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The Springs Broadway

800 West Broadway, West Memphis, AR 72301 · For profit - Limited Liability company · 119 certified beds · (870) 735-5174 Medicare & Medicaid certified

Call the home — (870) 735-5174 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 22 lower-level deficiencies on record (see below)
Insights

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

In its favor
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its independent health-inspection rating is low (2/5)
  • about 30% of its spending goes to commonly-owned related companies

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 3 of 5

Location & what’s nearby

Urgent care / clinic
255 Broadway Ave W · (870) 735-8246 · Call to confirm hours
Pharmacy
Walgreens0.1 mi
346 W Broadway St · (870) 733-0138 · Call to confirm hours
Grocery
Save A Lot<0.1 mi
337 W Broadway St · (870) 732-4198 · Call to confirm hours
Park
306 W Oliver Ave · Typically dawn to dusk
Place of worship
347 W Broadway Ave · (901) 456-3995

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

Quality measures — how residents actually fare

Overall quality measures 3 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 1 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 3 stars. From monthly CMS archive snapshots.

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

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased5.9%9.5%15.4%better
Long-stay residents who lose too much weight0.9%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 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 injury2.3%3.9%3.3%better
Long-stay residents whose ability to walk worsened3.5%10.1%16.1%better
Long-stay residents on antianxiety or hypnotic medication13.7%21.7%18.9%better
Long-stay residents given the seasonal flu vaccine64.8%96.1%95.3%worse
Long-stay residents with pressure ulcers4.0%4.2%4.7%better
Long-stay residents with worsening bladder/bowel control7.7%13.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table2.6%10.9%17.1%better
Short-stay residents who newly got an antipsychotic medication2.8%1.3%1.4%worse
Short-stay residents given the seasonal flu vaccine66.2%77.7%79.4%worse
Short-stay residents rehospitalized after admission25.1%24.1%22.6%worse
Short-stay residents with an outpatient ER visit16.3%12.5%12.0%worse
Long-stay hospitalizations per 1,000 resident days3.242.011.67worse
Long-stay outpatient ER visits per 1,000 resident days5.872.131.80worse

* 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.

24.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 72 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

24.2%U.S. median 51.5%
Got home and stayed home
12.1%U.S. median 10.7%
Went back to hospital
38.9%U.S. median 56.6%
Met the expected recovery
0.28U.S. median 0.31
Therapy hours / resident / day
0.20hours / resident / day
Physical therapy
0.07hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Met the expected recovery: 38.9% 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 36 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 0.28 therapist hours per resident per day in 2026Q1 — more than 42% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 23% 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 SNF24.2%CMS range 15.9–35.451.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.1%CMS range 8.5–15.710.7%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 discharge38.9%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 discharge38.9%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 discharge44.4%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 identified89.9%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 setting34.5%100.0%Oct 2024–Sep 2025CMS makes no comparison for this 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 discharge80.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.3%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 worsened2.5%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 hospitalization6.4%CMS range 3.6–10.77.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.111.02Oct 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

0.44
RN hours/ resident / day
1.19
LPN hours/ resident / day
2.27
Aide hours/ resident / day
3.89
Total nurse hours/ resident / day
0.42
RN hoursweekends
37.5%
Total nursing turnover
72.7%
RN turnover

How full it usually is: this home is certified for 119 beds and averages 79.9 residents a day — about 67% occupied, or roughly 39 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 3.89 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.44 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.27 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.56 hrs/resident/day on weekends vs 4.03 on weekdays — 12% thinner on weekends. RN hours go from 0.45 to 0.42 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 38% 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

4
deficiencies at the latest standard inspection (2025-03-27)
9
at the previous standard inspection (2024-02-02)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

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

  • Potential for harm · Dcited before2026-07-01 · 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 interviews, record review, and facility policy review, it was determined that the facility failed to perform ADLs to maintain good nutrition, grooming, and personal care for one (Resident #2) of one resident reviewed. The findings include: Based on interviews, record review, and facility policy review, it was determined that the facility failed to perform ADLs to maintain good nutrition, grooming, and personal care for one (Resident #2) of one resident reviewed. The findings include:A review of the admission Record indicated the facility admitted Resident #2 on 02/16/2026 with diagnoses that included type-2 diabetes, malnutrition, depression, and unsteadiness on feet.A review of the admission Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 02/21/2026, revealed that Resident #2 had a Brief Interview for Mental Status (BIMS) score of 15 which indicated the resident was cognitively intact. The MDS revealed, Resident #2 needed substantial/maximal assistance with toileting hygiene, lower body dressing, putting on/taking off footwear, chair/bed transfer, toilet…

    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 no plan of correction
  • Potential for harm · Ecited before2025-03-27 · 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, record review, and interview, the facility failed to ensure that activities of daily living (ADL) were performed, and nail care was completed for 2 (Resident #9 and Resident #49) residents of 8 sampled residents reviewed for ADLs. The findings are: A review of the facility policy Activities of Daily Living, Supporting revised in March 2025, indicated that Policy Statement: Residents who are unable to carry out activities of daily living independently will receive the services necessary to maintain good nutrition, grooming and personal and oral hygiene. 4. If residents with cognitive impairment or dementia resist care, staff will attempt to identify the underlying cause of the problem and not just assume the resident is refusing or declining care. Approaching the resident in a different way or at a different time or having another staff member speak with the resident may be appropriate. A review of an admission Record indicated the facility admitted Resident #9 with diagnoses that included: stroke, type 2 diabetes, unsteadiness on feet, anxiety disorder, 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 · Ecited before2025-03-27 · 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, record review, and interview, the facility failed to ensure that limited range of motion did not worsen for 2 residents (Resident #9 and Resident #49) of 3 sampled residents reviewed for range of motion. The findings include: A review of the facility policy Resident Mobility and Range of Motion revised in July 2024, 1. Residents will not experience an avoidable reduction in the range of motion (ROM). 2. Residents with limited range of motion will receive treatment and services to increase and/or prevent a further decrease in ROM. 3. Residents with limited mobility will receive appropriate services, equipment and assistance to maintain or improve mobility unless reduction in mobility is unavoidable. A review of the facility policy Activities of Daily Living, supporting revised in March 2025 indicated, If residents with cognitive impairment or dementia resist care, staff will attempt to identify the underlying cause of the problem and not just assume the resident is refusing or declining care. Approaching the resident in a different way or at a different time or…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-03-27 · 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, facility record review and interview, the facility failed to ensure food was in the proper form for the residents, affecting six residents with orders for pureed diets in the facility. The findings include: A review of the facility policy QRT Food Palatability issued on 9/1/2021 indicated that Food and liquids are prepared and served in a manner, form, and texture to meet resident's needs. A review of the Recipe Pureed Chicken Pot Pie indicated Blend until smooth adding liquid/thickener needed to obtain a pudding like consistency. On 03/25/2025 at 10:35 AM, this surveyor observed Dietary [NAME] (DC) #2 add 8 four-ounce scoops of chicken pot pie to the food processor. When the chicken pot pie was placed in the stainless-steel bin after being pureed, this surveyor observed chunks of carrots, chicken, and peas in the puree. DC #2 stated that consistency should be pudding like for pureed diets. On 03/25/2025 at 10:45 AM, this surveyor observed DC #2 add 9 four-ounce scoops of broccoli and cauliflower in the food processor. DC #2 added approximately 1 and 1/2 cups…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-03-27 · 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 observations, facility record review and interview, the facility failed to ensure that cross contamination did not occur during lunch service for one out of one kitchen. The findings include: A review of the facility policy Quick Resource Tool: Safe Food Handling issued on 9/1/2021, indicated 1. Dining Services staff will be responsible for food preparation procedures that avoid contamination by potentially harmful physical, biological, and chemical contamination. On 3/24/2025 at 11:06 AM, the 4-ounce scoop for the cream of corn fell into the pan. DC #1 pulled it out, using ungloved hands and touching the food in the process. DC #1 then took the scoop to the dishwasher. This surveyor observed pieces of cream of corn on tips of fingers on both hands. On 3/24/2025 at 11:15 AM, while observing lunch service, DC #2 touched the inside of the bowl before adding baked beans. On 3/24/2025 at 11:20 AM, while observing lunch service, DC #3 touched the middle of the plate before adding food. On 3/24/2025 at 11:22 AM, while observing lunch service, DC #2 touched the inside of the bowl…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-23 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
    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, interview, record review, and facility policy review, it was determined that the facility failed to serve a palatable meal for 1 (Resident #1) of 3 residents reviewed for meal service. The findings include: The Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 03/25/2024 revealed Resident #1 had a Brief Interview for Mental Status (BIMS) score of 13 which indicated the resident was cognitively intact. A review of the Care Plan, indicated Resident #1 had diagnoses that included Functional quadriplegia, Hemiplegia, unspecified, affecting the left nondominant side, Adult failure to thrive, and Legal blindness. A review of Resident #1's Care Plan, with an initiated date of 11/20/2020, and a revised date of 01/19/2024, revealed the resident had ADL (Activities of Daily Living) self-care performance deficit r/t (related to) left hemiplegia, generalized weakness, blindness, poor activity tolerance, pain due to compression fracture. Interventions included eating: dependent on staff. A review of Resident #1's Physician's Orders revealed Resident…

    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 · E2024-02-02 · 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, record review, and interview, the facility failed to maintain a safe, functional, sanitary, and homelike environment for the residents to promote dignity and prevent the potential injury for 15 (Rooms 210, 216, 222, 303, 304, 306, 309, 310, 313, 319, 320, 321, 322, 405, and 401) in the facility. The findings are: On 01/30/24 at 09:20 AM, the following observations were made during environmental rounds: a. room [ROOM NUMBER]: In the left-corner the wooden chair rail was coming off the wall about three inches in length with paint chipped, and the left closet was missing a door. b. room [ROOM NUMBER]: The right wall had a large indentation in the exposed sheet rock, eight inches long and four inches wide, by the resident's bed. In addition, above and around the indentation the paint was chipped, exposing more sheet rock. c. room [ROOM NUMBER]: The wall between the closets had a 2 foot long by 4 inch wide discolored brown area with chipped paint. The wall on the right side next to the air…

    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 · E2024-02-02 · 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, record review, and interview, the facility failed to ensure the janitor closet, the treatment nurse office, and the door to the dirty side of the laundry which contained chemicals were locked to prevent accidental ingestion by the residents. This failed practice had the potential to affect 18 mobile residents per a list provided by Administrator on 2/1/24. The findings are: 1. On 01/30/24 at 9:43 AM, the Janitors Closet on the right side of East Hall 2 was unlocked. In the left-hand corner of the closet was a wall mounted manual chemical dispenser containing four 80 ounce chemical containers, that were connected to the sink faucet by hoses and flowed into a basin on the floor to be used by housekeeping. From left to the right the chemicals were a no rinse cleaner, containing 40 ounces, an organic acid restroom cleaner, containing 80 ounces, a one-step disinfectant cleaner, containing 80 ounces and a glass cleaner, containing 40 ounces. On the top shelf were two boxes of glass cleaner, three individual plastic containers two were half full and one was full of…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-02-02 · 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 observations, record review, and interview, the facility failed to ensure a Bilevel Positive Airway Pressure (BiPAP) mask, a Continuous Positive Airway Pressure (CPAP) mask and oxygen tubing were properly stored in a closed bag or container when not in use to prevent potential cross contamination for 3 (Residents #27, #30, and #32) of 7 (Residents #7, #27, #30, #32, #46, #48 and #258) sampled residents who had a physician's order for BiPAP, CPAP and/or Oxygen use. The findings are: 1. Resident #27 had a diagnosis of Chronic Obstructive Pulmonary Disease (COPD), Unspecified. A Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/02/2023 documented a Brief Interview for Mental Status (BIMS) of 11 (8-12 indicates moderately cognitively impaired). a. On 01/29/24 at 12:39 pm, during initial rounds, a nightstand to the right of Resident #27's bed had a black BiPAP machine with a hose attached to a facial mask. The mask was not properly stored in a bag. A plastic storage bag or container for the mask was not on the top or around the table. b. On 01/30/24…

    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 · E2024-02-02 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to ensure drugs and biologicals were stored in accordance with currently accepted profession principles, as evidenced by the Treatments Nurses office being unlocked and accessible to residents. The findings are: a. On 01/30/24 at 9:58 AM, the Treatment Nurses office was left unlocked. On the top of the two filing cabinets were 3 sixteen ounce plastic bottles of Dakins Solution. In a lower wooden alcove there were various wound care materials with two bottles of Body Bath Oil and a half filled bottle of isopropyl alcohol. b. The Pharmacy Insert for the Dakin's Solution provided by the Nurse Consultant on 01/31/24 at 12:40 PM stated, .Drug Facts . Warnings for external use only .Keep out of reach of children, if swallowed get medical help or contact a Poison Control Center right away . c. On 01/30/24 at 09:58 AM, the Surveyor asked the Treatment Nurse if her office door was supposed to be locked at all times. The Treatment Nurse said yes. The Surveyor asked what could happen if it was unlocked and left unattended.…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
Show the remaining 12 citations
  • Potential for harm · Ecited before2024-02-02 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview, the facility failed to ensure meals were served at temperatures that were acceptable to the residents to improve palatability and encourage good nutritional intake during 2 of 2 meals observed. The failed practice had the potential to affect 11 residents who received their meal trays in their room on the 200 (Front) Hall, 13 residents who received their meal trays on the 200 (Back) Hall, 13 residents who received their meal trays on the 300 (front) Hall, 13 residents who received their meal trays in their room on the 400 Hall, as documented on a list provided by the Dietary Supervisor on 01/30/2024 at 11:09 AM. The findings are: 1. Resident #34 had Diagnosis of Cerebral Edema, Chronic Kidney Disease, Benign Neoplasm of Cerebral Meninges, and Epilepsy. The Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 01/10/2024 documented the resident scored 15 (13-15 indicates cognitively intact) on a Brief Interview for Mental Status. a. A Physicians Order dated 2/15/2023 documented, REGULAR diet REGULAR texture, REGULAR…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-02-02 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Surveyor: [NAME], [NAME] Based on observation and interview, the facility failed to ensure foods stored in the dry storage area refrigerator, and freezer were covered, sealed and dated to decrease the potential for food borne illness for residents who received meals from 1 of 1 kitchen; foods were dated the day received to assure first in, first out usage to prevent potential for food bone illness; kitchen wall and door frames, ceiling tiles ,and light fixtures were maintained in working and clean sanitary conditions for food preparation and were free of chipped paint to prevent the potential food borne illnesses for residents who received meals from 1 of 1 kitchen; expired food items were promptly removed from stock to prevent potential food borne illness for residents who received meal trays from 1 of 1 kitchen; 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. These failed practices…

    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 · D2024-02-02 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure the comprehensive care plan addressed the resident's medical and nursing needs related to oxygen use to promote continuity of care and meet the resident's needs for 1 (Resident #32) of 1 sampled resident who had physician orders for oxygen. This failed practice had the potential to affect 12 residents who had physician orders for oxygen therapy, according to a list provided by the Administrator on 02/02/24. The findings are: Resident #32 had diagnoses of Hemiplegia and Hemiparesis following Cerebral Infarction affecting Right Dominant Side and Type 2 Diabetes Mellitus with Diabetic Chronic Kidney Disease. A Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 01/24 documented a Brief Interview for Mental Status (BIMS) of 15 (13-15 indicates cognitively intact) and received oxygen therapy. a. On 01/29/24 at 11:00 am, Resident #32 was wearing Oxygen via nasal cannula. The Surveyor asked, Do you wear oxygen all the time? Resident #32 stated, Most of the time. b. On 02/01/24 at 07:58…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-02-02 · 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, record review, and interview, the facility failed to ensure residents hair was neat and clean, and facial hair shaven for 1 (Resident #160) of 31 (Residents #2, #4, #5, #7, #9, #12, #15, #16, #22, #30, #31, #32, #34, #39, #41, #43, #44, #46, #48, #50, #52, #55, #56, #159, #160, #208, #258, #259, and #359 sampled residents to maintain good hygiene and grooming. The findings are: 1. Resident #160 had diagnoses of ataxia following cerebral infarction, depression, and anxiety. a. Resident #160's Care Plan with an initiated date of 01/29/24 documented, .has an ADL [activities of daily living] self-care performance deficit . Bathing: Requires extensive assistance with bathing . b. On 01/29/24 at 1:15 PM, Resident#160 was sitting on the side of the bed, with approximately 15 white three inch long gray chin hairs that were curling from the length. Resident #160's hair was greasy and disheveled. The Surveyor asked Resident #160 about bathing. Resident #160 stated, I have not had a bath since being admitted here. Having greasy hair bothers me. The Surveyor asked if 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 · Fcited before2022-11-10 · 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, record review, and interview, the facility failed to ensure foods stored in the freezer, refrigerator and dry storage area were covered, sealed, and dated to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; expired dairy products and food items were promptly removed/discarded on or before the expiration or use by date to prevent the growth of bacteria; dietary staff washed their hands between dirty and clean tasks and before they handled clean equipment or food items to prevent the potential for cross contamination. These failed practices had the potential to affect all residents who received meals from the kitchen (total census: 70) as documented on a list provided by Dietary Supervisor. The findings are: 1. On 11/7/22 at 10:21 AM, the following were observed in the kitchen refrigerator and freezer: a. An opened box of bacon was in the refrigerator, the box was not covered or sealed. b. An opened bag of shredded cheese was in the refrigerator, the bag was not sealed. c. A carton of ice cream that belonged to a…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2022-11-10 · 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, record review, and interview, the facility failed to ensure a splint, hand roll, or other positioning device was consistently utilized to prevent further decline in Range of Motion for 2 (Resident #7 and #42) of 5 (Resident #6, R #7, R #9, R #42, and R #47) sampled residents who had a contracture. The findings are: 1. Resident #7 had diagnoses of Muscle Wasting and Atrophy, Cellulitis and Cerebral Infarction. The Quarterly MDS [Minimum Data Set] with an ARD [Assessment Reference Date] of 10/07/22 documented the resident had a BIMS [Brief Interview for Mental Status] of 9 (8 to12 indicates Moderately Impaired); had no behaviors of rejecting care, required total assistance of two people for bathing, extensive assistance of two person assist for bed mobility, dressing, toilet use and hygiene, had no functional limitation in range of motion to the upper extremity. 1. The Physician's Order dated 11/8/22 documented, .NURSING REHAB [Rehabilitation] /RESTORATIVE: Hand roll to L [Left] hand daily as tolerated. Clean and dry hand and inspect skin prior to placement.…

    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 before2022-11-10 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview, the facility failed to ensure meals were served at temperatures that were acceptable to the residents, to improve palatability and encourage good nutritional intake during 2 of 2 meals observed. The failed practice had the potential to affect 12 residents who received meal trays in their rooms on the 200 East Hall,18 residents who received meal trays in their rooms on the 200 Hall, 16 residents who received their meal trays in their rooms on the 400 Hall and 21 residents who received their meal trays in their rooms on the 300 Hall, as documented on a list provided by the Dietary Supervisor. The findings are: 1. On 11/07/22 at 12:10 PM, the unheated food cart that contained 12 lunch trays was delivered to the 200 Hall by Certified Nursing Assistant (CNA) #1. On 11/07/22 at 12:29 PM, immediately after the last resident received their tray, the temperatures of the food items on a test tray from the cart was checked and read by the Dietary Supervisor with the following results: a. The regular fried chicken was 80 degrees Fahrenheit. b.…

    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 · D2022-11-10 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed ensure an indwelling catheter was maintained in a way to ensure urinary flow was not obstructed, which had the potential to cause a UTI [Urinary Tract Infection], for 1 (Resident #29) of 3 (Resident #9, #24 and #29) sampled residents who had an indwelling catheter. The findings are: 1.Resident #29 had a diagnosis of Bladder-Neck Obstruction, Urethral Stricture, Urinary Tract Infection and MRSA [Methicillin-resistant Staphylococcus Aureus] in urine. The admission MDS [Minimum Data Set] with an ARD [Assessment Reference Date] of 09/23/22 documented that resident has a BIMS [Brief Interview for Mental Status] of 14 (13 - 15 Indicates Cognitively Intact); required extensive assistance of two-person assist with bed mobility, transfers, and bathing, requires extensive assistance of one person for dressing, toilet use and personal hygiene, independent with set-up only for eating, had an indwelling catheter. a. The Physician Orders dated 09/19/2022 documented, .Foley catheter 16 FRENCH WITH 10 CC [CUBIC CENTIMETERS]…

    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 · D2022-11-10 · 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

    Based on observation, record review, and interview the facility failed to ensure a Percutaneous Endoscopic Gastrostomy (PEG) tube feeding bag was properly labeled to prevent possible contamination and infection for 1 (Resident #70) of 2 (Resident #9 and R #70) sample mix residents. The findings are: 1.Resident #70 had a diagnosis of Dysphagia and had a Gastrostomy. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 8/31/2022 documented a score of 03 (indicates severely impaired) on the Staff Assessment for Mental Status (SAMS); was totally dependent on staff for eating. a. The Physician Order dated, 10/17/22 documented, NPO [Nothing by Mouth] diet . b. The Physician's Order dated 11/1/22 documented, Glucerna 1.5 @ [at] 60cc/hr. [cubic centimeter/hour] H2O [water] flushes @ 150cc/hr. Via pump every 4 hours every shift for Dysphagia . c. On 11/07/22 at 11:42 AM and 2:21 PM, Resident #70 was resting in bed, head of bed was up, an enteral feeding was infusing at 60cc/hr [cubic centimeter/hour]. water flush at 150cc q [every] 4 hours. The label on the feeding…

    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 before2022-11-10 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure oxygen was administered as ordered by the physician for 1 (Resident #70) of 4 (Resident #7, #9, #29, #70) sample mix residents who had a Physician's Order for oxygen. The findings are: 1.Resident #70 had a diagnosis of Chronic Obstructive Pulmonary Disease. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 8/31/2022 documented a score of 03 (Indicates Severely Impaired) on the Staff Assessment for Mental Status (SAMS); had shortness of breath with exertion, sitting at rest, when lying flat and was on oxygen therapy. a. The Physician's Order dated 10/31/22 documented, Oxygen @[at] 2L [Liters] via nasal cannula every 1 hours as needed for Shortness of Breath Oxygen . b. On 11/07/22 at 11:42 AM and at 2:21 PM, Resident #70 was resting in bed, had oxygen in place via nasal cannula at one liter according to the flow meter on the concentrator. c. On 11/07/22 at 2:06 PM, the Surveyor asked Licensed Practical Nurse (LPN) #1, how many liters are ordered for Resident #70? LPN #1…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-11-10 · tag F0803 — failed to meet residents' dietary needs — isolated
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure a dairy product was served in accordance with the planned, written menu to meet the nutritional needs of the residents for 1 of 2 meals observed. These failed practices had the potential to affect 58 residents who received meal trays from 1 of 1 kitchen, according to a list provided by the Dietary Supervisor on 11/8/2022. The findings are: a. On 11/8/2022 at 8:16 AM, there was no milk served to the residents with their breakfast. The Surveyor immediately asked the Dietary Supervisor why the residents were not served milk. She stated, We have only 12 residents that don't want milk. The rest supposed to have milk . I think they forgot to serve milk. b. On 11/8/2022 at 2:07 PM, the menu for breakfast documented the residents on regular diets, residents on mechanical soft diets and residents on pureed diets were each to receive a carton of 2 % [percent] milk.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2024-02-02 · tag F0582 — pattern
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    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 notification of Medicare non-coverage were provided to inform the residents and/or their responsible parties of financial liability for continued care and services after their Medicare coverage was discontinued for 3 (Residents #12, #31 and #208) sampled residents who were discharged from Medicare Skilled services in the last 6 months and remained in the facility and/or discharged home. The findings are: 1. Resident #12 was provided with a Skilled Nursing Facility Beneficiary Notification Review. Medicare Part A Service Start Date was 6/29/23. The last covered date of Part A Service was 8/11/23. A Notification of Medicare Non Coverage was not provided, a verbal signature was given for the resident on 8/10/23. 2. Resident #31 was provided with a Skilled Nursing Facility Beneficiary Notification Review. Medicare Part A Service Start Date was 9/28/23. The last covered date of Part A Service was 11/9/23. A Notification of Medicare Non Coverage was not provided, a verbal signature was given for the resident on 11/8/23.…

    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

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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to THE SPRINGS ARKANSAS — 26 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 2 of 53.4-1.4 vs chain
Health inspection 2 of 53.2-1.2 vs chain
Staffing 3 of 53.0≈ chain avg
Quality measures 3 of 53.8-0.8 vs chain
The other 25 homes this chain runs (chain average 3.4★, per CMS)

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

Who owns this facility

Owner / managerTypeRoleSince
WHITE RIVER HEALTHCARE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/02/2025
ANDERSON, APRILIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/27/2023
TROXEL, ROGERIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/31/2019
KURZ, CHAIMIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 10/02/2025
AJ-ARP LLCOrganizationADP OF THE SNFsince 01/01/2020
PALM TREE HC ARKANSAS LLCOrganizationADP OF THE SNFsince 01/01/2020
WEST MEMPHIS REALTY HOLDINGS LLCOrganizationADP OF THE SNFsince 12/31/2019
GUTMAN, ISAACIndividualADP OF THE SNFsince 01/01/2020
HOFFMAN, ALEXANDERIndividualADP OF THE SNFsince 01/01/2020
HOFFMAN, HELENIndividualADP OF THE SNFsince 01/01/2020
KURZ, SOLOMONIndividualADP OF THE SNFsince 01/01/2020
TAUB, JACOBIndividualADP OF THE SNFsince 01/01/2020

CMS files one row per role, so the 15 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

4 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.

$8.4M
Net patient revenuemost recent cost report
-2.9%
Operating marginrevenue minus expenses
$2.6M
Related-party expense30% of expenses
Who pays — share of resident-days
Medicaid 63%Medicare 12%Other / private 25%

This home reported $2.6M paid to related parties — landlords or management companies under common ownership — equal to about 30% 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.

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

$362per resident / day
operating cost
$11,016per month
≈ monthly operating cost
$352per 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 045195. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-03-27, 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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