| General |
| City |
| Fayetteville |
North Little Rock |
| State attribute explanation |
| Ar |
Ar |
| Street |
| 221 South School Street |
2501 John Ashley Drive |
| Zip Code |
| 72,701 |
72,114 |
| Phone |
| 4,794,425,100 |
5,017,583,800 |
|
Overall Star Rating |
| 3 |
2 |
|
Health Inspections Star Rating |
| 3 |
2 |
|
Nurse Staffing Star Rating |
| 3 |
3 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
| 1 |
1 |
|
Number of Certified Beds |
| 123 |
140 |
|
Total Number of Residents |
| 80 |
119 |
|
Percent of Occupied Beds |
| 65 % |
85 % |
| Health Survey Date |
| 11/18/2011 |
9/30/2011 |
| Fire Survey Date |
| 11/14/2011 |
9/26/2011 |
| Sprinkler Status |
| Partially Sprinklered |
Partially Sprinklered |
| Program Participation |
| Medicare And Medicaid |
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 |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
3 |
| Total Enforcement Actions Count |
| 75.2 |
4 |
| # of deficiencies |
| 8 |
11 |
|
| Staff Information |
| Number of Residents |
| 80 |
119 |
| Number of RN Hours Per Resident Per Day |
| 0.2 |
0.14 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.29 |
1.21 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.49 |
1.35 |
| Number of CNA Hours Per Resident Per Day |
| 0.01 |
0.04 |
| Number Therapy Hours Per Resident Per Day |
| 0.01 |
0.04 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 05/31/2012date Of Correction: 06/30/2012 |
Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 04/25/2012date Of Correction: 05/25/2012 |
| 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 |
Scope: Somelevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 01/06/2012date Of Correction: 02/05/2012 |
| 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 |
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 12/15/2011date Of Correction: 01/14/2012 |
| Deficiency #4 |
|
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: 05/19/2011date Of Correction: 06/10/2011 |
| Deficiency #5 |
|
Scope: Manylevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 04/23/2010date Of Correction: 05/23/2010 |
| 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 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 05/17/2012date Of Correction: 05/31/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 05/17/2012date Of Correction: 05/25/2012 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.survey Date: 05/17/2012date Of Correction: 05/31/2012 |
| Deficiency #4 |
|
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: 04/25/2012date Of Correction: 05/25/2012 |
| 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 |
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: 12/09/2010date Of Correction: 12/24/2010 |
| 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 |
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 12/09/2010date Of Correction: 12/24/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 23.9 % |
18.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.1 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
15.9:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.3 % |
2 % |
| Percent of long-stay residents who lose too much weight |
| 4.2 % |
4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
52.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.20 % |
2.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.6:1 |
10 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.6:1 |
2.9 % |
| Percent of long-stay residents who were physically restrained |
| 1.4 % |
3.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 14.3 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 93.8 % |
85 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 93.8 % |
91.9 % |
| 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 |
| 2.8 % |
4.8 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 22.1 (71.8) |
22.4:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.9 % |
0.9 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 4.8 % |
16.3:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 9.7 % |
1.7 % |
| Percent of long-stay residents who lose too much weight |
| 6.2 % |
2.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 46.7 % |
52.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.6 % |
1.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 8.4 % |
8.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 7.1 % |
4 % |
| Percent of long-stay residents who were physically restrained |
| 0.9 % |
4.3 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 0.9 % |
4.9 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 20.2 (68.4) |
25.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 93.5 % |
80.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 98.2 % |
90.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
4.8 % |