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Crestpark Dewitt, LLC

1325 Liberty Drive, De Witt, AR 72042 · For profit - Limited Liability company · 70 certified beds · (870) 946-3569 Medicare & Medicaid certified

Call the home — (870) 946-3569 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Resident-funds citation (F0567)Behavioral-health or dementia-care citation — no harm found (F0758)$9,438 in federal fines
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for mishandling residents’ money or property (F0567)
  • a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $9,438 in federal fines (most recent 2023-12-11)
  • its independent health-inspection rating is low (2/5)
  • its facility-reported quality-measure rating is low (2/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
705 W 16th St · (870) 946-1326 · Call to confirm hours
Pharmacy
Grocery
108 E 2nd St · (870) 946-4591 · Call to confirm hours
Park
Dewitt City Park · Typically dawn to dusk
Place of worship
1801 S Grandview Dr · (870) 946-2580

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 2 of 5
Long-stay residentspeople who live here 2 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 1 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating1★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased9.6%9.5%15.4%better
Long-stay residents who lose too much weight4.2%4.3%5.4%better
Long-stay residents with a catheter left in their bladder1.4%0.6%0.9%worse
Long-stay residents with a urinary tract infection11.8%1.2%2.0%worse
Long-stay residents with depressive symptoms12.7%1.4%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury7.1%3.9%3.3%worse
Long-stay residents whose ability to walk worsened15.8%10.1%16.1%typical
Long-stay residents on antianxiety or hypnotic medication23.5%21.7%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%96.1%95.3%typical
Long-stay residents with pressure ulcers2.4%4.2%4.7%better
Long-stay residents with worsening bladder/bowel control7.1%13.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table31.4%10.9%17.1%worse
Short-stay residents who newly got an antipsychotic medication6.5%1.3%1.4%worse
Long-stay hospitalizations per 1,000 resident days3.032.011.67worse
Long-stay outpatient ER visits per 1,000 resident days3.942.131.80worse

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

10.9%U.S. median 10.7%
Went back to hospital
0.07U.S. median 0.31
Therapy hours / resident / day
0.03hours / resident / day
Physical therapy
0.04hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.07 therapist hours per resident per day in 2026Q1 — more than 3% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 35% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.9%CMS range 6.7–15.810.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.761.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.48
RN hours/ resident / day
0.69
LPN hours/ resident / day
2.73
Aide hours/ resident / day
3.90
Total nurse hours/ resident / day
0.23
RN hoursweekends
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 70 beds and averages 41.1 residents a day — about 59% occupied, or roughly 29 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.90 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.48 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.73 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.54 hrs/resident/day on weekends vs 4.05 on weekdays — 13% thinner on weekends. RN hours go from 0.59 to 0.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

2
deficiencies at the latest standard inspection (2026-03-26)
14
at the previous standard inspection (2024-10-03)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.

  • Potential for harm · Fcited before2026-03-26 · tag F0727 — failed to provide required RN coverage — widespread
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, facility document review, and facility policy review, it was determined that the facility did not have a Registered Nurse (RN) at least eight consecutive hours a day for seven days a week. The findings include: A review of the licensed nurse schedules from 09/29/2025 – 03/23/2026, revealed there was no RN coverage for eight consecutive hours on the following dates: 10/04/2025, 10/05/2025, 10/11/2025, 10/12/2025, 02/28/2026, 03/01/2026, 03/14/2026, and 03/15/2026. During an interview on 03/23/2026 at 5:00 PM, the Administrator verified that there was a total of four days, out of the last four weekends, that there was no RN coverage for eight hours each day. The Administrator indicated that the weekend days with RN coverage were 03/07/2026, 03/08/2026, 03/21/2026, and 03/22/2026. In addition, the Administrator indicated the weekend days without RN coverage were 02/28/2026, 03/01/2026, 03/14/2026, and 03/15/2026. During an interview on 03/25/2026 at 8:15 AM, Licensed Practical Nurse #1 indicated there was a lack of RN coverage that happened every other…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2026-03-26 · tag F0851 — widespread
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on facility document review and interview, it was determined that the facility failed to submit the quarterly Payroll Based Journal (PBJ) information for the period of October 2025 – December 2025, to the Centers for Medicare and Medicaid Services (CMS). Specifically, the quarterly data was not submitted, per the established schedule. The findings include: A review of the facility's most recent PBJ report, dated 03/12/2026, revealed that no monthly staffing data was submitted for the timeframe of October 2025 – December 2025, to the PBJ platform. During an interview on 03/25/2026 at 2:51 PM, the Business Office Manager (BOM) stated she was responsible for submitting the PBJ data into the PBJ platform. The BOM indicated that the PBJ report was a report submitted to CMS that contained data about staffing hours that were audited from payroll records. The BOM indicated that the missing data was an error on her part, because she forgot the submission deadline of 02/15/2026. The BOM stated she had the monthly data completed, but it did not get submitted by the quarterly deadline.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-10-03 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and facility policy review, the facility failed to ensure a staff's hair was contained while preparing and serving food, and staff used proper hand hygiene while preparing and/or serving a meal. The findings include: On 10/02/24 at 9:30 AM, the Surveyor observed the Dietary [NAME] (DC) with gloved hands stop cutting raw meat, without removing the gloves and washing her hands, she grabbed a can of cooking spray and then sprayed the cooking spray on a baking pan. The Dietary [NAME] then returned to cutting raw meat without removing the gloves and washing her hands. On 10/02/24 at 9:40 AM, the Surveyor observed the Dietary Helper's hair out of the bonnet while mixing the ingredients of a pie. On 10/02/24 at 11:30 PM, the Surveyor observed the Dietary Helper's hair out of the bonnet while serving staff. On 10/02/24 at 9:50 AM, during an interview, the Dietary Manger stated the Dietary Helper was given permission to wear a hair bonnet rather than a hair net because she had a lot of hair. On 10/02/24 at 10:12 AM, during an interview, the Dietary [NAME]…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-10-03 · tag F0838 — failed to assess facility resources and resident needs — widespread
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure the facility assessment included pertinent information to assure the necessary care and resources were allocated to meet the needs of the residents in 1 of 1 facility. This deficient practice had the potential to affect all residents of the facility. The total census was 36 residents. The findings are: A review of the Facility Assessment Tool, dated 09/12/2024, did not contain the following required information: a. Name of the governing body representative involved in the completion of the facility assessment. b. Plan to recruit and retain enough medical personnel who are adequately trained and knowledgeable in the care of residents and/or how management expectations of medical personnel. c. The facility's resources which included supplies, equipment, or other services necessary to provide for the needs of residents. d. An evaluation of any contracts, memorandums of understanding including third-party agreements for the provision of goods, services or equipment to the facility during both normal operations and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-10-03 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record review, facility document review, and facility policy review, it was determined the facility failed to maintain Legionella surveillance for 1 of 1 water management plan. Findings include: A review of the facility's water management plan with an Annual Review Date of 09/13/2024, titled Water Management Plan, indicated Legionella was a bacteria common in water systems that causes a severe pneumonia called a serious type of pneumonia called Legionnaires Disease (LD). Legionella surveillance is one component of the facility's water management plan for reduction risk of bacteria in the facility's water system. Legionella grows best in water which is stagnate or does not have enough disinfectant and at temperatures above 59 degrees Fahrenheit or below 131 degrees Fahrenheit. Temperature control measures included hot water shall be stored at above 160 degrees Fahrenheit and progressively flushing the system for a minimum of 5 minutes. A review of a facility Water Management…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-10-03 · tag F0567 — failed to protect residents' money held by the home — pattern
    Honor the resident's right to manage his or her financial affairs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure residents with a trust account had access to their personal funds after business hours and on weekends for 1 (Residents #20) sampled resident. The findings are: On 10/02/24 at 10:30 AM, the Surveyor asked Resident #20 who handled the residents' money. Resident #20 indicated that the facility handles the residents' money. Resident #20 was asked if the resident was able to access funds on the weekend. Resident #20 indicated no; you must get your money from the business office by Friday if you want money for the weekend. On 10/03/24 at 9:55 AM, the Surveyor asked the Business Office Manager (BOM) if the residents have access to their money on weekends. The BOM indicated the residents come to the BOM office by Friday and get a check to get funds, or they will tell a nurse on the weekend and the nurse will call the BOM and she will come up here and get the funds for the resident. The BOM was asked when the last time she had to come up to the facility on the weekend to get funds for a resident. The BOM indicated she could…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-10-03 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure potential hazardous chemicals were secured and stored behind a locked door. The findings are: On 09/30/2024 at 11:26 AM, this surveyor approached the beginning of hall 600. The door to the whirlpool room was observed open. This surveyor entered the whirlpool room and observed a 1-gallon jug of [brand name] surface disinfectant cleaner, 2 spray bottles of [brand name] surface disinfectant cleaner on an over bed table to the right of the whirlpool. There was a 1-gallon jug of tearless shampoo and body wash, 1 blue razor sitting directly on the whirlpool and 2 blue razors inside a purple basket with holes sitting directly on top of the whirlpool. On 09/30/2024 at 11:30 AM, Certified Nursing Assistant (CNA) #1 was observed passing by the whirlpool room on hall 600. She was asked if the door to the whirlpool was supposed to be open. She stated, As far as I know it's supposed to be shut. She stated CNA #4 was responsible for providing whirlpool baths to the residents on this day. On 10/03/2024 at 9:18 AM, CNA #4 was…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-10-03 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure an as needed psychotropic medication, Lorazepam, was not continued past 14 days without a physician's documented rationale and duration for 1 (Resident #30) sampled resident reviewed for as needed (PRN) psychotropic medication. The findings are: Resident #30's Physician's Orders were reviewed and indicated a diagnosis of anxiety. An order dated 02/22/2024 indicated Ativan 1 milligram (mg) per tube every 8 hours as needed for anxiety. An annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 07/02/2024, was reviewed and indicated the resident had a Staff Assessment for Mental Status score of 2, which indicated the resident was moderately cognitively impaired and received an antianxiety medication. A Consultation Report dated 04/01/2024 was reviewed and indicated the resident had a PRN order for an anxiolytic, Ativan, without a stop date. The recommendation indicated if the medication could not be discontinued at the time, the documentation had to include 3 items: 1. an indication for use, 2. the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-10-03 · tag F0759 — failed to keep medication error rate low — pattern
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, record review, and facility policy review, the facility failed to maintain a medication error rate of less than 5% to prevent complications for 2 (Residents #10 and #15) sampled residents observed during medication pass resulting in medication errors. The findings include: 1. A review of the Physician's Orders, revealed Resident #10 had an order for Digoxin 125 microgram (MCG), and to hold the medication if pulse is less than 60 beats per minute (BPM) listen to pulse for one full minute. a. Review of the annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 9/17/2024 revealed on the Brief Interview for Mental Status (BIMS) that Resident #10 scored 11 indicating moderate cognitive impairment and had the diagnoses of heart failure and the presence of a heart assistive device. b. On 10/01/2024 at 04:21 PM, the Surveyor observed Registered Nurse (RN) #2 did not check the heart rate of Resident #10 prior to administering the medication Digoxin 125 MCG to Resident #10. c. On 10/01/2024 at 04:25 PM, during an interview RN #2 stated she…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-10-03 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to consistently implement a system to accurately reconcile and dispose of a controlled liquid narcotic, Lorazepam, 90 days after the bottle was opened, according to the manufacturer's instructions on the bottle for 1 (Resident #5) sampled resident who was reviewed for disposition of Lorazepam. The findings are: On 10/01/2024 at 3:33 PM, this surveyor and Registered Nurse (RN) #2 entered the medication storage room. RN #2 unlocked a small refrigerator, in which the contents were observed, and a box with a bottle of Lorazepam 2 milligrams/milliliters (mg/ml) liquid was inside for Resident #5. The liquid inside the bottle was approximately at the 20 ml black line on the bottle. The manufacturer's guidelines on the bottle indicated to discard the bottle 90 days after being opened. There was no date on the box or bottle. On 10/01/2024 at 4:06 PM, a narcotic log was reviewed and indicated on page 92 that Resident #5 received a 30 ml bottle of Lorazepam liquid from the pharmacy. On 03/03/2024 at 0730 (7:30 AM), 0.25 ml…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
Show the remaining 12 citations
  • Potential for harm · E2024-10-03 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interviews and record review, it was determined that the facility failed to provide a pneumonia vaccine for 2 (Residents #1 and #20) of 5 residents reviewed for immunizations. Findings include: A review of Resident #1's Immunizations on the resident's face sheet in the paper chart did not have information entered that the pneumonia vaccine was received. A review of Resident #20's Immunizations on the resident's face sheet in the paper chart did not have information entered that the pneumonia vaccine was received. On 10/03/2024 at 9:35 AM, the Infection Control Preventionist (IPC) was asked to provide information on the administration of the pneumococcal vaccine to Resident #1 and Resident #20. During an interview on 10/03/2024 at 12:18 PM, the IPC stated Resident #1 and Resident #20 never received the pneumococcal vaccine. The IPC provided both of the resident's shot records.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-03 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews, record review, and facility document review, it was determined the facility failed to coordinate with the state designated office to get a Preadmission Screening and Resident Review (PASARR) evaluation for a resident to ensure the resident received designated services for 1 (Resident #19) of 1 sampled resident. Findings include: A review of the electronic health records indicated the facility admitted Resident #19 on 02/28/2023 with diagnoses that included psychotic disorder with delusions due to known psychotic disorder; bipolar disorder, current episode depressed, mild; anxiety disorder, unspecified. The quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 08/06/2023, revealed Resident #19 had a Brief Interview for Mental Status (BIMS) score of 7 which indicates the resident had sever cognitive impairment, and had diagnoses of anxiety disorder, bipolar disorder, psychotic disorder (other than schizophrenia). A review of Resident #19's Resident Plan of Care, revised 06/26/2024, revealed the resident had the potential regarding Bipolar…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-03 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure nail care was provided to toenails for 1 (Resident #20) sampled resident reviewed for nail care. The findings are: On 09/30/2024 at 12:25 PM, Resident #20 was observed lying in bed awake with feet exposed. The resident's great toenails on both feet were greater than a quarter inch (1/4) in length and thick. Resident #20's Physician's Orders were reviewed and indicated diagnoses of a long-term lung disease that causes difficulty breathing (chronic obstructive pulmonary disease) and lack of coordination. A physician's order dated 12/13/2016 indicated the resident may be seen by a podiatrist as needed. An annual Minimum Data Set with an Assessment Reference Date of 07/09/2024 was reviewed and indicated Resident #20 had a Brief Interview for Mental Status score of 15, which indicated cognitively intact and required partial/moderate assistance with personal hygiene. A Resident Plan of Care, dated as reviewed 07/19/2024, was reviewed and indicated Resident #20 had a self-care deficit in activities of daily…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-03 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure oxygen was administered at the physician's ordered rate for 1 (Resident #20) sampled resident reviewed for oxygen (O2) use and failed to provide a policy and procedure for respiratory care and services according to professional standards of practice. The findings are: Resident #20's Physician's Orders, were reviewed and indicated a diagnosis of a long-term lung disease that causes difficulty breathing (chronic obstructive pulmonary disease). A physician's order dated 09/23/2024 indicated oxygen 2 to 4 (2-4) liters (L) nasal cannula (NC) to keep O2 saturation (sat) above 93 percent (%). An annual Minimum Data Set with an Assessment Reference Date of 07/09/2024 was reviewed and indicated Resident #20 had a Brief Interview for Mental Status score of 15, which indicated cognitively intact, and the resident had shortness of breath/trouble breathing. A Resident Plan of Care, dated as reviewed 07/19/2024, was reviewed and indicated Resident #20 required oxygen by way of a NC at a rate of 2 to 4 liters to keep…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-03 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to accurately account for a controlled liquid narcotic, Lorazepam, after narcotic being administered to 1 (Resident #5) sampled resident who was reviewed for pharmaceutical services. The findings are: On 10/02/2024 at 3:33 PM, this surveyor and Registered Nurse (RN) #2 entered the medication storage rooms. RN #2 unlocked a small refrigerator, in which the contents were observed, and a box that contained a bottle of Lorazepam 2 milligrams/milliliters (mg/ml) liquid was inside. The liquid inside the bottle was approximately at the 20 ml black line on the bottle. The manufacturer's guidelines on the bottle indicated to discard an opened bottle 90 days after being opened. There was no date on the box or bottle. On 10/01/2024 at 4:06 PM, a narcotic log was reviewed and indicated on page 92, a 30 ml bottle of Lorazepam liquid was received from the pharmacy. On 03/18/2024 at 1215 (12:15 PM), a 0.5 (ml) dose of Lorazepam was signed out of the log but was added to the balance, instead of subtracted and the balance…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-03 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, record reviews, and facility policy reviews, the facility failed to ensure the nurse checked the heart rate for 1 (Resident #10) sampled resident prior to the administration of a medication used to treat a heart condition by slowing down the heart rate and making sure the heart beats stronger resulting in a significant medication error. The findings include: A review of the Physician's Orders, revealed Resident #10 had an order for Digoxin 125 microgram (MCG), and to hold the medication if pulse is less than 60 beats per minute (BPM) listen to pulse for one full minute. Review of the annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 9/17/2024 revealed on the Brief Interview for Mental Status (BIMS) that Resident #10 scored 11 indicating moderate cognitive impairment and had the diagnoses of heart failure and the presence of a heart assistive device. On 10/01/2024 at 04:21 PM, the Surveyor observed Registered Nurse (RN) #2 did not check the heart rate of Resident #10 prior to administering the medication Digoxin 125 MCG to…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2023-10-19 · tag F0727 — failed to provide required RN coverage — widespread
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interview and record review, the facility failed to ensure a Registered Nurse (RN), was on duty for 8 consecutive hours a day seven days a week. The findings are: Review of staffing for August, September, and October 2023 for 8 consecutive hour work shifts showed the following: a. On 9/02/23 and 9/03/23, no RN was on duty. b. On 10/14/23, no RN was on duty. c. On 10/15/23, a RN was on duty from 5:59 PM until midnight for a total of 5 hours and 59 minutes. During interview on 10/17/23 at 2:51 PM, the Director of Nurses verified the findings above. .

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2023-10-19 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and policy review, the facility failed to store, prepare, and serve food for residents in a safe and sanitary manner in 1 of 1 kitchen in the facility. The findings are: 1. On 10/17/2023 at 3:05 PM Surveyors observed red and white ice chests were being used to provide ice to residents in their rooms. The chests had a dark yellow stain on the inside where the ice made contact. The scoop used to move ice from the ice chests to drinking vessels for the residents had a dark yellow stain. 2. On 10/18/2023 at 11:04 AM, Surveyors entered the kitchen dry storage area and observed eight 111-ounce (oz) cans of cut squash with dents in the rims of the cans. 3. On 10/18/2023 at 11:05 AM, Surveyors observed four 111- oz cans of pinto beans with dents in the rims of the cans. 4. On 10/18/2023 at 11:07 AM, Surveyors observed four 48 oz cans of ham [NAME] unlabeled and undated. 5. On 10/18/2023 at 11:09 AM, Surveyors observed one 26 oz can of corned beef hash with dents in the rims of the cans.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-10-19 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review the facility failed to change oxygen (O2) tubing and continuous positive airway pressure (CPAP) tubing for 1 (Resident's #27) of 3 (Resident's #4, #5, and #27) residents. The findings are: Review of Resident #27's physician's orders dated 10/1/23-11/15/23 showed change oxygen tubing every week and clean filters on the oxygen concentrators weekly. Review of Resident #27's Treatment Administration Record dated 10/1/23-10/31/23 showed, change oxygen tubing every week and clean filters on the oxygen concentrators weekly with no documentation noted of being performed. On 10/16/23 at 10:38 AM, the Surveyor observed Resident #27's oxygen tubing was undated. The Continuous Positive Airway Pressure [CPAP] tubing was dated 9/24/23. On 10/17/23 at 9:12 AM, the Surveyor observed oxygen tubing undated, and the CPAP tubing was dated 9/24/23. On 10/17/23 at 2:37 PM, the Surveyor observed oxygen tubing undated, and the CPAP tubing was dated 9/24/23. On 10/18/23 at 9:19 AM, the Surveyor asked, can you tell me what the date is on Resident #27's oxygen…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-10-19 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure medications were stored in a secure location under the manufacturer's specified conditions, to ensure accuracy and quality of medication administration and ensure medications were secure for one of one medication rooms. The findings are: 1. On 10/18/23 at 7:49 AM, the Medication Storage Room was checked with Licensed Practical Nurse (LPN) #1. The medication storage room narcotic refrigerator contained narcotics stored in the locked refrigerator but were not in a separately locked permanently affixed box in the refrigerator. 2. On 10/18/2023 at 7:49 AM, LPN #1 was asked, should there be a locked box inside this refrigerator where you store the narcotics? LPN #1 stated, Not that I know of, we have always just stored them in this refrigerator like it is now. 3. On 10/18/2023 at 10:37 AM, the Surveyor asked the Director of Nurses (DON) can you tell me the proper way narcotics are stored in the refrigerator? The DON stated, We place them in a small mini refrigerator that is locked, and we have a thermometer in it to make…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-10-19 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interview and record review the facility failed to keep Resident's rooms free and clean of pest droppings, dead bugs, and cobwebs to maintain a clean and homelike environment. The findings are: On 10/16/23 at 10:33 AM, the Surveyor observed droppings and cobwebs in the corners of the sliding glass door, and dirt behind the bedside table with dead bugs in front of the sliding glass door in room [ROOM NUMBER]. On 10/16/23 at 11:06 AM, the Surveyor observed a dead cricket on the floor by the sliding glass door and cobwebs around door frame with a spider in the closet of room [ROOM NUMBER]. On 10/17/23 at 8:33 AM, the Surveyor observed droppings and small black bugs behind and under the bedside table in room [ROOM NUMBER]. On 10/18/23 at 9:24 AM, the Surveyor accompanied Licensed Practical Nurse (LPN) #2 to room [ROOM NUMBER] and asked, can you describe what is on the floor under the nightstand? LPN #2 replied, That looks like bugs. On 10/18/23 at 09:43 AM, the DON confirmed the cobwebs, dead…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-10-19 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to ensure 1 (Resident #37) of 4 (Resident #3 Resident #8, Resident #13,) sampled residents that were reviewed for unnecessary medication did not receive a PRN (as needed) medication pass 14 days without justification, and an evaluation by the doctor. The findings are: A review of Resident #37's October 2023 physician order showed Ativan every 12 hours as needed for anxiety disorder with an order date of 07/25/2023. A review of Resident #37's October 2023 Medication Administration Record revealed that Resident #37 was being administered Ativan every 12 hours as needed. A review of the medical records, and the monthly pharmacy reviews did not indicate a justification of why Resident #37 should continue to be administered Ativan as needed past 14 days. On 10/19/23 at 10:07 PM, the Surveyor asked the Director of Nurse (DON), if the resident is receiving a PRN (as needed) psychotropic or antipsychotic medication(s), how is this medication monitored and how does the Interdisciplinary Team determine if the PRN medication is…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$9,438 in federal fines across 2 penalties.

  • $6,293 — penalty dated 2023-12-11
  • $3,145 — penalty dated 2023-10-17

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to CRESTPARK — 6 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 2 of 53.2-1.2 vs chain
Health inspection 2 of 53.0-1.0 vs chain
Staffing 3 of 54.0-1.0 vs chain
Quality measures 2 of 53.2-1.2 vs chain
The other 5 homes this chain runs (chain average 3.2★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleSince
BELEW, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 09/01/2009
DILKS, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 09/01/2009
BELEW, BARBARAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 09/01/2009
DILKS, MELISHAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/02/2025

CMS files one row per role, so the 5 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$4.1M
Net patient revenuemost recent cost report
-10.5%
Operating marginrevenue minus expenses
$58K
Related-party expense1% of expenses
Who pays — share of resident-days
Medicaid 67%Medicare 4%Other / private 29%

This home reported $58K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$309per resident / day
operating cost
$9,408per month
≈ monthly operating cost
$280per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in AR

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Arkansas Medicaid page.

Typical monthly cost in Arkansas
$7,452/mo
Nursing home (semi-private)
$8,060/mo
Nursing home (private)
$4,637/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 045177. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-26, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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