| General |
| City |
| Fayetteville |
El Dorado |
| State attribute explanation |
| Ar |
Ar |
| Street |
| 1923 East Joyce Blvd |
2415 W Hillsboro |
| Zip Code |
| 72,703 |
71,730 |
| Phone |
| 4,794,427,220 |
8,708,635,034 |
|
Overall Star Rating |
| 4 |
2 |
|
Health Inspections Star Rating |
| 3 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
2 |
|
Quality Measures Star Rating |
| 2 |
5 |
|
RN Only Star Rating |
| 4 |
1 |
|
Number of Certified Beds |
| 70 |
101 |
|
Total Number of Residents |
| 59 |
58 |
|
Percent of Occupied Beds |
| 84 % |
57 % |
| Health Survey Date |
| 7/15/2011 |
11/3/2011 |
| Fire Survey Date |
| 7/14/2011 |
11/1/2011 |
| 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 |
Yes |
| Resident and Family Councils |
| Both |
Both |
| Continuing Care Retirement Community? |
| Yes |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 2 |
5 |
| Total Enforcement Actions Count |
| 2 |
6 |
| # of deficiencies |
| 2 |
22 |
|
| Staff Information |
| Number of Residents |
| 59 |
58 |
| Number of RN Hours Per Resident Per Day |
| 0.69 |
0.26 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.08 |
1.31 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.77 |
1.57 |
| Number of CNA Hours Per Resident Per Day |
| 0.04 |
0.05 |
| Number Therapy Hours Per Resident Per Day |
| 0.04 |
0.05 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel 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: 12/30/2011date Of Correction: 01/12/2012 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 4deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 09/03/2010date Of Correction: 09/24/2010 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 4deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 07/01/2009date Of Correction: 07/01/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 4deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 12/01/2011date Of Correction: 12/21/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 4deficiency: 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: 12/01/2011date Of Correction: 12/21/2011 |
| 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: Somelevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 04/07/2011date Of Correction: 04/29/2011 |
| Deficiency #2 |
|
Scope: Somelevel 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: 05/07/2009date Of Correction: 06/03/2009 |
| 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: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 06/19/2012date Of Correction: 07/03/2012 |
| Deficiency #2 |
|
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: 04/07/2011date Of Correction: 04/29/2011 |
| Deficiency #3 |
|
Scope: Somelevel 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: 04/07/2011date Of Correction: 04/29/2011 |
| Deficiency #4 |
|
Scope: Somelevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 04/07/2011date Of Correction: 04/29/2011 |
| Deficiency #5 |
|
Scope: Somelevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 04/07/2011date Of Correction: 04/29/2011 |
| Deficiency #6 |
|
Scope: Somelevel Of Harm: 4deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 09/03/2010date Of Correction: 09/24/2010 |
| Deficiency #7 |
|
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: 03/18/2010date Of Correction: 04/17/2010 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 05/07/2009date Of Correction: 06/03/2009 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 09/22/2011date Of Correction: 10/14/2011 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 04/07/2011date Of Correction: 04/29/2011 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.survey Date: 04/07/2011date Of Correction: 04/29/2011 |
| Deficiency #4 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 05/07/2009date Of Correction: 06/03/2009 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.survey Date: 04/07/2011date Of Correction: 04/29/2011 |
| Deficiency #2 |
|
Scope: Manylevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 03/18/2010date Of Correction: 04/17/2010 |
| Deficiency #3 |
|
Scope: Manylevel Of Harm: 1deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed.survey Date: 03/18/2010date Of Correction: 03/18/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 6.3 % |
23.9 % |
| 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 % |
2.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
7.5 % |
| Percent of long-stay residents who lose too much weight |
| 4.7 % |
6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7.3 % |
2.1 % |
| 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 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 27.3 % |
75.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 82.6 % |
87.9 % |
| 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 |
3.8 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 6.3 % |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 8.3 % |
20 % |
| 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 % |
8.6:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.6 % |
5.3 % |
| Percent of long-stay residents who lose too much weight |
| 5.6:1 |
3.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 47.4 % |
17.9 (64.2) |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.7 % |
0.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.6:1 |
75.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.6:1 |
0.6 % |
| Percent of long-stay residents who were physically restrained |
| 3.3 % |
0.6 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 6.7 % |
0.6 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 28.6 % |
7.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 88.8 % |
89.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 22.9 % |
100 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 1.7 % |
2.8 % |