | Registered Nurse | Named in fall intervention and care plan review for Resident #85. |
| LPN #2 | Licensed Practical Nurse | Named in transfer notification and fall intervention findings for Resident #85. |
| MDS Coordinator | Responsible for updating care plans and involved in fall intervention discussions. | |
| DON | Director of Nursing | Oversight of care plans, fall interventions, and medication administration. |
| Administrator | Provided statements on facility expectations for care plan updates and fall documentation. | |
| LPN #6 | Licensed Practical Nurse | Named in fall intervention and care plan findings for Resident #85. |
| LPN #8 | Licensed Practical Nurse | Named in fall intervention and care plan findings for Resident #85. |
| LPN #9 | Licensed Practical Nurse | Named in fall intervention and care plan findings for Resident #85. |
| CNA #4 | Certified Nursing Assistant | Named in fall intervention findings for Resident #85. |
| CNA #5 | Certified Nursing Assistant | Named in fall intervention findings for Resident #85. |
| LPN #3 | Licensed Practical Nurse | Named in fall intervention findings for Resident #90. |
| LPN #15 | Licensed Practical Nurse | Named in fall intervention findings for Resident #90. |
| CNA #10 | Certified Nursing Assistant | Named in fall intervention findings for Resident #90. |
| LPN #1 | Licensed Practical Nurse | Named in fall intervention findings for Resident #90. |
| LPN #13 | Licensed Practical Nurse | Named in fall intervention findings for Resident #90. |
| RN #11 | Registered Nurse | Named in fall and injury documentation for Resident #90. |
| LPN #12 | Licensed Practical Nurse | Named in hospital transfer documentation for Resident #85. |
| LPN #14 | Licensed Practical Nurse | Named in hospital transfer documentation for Resident #90. |
| LPN Supervisor #8 | Licensed Practical Nurse Supervisor | Named in skin protection and policy review. |
| CNA #16 | Certified Nursing Assistant | Named in skin protection observations for Resident #81. |
| LPN #17 | Licensed Practical Nurse | Named in skin protection observations for Resident #81. |
| LPN #9 | Licensed Practical Nurse | Named in skin protection observations for Resident #81. |
| AA | Assistant Administrator | Named in interview regarding falls program and documentation. |
Inspection Report
Annual Inspection
Census: 103
Deficiencies: 5
Date: Apr 6, 2023
Visit Reason
The inspection was conducted as a comprehensive annual survey to assess compliance with regulatory requirements related to resident care, respiratory therapy, dietary services, and infection control.
Findings
The facility failed to develop and implement comprehensive care plans for residents receiving respiratory therapy, ensure proper storage and documentation of respiratory equipment and oxygen usage, prepare and serve meals according to planned menus and nutritional needs, and maintain proper food safety and hygiene practices in the kitchen.
Deficiencies (5)
F 0656: The facility failed to develop and implement complete care plans addressing oxygen therapy and respiratory treatments for residents receiving such therapies.
F 0695: The facility failed to ensure proper storage of CPAP and nebulizer supplies to prevent contamination and failed to document oxygen usage on the Medication Administration Record.
F 0803: The facility failed to prepare and serve pureed and regular diets according to the planned menu and nutritional requirements, serving incorrect portion sizes and inconsistent food textures.
F 0805: The facility failed to ensure pureed food items were blended to a smooth, lump-free consistency, increasing risk of choking for residents on pureed diets.
F 0812: The facility failed to ensure food stored in the freezer was covered and sealed and failed to ensure dietary staff washed hands between dirty and clean tasks to prevent foodborne illness.
Report Facts
Residents affected: 102
Residents affected: 100
Residents affected: 12
Residents affected: 78
Residents affected: 30
Residents affected: 14
Census: 103
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding care planning for oxygen therapy and respiratory treatments | |
| Assistant Director of Nursing | Provided facility policies on care plans, oxygen administration, aerosol medications, and noninvasive ventilation | |
| MDS Coordinator | Interviewed about care planning for residents receiving oxygen and CPAP therapy | |
| Licensed Practical Nurse (LPN) #1 | Observed and interviewed regarding CPAP equipment storage and care | |
| Licensed Practical Nurse (LPN) #2 | Interviewed about CPAP equipment storage and infection control | |
| Dietary Employee #1 | Observed preparing and pureeing food, and hand hygiene practices | |
| Homemaker #1 | Observed serving meals and describing food consistency | |
| Homemaker #2 | Observed serving meals and describing food consistency | |
| Certified Nursing Assistant (CNA) #1 | Interviewed about consistency of pureed food served | |
| Certified Nursing Assistant (CNA) #2 | Interviewed about consistency of pureed food served | |
| Infection Control Preventionist (ICP) | Interviewed about oxygen therapy and CPAP storage infection control |
Report
August 14, 2025
Report
May 22, 2024
Report
April 6, 2023
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