Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
0E
0F
Potential for minimal harm
0A
0B
0C
May 29, 2026Standard inspection · 0 citations
March 14, 2025Standard inspection, Complaint inspection · 3 citations
- J
Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, record review, and staff, Nurse Practitioner, and Medical Director interviews, the facility staff failed to follow the manufacturer's instructions for cleaning and disinfecting of a shared glucometer between resident usage for 2 of 2 residents whose blood sugar levels were checked (Resident #58, Resident #1). Shared glucometers can be contaminated with blood and must be cleaned and disinfected after each use with an approved product and procedure. Failure to use an Environmental Protection Agency (EPA)-approved disinfectant in accordance with the manufacturer's instructions for disinfection of the glucometer potentially exposes residents to the spread of blood borne infections. There were two residents with a bloodborne pathogen in the facility at the time of the investigation. [...]
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, record review, and resident and staff interviews, the facility failed to maintain a resident's dignity by continuously utilizing a video and audio monitoring device in his room for 1 of 3 sampled residents reviewed for dignity (Resident #49). Resident #49 stated the video and audio device in his room did not make him feel good at all and he had to watch what he said around it because it was always watching him.
- D
Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observations, record review, and resident and staff interviews, the facility failed to maintain privacy and obtain written consent for the use of a video and audio monitoring device in a resident's rooms for 1 of 3 sampled residents reviewed for privacy (Resident #49). A reasonable person would expect privacy in their living area and not be monitored continuously by a monitoring technician at an offsite location.
November 16, 2023Standard inspection · 4 citations
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on record review, resident, and staff interview the facility failed to treat a resident in a dignified manner by not adequately preparing her for an outside medical appointment for 1 of 3 residents reviewed for dignity (Resident #18). This made Resident #18 feel forgotten and unimportant.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observations, record review, and staff interviews the facility neglected to feed a dependent resident (Resident #15) her lunch meal for 1 of 2 residents reviewed for neglect.
- D
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.
Inspectors wroteBased on observations, record review, and staff interviews the facility failed to remove expired medications from 1 of 2 medications carts reviewed (Pine Bluff medication cart).
- D
Provide or obtain dental services for each resident.
Inspectors wroteBased on observations, record review, and staff and resident interviews, the facility failed to ensure routine dental care for 1 of 2 residents reviewed for dental services (Resident #52).
Fire safety inspections
4 fire safety citations on file: 1 on March 14, 2025, 1 on November 16, 2023, 2 on May 26, 2022.
Every fire safety citation4 citations
- D
Have exits that are accessible at all times.
K 271 · March 14, 2025 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · November 16, 2023 · Corrected (the home has a date of correction)
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K 222 · May 26, 2022 · Corrected (the home has a date of correction)
- D
Inspect, test, and maintain automatic sprinkler systems.
K 353 · May 26, 2022 · Corrected (the home has a date of correction)