No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

The Blossoms At White River Rehab & Nursing Center

1311 North Pecan St, Newport, AR 72112 · For profit - Limited Liability company · 130 certified beds · (870) 523-9514 Medicare & Medicaid certified

Call the home — (870) 523-9514 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
1 immediate-jeopardy citation CMS recorded as corrected before the inspection ended (past non-compliance)$14,316 in federal fines
Insights

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

In its favor
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $14,316 in federal fines (most recent 2025-06-26)
  • its facility-reported quality-measure 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) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Worth a closer look. This home's quality-measure rating runs 2 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
1200 McLain St Ste B · (870) 523-2320 · Call to confirm hours
Pharmacy
1211 Highway 367 N · (870) 523-2383 · Call to confirm hours
Grocery
805 Highway 367 N · (870) 523-9939 · Call to confirm hours
Park
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 4 of 5
Short-stay residentsrehab / post-hospital 4 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 increased9.4%9.5%15.4%better
Long-stay residents who lose too much weight8.5%4.3%5.4%worse
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 symptoms0.0%1.4%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury1.1%3.9%3.3%better
Long-stay residents whose ability to walk worsened7.3%10.1%16.1%better
Long-stay residents on antianxiety or hypnotic medication35.1%21.7%18.9%worse
Long-stay residents given the seasonal flu vaccine89.4%96.1%95.3%typical
Long-stay residents with pressure ulcers7.1%4.2%4.7%worse
Long-stay residents with worsening bladder/bowel control17.6%13.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table35.5%10.9%17.1%worse
Short-stay residents who newly got an antipsychotic medication0.0%1.3%1.4%better
Short-stay residents given the seasonal flu vaccine22.5%77.7%79.4%worse
Short-stay residents rehospitalized after admission28.4%24.1%22.6%worse
Short-stay residents with an outpatient ER visit12.7%12.5%12.0%typical
Long-stay hospitalizations per 1,000 resident days3.352.011.67worse
Long-stay outpatient ER visits per 1,000 resident days4.372.131.80worse

* 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.

57.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 33 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

57.9%U.S. median 51.5%
Got home and stayed home
13.0%U.S. median 10.7%
Went back to hospital
70.8%U.S. median 56.6%
Met the expected recovery
0.06U.S. median 0.31
Therapy hours / resident / day
0.03hours / resident / day
Physical therapy
0.02hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Met the expected recovery: 70.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 24 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.06 therapist hours per resident per day in 2026Q1 — more than 3% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at 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 SNF57.9%CMS range 44.3–73.151.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF13.0%CMS range 9.0–19.610.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge70.8%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge54.2%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge62.5%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified97.4%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 stay0.0%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 worsened5.3%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 hospitalization7.1%CMS range 3.4–11.67.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.841.02Oct 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

0.34
RN hours/ resident / day
0.68
LPN hours/ resident / day
2.23
Aide hours/ resident / day
3.25
Total nurse hours/ resident / day
0.29
RN hoursweekends
40.0%
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 130 beds and averages 74.5 residents a day — about 57% occupied, or roughly 56 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 3.25 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.34 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.23 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 2.73 hrs/resident/day on weekends vs 3.46 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.36 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 40% is about the same as the national median of 45%.

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 (2025-05-02)
7
at the previous standard inspection (2024-03-13)

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.

21 citations, most serious first. The 11 most serious are shown; the remaining 10 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2025-06-26 · 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 observation, record review, and interview, the facility failed to monitor and supervise a severely cognitively impaired resident to prevent elopement, and failed to ensure staff responded promptly to an exit door alarm and thoroughly check the area outside the building after a door alarm sounded for 1 (Resident #1) of 3 sampled residents (Residents #1, #4, and #5) who were at risk for elopement. Consequently, Resident #1 eloped from the facility without staff knowledge, traveled across rough ground, and was found by law enforcement in a dehydrated state. It was determined the facility's past non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. The Immediate Jeopardy (IJ) was related to the State Operations Manual, Appendix PP, S483.25 (Quality of Care) at a scope and severity of J. The IJ began on 06/15/2025 at approximately 4:15 PM. The facility did not have camera surveillance, but staff suspect Resident #1 who resided on the secured 300 Hall followed a visitor 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.

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Potential for harm · Ecited before2025-05-02 · 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, record review, and interview, the facility failed to ensure that items were dated properly, items were sealed/closed properly, and cross contamination in the kitchen did not occur during meal service in one of one kitchen observed. The findings include: A review of the facility policy and procedure Avoiding Cross Contamination indicated that store food at least six inches above the floor. A review of the facility policy Labeling and Date Marking Policy indicated, Labeling and dating food products helps you identify what they are, when they were prepared, and how long they can be safely stored. This way, you can ensure that you use the first-in, first-out (FIFO) method, which means that you use the oldest products first and the newest ones last. Labeling and dating also helps you avoid cross-contamination, which occurs when harmful bacteria or allergens are transferred from one food to another. A review of the facility policy FIFO (First in, first out) Facts indicates FIFO stock rotation helps prevent unnecessary food waste' Store items in order of their use-by…

    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 · E2025-05-02 · 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 Based on observation, record review, interview, and facility policy review, it was determined that the facility failed to perform proper hand hygiene, put on proper Personal Protective Equipment (PPE), and follow standard infection control procedures for two (Resident #5, Resident #33) of five residents reviewed for isolation precautions. The findings are: 1. A review of the admission Record noted Resident #5 was admitted to the facility on [DATE] with diagnoses which included cerebral infarction. a. A review of the admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 03/12/2025, revealed Resident #5 was unable to complete a Brief Interview for Mental Status (BIMS). Resident #5 had active diagnoses, which included: aphasia, which meant the resident was unable to speak. Section GG indicated Resident #5 was dependent on staff for all care and was transferred via a lift device, such as a sit to stand lift. Resident #5 used a wheelchair for mobility. b. A review of the Physician Order Summary…

    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 · D2025-03-20 · tag F0678 — failed to provide CPR when needed — isolated
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    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 interviews, record review, facility policy review, and facility staff certifications, it was determined that the facility failed to ensure staff met Cardiopulmonary Resuscitation (CPR) certification requirements before providing CPR to residents in need, affecting1 (Resident #1) of 1 resident reviewed for resident/patient/client neglect. The findings include: Resident #1 had medical diagnoses that included type 2 diabetes, end stage renal disease, heart failure, chronic embolism, and thrombosis of unspecified deep veins of unspecified lower extremities. A review of Resident #1 ' s progress notes on [DATE] at 5:00 AM revealed LPN#1 was called to the resident ' s room by Certified Nursing Assistant (CNA) #2. Resident #1 was found to have no pulse. A code was called, and CPR was initiated and performed by LPN #1. Ambulance was called. A review of a facility policy titled, Cardiopulmonary Resuscitation Policy, effective [DATE] and revised [DATE] indicated staff were to, Obtain and/or maintain American Heart…

    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 · Fcited before2024-03-13 · 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, and record review, the facility failed to ensure spices stored in the cabinet or on a shelf in the storage room were dated for first-in-first out spice rotation; and dietary staff washed their hands before handling clean equipment or food items to prevent the potential for cross contamination for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 50 residents who received meals from 1 of 1 kitchen (Total Census:53). The findings are: 1. On 03/06/2024 at 08:06 AM, the following observations were made in the kitchen: a. A pan of green beans is noted sitting on the stove top uncovered. The green beans were never covered while the initial tour was conducted, exposing it to possible cross-commination. b. The floors were dirty with food crumbs. The bottom shelf of the table which housed the rice, sugar, and flour containers was stained. The containers had dry, brown, spilled substances running down them on the outside. 2. On 03/06/2024 at 08:13 AM, Dietary Employee (DE) #1 had a tissue in his/her hand, they…

    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 · E2024-03-13 · 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 trays were passed table by table to 3 residents (Resident #11, #35, and #47) out of 18 residents who receive trays in the secured unit dining room. The findings are as follows: 1. Resident #11 had diagnoses of Dementia and Schizophrenia. The Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/08/23 documented a Brief Interview for Mental Status (BIMS) of 6 (0-7 indicates severe impairment). Resident #11 is independent for meals. a. On 03/04/2024 at 12:35 PM, Surveyor observed Resident #10, and Resident #38 received lunch trays. Resident #11, seated at the same table, did not receive a tray. Resident #11 was observed looking around as Certified Nursing Assistants (CNAs) passed trays before asking about Resident #11's tray after five minutes of waiting. Resident #11 received a tray at 12:48 PM, by which time Resident #10 had finished eating, while Resident #38 was halfway done with lunch service. 2. Resident #35 had diagnoses of Transient cerebral ischemic attack, Dementia, 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 · E2024-03-13 · 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, interview, and record review, the facility failed to maintain a safe and homelike manner for 13 (Rooms 401, 402, 403, 404, 405, 406, 407, 408, 409, 411, 412, 414, 415) resident rooms, the dining area, and the activity area. The findings are: On 03/06/2024 at 10:22 AM, the following observations were made in the Secure Unit: a. room [ROOM NUMBER]: Above the sink is a ceiling tile that is bowed with the vent placed in the middle. The Surveyor asked the Maintenance Supervisor what could happen to a resident while using the sink. The Maintenance Supervisor said that it could fall. b. room [ROOM NUMBER]: Above the toilet in the bathroom the vent is separating from the ceiling tile. c. room [ROOM NUMBER]: In the corner by the closet, the baseboard has come off the wall exposing sheet rock. The paint is chipped off and part of the area has been re-plastered. The Maintenance Supervisor said approximately 4 inches of it has been re-plastered. The baseboard on the side next to the bathroom door 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 · E2024-03-13 · tag F0687 — failed to care for feet properly — pattern
    Provide appropriate foot care.
    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 who required assistance with foot care were regularly provided with the necessary assistance to maintain good hygiene and grooming, as evidenced by failure to ensure toenails were kept clean and trimmed for 1 (Resident #47) sampled resident out of 18 residents who require assistance with daily living on the Secure Unit. 1. Resident #47 had diagnoses of Dementia and Paranoid personality disorder. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 01/17/24 the resident received a score of 3 (0-7 indicates severe impairment) on the Brief Interview for Mental Status (BIMS). Per care plan with a targeted completion date of 04/17/24 Resident requires assistance with ADL [activities of daily living] functions, Grooming: Someone must assist the resident to groom self. a. On 03/04/2024 at 10:40 AM, Resident #47's left shoe had the top ripped off. The Surveyor asked Resident #47 what happened to their shoe. Resident #47 said that they had ripped it off because his/her toes…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-03-13 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure a resident was protected from hazards by having a vent area in the room with exposed wiring and by having no light in the bathroom for 1 (Resident #38) of 17 mobile residents on the Secure Unit. The findings are: 1. Resident #38 had medical diagnoses of Unspecified dementia and Altered mental status. According to the Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) 01/02/24 the Staff Assessment for Mental Status (SAMS) documented Resident #38 had short-term and long-term memory loss. a. The Care Plan with a target completion date of 3/28/24 documented, Resident #38 had impaired cognitive function/dementia or impaired thought processes. b. On 03/04/2024 at 11:05 AM, in Resident #38's Room a metal vent area was left open and exposed. The inside of the area contained a light socket without a bulb and wiring was exposed, dirt and debris were noted on the bottom of the vent area. In the bathroom, the light was not functional. Above the mirror on the right hand wall in the bathroom…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-13 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure residents who required assistance with activities of daily living were regularly provided with the necessary assistance to maintain good hygiene and grooming, as evidenced by failure to ensure fingernails were kept clean and trimmed for 1 resident (Resident #47) out of 18 residents who require assistance with daily living on the secure unit. The findings are: 1. Resident #47 had diagnoses of Dementia and Paranoid personality disorder. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 01/17/24 the resident received a score of 3 (0-7 indicates severe impairment) on the Brief Interview for Mental Status (BIMS). Per care plan with a targeted completion date of 04/17/24 Resident requires assistance with ADL [activities of daily living] functions, Grooming: Someone must assist the resident to groom self. a. On 03/04/2024 at 10:40 AM, the Surveyor observed that Resident #47's fingernail on the right index finger was chipped off and comes to a point, the rest of the nails 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-13 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    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 a positioning device was utilized to decrease the potential for further decline in range of motion (ROM) for 1 (Resident #13) out of 3 residents who are dependent for positioning on the secured unit. The findings are as follows: 1. Resident #13 had diagnoses of Muscle weakness, generalized, Unspecified abnormalities of gait and mobility, and Alzheimer's Disease. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/29/23 documented the resident received a score of 00 (0-7 indicates severely cognitively impaired) on a Brief Interview for Mental Status (BIMS). a. The Care Plan with a target completion date of 4/16/2024 documented, Requires assistance with Activities of Daily Living (ADL) function .Mobility: Occasional physical assistance required. b. On 03/04/2024 at 10:40 AM, Resident #13 was in the activity area of the Secure Unit leaning on his/her left side with their arm resting on the top of the wheel of the wheelchair. c. On 03/05/2024 at 12:20 PM, Resident #13 was…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 10 citations
  • Potential for harm · E2023-09-22 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to clean and eliminate black substances, properly store shower linen, and clean the air vents from several areas in the facility's kitchen and shower rooms. This failed practice has the potential to affect the health of the residents and employees. The findings include: A. On 09/21/2023 at 8:09 AM during observation, the shower room on Hall 200 had a bed pan, mouth basin, and commode urine hat on the floor. The shower gurney's top side middle area of the pad had cracks on both sides. B. During interview on 09/21/2023 at 8:09 AM, the Business Office Manger confirmed the findings in A and said the shower room is used for storage. C. The following observations were made of Hall 300 on 09/21/2023 at 8:14 AM. 1. A used brief was on the floor. 2. The following observations were made in the shower room. a. A chair wedge was halfway covered with a plastic bag and leaned up against the wall on the floor. b. The clean towels were folded and stacked on the bare floor,…

    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 · Fcited before2022-12-15 · 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 and interview, the facility failed to ensure the kitchen and dry storage for residents who received meals from 1 of 1 kitchen; failed to ensure a freezer air vent was functioning properly to prevent ice buildup; failed to ensure frozen food items were kept frozen, expired food items were promptly removed/ discarded by the expiration or use by dates, and foods were dated when received to assure first in first out usage to prevent potential for food borne illness; failed to ensure leftover food items were maintained to promote food quality; failed to ensure Dietary staff washed their hands before handling clean equipment or food items to prevent the potential for cross contamination, and 2 of 2 ice machines were maintained in a clean and sanitary condition. These failed practices had the potential to affect 35 residents who received meals from the kitchen (total census: 36), as documented on a list provided by Dietary Supervisor on 12/13/22 at 11:49 AM the findings are: 1. On 12/12/22 at 10:42 AM, the following were in the walk-in freezer. a. The 2 fan blades 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 · E2022-12-15 · tag F0641 — pattern
    Ensure each resident receives an accurate assessment.
    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 the Minimum Data Set (MDS) assessment was accurate and complete to facilitate the ability to plan and provide necessary care and services for 3 (Residents #7, #20, #26) of 6 (Residents #7, #13, #20, #26, #35, #37) sample case mix residents who had Physician Orders for Antiplatelet medications and 1 (Resident #3) who had a discontinued order for an Anticoagulant medication selected for MDS accuracy review. The findings are: 1. Resident #3 was admitted to the facility on [DATE] with Diagnoses of Atrial Fibrillation and Cerebral Infarction. A Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/04/22 documented the resident was severely impaired in cognitive skills for daily decision making on a Staff Assessment for Mental Status (SAMS); question N0410E documented, Medication received, Days: Anticoagulant: 7 a. On 12/13/22 at 3:52 PM, a review of Resident #3's Physician Orders documented .Order date 02/13/16…

    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 · E2022-12-15 · 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 and interview, the facility failed to ensure food was prepared by methods that maintained the appearance and encourage good nutritional intake for the residents who received pureed diets from 1 of 1 kitchen for 2 of 2 meals observed The failed practice had the potential to affect 7 residents who required pureed diets, 22 residents who received regular diets and 8 residents who received mechanical soft diets according to lists provided by the Dietary Supervisor on 12/13/2022. At 11:49 AM. The findings are: 1. On 12/12/22 at 12:08 PM, the following were on the steam table: a. The edges of the ham slices were burnt. The Surveyor asked Dietary Employee (DE) #1, to describe the appearance of the ham. She stated, the top layers were dried, and the edges were a little burnt. b. The pureed turnip greens were dry. The Surveyor asked DE #1 to describe the appearance of the pureed turnip greens. She stated, It was a little dry. c. The ground ham was burnt. The Surveyor asked DE #1 to describe the appearance of the ground ham. She stated, It was burnt. d. A pan of fortified…

    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 · E2022-12-15 · 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, record review, 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 residents who required pureed diets for 2 of 2 meals observed. This failed practice had the potential to affect 2 residents who received pureed diets, as documented on a list provided by the Dietary Supervisor on 12/13/22. The findings are: 1. On 12/12/22 at 12:08 PM, the following were on the steam table: a. A pan of pureed white beans, the consistency was runny and not formed. b. A pan of pureed ham, the consistency was gritty and not smooth. 2. On 12/12/22 at 12:55 PM, the Surveyor asked Dietary Employee (DE) #1 to describe the consistency of the pureed food items prepared and served to the residents. She stated, pureed white beans were too runny. Pureed ham is too runny, was not smooth. It is just like mechanical soft meat. 3. On 12/13/22 at 10:49 AM, the Surveyor asked the Dietary Supervisor to describe the consistency of the pureed food items prepared and 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 · E2022-12-15 · tag F0836 — pattern
    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
    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 required proof of State residency for 5 years was obtained from new hires to determine if Federal background checks needed to be performed. HR stated that staff had worked there for 3 years and never obtained 5 years of residency proof. 3 random employees were reviewed and 5 more were requested after an interview with the Administrator. The findings are: a. On 12/14/22 at 08:41 AM, review of random non-licensed employee records with the Human Resource Coordinator (HRC) showed Federal background checks had not been performed and residency verification obtained by HR was requested. The HRC stated, I didn't know I needed to get proof from them. No one told me to. The Surveyor asked, So, no federal background checks were done? The HRC stated, No Ma'am. I will start getting proof for the whole 5 years. I wasn't told that was needed. They were unsure. b. On 12/14/22 at 09:44 AM, the Surveyor asked the Administrator, what criminal checks needed to be completed for Certified Nursing Assistants (CNA)s? The Administrator…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-12-15 · tag F0847 — pattern
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    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 the Binding Arbitration Agreement provided for the selection of a neutral arbitrator or a venue was convenient to both parties for 8 of 8 (Residents #1, R #2, R #8, R #26, R #29, R #30, R #35, and R #37) sampled residents who signed Binding Arbitration Agreements upon admission since September 16, 2019. This failed practice had the potential to affect 101 residents admitted since the facility's last annual survey on 7/3/21. The findings are: a. On 12/12/22 at 11:38 AM, the Administrator provided a copy of the facility's Arbitration Agreement. b. On 12/13/22 at 07:31 PM, review of the Arbitration Agreement showed no reference to venue selection or a neutral Arbitrator. c. On 12/14/22 at 01:40 PM, the Surveyor asked the Admissions/Marketing Coordinator (AMC) Does your facility's arbitration agreement state the venue must be agreeable to both parties? The AMC reviewed the agreement and stated, No, it does not. The Surveyor asked, does your facility's arbitration agreement state the neutral arbitrator must be agreed…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-12-15 · tag F0848 — pattern
    Provide a neutral and fair arbitration process and agree to arbitrator and venue.
    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 the Binding Arbitration Agreement provided for the selection of a neutral arbitrator or a venue was convenient to both parties for 8 of 8 (Residents #1, R #2, R #8, R #26, R #29, R #30, R #35, and R #37) sampled residents who signed Binding Arbitration Agreements upon admission since September 16, 2019. This failed practice had the potential to affect 101 residents admitted since the facility's last annual survey on 7/3/21. The findings are: a. On 12/12/22 at 11:38 AM, the Administrator provided a copy of the facility's Arbitration Agreement. b. On 12/13/22 at 07:31 PM, review of the Arbitration Agreement showed no reference to venue selection or a neutral arbitrator. c. On 12/14/22 at 01:40 PM, the Surveyor asked the Admissions/Marketing Coordinator (AMC) Does your facility's arbitration agreement state the venue must be agreeable to both parties? The AMC reviewed the agreement and stated, No, it does not. The Surveyor asked, Does your facility's arbitration agreement state the neutral arbitrator must be agreed…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-12-15 · tag F0851 — pattern
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to submit accurate required Payroll-Based Journal (PBJ) staffing data of Registered Nurse (RN) hours. The findings are: a. On 12/09/22 the PBJ Staffing Data Report CASPER Report 1705D FY [fiscal year] Quarter 4 2022 (July 1 - September 30) provided by the facility showed the facility had no RN hours reported on 07/01 (FR) [Friday]; 07/04 (MO) [Monday]; 07/23 (SA) [Saturday]; 07/25 (MO); and 08/07 (SU)[Sunday]. b. On 12/14/22 at 08:22 AM, the Surveyor asked the Administrator if she was aware there were no reported RN hours on 7/1, 7/4, 7/23, 7/25 and 8/7 of 2022. The Administrator stated she was not aware. The Surveyor requested documentation of RN hours for those dates. c. On 12/14/22 at 09:35 AM, the Surveyor asked the Administrator, Does the facility have an RN to serve as the Director of Nursing (DON) on a full-time basis? The Administrator stated, Yes The Surveyor asked, What does the facility do when there is not an RN available to work the required 8 consecutive hours a day? The Administrator stated, I call my Nurse…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-12-15 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to ensure sharps containers located in the 400 and 100 hall shower rooms were not overflowing with sharp razor blades exposed to prevent potential for injury for 5 (Resident R #7, R #23, R #25, R #29, R #95) sample residents reviewed who received showers in these shower rooms. This failed practice had the potential to affect 17 residents who received showers on the 100 and 400 halls, as documented on a list provided by the Administrator, on 12/14/22 at 2:45 PM. The findings are: a. On 12/14/22 at 10:27 AM, the sharps containers in the 100 and 400 hall shower rooms, were overflowing with disposable razors. b. On 12/14/22 at 10:29 AM, The surveyor asked Certified Nursing Assistant (CNA) #2 to look at the sharp's container in the 400-hall shower room and if there were any problems observed with it. CNA #2 said, Yes, it is too full. The Surveyor asked the CNA #2, What could happen if was left that way? The CNA #2 said, Someone could be cut. The Surveyor asked…

    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

“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

$14,316 in federal fines across 1 penalty.

  • $14,316 — penalty dated 2025-06-26

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

Part of a chain

This home belongs to 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 2 of 52.6-0.6 vs chain
Health inspection 2 of 52.7-0.7 vs chain
Staffing 3 of 52.3+0.7 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 Eureka Springs Rehab & Nursing CenEureka Springs, 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 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
HENDRIX, WANDAIndividualW-2 MANAGING EMPLOYEEsince 04/01/2023
KEEL, MITCHELLIndividualCORPORATE 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.

$6.0M
Net patient revenuemost recent cost report
+2.8%
Operating marginrevenue minus expenses
$301K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 79%Medicare 6%Other / private 15%

About 79% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $301K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

$325per resident / day
operating cost
$9,890per month
≈ monthly operating cost
$335per 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 045323. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-05-02, 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.

What to do next