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Harris Health And Rehab

287 South Country Club Road, Osceola, AR 72370 · For profit - Limited Liability company · 91 certified beds · (870) 563-3201 Medicare & Medicaid certified

Call the home — (870) 563-3201 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)$8,281 in federal fines
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • 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 (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $8,281 in federal fines (most recent 2025-05-14)

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.

5/5
CMS overall
5 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 5 of 5

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
700 W Keiser Ave · (870) 563-6512 · Call to confirm hours
Pharmacy
2720 W Keiser Ave · (870) 563-6633 · Call to confirm hours
Grocery
4610 W Keiser Ave · (870) 549-3084 · Call to confirm hours
Park
1200 W Ford Ave · 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 5 of 5
Long-stay residentspeople who live here 5 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 2 to 4 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 rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased9.6%9.5%15.4%better
Long-stay residents who lose too much weight4.0%4.3%5.4%better
Long-stay residents with a catheter left in their bladder0.3%0.6%0.9%better
Long-stay residents with a urinary tract infection2.1%1.2%2.0%typical
Long-stay residents with depressive symptoms0.5%1.4%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury1.3%3.9%3.3%better
Long-stay residents whose ability to walk worsened7.2%10.1%16.1%better
Long-stay residents on antianxiety or hypnotic medication12.1%21.7%18.9%better
Long-stay residents given the seasonal flu vaccine89.3%96.1%95.3%typical
Long-stay residents with pressure ulcers3.9%4.2%4.7%better
Long-stay residents with worsening bladder/bowel control13.7%13.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table2.0%10.9%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.3%1.4%better
Short-stay residents given the seasonal flu vaccine69.4%77.7%79.4%worse
Long-stay hospitalizations per 1,000 resident days2.762.011.67worse
Long-stay outpatient ER visits per 1,000 resident days3.702.131.80worse

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

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

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

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

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

0.09U.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 0.09 therapist hours per resident per day in 2026Q1 — more than 5% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified86.7%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 worsened3.3%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 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 SNFs1.091.02Oct 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

0.22
RN hours/ resident / day
0.89
LPN hours/ resident / day
3.01
Aide hours/ resident / day
4.12
Total nurse hours/ resident / day
0.17
RN hoursweekends
55.3%
Total nursing turnover
33.3%
RN turnover

How full it usually is: this home is certified for 91 beds and averages 63.8 residents a day — about 70% occupied, or roughly 27 beds typically open. It usually has some room. 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 4.12 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.22 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.01 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 3.71 hrs/resident/day on weekends vs 4.29 on weekdays — 13% thinner on weekends. RN hours go from 0.24 to 0.17 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 55% is about the same as the national median of 45%. 3 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

0
deficiencies at the latest standard inspection (2025-08-01)
8
at the previous standard inspection (2024-04-18)

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 11 most serious are shown; the remaining 11 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2025-05-14 · 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 interview, record review, and facility policy review, it was determined that the facility failed to ensure exit doors were secured and functioned properly to prevent elopement for 1 (Resident #1) of 3 residents reviewed for elopement. It was determined the facility's 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 State Operations Manual, Appendix PP, 483.25 (Quality of Care) at a scope and severity of J. The IJ began on 03/23/2025 at 3:01 am, when Resident #1 was able to exit the facility without staff knowledge. The Administrator was informed of the IJ on 05/13/2025 at 3:58 pm, and notified it was considered to be Past Non-Compliance (PNC). The findings include: Per review of an Office of Long Term Care (OLTC) Incident and Accident (I&A) form with a submitted date of 3/23/2025, a facility video was reviewed and revealed a nurse came back in from her break. Resident #1 was sitting at a table in the dining area. The 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.

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Potential for harm · Dcited before2025-08-01 · tag F0550 — failed to protect resident dignity and rights — isolated
    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 record review, facility document review, interviews, and facility policy review, it was determined that the facility failed to ensure resident rights were maintained for one (Resident #71) of one resident reviewed. The findings include: A review of Resident #71’s admission Record indicated the facility admitted the resident on 05/28/2025, with diagnoses which included late onset Alzheimer’s disease. A review of Resident #71’s admission Minimum Data Set, with an Assessment Reference Date of 06/06/2025, revealed a Brief Interview for Mental Status score of 09, which indicated Resident #71 had moderately impaired cognition. A review of Resident #71’s Care Plan, revised 06/09/2025, revealed the resident was resistant to care such as showering and bathing. Further review of Resident #71’s Care Plan revealed interventions that directed staff to try different approaches such as another staff member attempting care, postponing care, attempting again at a later time, and/or notifying the nurse of the situation. A review of Resident #71’s Progress Note, revealed on 06/01/2025 at…

    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 · E2024-04-18 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure that resident ' s fingernails were kept clean for 1 (Residents #45) of 1 sample mix residents; and ensured residents were shaved to promote good personal hygiene for 1 (Resident #24) of 2 sample mix resident; ensure residents have oral care provided for 1 (Resident #45) of 2 sample mix residents. The findings are: 1. Resident #45's care plan dated 03/30/2023 documented, .ADL self-care performance deficit r/t (related to) resident has left sided hemiplegia r/t (related to) hx (history) of stroke .Personal hygiene/oral care: The resident requires dependent assist x 1 for personal hygiene/oral care .Bathing/ showering: Check nail length and trim and clean on bath day and as necessary. Report any changes to the nurse. a. A review of the Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 01/05/2024 documented a score of 10 (indicating moderately cognitively impaired) on the Brief Interview for Mental Status (BIMS), and that Resident #45 is dependent for oral care and is substantial/ maximal…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-04-18 · tag F0679 — failed to provide activities — pattern
    Provide activities to meet all resident's needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure the activity program was designed to meet the individual activity needs, interests and abilities for Residents who reside on the 600 Hall secure unit, and to ensure that activities were provided on the weekend for all 57 residents in the facility. The findings are: 1. On 04/15/2024 at 02:25 PM, there were no activities being provided on the secure unit, 600 Hall, nor was there an activity calendar posted anywhere on the unit. a. On 04/16/2024 at 10:49 AM, there were no activities being provided on the secure unit. b. On 04/16/2024 at 02:44 PM, there were no activities being provided on the secure unit. c. On 04/17/2024 at 10:55 AM, there were no activities being provided on the secure unit. d. On 04/16/2024 at 02:50 PM, the Activity Director (AD) was asked, Do you provide activities in the secure unit? The AD stated, Yes, I do one on one with them The AD was asked, What do you with them? AD confirmed, I walk the hall with them. The AD was asked, Do you have a calendar in the secure unit? The AD stated,…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-04-18 · tag F0680 — pattern
    Ensure the activities program is directed by a qualified professional.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure that there was a Certified Activity Director. The findings are: 1. On 04/16/2024 at 03:05 PM, the Surveyor asked the Administrator to provide the Certification for the Activity Director. The Administrator reported the employee currently serving in the role as Activity Director did not hold a certification. The Surveyor asked the Administrator how long this employee had been in charge of activities. The Administrator reported that she had been in charge of activities for 2 years. 2. On 04/17/2024 at 01:30 PM, the Activity Director reported that she was unaware that she needed a certification to fulfill the role of Activity Director and that the Administrator had told her that there was a possibility of her attending a certification class in June 2024. 3. On 04/17/2024 at 03:40 PM, the Surveyor reviewed the Activities Director personnel file and confirmed there was no evidence of any training in activities and related record keeping. 4. On 04/18/2024 at 09:22 AM, the Director of Nursing (DON) was 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
  • Potential for harm · E2024-04-18 · tag F0688 — failed to keep residents mobile / prevent decline — pattern
    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 hand rolls were applied to prevent further decline in range of motion (ROM) for 01 Resident #45 of 01 sample mix residents. The findings are: Resident #45's care plan dated 03/30/2023 showed no documentation of a contracture, it documented, .limited physical mobility (weakness) r/t hemiplegia affecting left side. he has weakness to left hand, 4th and 5th digit . A review of the Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) documented a score of 10 (indicates moderate cognitive impairment) on the Brief Interview for Mental Status (BIMS) and that the resident has an upper extremity impairment on one side. On 04/15/2024 at 11:40 AM, Resident #45 ' s left hand appeared to be contracted with no device present to prevent injury or decline in ROM. On 04/16/2024 at 09:33 AM, Resident #45's left hand appeared to be contracted with no device present to prevent injury or decline in ROM. Resident #45 confirmed staff do not put a device in his/her hand. On 04/16/2024 at 03:01 PM, 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 · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-18 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure the Ombudsman was notified when residents were transferred to the hospital. This had the potential to affect 57 residents. The findings are: 1. Resident #1 was admitted to the facility on [DATE], transferred to the hospital on [DATE], then returned to the facility on [DATE]. Resident # 1 was transferred out again on 09/10/2024 and returned on 09/12/2024. 2. On 04/16/2024 at 11:40 AM, the Surveyor was unable to locate documentation indicating the Ombudsman had been notified of the resident ' s transfers to the hospital. 3. On 04/16/2024 at 11:39 AM, the Administrator was asked to provide documentation indicating the Ombudsman had been notified of transfers to the hospital. 4. On 04/17/2024 at 01:40 PM, the Administrator and Business Office Consultant stated that the Ombudsman had not been notified of the transfers. 4. On 04/18/2024 at 08:57 AM, the Administrator stated, We have no policy on transfers because it's a state not a federal.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-18 · tag F0657 — failed to keep the care plan current — isolated
    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 record review and interview, the facility failed to ensure residents individualize plan of care was revised to reflect the current needs of the resident and updated to include contractures for 01 (Resident #45) sample mix resident of 01 sample mix resident. The findings are: Facility policy titled, 'Comprehensive Assessments' Revised October 2023 documented, Comprehensive MDS assessments are conducted to assist in developing person-centered care plans. Policy interpretation and Implementation 1. The facility conducts comprehensive, accurate, standardized, reproducible assessments of each resident's functional capacity using the Resident Assessment Instrument specified by CMS . 8. A significant change is a major decline or improvement in a resident's status that: a. will not normally resolve itself without intervention by staff or by implementing standard disease- related clinical interventions. The decline is not considered self-limiting . c. requires interdisciplinary review and/ or revision of the care plan . A review of Resident #45's care plan dated 03/30/2023 did not…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-18 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure residual was checked per physicians' orders from a Gastrostomy tube prior to medication administration for 1 (Resident #32) of 1 sampled resident. The findings are: 1. Resident #32 was admitted on [DATE] with a diagnosis of Dysphagia following nontraumatic intracerebral hemorrhage. 2. On 04/17/2024 at 09:00 AM, Licensed Practical Nurse (LPN) #1 was observed administering medications by tube feeding. LPN #1 failed to aspirate for residual contents per physician ' s orders. 3. A Physicians order dated 03/25/2021 documented every shift for Gastrostomy Tube Placement [Enteral] Verify placement via aspirate (removing gastric contents via the gastrostomy tube) & auscultation (instilling air into the feeding tube with a syringe while using a stethoscope placed over the stomach to listen for rushing air) before medication administration/feeding/flushes. If more than 150 ml (milliliter), wait 1 hour and recheck. 4. A Care Plan dated…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-18 · 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, interview and record review, the facility failed to ensure infection control measures, including handwashing, avoidance of cross contamination, and proper disposal of soiled dressings were implemented during a dressing change to prevent potential infection for 1 (Resident #1) of 1 who had orders for dressing changes. The findings are: 1. On 04/15/2024 at 11:02 AM, During initial rounds, the Surveyor observed Resident #1's left lower leg was wrapped in a bandage. Resident #1 stated Its broken out on it and swelling. 2. On 04/16/2024 at 08:39 AM, Resident #1's left lower leg was wrapped in a bandage. Resident #1 stated, I'll get it changed today in the shower room. The Surveyor was unable to see the date. 3. On 04/16/2024 at 09:56 AM, Resident #1 was entering the shower room for a shower. Resident #1's left lower leg was wrapped in an ace bandage with exposed with yellow and red drainage on it. The Treatment Nurse entered the shower room to wrap Resident #1's leg with plastic to prevent the bandage from getting wet and the resident told the Treatment Nurse that…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-02-23 · 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 (there is a policy) the facility failed to ensure food items stored in the refrigerator and freezer were covered, sealed, and dated, and 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. The failed practices had the potential to affect 60 residents who received meals from the kitchen (total census: 62), as documented on a list provided by the Dietary Supervisor on 2/22/23. The findings are: 1. On 02/20/23 at 10:54 AM., Dietary Employee (DE) #1 picked up the water hose with his bare hands and sprayed off the leftover food items from the blender bowl and blade, contaminating his hands. He placed them in a dish rack and pushed it into the dish washing machine to be washed. After the dishes stopped washing, he moved to the clean side and without washing his hands, picked up the clean blade from the dish rack and attached it to the base of the blender to be used in pureeing food items to be served to the residents 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
Show the remaining 11 citations
  • Potential for harm · Fcited before2023-02-23 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure proper Personal Protective Equipment (PPE) was readily accessible to staff for rooms with residents on Transmission-Based Precautions (TBP); failed to ensure contaminated laundry was properly contained; failed to ensure staff used appropriate donning and doffing procedures of PPE; failed to ensure PPE disposal containers were emptied when full and failed to ensure roommates of COVID-19 positive residents were tested and moved from the room without delay to prevent potential cross contamination. The findings are: 1. On 02/20/23 at 12:47 PM, on the 400 Hall there was a pile of soiled clothing with feces on it lying on floor outside of a door labeled Dirty Laundry. 2. On 02/20/23 at 1:25 PM, Certified Nursing Assistant (CNA) #2 removed a N-95 mask from a brown paper bag, placed the mask on her face and put the mask she was wearing into the same brown paper bag and entered a room with a COVID-19 positive resident. When CNA #2 exited,…

    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 · Ecited before2023-02-23 · tag F0550 — failed to protect resident dignity and rights — pattern
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure residents may exercise their right to smoke without interference from the facility for 2 (Residents #21 and #36) of 8 (Residents #2, #10, #12, #21 #36, #37, #57 and #46) sampled residents who smoked. This failed practice had the potential to affect 15 residents who smoked as documented on a list provided by the Administrator on 02/20/23 at 1:44 PM. The findings are: 1. Resident #21 had diagnoses of Unspecified Dementia, Unspecified Severity, without Behavioral Disturbance, Psychotic Disturbance, Mood Disturbance, and Anxiety, Cognitive Communication Deficit. The admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 01/31/23 documented the resident scored 14 (13-15 indicates cognitively intact) on a Brief Interview for Mental Status (BIMS) and used tobacco. a. On 02/22/23 at 9:18 AM, Resident #21 and two unsampled residents were escorted outside by nursing staff to smoke. b. On 02/22/23 at 2:10 PM, Resident #21 and three unsampled residents were sitting in wheelchairs in the…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-02-23 · 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 ensure the residents living at the facility were provided a safe, clean, and comfortable homelike environment. The findings are: 1. On 02/20/23, during initial rounds the following observations were made in the resident rooms: a. On 02/20/23 at 11:20 AM, in Resident room [ROOM NUMBER], the floor was brown, and there were tiles missing behind the toilet with broken pieces lying on floor. The toilet rocked to the right ½ inch off of the floor. b. On 02/20/23 at 11:30 AM, in Resident room [ROOM NUMBER], had a small, round, brown substance lying on the bathroom floor. c. On 02/20/23 at 11:45 AM, in Resident room [ROOM NUMBER], the corner wall trim, within hand reach, was loose and broken from the wall and had sharp edges. The area where the trim was loose was exposed and had black and sage colored residue. d. On 02/20/23 at 12:10 PM, in Resident room [ROOM NUMBER], there was dried brown feces smeared on the toilet lid and on the floor in 8…

    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 · E2023-02-23 · tag F0637 — pattern
    Assess the resident when there is a significant change in condition
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to ensure a Significant Change Minimum Data Set (MDS) assessment was completed within 14 days a after a Significant Change in condition was identified to facilitate the ability to determine if any changes in care were necessary for 1 (Resident #5) of 1 sampled resident who had a decline in two or more areas of Activities of Daily Living (ADL), for 1 (Resident #44) of 1 sampled resident who had an improvement in two or more areas of ADLs, and 1 (Resident #34) of 1 sampled resident who had a new mental health diagnosis. This failed practice had the potential to affect all 62 residents who resided in the facility as documented on the Resident Census and Conditions of Residents provided by the Administrator on 02/21/23 at 10:13 AM. The findings are: 1. Resident #5 had diagnoses of Cerebral Infarction and Anxiety. The Quarterly MDS with an Assessment Reference Date (ARD) of 11/11/22 documented the resident scored a 9 (8-12 indicates moderately cognitively…

    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 · E2023-02-23 · tag F0692 — failed to prevent malnutrition and dehydration — pattern
    Provide enough food/fluids to maintain a resident's health.
    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 water pitchers were accessible and provided for 3 (Residents #1, #47 and #314) of 31 (Residents #1, #2, #5, #6, #8, #10, #12, #16, #18, #19, #21, #25, #28, #29, #30, #34, #36, #37, #40, #42, #43, #45, #46, #47, #49, #50, #53, #56, #57, #60 and #314) sampled residents who required and used water pitchers and failed to ensure the interventions recommended by the Registered Dietician (RD) were implemented for 1 (Resident #50) of 8 (Residents #4, #10, #12, #18, #34, #47, #50 and #53) sampled residents who had weight loss as documented on lists provided by the Director of Nursing (DON) on 02/23/23 at 8:40 AM. The findings are: 1. Resident #1 had diagnoses of Alzheimer's with Late Onset and Parkinson's Disease. The Quarterly Minimal Data Set (MDS) with an Assessment Reference Date (ARD) of 01/12/23 documented the resident scored 3 (0-7 indicates severely cognitively Impaired) on a Brief Interview for Mental Status (BIMS) and required extensive physical assistance of two plus persons with bed mobility 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-02-23 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure Physicians Orders were followed for oxygen therapy and a Physicians Order was written for Bilevel Positive Airway Pressure (BiPAP)/Continuous Positive Airway Pressure (CPAP) use for 1 (Resident #29) of 2 (Residents #29 and #40) sampled residents who used a BiPAP/CPAP as documented on a list provided by the Director of Nursing (DON) on 02/23/23 at 8:40 AM. The findings are: Resident #29 had a diagnosis of Obstructive Sleep Apnea. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date of 12/09/22 documented the resident scored 15 (13-15 indicates cognitively Intact) on a Brief Interview for Mental Status (BIMS) and did not require respiratory treatments. a. The Physician Orders documented, .Oxygen as needed for Shortness of Breath 2 liters/min [minute] per nasal cannula PRN [as needed] and every shift for Shortness of breath . 12/28/2022 . The Physicians Orders did not address CPAP usage. b. On 02/22/23 at 2:43 PM, the Surveyor asked Licensed Practical Nurse (LPN) #1 if she knew what…

    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 · E2023-02-23 · 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 5 residents who received pureed diets as documented on a list provided by the Dietary Supervisor on 02/22/23 at 3:38 PM. The findings are: 1. On 02/20/23 at 11:55 AM, Dietary Employee (DE) #1 used a spoon and placed 7 servings of macaroni and cheese into a blender and pureed. At 11:59 AM, DE #1 poured the pureed macaroni and cheese into a pan and placed the pan on the steam table. The consistency of the pureed macaroni and cheese was thick and not smooth. 2. On 02/20/23 at 12:04 PM, the following items were on the steam table: a. One pan of pureed pork with barbeque sauce, the consistency of the pureed pork was gritty, not smooth. b. One pan of pureed bread, the consistency of the pureed bread was thick. 3. On 02/20/23 at 12:40 PM, the Surveyor asked Certified Nursing…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-02-23 · tag F0557 — isolated
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    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 right to retain and use personal possessions including clothing for 1 (Resident #314) of 1 sampled resident who was dressed in a hospital gown. This failed practice had the potential to affect all 62 residents who resided in the facility as documented on the Resident Census and Conditions of Residents provided by the Administrator on 02/21/23 at 10:13 AM. The findings are: 1. Resident #314 had diagnoses of Unspecified Intrascapular Fracture of Right Femur, Anorexia and Unspecified Dementia, Unspecified Severity, with other Behavioral Disturbance. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date of 01/29/23 documented the resident scored 9 (8-12 indicates moderately cognitively impaired) on a Brief Interview for Mental Status (BIMS) and required limited physical assistance of one person with dressing. a. On 02/20/23 at 12:28 PM, Resident #314 was lying in bed wearing a hospital gown. The door to her closet was ajar, and there were no clothes hanging in the closet. The Surveyor asked if her…

    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 · D2023-02-23 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    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 Minimum Data Set (MDS) was accurate and complete to facilitate the ability to plan and provide necessary care and services for 1 (Resident #53) of 1 sampled resident whose MDS was reviewed. This failed practice had the potential to affect all 62 residents who resided in the facility as documented on the Resident Census and Conditions of Residents provided by the MDS Coordinator on 02/21/23. The findings are: 1. Resident #53 had diagnoses of Parkinson's Disease, Malignant Neoplasm of Right Kidney, Except Right Kidney, Unspecified Severe Protein/Calorie Malnutrition. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 01/05/23 documented the resident scored 10 (8-12 Indicating Moderate Impairment) on a Brief Interview for Mental Status (BIMS) and required supervision of one person for bed mobility, was independent with transfer, was totally dependent on one person's physical assistance with eating and required limited physical assistance of one person with toilet use. a. The MDS with…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-02-23 · tag F0657 — failed to keep the care plan current — isolated
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and interview, the facility failed to review and revise the Care Plan to meet the residents' needs for weight loss for 1 (Resident #50) of 8 (Residents #4, #10, #12, #18, #34, #47, #50 and #53) sampled residents who had weight loss with interventions as documented on a list provided by the Director of Nursing (DON) on 02/23/23 at 8:40 AM. The Findings are: 1. Resident #50 had diagnoses of Unspecified Dementia Severity with other Behavioral Disturbance, and Major Depressive Disorder. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 01/20/23 documented the resident scored 5 (0-7 indicates severely cognitively impaired) on a Brief Interview for Mental Status (BIMS) and had a weight loss of 5% or more in the last month or 10% or more in the last 6 months and was not on a Physician-prescribed diet. a. The Diet-Nutritional assessment dated [DATE] documented, .Weight: 140.2 Date: 10/05/2022 . b. The Diet RD (Registered Dietician) Onsite Visit and Recommendation…

    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 before2023-02-23 · 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, interview, and record review, the facility failed to ensure the resident received adequate supervision and assistive devices to prevent accidents while smoking for 1 (Resident #2) of 5 (Residents #2, #12, #21, #36 and #46) sampled residents who smoked. This failed practice had the potential to affect 15 residents who smoked as documented on a list provided by the Administrator on 02/20/23 at 1:44 PM. The findings are: 1. Resident #2 had diagnoses of Schizoaffective Disorder, Benign Neoplasm of Prostate, and Severe Depressive Episodes. The admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/25/22 documented the resident scored 15 (13-15 indicates cognitively intact) on a Brief Interview for Mental Status (BIMS) and did not use tobacco. a. The Smoking Assessment 01/04/23 documented, E. SAFETY . 7. RESIDENT NEED FOR ADAPTIVE EQUIPMENT 7a. Smoking Apron . Supervision . Resident may smoke with an apron on and with supervision .Resident demonstrates the proper use of holding and smoking cigarettes safely. Safe to smoke with apron 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.

    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

$8,281 in federal fines across 1 penalty.

  • $8,281 — penalty dated 2025-05-14

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.

Who owns this facility

Owner / managerTypeRoleShareSince
VANN, DAVIDIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER50%since 11/01/2018
WRIGHT, BOYDIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER50%since 11/01/2018
OLIVER, CRYSTALIndividualW-2 MANAGING EMPLOYEE; OPERATIONAL/MANAGERIAL CONTROLsince 09/04/2019

CMS files one row per role, so the 6 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

$6.2M
Net patient revenuemost recent cost report
-5.6%
Operating marginrevenue minus expenses
$728K
Related-party expense11% of expenses
Who pays — share of resident-days
Medicaid 86%Medicare 2%Other / private 12%

About 86% 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 $728K paid to related parties — landlords or management companies under common ownership — equal to about 11% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

$298per resident / day
operating cost
$9,066per month
≈ monthly operating cost
$282per day
avg. revenue, all payers

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

What families pay in AR

Paying with Medicaid

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

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

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 045440. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-01, 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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