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Crestpark Forrest City, LLC

500 Kittle Rd, Forrest City, AR 72335 · For profit - Limited Liability company · 100 certified beds · (870) 633-4260 Medicare & Medicaid certified

Call the home — (870) 633-4260 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0602) — cited Dec 2025
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
  • a high payroll-based staffing rating (4/5)
  • 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 (F0602), cited Dec 2025
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • 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
  • its payroll-based staffing score sits well above its independent inspection score
  • its independent health-inspection 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) 4 of 5
Quality measuresSelf-reported by the facility 3 of 5

Worth a closer look. This home's staffing rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — 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
1111 N Washington St. · (870) 594-8012 · Call to confirm hours
Pharmacy
313 Arkansas St · (870) 633-7474 · Call to confirm hours
Grocery
2300 N Washington St · (207) 874-7483 · Call to confirm hours
Park
1000 Spring St · Typically dawn to dusk
Place of worship
1453 Lindauer Rd · (870) 633-7653

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 3 of 5
Long-stay residentspeople who live here 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 held steady at 2 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 rating2★
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 increased10.3%9.5%15.4%better
Long-stay residents who lose too much weight3.7%4.3%5.4%better
Long-stay residents with a catheter left in their bladder1.6%0.6%0.9%worse
Long-stay residents with a urinary tract infection2.0%1.2%2.0%typical
Long-stay residents with depressive symptoms0.0%1.4%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.6%0.1%0.1%worse
Long-stay residents with falls causing major injury4.5%3.9%3.3%worse
Long-stay residents whose ability to walk worsened12.2%10.1%16.1%better
Long-stay residents on antianxiety or hypnotic medication19.6%21.7%18.9%typical
Long-stay residents given the seasonal flu vaccine97.9%96.1%95.3%typical
Long-stay residents with pressure ulcers0.9%4.2%4.7%better
Long-stay residents with worsening bladder/bowel control3.8%13.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table17.1%10.9%17.1%typical
Long-stay hospitalizations per 1,000 resident days3.542.011.67worse
Long-stay outpatient ER visits per 1,000 resident days7.652.131.80worse

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

§ 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.

0.08U.S. median 0.31
Therapy hours / resident / day
0.04hours / resident / day
Physical therapy
0.04hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.08 therapist hours per resident per day in 2026Q1 — more than 4% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 86% of this home’s weekday level — it runs therapy at close to weekday levels right through the weekend. 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 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 SNFs0.561.02Oct 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

0.37
RN hours/ resident / day
0.65
LPN hours/ resident / day
3.00
Aide hours/ resident / day
4.03
Total nurse hours/ resident / day
0.29
RN hoursweekends
41.5%
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 100 beds and averages 40.4 residents a day — about 40% occupied, or roughly 60 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 4.03 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.37 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.00 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 3.35 hrs/resident/day on weekends vs 4.30 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 0.41 to 0.29 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 42% is about the same as 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

4
deficiencies at the latest standard inspection (2025-12-23)
7
at the previous standard inspection (2024-08-08)

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 · Dcited before2026-06-24 · tag F0609 — failed to report abuse allegations — isolated
    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

    Based on observations, interviews, record review and facility policy review, it was determined that the facility failed to report suspicion of sexual abuse within the two-hour allotted time frame per Center for Medicare and Medicaid Services (CMS) guidelines, for one (Resident #2) of one resident reviewed for allegations of sexual abuse discovered on 04/27/2026 at 10:15 AM and was reported on 04/28/2026 at 11:45 AM. The findings include: A review of an admission Record revealed that the facility admitted Resident #2 on 04/10/2025 with diagnoses that included muscle weakness, obesity, altered mental status, dementia, and hearing impairment. A review of a re-entry Minimum Data Set (MDS), with an Assessment Reference Date of 04/16/2026, revealed Resident #2 had a Brief Interview for Mental Status score of 3 which indicated the resident had severe cognitive impairment. The MDS revealed Resident #2 was dependent on staff for toileting, showering, and upper and lower body dressing. Resident #2 required supervision touch assistance with rolling from left to right. Other mobility skills…

    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 · Ecited before2025-12-23 · 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

    Based on record review, interview and facility policy review, it was determined the facility failed to report alleged violations involving abuse and misappropriation to the proper state agency within the allotted time frame for three (Resident #18, Resident #39, and Resident #43) of three residents reviewed. The findings include: Resident #18 Review of Resident #18's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 09/15/2025, revealed Resident #18 had a Brief Interview for Mental Status (BIMS) score of 15, which indicated the resident was cognitively intact. The MDS also indicated no pain medication was received scheduled or as needed . No pain medications were listed on the MDS. Review of Resident #18's admission Record revealed the facility admitted the resident with diagnoses which included contracture of right knee, chondromalacia patellae (degeneration of the cartilage under the knee cap causing knee pain), and intentional self-harm by firearm discharge. Review of Page 73 of the Narcotic Book on 12/19/2025 at 12:40 PM, revealed on dates 09/29/2025,…

    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 · D2025-12-23 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, interviews and facility policy review, the facility failed to ensure immediate protective measures were implemented and maintained until a thorough investigation was initiated. The facility also failed to immediately report to the Office of Long-Term Care (OLTC) to enable the state agency to provide the necessary oversight of the facility's efforts to investigate and protect residents from potential harm for one (Resident #43) of one resident reviewed. The findings include: Review of an admission Record, indicated the facility admitted Resident #43 with diagnoses that included type II diabetes, peripheral vascular disease (narrowing or blocked blood vessels), absence of right and left legs above the knee, osteomyelitis (inflammation of bone or bone marrow) and sepsis (the body's negative response to infection.) Review of an admission MDS with an ARD of 08/27/2025, revealed Resident #43 had a BIMS Score of 15, which indicated the resident was cognitively intact. The MDS also revealed the resident required partial to moderate assistance with toilet transfer 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-23 · tag F0726 — failed to have competent, trained nursing staff — isolated
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    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 and interviews it was determined that the facility failed to ensure the Five Rights of Medication was performed by nursing staff before giving a resident's family/representative the incorrect medications upon discharge from the facility and failed to ensure the discharge instructions were confirmed with resident's family/representative upon discharge effecting two (Resident #42 and Resident #12 ) of two residents reviewed. The findings include: A review of Facility Reported Incident indicated on 05/01/2025 at 2:45 PM, it was discovered that Resident #12's medication that included medicine for hypertension, congestive heart failure, Dementia, high cholesterol and atrial fibrillation (rapid, irregular heartbeat) was given to a family/representative of Resident #42 upon Resident #42's discharge on [DATE]. The facility reported/submitted to the state Office of Long-Term Care (OLTC) on 05/06/2025 at 6:42 PM. The incident report indicated Resident #42's family/representative contacted 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.

    Nursing and Physician Services Deficiencies · Past Non-Compliance
  • Potential for harm · Fcited before2024-08-08 · 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 observation, interview, record review, and facility policy review, the facility failed to ensure 2 of 2 ice machines in the facility, one in the kitchen and one on the 400 Hall were maintained in clean and sanitary condition to prevent food and beverage contamination; dairy products stored in the refrigerator were sealed to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; expired dairy products and food items were promptly removed/discarded on or before the expiration or use by date to prevent the growth of bacteria; dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen; kitchen ceiling tiles were cleaned to provide a sanitary environment for food preparation. The failed practices had the potential to affect 46 residents who received meals from the kitchen (total census: 48), as documented on a list provided by Dietary Manager #11 on 08/06/2024. The findings are: 1. On 08/05/2024 at 9:46 AM, the ice machine…

    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 · E2024-08-08 · 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 — the official record, unedited, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure refrigerated narcotics were stored in a permanently affixed storage box to prevent misappropriation of resident medications. The findings are: On 8/07/2024 at 9:30 AM, during an observation of the medication storage area, the surveyor observed the red controlled medication lockbox was not secured inside the refrigerator. The box contained controlled medication. On 8/07/2024 at 9:45 AM, during an interview with Licensed Practical Nurse (LPN) #13, when asked why it is important to secure the box inside the refrigerator, LPN #13 admitted it would be very easy to conceal the medication box due to the size and remove it from the facility. Reviewed the facility's undated policy (received on 8/07/2024 at 10:39 AM from the Administrator) titled, Controlled Medication (Schedule II, III, IV, &V) Receiving, Recording, Storage, Accountability, and Disposition Of stated under the section labeled Storage, that narcotics will be kept in a locked container affixed inside a locked cabinet, inside the medication room.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-08-08 · tag F0803 — failed to meet residents' dietary needs — pattern
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    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 meals were prepared and served according to the planned written menu to meet the nutritional needs of the residents for 1 of 1 meal observed. This failed practice had the potential to 3 affect residents who received regular diets from 1 of 1 kitchen according to a list provided by Dietary Manager #11 on 08/06/24 at 9:33 AM. The findings are: 1. On 08/05/24, the noon meal menu documented the residents who received regular diets were to receive 4 ounces of fried chicken. 2. On 08/05/24 at 12:16 PM, during the noon meal service Dietary [NAME] (DC) #1 served 2 fried chicken legs to 6 residents and 2 chicken wings to 5 residents. 3. On 08/05/24 at 12:36 PM, the surveyor asked Dietary Aide (DA) #4 to weigh the same amount of chicken legs served to the 6 residents for lunch, and the same amount of chicken wings served to the 5 residents for lunch. She did and the 2 legs weighed 2.5 ounces and the 2 wings weighed 1.2 ounces, instead of 4 ounces of fried chicken as per the menu. DA #4 stated, We should have…

    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 before2024-08-08 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    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 meals were served in a method that maintained the appearance of hot products and at temperatures that were acceptable to the residents to improve palatability and encourage good nutritional intake during 1 of 1 meal observed. This failed practice had the potential to affect 24 residents who received their meal trays in the dining room, 12 residents who received their meal trays in their rooms on the 100 Hall and 200 Halls, and 8 residents who received their meal trays in their room on the 700 Hall, as documented on a list provided by Dietary Manager #11 on 08/05/24 at 9:33 AM. The findings are: 1. On 08/05/24 at 11:34 AM, Resident #23 stated the food is cold by the time it gets to us. 2. On 08/05/24 at 12:30 PM, an unheated food cart that contained 17 lunch trays was delivered to the dining room by Dietary Aide (DA) #3. At 1:08 PM, immediately after the last residents received their trays in their rooms in the dining, the temperatures of food items on a test tray were checked and read by DA #4 with 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-08-08 · tag F0805 — failed to prepare food in a form residents can eat — pattern
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and facility policy review, the facility failed to ensure pureed food items were blended to a smooth, lump free consistency to minimize the risk of choking or other complications for those residents who required pureed diets for 2 of 2 meals observed. The failed practice had the potential to affect 2 residents who received pureed diets. The findings are. 1. On 08/05/24 at 10:30 AM, a bowl that contained pureed strawberry cake was observed on the counter. Dietary [NAME] (DC) #1 stated, That is pureed strawberry cake, she covered the bowl with a lid and placed it in refrigerator to be served to the residents who required pureed food items. The consistency was runny, lumpy, and not smooth. There were pieces of strawberries in the mixture. 2. On 08/05/24 at 11:37 AM, Dietary Aide (DA) #3, used a 4 ounce spoon to place 2 servings of English peas into a bowl with its juice from a pan on the steam table. 3. On 08/05/24 at 11:38 AM, DA #3 poured 2 servings of English peas into a blender and pureed. At 11:40 AM, DA #3 poured the pureed English peas into a…

    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 · Dcited before2024-08-08 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    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 observations, interviews, and review of the facility's policies and state requirements, the facility failed to ensure a safe and secure environment as evidenced by not adhering to the facility's policies and procedures after an accident/fall for 2 (Resident #48 and Resident #251) of 2 residents reviewed for a fall with serious injury. The findings are: On 08/06/2024 at 8:35 AM, observed Resident #48 during medication administration. Noticed extensive bruising to the resident's face. When asked what happened, Resident #48 stated, I rolled out of bed, and fell on the floor. I'm always doing that. When asked if she hurt herself, the resident stated, My left hip hurts. I'm afraid to get up and walk. On 08/06/2024 at 8:45 AM, during an interview Licensed Practical Nurse (LPN) #12 stated she received report this morning and was told Resident #48 fell out of bed, but no injuries were noted. LPN #12 stated [LPN #14] notified the family but did not notify hospice or the provider to determine need to have resident evaluated. Nurse initiated neuro checks but did not advise on coming…

    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
Show the remaining 12 citations
  • Potential for harm · D2024-08-08 · tag F0880 — failed to prevent and control infections — isolated
    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, record review, and interview, the facility failed to follow enhanced barrier precautions when flushing a feeding tube for 1 (Resident #3) of 1 sampled resident reviewed feeding tube care and on enhanced barrier precautions (EBP). The findings are: A review of Resident #3's Face Sheet revealed diagnoses to include Parkinson's, depression, and PEG (percutaneous endoscopic gastrostomy) tube management. Review of the quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/27/2024 suggested a Brief Interview for Mental Status (BIMs) a score of 6 (0-7 indicates severe cognitive impairment). Section K0520B3 indicated Resident 3 had a feeding tube. a. During an interview with the Director of Nursing (DON) on 08/06/24 at 2:59 PM, the DON confirmed the facility does not have Enhanced Barrier Precaution (EBP) signage, but they place a small bedside dresser outside the room with personal protective equipment (PPE). The DON stated all staff know that a small dresser outside the room is a sign of EBP. It was confirmed Resident #3 was on EBP due to a…

    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 · E2024-06-12 · tag F0657 — failed to keep the care plan current — pattern
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews, record review, facility document review, it was determined the facility failed to ensure the care plan was revised to accurately indicate wandering behaviors with interventions to prevent the potential for elopement for 2 (Resident #1 and Resident #3) of 3 residents reviewed for wandering behaviors. Findings include: On 06/12/2024 at 9:19 AM, the Administrator stated the facility did not have a policy for care plans. A review of the Face Sheet indicated the facility admitted Resident #1 with diagnoses that included unspecified dementia, unspecified fall, and pneumonia. The 5-day Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 01/07/2024 revealed Resident #1 had a Brief Interview for Mental Status (BIMS) score of 12 which indicated the resident had moderate cognitive impairment. Section E regarding wandering and frequency of wandering indicated Resident #1 had wandering behavior of this type occurring 1 to 3 days. A review of the Initial Elopement and Wandering Risk Assessment for Resident #1 dated 01/03/2024 documented, Resident is at risk for…

    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 · Dcited before2024-06-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    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 observations, interviews, record review, facility document review, and facility policy review, it was determined the facility failed to provide adequate supervision to prevent a resident with moderate cognitive impairment and exit seeking behaviors from exiting the facility unsupervised for 1 (Resident #1) of 3 residents reviewed for elopement. Findings include: A review of the facility's undated policy titled, Wandering Resident Policy indicated, In an effort to prevent resident from wandering away from the facility, [Facility name] has door alarm systems on all appropriate doors. This system is to help alert any unauthorized exits of residents who may try to wander outside the facility unsupervised .staff will monitor all residents and those who have been identified as wanderer's on an ongoing basis to ensure all resident safety and privacy. A review of the Face Sheet indicated the facility admitted Resident #1 with diagnoses that included unspecified dementia, unspecified fall, pneumonia, and chronic prostatitis. The 5-day Minimum Data Set (MDS) with an Assessment…

    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 · E2023-10-23 · 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

    Based on record review, observation and interview the facility failed to ensure incontinent care was provided in a timely manner for 1(Resident #1) of 3 (Resident #1, #2 and #3) sampled residents who depended on staff for incontinent care. The findings are: A Care Plan with a problem date of 08/14/23 noted Resident #1 was to be provided prompt care as needed for incontinent episodes. A Physicians Order dated 10/17/23 noted Resident #1 was on Contact isolation for 10 days. On 10/23/23 at 11:34 AM, Resident #1 was on Droplet Precautions. The Surveyor asked Resident #1 how often staff checked on her. She stated, They brought me breakfast this morning and they didn't say a word to me. I haven't been changed this shift. I think I'm wet now. Resident #1 pulled her blanket back. Her brief and sheet were soaked with urine. She stated, I can't get out of bed or nothing. Sometimes I have to lay here in poop and pee all day. I figure they are busy, so I don't complain. On 10/23/23 at 11:51 AM, the Surveyor asked Certified Nursing Assistant (CNA) #1 why Resident #1 was not checked on all day.…

    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 · E2023-08-18 · 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 Based on observation and interview, the facility failed to ensure resident rooms were maintained in good repair, clean, and free of odors in 5 (Resident Rooms 113, 119, 120, 121 and 209) of 5 rooms on the 100 and 200 Halls. The findings are: 1. On 08/14/23 at 8:39 PM, the Surveyor entered Resident room [ROOM NUMBER] and observed a black substance on the vents of the air conditioning unit. Food debris was on the couch, the floor and in the air conditioning unit. A fall mat was lying under the bed smelled strongly of urine and was wet. a. On 08/17/23 at 9:17 AM, the Surveyor entered Resident room [ROOM NUMBER] and observed food debris on the floor, in the air conditioner unit, and on the couch cushions. The air conditioner had a black substance on the vents. A fall mat under the bed was adhered to floor and smelled strongly of urine. 2. On 08/15/23 at 8:01 AM, the Surveyor entered Resident room [ROOM NUMBER] and observed the air conditioner to have a black substance on the vents. The air conditioner filter 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-08-18 · tag F0803 — failed to meet residents' dietary needs — pattern
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    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, record review, and interview, the facility failed to ensure meals were prepared and served according to the planned written menu to meet the nutritional needs of the residents for 2 of 2 meals observed; Physician Orders for a pimento cheese sandwich was provided on a supper tray for 1 (Resident #20) of 1 sampled resident. The failed practices had the potential to affect 2 residents who received pureed diets, 2 residents who received pureed meat only and 9 residents who received mechanical soft diets from 1 of 1 kitchen according to a list provided by the Dietary Supervisor on 08/15/23 at 2:37 PM and 3 residents who had Physician Orders for sandwiches at supper according to a list provided by the Director of Nursing (DON) on 08/18/23 at 9:35 AM. The findings are: 1. The 08/14/23 lunch menu documented the residents who received pureed diets were to receive a #8 scoop of crunchy ranch chicken, a #8 scoop of pureed squash, a #8 scoop of pureed peas and a #8 scoop of pureed hummingbird cake. 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-08-18 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure hot foods were served hot and cold foods were served cold to maintain palatability and encourage adequate nutritional intake for 1 of 1 meal observed. The findings are: 1. On 08/15/23 at 7:30 AM, an unheated food cart that contained 4 trays for the breakfast meal was in the kitchenette area in the Dining Room. The Surveyor asked the Dietary Supervisor how long the food cart had been out. She stated, It was sent out at 7:20 AM. At 7:43 AM, Certified Nursing Assistant (CNA) #1 removed a tray from the food cart to be delivered to the resident. The Surveyor asked the Dietary Supervisor to check the temperatures of the food items on the tray. She did and stated: a. Milk - 47 degrees Fahrenheit. b. Oatmeal - 102 degrees Fahrenheit, c. Scrambled eggs - 98.5 degrees Fahrenheit. d. Pureed sausage - 96.8 degrees Fahrenheit. 2. On 08/15/23 at 7:48 AM, the Surveyor asked Resident #11 if his breakfast meal was hot, warm, or cold. He stated, The oatmeal is cold.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-08-18 · tag F0805 — failed to prepare food in a form residents can eat — pattern
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure pureed food items were blended to a smooth, lump free consistency to minimize the risk of choking or other complications for those residents who required pureed diets for 2 of 2 meals observed. The failed practice had the potential to affect 2 residents who received pureed diets and 2 residents who received pureed meat only, as documented on the list provided by the Dietary Supervisor on 08/15/23 The findings are: 1. On 08/14/23 at 11:56 AM, the following observations were made on the steam table: a. A pan of pureed ham, the consistency of the pureed ham was lumpy and was not smooth. b. A pan of pureed peas, the consistency of the pureed peas was gritty and was not smooth. c. A pan of pureed bread with milk, the consistency was sticky and thick. 2. On 08/15/23 at 7:50 AM, the pureed sausage served to the residents on a pureed diet was gritty and not smooth. There were pieces of meat visible in the mixture. The Surveyor asked Certified Nursing Assistant (CNA) #1 to describe the consistency of the sausage served to 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-08-18 · 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 and interview, the facility failed to ensure foods stored in the dry storage area, refrigerator, and freezer were covered, sealed and dated to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; foods were dated the day received to assure first in, first out usage to prevent potential for food bone illness; expired food items were promptly removed from stock to prevent potential food borne illness for residents who received meal trays from 1 of 1 kitchen; dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen; and 2 of 2 ice machines were maintained in clean and sanitary condition to prevent contamination of airborne particles. These failed practices had the potential to affect 42 residents who received meals from the kitchen, as documented on a list provided by the Assistant Dietary Supervisor on 08/15/23 at 2:37 PM. The findings are: 1. On 8/14/2023 at 10: 27 AM, the following observations were…

    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 · E2023-08-18 · 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 — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to maintain an effective pest control program to ensure the kitchen service areas and 7 (Rooms 113, 116, 119, 121, 209, 214 and 215) resident rooms and the 400 Hall to ensure the facility was free of insect and spiders. This failed practice had the potential to affect all 43 residents who resided in the facility. The findings are: 1. On 08/14/23 at 12:22 PM, during the noon meal service, one fly was on a bread bag on the counter by the steam table, two flies were on the steam table, 2 flies were at the edges of the food trays and another fly was at the end of the steam table. 2. On 08/15/23 at 1:35 PM, the Surveyor asked Dietary Employee (DE) #3 if they have been having problems with flies. She stated, It was bad yesterday. They come in when the back door is open. I counted about 8 flies, and I kept shooing them away.3. On 08/14/23 at 12:37 PM, the Surveyor entered room [ROOM NUMBER] and observed a spider crawling on the floor near 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-18 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    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 resident, or their responsible parties were provided with the opportunity to formulate an Advance Directive if desired, to allow resident to make decisions regarding their care in the event of their incapacitation for 1 Resident (Resident #20) of 1 sampled resident and establish, maintain, and implement written policies and procedures regarding the residents' right to formulate an advance directive, refuse medical or surgical treatment. This failed practice had the potential to affect all 42 residents as documented on the Resident Matrix provided by the Administrator on 08/15/23 at 9:24 AM. The findings are: a. On 08/14/23 at 3:58 PM, Resident #20's chart did not contain an Advance Directive or any documentation to indicate the resident declined to formulate one. b. On 08/16/23 at 3:18 PM, the Administrator stated, I can't find an Advance Directive for [Resident #20]. I guess we don't have one for her. c. The facility policy titled, Advance Directives, provided by the DON on 08/18/23 at 10:35 AM documented, .1.…

    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 · C2025-12-23 · tag F0602 — failed to protect residents from theft of their belongings — widespread
    Protect each resident from the wrongful use of the resident's belongings or money.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, interview, and facility policy review, it was determined the facility failed to ensure residents were free from misappropriation of resident property for three (Resident #19, #18, and #39) of three residents reviewed. The findings include: A review of Resident #18's quarterly Minimum Data Set (MDS) with Assessment Reference Date (ARD) 09/15/2025, revealed Resident #18 had a Brief Interview for Mental Status (BIMS) score of 15, which indicated the resident was cognitively intact. The MDS also indicated no pain medication was received by Resident #18, either scheduled or available as needed. There was no pain medication listed on the MDS. A review of Resident #19's annual MDS with ARD 11/17/2025, revealed Resident #19 had a BIMS score of 03, which indicated the resident was severely cognitively impaired. The MDS also indicated Resident #19 had no pain medication scheduled or available as needed. There was no pain medication listed on the MDS. A review of Resident #39's quarterly MDS with ARD 11/16/2025, revealed Resident #39 had a BIMS score of 15, indicated…

    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

“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 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 4 of 54.0≈ chain avg
Quality measures 3 of 53.2-0.2 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, LLCOrganizationDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 09/01/2009
DILKS, LLCOrganizationDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 09/01/2009
BELEW, BARBARAIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 09/01/2009
DILKS, MELISHAIndividualINDIRECT OWNERSHIP INTERESTsince 09/01/2009

CMS files one row per role, so the 7 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.

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 045219. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-23, 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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