Inspection Reports for
Woodbriar Nursing Home
204 Catherine St, Harrisburg, AR 72432, AR, 72432
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
23% better than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Oct 10, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to care planning, nursing assistant training and certification, and arbitration agreement provisions at Woodbriar Nursing Home.
Findings
The facility failed to develop and implement a complete person-centered care plan for a resident requiring anticoagulant medication, failed to ensure five nursing assistants completed competency training and certification within required timeframes, and failed to include provisions for a neutral arbitrator and convenient venue in the arbitration agreement.
Deficiencies (3)
Failed to document and complete a person-centered care plan for Resident #38 involving anticoagulants or Eliquis.
Failed to ensure five Nursing Assistants completed competency training and certification testing within 120 days from completion of initial training.
Failed to include selection of a neutral arbitrator agreed upon by both parties and selection of a venue convenient to both parties in the Arbitration Agreement.
Report Facts
Number of Nursing Assistants: 5
Initial training completion dates: NA #1: 2023-11-21, NA #2: 2023-12-21, NA #3: 2024-04-08, NA #4: 2024-05-02, NA #5: 2024-02-06
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MDS Coordinator | Interviewed regarding care plan for Resident #38 | |
| Human Resources/Social Services (HR/Social) | Interviewed regarding nursing assistant training and certification | |
| Administrator | Interviewed regarding nursing assistant training policy and arbitration agreement |
Inspection Report
Deficiencies: 5
Date: Aug 18, 2023
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident rights, confidentiality, personal care, respiratory care, infection control, and other aspects of nursing home care at Woodbriar Nursing Home.
Findings
The facility was found deficient in multiple areas including failure to respect resident dignity and privacy by locking a resident's bathroom door, failure to secure confidential medical information on an open laptop, inadequate personal hygiene care for a resident's fingernails, failure to ensure residents received oxygen therapy at the physician ordered flow rate, and failure to prevent potential infection and cross contamination in the laundry area due to food and drinks being placed next to clean linens.
Deficiencies (5)
Failed to treat residents with respect, dignity, and protect their right to a dignified existence and privacy by locking Resident #16's bathroom door and denying use of bedside commode.
Failed to keep residents' personal and medical records private and confidential by leaving an open laptop with resident information visible in the hallway.
Failed to ensure fingernails were clean, groomed, and free from chipped nail polish for Resident #51 dependent on staff for nail care.
Failed to ensure residents received oxygen therapy at the physician ordered flow rate for Residents #17 and #19.
Failed to prevent potential infection and cross contamination in the laundry processing area by allowing food and drinks on the laundry folding table next to clean, folded resident linens.
Report Facts
Residents affected: 1
Residents affected: 13
Residents affected: 16
Residents affected: 2
Residents affected: 18
Residents affected: 62
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #2 | Certified Nursing Assistant | Named in bathroom door locking and toileting process finding |
| LPN #1 | Licensed Practical Nurse | Interviewed regarding Resident #16 toileting process and care plan |
| ADON | Assistant Director of Nursing | Interviewed regarding bathroom door locking policy and oxygen therapy responsibility |
| RN #1 | Registered Nurse | Interviewed regarding privacy breach with open laptop and oxygen therapy |
| LPN #2 | Licensed Practical Nurse | Interviewed regarding nail care for Resident #51 |
| CNA #3 | Certified Nurse's Aide | Interviewed regarding assistance with Resident #51's activities of daily living and nail care |
| CNA #4 | Certified Nurse's Aide | Interviewed regarding assistance with Resident #51's activities of daily living and nail care |
| Housekeeping/Laundry Supervisor | Interviewed regarding food and drinks on laundry folding counter | |
| Administrator | Interviewed regarding infection control and laundry practices |
Inspection Report
Routine
Census: 66
Deficiencies: 4
Date: May 6, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident trust fund management, Minimum Data Set (MDS) discharge assessments, food safety and sanitation, and infection prevention and control practices.
Findings
The facility failed to properly reconcile resident trust funds, incorrectly coded a resident's discharge MDS, did not ensure proper dating and cleanliness of food items and equipment, and failed to enforce appropriate PPE use for a resident on contact isolation, posing potential minimal to actual harm to residents.
Deficiencies (4)
Failed to ensure proper bookkeeping techniques to accurately reconcile individual resident trust funds for 22 of 22 sampled residents.
Failed to ensure a Minimum Data Set (MDS) Discharge assessment was encoded correctly for 1 of 2 sampled discharged residents.
Failed to ensure food items in the refrigerator were dated when pulled from the freezer and placed in the refrigerator, failed to maintain equipment cleanliness, and failed to ensure regular cleaning of one ice machine.
Failed to ensure appropriate PPE was worn for a resident on contact isolation and staff removed masks when talking within three feet of the resident.
Report Facts
Residents affected: 56
Residents affected: 63
Residents affected: 18
Total census: 66
Residents affected: 1
Residents sampled: 22
Residents sampled: 2
Residents sampled: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Assistant | Named in infection control finding for not wearing appropriate PPE entering Resident #33's room |
| CNA #2 | Certified Nursing Assistant | Named in infection control finding for PPE knowledge and training of CNAs |
| CNA #3 | Certified Nursing Assistant | Mentioned in infection control finding advising PPE use |
| CNA #5 | Certified Nursing Assistant | Named in infection control finding for removing mask within three feet of Resident #33 |
| Director of Nursing | Director of Nursing | Interviewed regarding MDS discharge assessment and PPE practices |
| Maintenance Director | Maintenance Director | Interviewed regarding ice machine cleaning and maintenance logs |
| MDS Coordinator | MDS Coordinator | Responsible for correcting discharge MDS coding for Resident #59 |
| Administrator | Administrator | Provided statements regarding MDS discharge correction and mask wearing policy |
| Business Office Manager | Business Office Manager | Provided trust fund reports and petty cash balance information |
| Dietary Employee #1 | Dietary Employee | Provided information on ice machine use and cleaning |
| Dietary Employee #2 | Dietary Employee | Interviewed about food thawing and refrigerator cleanliness |
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