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The Blossoms At Eureka Springs Rehab & Nursing Cen

235 Huntsville Road, Eureka Springs, AR 72632 · For profit - Limited Liability company · 100 certified beds · (479) 253-7038 Medicare & Medicaid certified

Call the home — (479) 253-7038 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Aug 2024Resident-funds citation (F0567)
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Aug 2024
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has a citation for mishandling residents’ money or property (F0567)
  • a high number of inspection citations overall (28) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (1/5)
  • its payroll-based staffing rating is low (2/5)
  • nursing-staff turnover (83%) runs well above the national median (45%)

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.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 1 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 4 of 5

Worth a closer look. This home's quality-measure rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
146 Passion Play Rd Ste A · (479) 253-9746 · Call to confirm hours
Pharmacy
137 E Van Buren · (479) 253-9175 · Call to confirm hours
Grocery
131 E Van Buren · (479) 253-9561 · Call to confirm hours
Park
1303 County Road 204 · Typically dawn to dusk
Place of worship

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 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 3 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 improved from 1 to 3 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 rating3★
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 increased4.3%9.5%15.4%better
Long-stay residents who lose too much weight2.7%4.3%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.6%0.9%better
Long-stay residents with a urinary tract infection0.0%1.2%2.0%better
Long-stay residents with depressive symptoms1.5%1.4%6.5%typical for the 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 injury2.8%3.9%3.3%better
Long-stay residents whose ability to walk worsened3.4%10.1%16.1%better
Long-stay residents on antianxiety or hypnotic medication29.0%21.7%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%96.1%95.3%typical
Long-stay residents with pressure ulcers4.9%4.2%4.7%typical
Long-stay residents with worsening bladder/bowel control12.5%13.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table35.3%10.9%17.1%worse
Short-stay residents who newly got an antipsychotic medication2.0%1.3%1.4%worse
Short-stay residents rehospitalized after admission33.0%24.1%22.6%worse
Short-stay residents with an outpatient ER visit23.6%12.5%12.0%worse
Long-stay hospitalizations per 1,000 resident days0.812.011.67better
Long-stay outpatient ER visits per 1,000 resident days1.862.131.80typical

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.

0.05U.S. median 0.31
Therapy hours / resident / day
0.01hours / resident / day
Physical therapy
0.04hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.05 therapist hours per resident per day in 2026Q1 — more than 2% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 11% 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 SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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 identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this 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 stay4.5%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this 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 SNFs0.921.02Oct 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

0.25
RN hours/ resident / day
1.12
LPN hours/ resident / day
2.11
Aide hours/ resident / day
3.48
Total nurse hours/ resident / day
0.17
RN hoursweekends
83.3%
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 100 beds and averages 56.2 residents a day — about 56% occupied, or roughly 44 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 3.483 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.25 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.11 is below 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 3.20 hrs/resident/day on weekends vs 3.60 on weekdays — 11% thinner on weekends. RN hours go from 0.29 to 0.17 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 83% is well above the national median of 45%. 1 administrator has left in the past year.

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 (2025-05-30)
14
at the previous standard inspection (2024-03-01)

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.

28 citations, most serious first. The 10 most serious are shown; the remaining 18 are one tap away and print in full.

  • Potential for harm · E2026-05-22 · tag F0755 — failed to provide safe pharmacy services — pattern
    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, interview, and record review the facility failed to have an accurate system of medication records that enabled periodic, accurate reconciliation and accounting for all controlled medications with prompt identification of loss or potential diversion of controlled substances for three (Resident #1, Resident #2, and Resident #3) of three residents reviewed. The findings include: Resident #1 Review of Resident #1's admission Record revealed the facility admitted the resident with diagnoses which included type 2 diabetes mellitus, anemia, recurrent depressive disorders and schizoaffective disorder, bipolar type. Review of Resident #1's admission Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 03/27/2026, revealed a Brief Interview for Mental Status (BIMS) score of 13, which indicated the resident was cognitively intact. Review of Resident #1's Care Plan Report initiated on 04/09/2026, revealed Resident #1 was at risk for pain related to back pain. Interventions included give medications as ordered and document the effectiveness or ineffectiveness…

    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 before2025-05-30 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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 observation, interviews, and facility policy review, the facility failed to ensure the ice machine was clean and sanitary to avoid contamination of the ice provided to residents in 1 of 1 ice machines. The findings include: During an observation and interview on 05/29/2025 at 9:00 AM, Dietary Manager (DM) #4 was asked to wipe the inside of the ice machine with a white paper towel. A pink and brown discoloration was transferred to the paper towel. DM #4 wiped the bottom of the ice guard, with a different white paper towel, and the surveyor observed pink discoloration transfer to the paper towel. DM #4 wiped the wall on the side above the ice with a new white paper towel. A brown discoloration transferred onto the paper towel. DM #4 was asked to describe the substance and stated it was, dirt. During an interview on 05/29/2024 at 9:05 AM, DM #4 revealed that the ice machine was sanitized monthly, and as needed, by the Maintenance Director. She revealed that the machine was taken apart every three months, ice was dumped and thoroughly cleaned by the Maintenance Director. During…

    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 before2025-05-30 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, and record review, it was determined the facility failed to ensure staff performed hand hygiene while providing incontinent care for 1 (Resident #48) of 1 sampled resident reviewed for incontinent care; failed to properly clean a glucometer after use for 1 (Resident #49) of 1 sampled resident reviewed for glucometer use; and failed to ensure staff implemented infection control practices while performing wound care for 1 (Resident #219) of 1 sampled resident reviewed for wound care. The findings are: 1. A review of Resident #48's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 03/12/2025, indicated the resident was dependent on staff for toileting hygiene. a. A review of Resident #48 ' s Care Plan revealed an intervention, dated 07/31/2024, to provide incontinent care and change Resident #48 ' s brief every two hours and as needed due to incontinence. b. During an observation on 05/28/2025 at 3:50 PM, Certified Nurse Assistant (CNA) #1 and CNA #2 provided incontinent care for Resident #48. During the incontinent care, CNA…

    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 · D2025-01-01 · 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 observation, interview and record review the facility failed to ensure that an insulin pen was primed according to manufacturer recommendations prior to administration for 1 (resident #14) of 1 case mix who had physician's orders for an insulin pen. The findings are: Resident #14 ' s Physician's Orders were reviewed and read in part, resident had a diagnosis of type 2 diabetes mellitus and an order for (Insulin degludec) FlexTouch Subcutaneous Solution Pen injector 100 UNIT/ML [milliliter] Inject 42 unit subcutaneously two times a day for diabetes. ( Insulin degludec is a long-acting type of insulin that works slowly, over about 24 hours.) On 12/31/2024 at 7:22 PM, medication pass was observed with Licensed Practical Nurse (LPN) #1. After attaching the needle cap to the insulin pen, LPN #1 dialed up 2 units to prime the needle and depressed the plunger with the needle pointed downward before administering the 42-unit dose to Resident #14. On 12/31/24 at 7:42 PM, LPN #1 was asked to describe the purpose of priming the needle. LPN #1 stated the pen was primed to remove 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 · Ecited before2024-08-29 · tag F0576 — pattern
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, record review, and facility document review, the facility failed to allow the resident to receive and open their packages for 1 (Resident #12) of 1 resident reviewed for privacy of communication by mail. Findings include: A review of a facility policy titled, Resident Rights, revised on 11/01/2022 and signed by Resident #12 and the facilities representative on 08/24/2023, indicated residents have the right to communicate by mail in privacy. A review of the admission Record indicated the facility admitted Resident #12 with diagnoses that included major depressive disorder with a single episode, post-traumatic stress disorder, anxiety, and bipolar disorder. The quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 06/06/2024, revealed Resident #12 had a Brief Interview for Mental Status (BIMS) score of 14, which indicated the resident was cognitively intact. A review of Resident #12's Care Plan, undated, revealed the resident had behavior problems. Interventions included the facility would open her packages related to history…

    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 · Ecited before2024-08-29 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, record review, facility document review, and facility policy review, the facility failed to maintain limited access to special care residents in 2 of 2 units reviewed for resident comfort and safety. Findings include: A review of a facility policy titled, Resident Rights, revised on 11/01/2022, indicated residents have a right to live in a safe and environment. A review of a facility policy titled, Special Care Unit, revised on 02/15/2022, indicated the facility would maintain a safe environment for residents who were an elopement risk, at risk due to cognitive impairment, and/or occurrences of behavior symptoms. The Interdisciplinary Team (IDT) reviewed appropriate placement for residents quarterly. A review of the document titled, Consent for admission to Special Care Unit, dated 02/2022, indicated the Special Care Unit provides a quieter living environment for those whose physical, mental, and/or psychosocial diagnoses require protection from external stressors to promote enhanced function and improved quality of life by decreasing anxiety 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-08-29 · tag F0600 — failed to protect residents from abuse and neglect — pattern
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    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 identify abuse to ensure a calm, safe and injury free environment for 4 (Resident #6, Resident #7, Resident #8, and R #10) of 4 residents reviewed for abuse. Findings include: A review of a facility policy titled, Policies and Procedures .Abuse, Neglect, and Exploitation, with a reviewed date of 07/2023, indicated, Policy Statement .the resident has the right to be free from .physical .abuse .uses the general term abuse to specify all .Policy Interpretation and Implementation .4. Identify events and occurrences that may constitute .abuse .5. Investigation of all allegations of abuse, neglect, or mistreatment .7. Reporting/Response - assurance that incidents are reported, corrective actions are taken, and preventative measures are put into place .Reporting .1. All personnel must immediately report suspected cases of abuse to the Administrator. In the Administrator's…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-08-29 · tag F0609 — failed to report abuse allegations — pattern
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    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 record review, facility document review and interviews, it was determined the facility failed to report alleged abuse for 4 (Resident #6, #7, #8, and #10) residents of 4 resident reviewed for abuse. Findings include: A review of a facility policy titled, Policies and Procedures, with a subject of Abuse, Neglect, and Exploitation, with a reviewed date of 07/2023, specified Reporting: .All complaints, concerns, or suspicions of abuse should be immediately reported to the Administrator .3. The facility will report all alleged violations involving .abuse to the Office of Long-Term Care .shall be reported immediately, but not later than 2 hours after forming the suspicion .or not later than 24 hours if the events that cause the suspicion do not result in serious bodily injury. A review of the admission Record indicated the facility admitted Resident #6 on 05/26/2024 with diagnoses that included vascular dementia, depression, and anxiety. The quarterly Minimum Data Set [MDS], with an Assessment Reference Date…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-01 · 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 observation, interview, and record review, the facility failed to ensure the residents had access to their personal funds on nights and weekends, and that the long-term care financial team assumed the responsibility of managing the resident personal funds. The findings included: a. On 1/09/2024, a Grievance Form documented [Resident #9], requesting cash funds for shopping but has not received [the resident ' s] SSI (Supplemental Security Income) check for here. It is still being deposited in (Corporate facility) and has not been transferred here yet. b. On 1/10/2024, a Grievance Form documented, [Resident #20], requesting cash funds for an outing on 01/10/24. Unable to provide due to no way to cash trust funds checks. c. On 01/16/24, a Grievance Form documented, [Resident #3], requested cash funds for an outing on 1/15/24. No way to cash trust fund account. d. On 01/21/24, a Grievance Form documented [Resident #27], requested cash for his personal wants on 01/08/24 but due to no SSI checks we had no funds to give him. On 02/26/24, on 11:47 AM, Resident #13 complained that…

    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 · Ecited before2024-03-01 · tag F0576 — pattern
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and policy review, the facility failed to ensure residents received mail on Saturdays. This failed practice had the potential to affect all sampled residents who receive mail. The findings are: 1. On 02/27/24 at 02:41 PM, the Surveyor asked Residents #3, #12, #26, #27 during Resident Council, When do you receive your mail? Resident # 3 stated, We get mail Monday through Friday. There is nobody working on Saturday to deliver it. The Surveyor asked, Do you receive mail on Saturday? Resident #3 stated, No. 1A. On 02/28/24 at 11:00 AM, the Surveyor asked the Activities Director (AD), How is mail delivered? The AD stated, The Business Office Manager (BOM) receives the mail and goes through it first and then it is given to me to pass out to the residents. The Surveyor asked, What days are mail delivered? The AD stated, Monday through Saturday. The Surveyor asked, Who delivers it on Saturday? The AD stated, Either the BOM or the Administrator, they alternate weekends. 1B. On 02/28/24 at 12:44 PM, the Surveyor asked the Administrator, How do residents receive mail on…

    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
Show the remaining 18 citations
  • Potential for harm · Ecited before2024-03-01 · tag F0577 — pattern
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview, the facility failed to ensure that the State Survey Binder was readily available to residents and visitors. This failed practice had the potential to affect all sampled residents who choose to read the State Survey Binder. The findings are: On 02/26/24 at 02:31 PM, the Surveyor did not observe a State Survey Binder readily available to residents and visitors. On 02/26/24 at 02:36 PM, the Surveyor asked the Administrator, Can you show me where the State Survey Binder is located? The Administrator stated, I can't find it. The Administrator confirmed the State Survey Binder was not readily available to residents and visitors. A document provided by the Nurse Consultant on 2/26/24 at 3:12 PM titled, Policies and Procedures: Resident Rights Effective Date: 4/2021 Revised Date: 11/1/22 showed, .federal and state laws guarantee certain basic rights to all residents of this facility . these rights include .the right to .examine survey results .

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-03-01 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY FACILITY Environment 2. On 2/26/2024 at 12:00 PM A brown vinyl loveseat in the main dining room was observed with the vinyl peeling. See photo. 2a. On 2/26/2024 at 12:01 PM The hand rail near the dining room was observed with approximately 1 inch of missing wood. The edges of the missing would are pointed and sharp. 2b. On 2/26/2024 at 12:06 PM A brown vinyl recliner was observed in the dining room with the vinyl peeling and cracking near the headrest. See photo 2c. On 2/2720/24 at 11:40 AM A brown vinyl loveseat in the main dining room was observed with the vinyl peeling. 2d. On 2/07/2024 at 11:40 AM The hand rail near the dining room was observed with approximately 1 inch of missing wood. The edges of the missing would are pointed and sharp. 2e. On 2/27/2024 at 11:40 AM A brown vinyl recliner was observed in the dining room with the vinyl peeling and cracking near the headrest. 2f. On 2/27/2024 at 3:49 PM The Nurse Consultant #1 stated, I called the pest control yesterday, because of this warm weather 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-01 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure that residents received nail care to minimize the spread of infection for 2 (Residents #11 & #22) of 14 sample mix residents who were dependent on assistance with nail care; the facility failed to ensure 1 (Resident #11) of 7 sample mix residents who are dependent on 2-person assistance received a shower; the facility also failed to ensure oral care for a resident dependent on staff for oral care. This failed practice had the potential to affect one resident (resident #8) of 5 sample of mixed residents. The findings are: 1. The Care Plan for Resident (R) #22, dated 01/11/24, listed diagnosis of Dementia, Psychotic Disturbance, Behavioral Disturbance, Mood Disorder, Anxiety and Chronic Obstructive Pulmonary Disease (COPD), and documented that the resident needs assistance of staff for basic needs including: Dressing, toileting, bathing, grooming, locomotion, etc. a. The Minimum Data Set (MDS) with an Assessment Reference Date (ARD)…

    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 · E2024-03-01 · tag F0684 — failed to provide proper treatment and quality of care — pattern
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    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 record review, the facility failed to ensure the resident received person centered care and services as evidenced by failure to ensure residents with skin injuries receiving treatments in 1 of 1 (Resident #13) sampled residents; the facility also failed to ensure a physician's order was followed for 1 (Resident #282) of 3 sample mixed residents who require a physician's order to receive oxygen. The findings are: 1a. The Care Plan for Resident (R) #13, dated 12/14/23, listed diagnoses of Paraplegia, Spinal stenosis, Muscle wasting and atrophy, Post traumatic stress disorder (PTSD), Major depressive disorder, and Pressure ulcers. 1b. The Quarterly Minimum Data Set with an Assessment Reference Date of 12/05/23 documented a BIMS (Brief Interview for Mental Status) of 14 (13 to 15 indicates cognitively intact). 1c. A physician ' s order for R #13 read Cleanse L (left) heel PU (pressure ulcer) with wound cleanser, apply [named a sterile honey and glycerin dressing] to wound bed,…

    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 · E2024-03-01 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Surveyor: [NAME], [NAME] Resident #10 Accidents Based on observations, interview, and record review, the facility failed to ensure the environment was as free of potential accident hazards as possible as evidenced by failure to ensure unlabeled medicine cups containing a white cream like substance was contained and not left out in residents rooms; and failed to ensure razors, perineal/body wash, aftershave, shaving cream, and finger/toenail clippers were contained and not left out in residents rooms, to prevent potential accidents for 2 (Resident #10 and #23) of 2 sampled residents. The findings are: 1. The Quarterly Minimum Data Set (MDS), dated , 11/21/2023, revealed Resident #10 had a Brief Interview for Mental Status (BIMS) score of 10, which indicated the resident had moderate cognitive impairment. The resident was dependent on staff for personal hygiene and showering/bathing. On 2/26/2024 at 11:13 AM, Resident # 10 was lying in bed. A blue disposable razor, a bottle of perineal/body wash, a pair of…

    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 · E2024-03-01 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — pattern
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    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 interview and record review, the facility failed to ensure routine incontinence care was provided for 1 (Resident #2) of 11 sample mix residents dependent on staff for incontinent care. The findings are: A review of an admission Record indicated the facility admitted Resident (R) #2 with Hemiplegia and hemiparesis following cerebral infarction, Contracture of right hand, and Neuromuscular disorder of bladder. The Annual Minimum Data Set (MDS), dated [DATE], revealed R #2 had a Brief Interview for Mental Status (BIMS) score of 15, which indicated the resident was cognitively intact. The resident requires extensive assistance with activities of daily living (ADLs). Review of R #2's Care Plan, updated 07/16/2020, revealed the resident had an ADL self-care performance deficit related to activity intolerance, fatigue, hemiplegia, impaired balance, limited mobility, limited range of motion and stroke. R #2 is dependent on staff for most ADLs. Interventions include extensive assist x1 staff for personal…

    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 · E2024-03-01 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure oxygen tubing and a humidifier bottle was dated for 2 residents (Resident #22 and #282) of 3 (Residents #11, #22, and #282) sampled residents who required oxygen therapy, to minimize infections. 1a. The Care Plan for Resident #22, dated 01/22/24, list diagnosis as Dementia, Psychotic disturbance, Behavioral disturbance, Mood disorder, Anxiety, and Chronic obstructive pulmonary disease (COPD). 1b. The Quarterly Minimum Data Set (MDS), dated [DATE], documented a BIMS (Brief Interview for Mental Status) of 13 (13 to 15 indicates cognitively intact). 1c. A Physicians order, dated 2/14/24, documented Change Bottle every week on Wednesday and as needed, date tubing and bottle every night shift every Wednesday related to COPD. Continuous oxygen 2-4 Liters at via nasal cannula to maintain [oxygen] saturations above 90%. 1d. On 2/26/24 at 11:23 AM, Resident #22 was receiving oxygen via nasal cannula. There was no evidence that the tubing or…

    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 · E2024-03-01 · tag F0727 — failed to provide required RN coverage — pattern
    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 provide Registered Nurse (RN) coverage for 8 consecutive hours, 7 days a week. This failure had the possibility to affect all 29 residents according to the Midnight Census dated 2/26/24. The findings are: On 03/01/24 at 10:21 AM, the Surveyor reviewed staffing logs for nurse staffing dated 2/15/24, 2/16/24, 2/17/24, 2/18/24, 2/24/24 that showed the facility did not have 8 hours of RN coverage. Time sheets dated: 1. 2/15/24: No RN coverage. 2. 2/16/24: No RN coverage. 3. 2/17/24: RN Coverage 6:00 PM to 12:00 AM. 4. 2/18/24: RN Coverage 12:01 AM to 6:05 AM. 5. 2/24/24: RN Coverage 5:54 PM to 12:00 AM. On 03/01/24 at 10:26 AM, the Surveyor asked the Nurse Consultant (NC) #1, Was there 8 hours RN coverage documented for these 5 days? NC #1 confirmed there was no RN coverage.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-01 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, and policy review, the facility failed to ensure that the medication cart had locked storage drawers, and that undated and discontinued medications were not stored in the facility medication room. The findings are: 1. On 2/26/24 at 12:30 PM, Licensed Practical Nurse (LPN) #1 was administering medications in the dining room with a lockable medication storage cart. The LPN was observed taking medications out of the cart and walking to residents delivering individual medications. While administering medications to residents the cart was left unlocked and unattended. On 2/26/24 at 12:35 PM, LPN #1 was asked, Why should you lock up the medication cart between giving medications to the residents? LPN #1 stated, Should lock cart so resident cannot open up the cart and take out medication, for safety reasons. 2. On 02/29/24 at 9:41 AM, an opened vial used for residential skin test to help diagnose tuberculosis (TB) infections was not dated in the refrigerator. The Director of Nursing…

    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 before2024-03-01 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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 observation, interview, and record review, the facility failed to ensure foods stored in the freezer, refrigerator, and dry storage area were covered, sealed, and dated to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen, and to ensure expired food items were promptly removed/ discarded on or before the expiration or use by dates. This failed practice has the potential to affect twenty-eight (28) residents. 1. The findings on 2/26/2024 at 11:10 AM in the walk-in refrigerator: a. Plastic jug of Worcestershire labeled 9-8 with Best by of 5/12/2023. b. A half full eight-pound plastic jug of maraschino cherries labeled 6/16/2023. No Best by or Use by located. c. A plastic jug of sweet pickle relish labeled 11/27/2023. No Best by or Use by located. d. A plastic jug of yellow mustard labeled 04/10/2023 with Best by 3/15/2023. No Use by located. e. An opened plastic jug of red western French dressing labeled 6-12 with Best by 4/5/2023. No Use by located. f. An unopened plastic jug of red western French dressing labeled 6-12 with…

    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 before2024-03-01 · tag F0880 — failed to prevent and control infections — pattern
    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 FACILITY Infection Control 2. On 2/26/2024 at 11:15 AM Laundry Aid #1 was observed pushing a metal buggy with folded blankets on 200 Hall. The laundry buggy was not covered. Laundry Aid #1 removed a blanket from the buggy and held it against her scrub top and entered room [ROOM NUMBER] and placed the blanket in the room. Laundry Aid #1 exited room [ROOM NUMBER] and removed a blanket from the uncovered laundry cart and holding the blanket up against her scrub top, entered room [ROOM NUMBER] and placed the blanket in residents room. 2A. On 2/26/2024 at 11:19 AM Laundry Aid #1 was asked is the laundry supposed to be covered when delivering it. Laundry Aid #1 stated, I do not know. Laundry Aid #1 was asked, how do you keep the clean laundry from being contaminated when delivering it? Laundry Aid #1 stated, supposed to keep it away from the body. 2B. On 2/27/2024 at 4:35 PM The Maintenance Supervisor/Housekeeping Supervisor (HK) was asked how are clean linens distributed to residents rooms protected from cross…

    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 · E2024-03-01 · tag F0925 — failed to control pests — pattern
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    What the surveyor found here — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure it was free of flying pests. This failed practice has the potential to affect 29 residents. 1. On 2/26/24 at 12:00 PM, three flying pests landed on four chocolate chip cookies that were being placed in a plastic bag. b. On 2/27/24 at 10:57 AM, Resident #8 was resting in bed with two flying pests crawling on face and resident unable to swat pests away (Resident #8 had a diagnosis of Quadriplegia, unspecified). c. On 2/28/24 at 09:56 AM, Resident #8 was lying in bed with four flying pests landing on the resident's face and crawling over their lip and eyes. Reviewed Service Inspection Reports dated 2/24/24, 12/19/23, 8/23, and 7/24/23 which showed service description of monthly pest. Reviewed Pest Control Service Agreement dated 6/20/23 with [NAME] Services.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-01 · tag F0550 — failed to protect resident dignity and rights — pattern
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    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 residents were provided privacy during bathing to promote resident rights and dignity for Resident #13. a. The Care Plan , dated 12/14/23, list diagnosis as Paraplegia, Spinal stenosis, Muscle wasting and atrophy, Post traumatic stress disorder (PTSD), Major depressive disorder, and Pressure ulcers. b. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date of 12/05/23 listed a Brief Interview for Mental Status (BIMS) of 14 (13 to 15 indicates cognitively intact). c. On 02/27/24 at 02:32 PM, Resident #13 was observed leaving the whirlpool room in a wheelchair with a white sheet placed on the front of the resident with the left side of their body exposed during the transfer to their room, traveling from one hall to another hall. d. On 02/27/24 at 2:40 PM, Certified Nursing Aide (CNA) #2 was asked How do you ensure the residents are provided with privacy and dignity after leaving the whirlpool room while being transported to the residents room? CNA #2 responded, Need to make sure that 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2022-11-30 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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 observation, interview, and record review, the facility failed to ensure foods stored in the kitchen freezer, refrigerators, and dry storage area were labeled and dated when received and/or opened to prevent potential food borne illness for 17 residents who received meals from 1 of 1 kitchen, as documented by a NPO (No food by mouth) list provided by the Administrator on 11/30/22. The findings are: 1. On 11/28/22 at 09:03 AM, during the initial tour of the kitchen with the Dietary Manager (DM) the following were on the shelves in the Dry Storage Room: a. A Ziploc bag with 10 bread rolls dated 11/22 did not state whether this was a received date or an opened date. b. A Ziploc bag with 2 croissants dated 11/24 with no designation of a received date or an opened date. c. The Surveyor asked the DM, How staff and surveyors would know what the date represented? The DM stated, We all know if the Ziploc has one date, then it was the date it was made. d. A plastic bin contained a bag of flour with the top cut off, there was no date on the bag of flour. The DM stated the sticker on…

    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 · E2022-11-30 · tag F0887 — pattern
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    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 COVID-19 vaccination consents and/or declinations were documented accurately in the immunization records and/or medical records for eligible residents for 3 (Resident #3, R #4, and R #16) of 5 (Resident R #3, R #4, R #8, R #13, and R #16) sample selected residents. This failed practice had the potential to affect the 22 residents admitted since the facility's last survey, per the admission list provided by the Administrator on 11/30/22. The findings are: 1. The Administrator provided a list of resident COVID-19 Vaccinations. 2. On 11/29/22 at 09:36 AM, the Medical Records for five residents showed the following: a. R #3 had diagnoses of Spastic Quadriplegic Cerebral Palsy and Dementia. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 8/18/22 showed R #3 scored a 1 (0-7 Severe Cognitive Impairment). R #3's Immunization record documented a COVID-19 Vaccination on 1/7/21 and 2/4/21 and a refusal of the COVID-19 Booster. There was no declination or consent in the electronic records. b. R…

    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 · D2022-11-30 · 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 interview and record review, facility failed to ensure the Preadmission Screening and Resident Review (PASRR) evaluation process was completed in accordance with the State PASRR process for 1 (Resident #7) of 4 (R #2, R #4, R #5 and R #7) sample selected residents who had a diagnosis of a Serious Mental Disorder, per the Mental Health Issues list provided by the Director of Nursing (DON)/Consultant on 11/30/22, to ensure the resident received appropriate care and services. The findings are: 1. Resident #7 had diagnoses of Schizoaffective Disorder and Bipolar Disorder. The Quarterly Minimum Data Set (MDS) with Assessment Reference Date (ARD) of 8/18/22 showed Resident #7 scored an 8 (8-12 Moderate Cognitive Impairment). a. On 11/28/22 at 11:00 AM, during review of Electronic Records, the State Designated Professional Associates letter dated 4/5/22 documented, .You MUST contact State Designated Professional Associates with the client's admission Date in order to receive your client's completed PASRR packet . b. On 11/28/22 at 02:30 PM, the Surveyor requested R #7's completed…

    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
  • No harm found · Ccited before2022-11-30 · tag F0577 — widespread
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    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 residents, resident representatives/family, and visitors had the right to examine the results of the most recent survey of the facility conducted by Federal or State Surveyors and any Plan of Correction in effect with respect to the facility. The failed practice had the potential to affect all 18 residents who resided in the facility per the Resident Matrix provided by the Director of Nursing/Consultant on 11/28/22. The findings are: a. On 11/28/22 at 12:32 PM, during a telephone interview with R #19's daughter/Power of Attorney (POA), The POA stated she, Had no idea if it was a good facility or not. They did not go over with me their policies or tell me any of their staffing issues when R #19 went there. The Surveyor asked, If the POA observed the State survey results in the lobby or Entrance Area? The POA stated, No, I did not see that or know of that being there. b. On 11/29/22 at 09:59 AM, during a tour with the Administrator of the front lobby, the bird cage area, and the entrance hallway there…

    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
  • No harm found · B2022-11-30 · tag F0641 — pattern
    Ensure each resident receives an accurate assessment.
    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 ensure the Minimum Data Set (MDS) assessment was accurate and complete to facilitate the ability to plan and provide necessary care and services for 1 (Resident #13) of 17 (Residents #2, #3, #4, #5, #6, #7, #8, #9, #11, #13, #14, #15, #16, #17, #19, #21, #172) sample case mix residents selected for MDS accuracy review. The findings are: 1.Resident #13 had diagnosis of Hemiplegia and Hemiparesis following Cerebral Infarction Affecting Right Dominant Side. The Quarterly MDS with an Assessment Reference Date (ARD) of 09/01/22 documented the resident scored 14 (13-15 indicates cognitively intact) on a Brief Interview for Mental Status (BIMS); and received an anticoagulant 7 of the 7-day lookback period. a. The Physician's Orders dated 5/17/2022 documented, .Clopidogrel Bisulfate Tablet 75 MG [milligrams] Give 1 tablet by mouth one time a day for blood clot prevention related to HEMIPLEGIA AND HEMIPARESIS FOLLOWING CEREBRAL INFARCTION AFFECTING RIGHT DOMINANT SIDE . Discontinued 10/17/2022 . b. The Care Plan with…

    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

“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

No federal fines in the current CMS record.

Part of a chain

This home belongs to THE BLOSSOMS REHAB & NURSING CENTER — 23 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 1 of 52.6-1.6 vs chain
Health inspection 1 of 52.7-1.7 vs chain
Staffing 2 of 52.3-0.3 vs chain
Quality measures 4 of 53.0+1.0 vs chain
The other 22 homes this chain runs (chain average 2.6★, per CMS)
1 of 5The Blossoms At Conway Rehab & Nursing CenterConway, AR 1 of 5The Blossoms At Fort Smith Rehab & Nursing CenterFort Smith, AR 1 of 5The Blossoms At Midtown Rehab & Nursing CenterLittle Rock, AR 1 of 5The Blossoms At Van Buren Rehab And Nursing CenterVan Buren, AR 1 of 5The Blossoms at Berryville Rehab & Nursing CenterBerryville, AR 1 of 5The Blossoms at Cumberland Rehab & Nursing CenterLittle Rock, AR 1 of 5The Blossoms at Woodland Hills Rehab & Nursing CenLittle Rock, AR 2 of 5The Blossoms At Oakdale Rehab & Nursing CenterJudsonia, AR 2 of 5The Blossoms At West Dixon Rehab & Nursing CenterLittle Rock, AR 2 of 5The Blossoms At White River Rehab & Nursing CenterNewport, AR 2 of 5The Blossoms at Newport Rehab & Nursing CenterNewport, AR 2 of 5The Blossoms at White Hall Rehab & Nursing CenterWhite Hall, AR 3 of 5The Blossoms At North Little Rock Rehab & NursingNorth Little Rock, AR 3 of 5The Blossoms At Star City Rehab & Nursing CenterStar City, AR 3 of 5The Blossoms at Nashville Rehab and Nursing CenterNashville, AR 3 of 5The Blossoms at the Village Rehab & Nursing CenterHot Springs, AR 4 of 5The Blossoms At Mountain View Rehab & Nursing CenMountain View, AR 5 of 5The Blossoms At Hot Springs Rehab And Nursing CentHot Springs, AR 5 of 5The Blossoms At Prescott Rehab & Nursing CenterPrescott, AR 5 of 5The Blossoms At Rogers Rehab & Nursing CenterRogers, AR 5 of 5The Blossoms At Stamps Rehab & Nursing CenterStamps, AR 5 of 5The Blossoms at Dierks Rehab and Nursing CenterDierks, AR

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 / managerTypeRoleShareSince
DIAMOND OPCO HOLDING LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 04/01/2023
AKS AR OPCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 04/01/2023
MH AR OPCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 04/01/2023
HERZKA, MATISYOHUIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 04/01/2023
SCHREIBER, ABRAHAMIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 04/01/2023
MANCELL, SANDRAIndividualW-2 MANAGING EMPLOYEEsince 04/01/2023
TAYLOR, RICHARDIndividualCORPORATE DIRECTORsince 04/01/2023
SCHEINBAUM, SHLOMOIndividualCORPORATE OFFICERsince 04/01/2023

3 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.

$3.6M
Net patient revenuemost recent cost report
-10.2%
Operating marginrevenue minus expenses
$182K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 68%Medicare 5%Other / private 26%

This home reported $182K 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 2024. 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

$337per resident / day
operating cost
$10,256per month
≈ monthly operating cost
$306per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2024). 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 045242. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-05-30, 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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