Above average — CMS composite of the measures below.
The next survey window likely opens around December 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 Amberwood Health And Rehabilitation during CMS and state inspections, most recent first.
A facility failed to ensure proper medication administration for three residents. An LPN applied lidocaine cream incorrectly for a resident with chronic pain. Another LPN administered expired medication without a physician's order to a resident with swallowing difficulties. A third resident received medications not ordered for them due to an LPN using an incorrect MAR. The DON highlighted the need for verifying the right resident, medication, time, dose, and route.
A LTC facility failed to maintain a medication error rate below 5%, with errors involving three residents. An LPN applied lidocaine cream to incorrect areas for a resident with chronic pain. Another LPN administered expired medication without a physician's order to a resident with swallowing difficulties. A third resident received incorrect medications due to an LPN's failure to verify identity, leading to administration errors. The facility's policy on medication administration was not followed.
Two residents in the facility were administered incorrect medications due to failures in following proper medication administration protocols. One resident received an expired medication without a physician's order, while another was given multiple medications not prescribed to them. The errors were attributed to the LPN's failure to verify the correct resident and medication, as well as the ADON's oversight in removing unauthorized medications.
The facility failed to remove expired food items and ensure proper hand hygiene among dietary staff. An opened bottle of tomato juice without a received date and an expired turkey sandwich were found in the refrigerator. Dietary Aide #1 repeatedly handled dirty objects and then clean items without proper handwashing, violating the facility's handwashing policy.
Medication Administration Errors in LTC Facility
Penalty
Summary
The facility failed to ensure that nursing staff followed basic competencies and nursing skills during medication administration for three residents. For Resident #14, a Licensed Practical Nurse (LPN) applied lidocaine cream to the resident's lower back and knees, despite the physician's order specifying application to the knees and shoulders. Resident #14 was cognitively intact and had a scheduled pain medication regimen for chronic pain related to knee pain, back pain, and muscle spasms. Resident #244, who was admitted without a completed Admission MDS, had a physician's order for Sucralfate Suspension for gastric protection. However, an LPN administered an expired medication that the resident brought into the facility without a physician's order. The Assistant Director of Nursing (ADON) acknowledged the oversight. For Resident #245, another LPN administered medications that were not ordered for the resident, including atorvastatin, amlodipine, carvedilol, polyethylene glycol, gabapentin, and metoclopramide. The LPN used a Medication Administration Record (MAR) that did not match the resident's name, leading to the administration error. The Director of Nursing (DON) emphasized the importance of verifying the right resident, medication, time, dose, and route before administration.
Medication Administration Errors in LTC Facility
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, as evidenced by errors involving three residents during medication administration. Resident #14, who was cognitively intact and on a scheduled pain medication regimen, received lidocaine cream applied to incorrect areas of the body by an LPN. Resident #244, who had a nutritional problem related to throat inflammation and difficulty swallowing, was administered an expired medication without a physician's order by another LPN. The Assistant Director of Nursing confirmed that the medication was brought in by the resident upon admission and should have been removed. Resident #245, who had multiple health issues including type II diabetes, hypertension, and chronic kidney disease, was given medications that were not prescribed to them. An LPN administered several medications, including atorvastatin and amlodipine, without verifying the resident's identity, leading to the administration of the wrong medications. The Director of Nursing later confirmed that the physician was notified of the error. The facility's policy requires verification of the right resident, medication, dose, time, and route before administration, which was not adhered to in these instances.
Medication Errors in Resident Care
Penalty
Summary
The facility failed to ensure that residents were free from significant medication errors, as evidenced by the administration of incorrect medications to two residents. Resident #244, who had a nutritional problem related to difficulty swallowing, was given an expired medication, diphenhydramine viscous lidocaine, without a physician's order. This medication was brought into the facility by the resident upon admission and was not removed by the Assistant Director of Nursing (ADON), who acknowledged the lack of a physician's order and the medication's expiration. Resident #245, who had multiple health conditions including type II diabetes, hypertension, and chronic kidney disease, was administered several medications that were not prescribed, including atorvastatin, amlodipine, carvedilol, polyethylene glycol, gabapentin, and metoclopramide. The Licensed Practical Nurse (LPN) administering the medication used the wrong Medication Administration Record (MAR) and did not verify the resident's identity, leading to the error. The Director of Nursing (DON) later confirmed the importance of verifying the right resident, medication, dose, time, and route before administration, as outlined in the facility's medication administration policy.
Deficiencies in Food Safety and Hand Hygiene Practices
Penalty
Summary
The facility failed to ensure that expired food items were promptly removed or discarded, as observed in the refrigerator in the activity lounge. An opened bottle of tomato juice was found without a received date, and a turkey sandwich was stored past its expiration date. These observations indicate a lack of adherence to proper food storage and handling protocols, which are essential for maintaining food safety and preventing potential health risks to residents. Additionally, the facility did not ensure proper hand hygiene practices among dietary staff. Dietary Aide #1 was observed multiple times handling dirty objects and then touching clean items without adequately washing her hands. On several occasions, she used a water hose to spray off leftover food from dishes, contaminating her hands, and then proceeded to handle clean plates without proper handwashing. Furthermore, she used contaminated tissue to turn off the faucet and dry her hands, further compromising hand hygiene. These actions demonstrate a failure to follow the facility's policy on employee cleanliness and handwashing techniques, which is critical in preventing cross-contamination and ensuring the safety of food served to residents.
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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) |
|---|---|---|---|---|
| Alcoa Pines Health And Rehabilitation | 1.4 mi | ★★★★★ | 0 | 0 |
| Evergreen Living Center At Stagecoach | 2.7 mi | ★★★★★ | 0 | 0 |
| Southern Trace Rehabilitation And Care Center | 3.3 mi | ★★★★★ | 10 | 0 |
| Heartland Rehabilitation And Care Center | 3.7 mi | ★★★★★ | 0 | 0 |
| Arkansas Health Center | 6.4 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.