| General |
| City |
| Fayetteville |
Pine Bluff |
| State attribute explanation |
| Ar |
Ar |
| Street |
| 1923 East Joyce Blvd |
6301 South Hazel |
| Zip Code |
| 72,703 |
71,603 |
| Phone |
| 4,794,427,220 |
8,705,348,153 |
|
Overall Star Rating |
| 4 |
2 |
|
Health Inspections Star Rating |
| 3 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 2 |
5 |
|
RN Only Star Rating |
| 4 |
2 |
|
Number of Certified Beds |
| 70 |
103 |
|
Total Number of Residents |
| 59 |
82 |
|
Percent of Occupied Beds |
| 84 % |
80 % |
| Health Survey Date |
| 7/15/2011 |
9/16/2011 |
| Fire Survey Date |
| 7/14/2011 |
9/16/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
No |
| Resident and Family Councils |
| Both |
Resident |
| Continuing Care Retirement Community? |
| Yes |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 2 |
75.2 |
| Total Enforcement Actions Count |
| 2 |
75.2 |
| # of deficiencies |
| 2 |
31 |
|
| Staff Information |
| Number of Residents |
| 59 |
82 |
| Number of RN Hours Per Resident Per Day |
| 0.69 |
0.38 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.08 |
0.84 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.77 |
1.21 |
| Number of CNA Hours Per Resident Per Day |
| 0.04 |
0.07 |
| Number Therapy Hours Per Resident Per Day |
| 0.04 |
0.07 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 04/05/2012date Of Correction: 05/05/2012 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Maintain Comfortable And Safe Temperature Levels.survey Date: 07/01/2011date Of Correction: 07/25/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 05/08/2009date Of Correction: 06/10/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 07/22/2011date Of Correction: 08/12/2011 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 07/22/2011date Of Correction: 08/12/2011 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 4deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 05/25/2010date Of Correction: 06/24/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 07/01/2011date Of Correction: 07/31/2011 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Limit The Charges Against The Personal Funds Of A Resident For Items Or Services For Which Payment Is Made Under Medicare Or Medicaid.survey Date: 11/23/2010date Of Correction: 12/23/2010 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 09/02/2009date Of Correction: 10/02/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 4deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/25/2010date Of Correction: 06/24/2010 |
Scope: Somelevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 06/07/2012date Of Correction: 06/25/2012 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 04/05/2012date Of Correction: 05/05/2012 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.survey Date: 09/16/2011date Of Correction: 10/16/2011 |
| Deficiency #4 |
|
Scope: Somelevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 09/16/2011date Of Correction: 10/16/2011 |
| Deficiency #5 |
|
Scope: Somelevel Of Harm: 2deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.survey Date: 07/22/2011date Of Correction: 08/12/2011 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 07/22/2011date Of Correction: 08/12/2011 |
| Deficiency #7 |
|
Scope: Fewlevel Of Harm: 2deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 07/01/2011date Of Correction: 07/31/2011 |
| Deficiency #8 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 07/01/2011date Of Correction: 07/31/2011 |
| Deficiency #9 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.survey Date: 07/01/2011date Of Correction: 07/31/2011 |
| Deficiency #10 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 07/01/2011date Of Correction: 07/31/2011 |
| Deficiency #11 |
|
Scope: Somelevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 07/01/2011date Of Correction: 07/31/2011 |
| Deficiency #12 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 07/01/2011date Of Correction: 07/31/2011 |
| Deficiency #13 |
|
Scope: Somelevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 05/05/2011date Of Correction: 06/02/2011 |
| Deficiency #14 |
|
Scope: Fewlevel Of Harm: 3deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.survey Date: 10/12/2010date Of Correction: 11/11/2010 |
| Deficiency #15 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 10/12/2010date Of Correction: 11/11/2010 |
| Deficiency #16 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.survey Date: 04/30/2010date Of Correction: 05/21/2010 |
| Deficiency #17 |
|
Scope: Somelevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 04/30/2010date Of Correction: 05/21/2010 |
| Deficiency #18 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 09/02/2009date Of Correction: 10/02/2009 |
| Deficiency #19 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 09/02/2009date Of Correction: 10/02/2009 |
| Deficiency #20 |
|
Scope: Somelevel Of Harm: 2deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.survey Date: 05/08/2009date Of Correction: 06/10/2009 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 3deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 06/07/2012date Of Correction: 06/25/2012 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 05/04/2012date Of Correction: 06/25/2012 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 05/04/2012date Of Correction: 06/25/2012 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 6.3 % |
34.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 21.4 % |
5.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
21.9 % |
| Percent of long-stay residents who lose too much weight |
| 4.7 % |
9.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
21.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7.3 % |
3.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.7 % |
75.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 3.1 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 4.7 % |
1.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 27.3 % |
17.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 82.6 % |
93.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 82.6 % |
100 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 6.3 % |
3.9 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 8.3 % |
33.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 23.1 % |
4.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.6 % |
16.9-24 |
| Percent of long-stay residents who lose too much weight |
| 5.6:1 |
9.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 47.4 % |
22.2:1 |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.7 % |
5 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.6:1 |
0.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.6:1 |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 3.3 % |
0.9 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 6.7 % |
2.6 / 3 |
| Percent of short-stay residents who self-report moderate to severe pain |
| 28.6 % |
12.3:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 88.8 % |
93.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 22.9 % |
8.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 1.7 % |
8.3 % |