Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Apple Creek Health And Rehab, Llc during CMS and state inspections, most recent first.
A facility failed to adhere to care plans and ensure resident safety, resulting in multiple incidents. A resident with left side weakness was burned by hot coffee microwaved by staff without checking the temperature. Two residents fell during transfers due to improper use of mechanical lifts, and another resident fell due to the absence of a gait belt. Additionally, a resident with dysphagia was given drinks with straws, contrary to care plan orders.
The facility's kitchen staff, including the ADM and dietary aides, failed to follow proper hand hygiene and food storage protocols. Observations revealed that staff did not wash hands after touching masks or surfaces, and food items lacked received dates and were improperly stored. The ADM also failed to sanitize the thermometer between uses, indicating a lack of training and adherence to infection control practices.
A facility failed to accurately assess a resident's dental status, leading to an oversight in documenting the presence of dentures. The resident, with severe cognitive impairment and a history of Alzheimer's disease, was observed with ill-fitting dentures that were not noted in the admission MDS. Despite documentation indicating the presence of dentures, the issue persisted, highlighting a deficiency in the assessment process.
The facility failed to implement care plans for a resident with visual impairment and another with dysphagia. A resident with Parkinsonism and severe cognitive impairment was observed without glasses, contrary to their care plan. Another resident with dysphagia was repeatedly given drinks with straws, despite a care plan prohibiting straws due to choking risks. Staff interviews confirmed the care plans were not followed, highlighting a lapse in care plan adherence.
Failure to Follow Care Plans and Ensure Resident Safety
Penalty
Summary
The facility failed to follow a care plan and interventions regarding hot liquids for a resident with left side weakness of upper and lower extremities. A staff member microwaved coffee for the resident without checking the temperature, resulting in burns to the resident's lip and chest. The resident, who had a history of hemiplegia and hemiparesis following a stroke, was at risk for burns from hot liquids due to left side weakness. The care plan specified that the temperature of liquids should not exceed 140 degrees, but this was not adhered to, leading to the incident. Additionally, the facility failed to safely transfer two residents using a mechanical lift, resulting in falls. One resident fell from a mechanical lift when two CNAs failed to secure one of the lift sling loops, causing the resident to slide out and sustain minor skin tears. Another resident, who required a mechanical lift for transfers, was transferred without it by two CNAs, leading to a fall when the resident became weak. The facility also did not ensure the proper use of a gait belt for a resident who was a high fall risk. A CNA transferred the resident without a gait belt, leading to a fall onto the bed. Furthermore, the facility did not follow a care plan intervention for a resident with dysphagia, as straws were observed in the resident's drinks despite orders for no straws due to swallowing difficulties.
Removal Plan
- The Administrator identified all microwaves in facility. Signage verified to still be in place above employee microwave that reads that no food/or drink to be heated for any residents using this microwave, must take to dietary where the food/drink will be temped before served. Other microwaves located in facility, one in activities which is not accessible by staff or residents and one in therapy that is also not accessible by staff or residents.
- Signs were posted as precaution on both microwaves located in Activity Room and Therapy Gym. Signs state that no food or drink to be heated in this microwave for any resident. All Food and Drink that needs heated must go to Dietary where it can be properly temped before served.
- In-services initiated by Administrator/Designee, with all staff that no food or drink is to be microwaved, except for in dietary where the food/drink could be correctly temped prior to serving. To ensure compliance. All staff members will be in-serviced prior to their next scheduled workday.
- Administrator will Monitor, all microwaves to ensure signage is in place and that no food/drink is being heated for any residents. Monitoring will be done 5x/week until compliance is verified by OLTC.
Deficiencies in Food Safety and Hand Hygiene in Facility Kitchen
Penalty
Summary
The facility failed to adhere to proper food storage and hand hygiene protocols in the kitchen, as observed by the surveyor. On multiple occasions, the Assistant Dietary Manager (ADM) and dietary aides did not perform hand hygiene after touching their masks or other surfaces, which is a critical step in preventing cross-contamination. The ADM was observed handling food and adjusting their mask without washing hands, and dietary aides were seen putting on gloves without prior handwashing. Additionally, the ADM did not sanitize the thermometer between checking the temperatures of different food items, which could lead to cross-contamination. Furthermore, the facility did not label received dates on food items, and some food was improperly stored. A bag of dry elbow pasta was left unsealed, and an unopened bag of spiral pasta had no received date. The ADM confirmed the lack of a facility policy for handwashing, indicating a gap in training and protocol adherence. These deficiencies highlight significant lapses in food safety and infection control practices within the facility's dietary department.
Failure to Accurately Assess Resident's Dental Status
Penalty
Summary
The facility failed to accurately assess a resident's dental status upon admission and during subsequent assessments. Resident #199, who has diagnoses of Alzheimer's disease and nontraumatic subdural hemorrhage, was admitted with severe cognitive impairment as indicated by a BIMS score of 01. The admission Minimum Data Set (MDS) did not document the presence of dentures, despite an inventory sheet dated 12/18/2024 indicating the resident had both upper and lower denture plates. Observations on 01/06/2025 and 01/07/2025 revealed that the resident's bottom denture plate was ill-fitting, rising from the gumline to the middle of the mouth when the resident attempted to speak. The LPN responsible for completing the MDS stated that she used the RAI manual and reviewed documentation from various sources, but the deficiency in accurately assessing the resident's dental status persisted.
Failure to Implement Care Plans for Visual and Swallowing Needs
Penalty
Summary
The facility failed to implement the care plan for Resident #83, who had diagnoses of Parkinsonism and repeated falls, along with severe cognitive impairment and visual impairment. Despite the care plan indicating that staff should ensure the resident wears glasses that are clean and within reach, observations on multiple occasions revealed that Resident #83 was in the day room without glasses, which were found on the overbed table in the resident's room. This indicates a failure to adhere to the care plan designed to address the resident's visual needs. Additionally, the facility did not follow the care plan for Resident #300, who had a diagnosis of dysphagia with difficulty swallowing. The care plan specified that the resident should not be provided with straws due to the risk of choking. However, observations showed that drinks with straws were repeatedly placed on the resident's bedside table. Interviews with CNAs confirmed that the closet care plan, which indicated no straws, was not being followed, posing a potential choking hazard to the resident. The Assistant Dietary Manager also confirmed that the dietary staff provided straws, but it was the CNAs who distributed them with meal trays, further highlighting the breakdown in care plan implementation.
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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 Centerton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Highlands Of Bella Vista Health & Rehab, Llc | 6.5 mi | ★★★★★ | 1 | 0 |
| The Green House Cottages Of Northwest Arkansas | 6.6 mi | ★★★★★ | 1 | 0 |
| Bradford House Nursing And Rehab, Llc | 6.6 mi | ★★★★★ | 0 | 0 |
| Promenade Health And Rehabilitation | 7.6 mi | ★★★★★ | 5 | 0 |
| Jamestown Nursing And Rehab, Llc | 8.5 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.