Average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Alcoa Pines Health And Rehabilitation during CMS and state inspections, most recent first.
Dietary staff did not consistently wash their hands between handling dirty and clean items during meal service. Staff were observed contaminating their hands with items like shakes and condiments, then immediately handling clean glasses and plates without hand hygiene, contrary to facility policy.
A resident with multiple respiratory diagnoses was given oxygen therapy without a current physician order, as required by facility policy. Staff interviews and record reviews confirmed that the oxygen order had been discontinued and not renewed in the EHR, and there was no documentation of ongoing assessment or specific care plan instructions for oxygen administration.
A resident with a history of urinary tract infections and chronic kidney disease had an indwelling urinary catheter bag placed on a trash can containing trash, with the bag touching the floor and no barrier underneath. Multiple staff, including LPNs and CNAs, acknowledged this was improper practice and contrary to facility policy, which requires catheter bags to be kept off the floor to prevent infection.
Failure to Ensure Hand Hygiene During Food Service
Penalty
Summary
Dietary staff failed to perform proper hand hygiene between dirty and clean tasks during meal service. Multiple dietary aides were observed handling items such as cartons of shakes and condiments with their bare hands, contaminating their hands, and then immediately handling clean glasses and placing them on resident trays without washing their hands. In several instances, staff picked up glasses by the rims and placed them on trays to be served for lunch, again without performing hand hygiene. One aide was observed pulling up his pants after washing his hands and then handling clean glasses without re-washing his hands. Another aide, after sorting tray cards, handled clean plates with unwashed hands and long, polished nails, touching the insides of the plates. The facility's hand washing policy requires employees to wash their hands before the beginning of their shift and any other time deemed necessary. However, staff did not adhere to this policy during the observed meal service. When questioned, one dietary aide acknowledged that she should have washed her hands after touching dirty objects and before handling clean dishes. No information about residents' medical history or condition at the time of the deficiency was provided in the report.
Oxygen Therapy Administered Without Physician Order
Penalty
Summary
A resident with a history of asthma, acute and chronic respiratory failure, sleep apnea, and COPD was observed receiving oxygen therapy via nasal cannula at 4 liters per minute from an oxygen concentrator. The resident reported using oxygen continuously and also using a BiPap machine. Review of the resident's records revealed that the physician's order for oxygen therapy had been discontinued several months prior, and there was no current order in place for oxygen administration. Additionally, the Medication Administration Record did not reflect ongoing oxygen therapy, nor was there documentation of ongoing assessment of the resident's respiratory status or response to the therapy. The resident's care plan referenced altered respiratory status and directed staff to use oxygen as ordered, but it lacked specific instructions regarding the type of delivery system, flow rates, timing, or monitoring requirements. Interviews with nursing staff and the Director of Nursing confirmed that it was the responsibility of the nurse to ensure physician orders were entered into the electronic health record (EHR) and that this had not been done for the resident's oxygen therapy. Facility policy required verification of a physician's order prior to administering oxygen, as well as documentation of the rate, route, and rationale, but these steps were not followed in this case.
Improper Placement of Indwelling Catheter Bag Resulting in Infection Control Deficiency
Penalty
Summary
The facility failed to ensure proper handling and placement of an indwelling urinary catheter for a resident with a history of chronic kidney disease, urinary retention, and recent urinary tract infections. The resident had a urinary catheter inserted as ordered, and during observation, the catheter bag was found hanging on a trash can containing trash and was touching the floor without any barrier to prevent contamination. This placement was in direct violation of the facility's catheter care policy, which requires that catheter tubing and drainage bags be kept off the floor to prevent catheter-associated urinary tract infections. Interviews with multiple staff members, including LPNs and CNAs, confirmed that they were aware catheter bags should not be hung on dirty surfaces or allowed to touch the floor, as this could lead to infection. The Director of Nursing also acknowledged that proper placement of the catheter bag is necessary to reduce infection risk. The resident involved was cognitively intact, independent with toileting, and had a recent history of urinary tract infections, further emphasizing the importance of proper infection control practices.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Benton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Amberwood Health And Rehabilitation | 1.4 mi | ★★★★★ | 1 | 0 |
| Heartland Rehabilitation And Care Center | 2.7 mi | ★★★★★ | 0 | 0 |
| Evergreen Living Center At Stagecoach | 3.7 mi | ★★★★★ | 0 | 0 |
| Southern Trace Rehabilitation And Care Center | 4.6 mi | ★★★★★ | 10 | 0 |
| Arkansas Health Center | 5.3 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.