| General |
| City |
| Fayetteville |
Fayetteville |
| State attribute explanation |
| Ar |
Ar |
| Street |
| 1923 East Joyce Blvd |
221 South School Street |
| Zip Code |
| 72,703 |
72,701 |
| Phone |
| 4,794,427,220 |
4,794,425,100 |
|
Overall Star Rating |
| 4 |
3 |
|
Health Inspections Star Rating |
| 3 |
3 |
|
Nurse Staffing Star Rating |
| 4 |
3 |
|
Quality Measures Star Rating |
| 2 |
4 |
|
RN Only Star Rating |
| 4 |
1 |
|
Number of Certified Beds |
| 70 |
123 |
|
Total Number of Residents |
| 59 |
80 |
|
Percent of Occupied Beds |
| 84 % |
65 % |
| Health Survey Date |
| 7/15/2011 |
11/18/2011 |
| Fire Survey Date |
| 7/14/2011 |
11/14/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Partially Sprinklered |
| Program Participation |
| Medicare |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
Non 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 |
8 |
|
| Staff Information |
| Number of Residents |
| 59 |
80 |
| Number of RN Hours Per Resident Per Day |
| 0.69 |
0.2 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.08 |
1.29 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.77 |
1.49 |
| Number of CNA Hours Per Resident Per Day |
| 0.04 |
0.01 |
| Number Therapy Hours Per Resident Per Day |
| 0.04 |
0.01 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 05/31/2012date Of Correction: 06/30/2012 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 10/14/2010date Of Correction: 11/13/2010 |
| Deficiency #3 |
|
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: 10/14/2010date Of Correction: 11/13/2010 |
| 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: 12/14/2011date Of Correction: 01/13/2012 |
| 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: 12/14/2011date Of Correction: 01/13/2012 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 01/14/2010date Of Correction: 02/13/2010 |
| 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 |
|
| 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 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 10/14/2010date Of Correction: 11/13/2010 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.survey Date: 10/14/2010date Of Correction: 11/13/2010 |
| 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 % |
3.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 21.4 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
|
8.3 % |
| Percent of long-stay residents who lose too much weight |
| 4.7 % |
4.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7.3 % |
2.20 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.7 % |
5.6:1 |
| Percent of long-stay residents who have depressive symptoms |
| 3.1 % |
5.6:1 |
| Percent of long-stay residents who were physically restrained |
| 4.7 % |
1.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 27.3 % |
14.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 82.6 % |
93.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 82.6 % |
93.8 % |
| 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 % |
2.8 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 8.3 % |
22.1 (71.8) |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
0.9 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 23.1 % |
4.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.6 % |
9.7 % |
| Percent of long-stay residents who lose too much weight |
| 5.6:1 |
6.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 47.4 % |
46.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.7 % |
3.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.6:1 |
8.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.6:1 |
7.1 % |
| 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 % |
0.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 28.6 % |
20.2 (68.4) |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 88.8 % |
93.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 22.9 % |
98.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 1.7 % |
75.2 % |