Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 Atkins Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
Failure to notify the Ombudsman of a resident discharge. A resident with acute kidney failure, encephalopathy, dementia, HTN, and CHF was discharged to a rehab facility after a planned transfer, but the resident was not included on the facility’s Ombudsman notification report. The BOM said she only notified the Ombudsman about emergency discharges, while the Administrator stated all discharges should be reported; the Ombudsman confirmed no notification was received.
A resident with a catheter and diagnoses including urine retention and CKD had the catheter bag left on the floor under a wheelchair, where the wheel rolled over it while the resident was sitting in the chair. Staff observed red urine in the tubing, and interviews confirmed the bag should have been stored off the floor. The resident later had blood in the urine, a positive culture for gram-negative bacteria, worsening confusion, and was started on antibiotics and contact precautions.
The facility failed to serve hot foods at safe temperatures, affecting residents' nutritional intake. A resident reported cold food, and subsequent observations showed breakfast trays with food temperatures below recommended levels. A CNA confirmed that leaving a food cart open during loading contributed to the cooling of the food.
The facility failed to ensure proper hand hygiene and glove usage among dietary staff, and did not manage food storage effectively. Staff were observed handling food and equipment without washing hands or changing gloves, and expired food items were found in storage. These actions violated the facility's policies on hand hygiene and food management.
The facility failed to clean lint traps in two dryers, creating a potential fire hazard. Observations revealed significant lint buildup and debris in the traps, despite the schedule indicating they should be cleaned after each load. The Housekeeping/Laundry Supervisor acknowledged the discrepancy between the cleaning schedule and actual practice.
A resident with dementia and anxiety disorder, who was moderately cognitively impaired, did not have their dignity maintained during incontinent care. CNAs failed to pull the privacy curtain, compromising the resident's privacy. Interviews with the CNAs and the DON confirmed the curtain should have been used to ensure privacy, as per the facility's Resident Rights policy.
A facility failed to complete a Significant Change in Status MDS assessment within 14 days for a resident who was readmitted with hospice care. The MDS Coordinator was aware of the change but did not update the assessment or care plan, which still included outdated medications and lacked hospice care interventions.
A facility failed to implement a comprehensive care plan for a resident with encephalitis and hospice care orders. The care plan inaccurately reflected the resident's need for full assistance with meals and fluids and contained discrepancies in diet orders. Additionally, the care plan was not updated to reflect significant changes in the resident's health status and medication regimen, lacking accurate information to guide care.
A facility failed to ensure staff followed Enhanced Barrier Precautions for a resident with a stage 3 pressure ulcer on the right heel. Despite physician's orders and the presence of PPE in the room, CNAs did not use PPE during care. A CNA incorrectly believed the wound was healed, while the Wound Consultant and Treatment Nurse confirmed the need for ongoing precautions.
Failure to Notify Ombudsman of Resident Discharge
Penalty
Summary
The facility failed to send a written notice of transfer or discharge to the Ombudsman for one resident who was discharged from the facility. Resident #59 was admitted from a local hospital with diagnoses including acute kidney failure, encephalopathy, hypothyroidism, dementia, hypertension, and congestive heart failure. The resident’s discharge MDS, with an assessment reference date of 02/12/2026, coded the discharge as a planned discharge to an inpatient rehabilitation facility, and progress notes documented that the resident discharged to a local rehab that same day. The facility’s Ombudsman Notification Report for February 2026 did not include Resident #59. During interviews, the BOM stated she was responsible for notifying the Ombudsman at the end of each month of emergency discharges and said she did not notify the Ombudsman of this resident’s discharge and was not aware of anyone else doing so. The Administrator stated the facility should be notifying the Ombudsman of all discharges, while the DON stated the resident discharged to the local hospital rehabilitation unit. The Ombudsman later stated they had not been notified regarding the resident’s discharge. The facility provided an Admission, Transfer and Discharge of Resident policy, but did not have a policy covering notification of the Ombudsman.
Catheter Bag Left on Floor and Rolled Over by Wheelchair
Penalty
Summary
The facility failed to ensure an indwelling catheter was stored off the floor for one resident with diagnoses including urine retention, overactive bladder, chronic kidney disease, tubulointerstitial nephritis, and anxiety. The resident’s MDS indicated the resident was cognitively intact and had a catheter. The care plan addressed impaired skin integrity related to the catheter, poor mobility, and anticoagulant use, and physician orders included catheter securement checks every shift and an anticoagulant twice daily. On observation, the resident was sitting in a wheelchair with the catheter bag hanging below the arm of the wheelchair, and the front wheel had rolled over the covered catheter bag. Red urine was seen in the catheter tubing, and the catheter tubing was stretched. The resident stated not knowing why the urine was red and did not know whether the tubing had been pulled. The surveyor then observed the resident rolling back and forth over the catheter bag while it remained on the floor and visible to staff in the hallway. Staff interviews confirmed the catheter bag was on the floor and that it should not have been there. A CNA stated catheter bags were not supposed to be on the floor because it was dirty and an infection risk, and later hung the bag under the wheelchair. An LPN stated the catheter should be in a privacy bag and stored off the floor, and that rolling over the bag could pull on the tube and create more bacteria. The resident also had red urine, sediment, a positive urine culture for gram-negative bacteria, blood in the urine, worsening confusion, and was started on antibiotics and contact precautions.
Failure to Serve Hot Foods at Safe Temperatures
Penalty
Summary
The facility failed to ensure that hot foods were served at appropriate temperatures, affecting the palatability and nutritional intake of residents. During an observation, a resident reported that their food was cold when served. On a subsequent day, a food cart containing breakfast trays was delivered to a hall, and the temperature of the food on the last tray was measured. The scrambled eggs were at 98 degrees Fahrenheit, sausage at 84 degrees Fahrenheit, pancakes at 100 degrees Fahrenheit, and gravy at 102 degrees Fahrenheit, all of which are below the recommended serving temperatures for hot foods. Additionally, another breakfast meal tray was placed in an unheated food cart and left open during the loading process, which contributed to the cooling of the food. When the food was finally delivered, the temperatures were again below the recommended levels, with sausage at 80 degrees Fahrenheit, scrambled eggs at 112 degrees Fahrenheit, pureed oatmeal at 110 degrees Fahrenheit, pureed eggs at 110 degrees Fahrenheit, and pureed sausage at 114 degrees Fahrenheit. A CNA confirmed that leaving the cart open during loading caused the food to cool down, indicating a procedural issue in maintaining food temperature during service.
Deficiencies in Hand Hygiene and Food Storage Practices
Penalty
Summary
The facility failed to ensure proper hand hygiene and glove usage among dietary employees, as well as the timely removal of expired food products. On several occasions, dietary staff members were observed handling food items and equipment without washing their hands or changing gloves after contamination. For instance, a dietary employee used contaminated gloves to handle shredded cheese, which was then used in meal preparation. Another dietary aide used a stained rag and then handled kitchen equipment without washing his hands. Additionally, the facility did not adequately manage food storage, as evidenced by the presence of expired food items in the storage room and kitchen. Expired probiotics drinks, butter fingers, hamburger buns, celery, and sage rub were found on shelves. In the refrigerator, opened and undated bottles of chicken sauce and nutritional drinks were observed, along with a discolored container of sherbet that had thawed and refrozen. These findings indicate a failure to adhere to the facility's policy on handwashing and glove usage, as well as proper food storage and expiration management.
Failure to Clean Dryer Lint Traps
Penalty
Summary
The facility failed to ensure that the lint traps for two dryers in the laundry room were cleaned, creating a potential fire hazard. During a tour, surveyors observed that one dryer's lint trap contained five white pieces of paper, a dryer sheet, and a buildup of lint, while the second dryer's lint trap contained ten dryer sheets and a buildup of lint. The Housekeeping/Laundry Supervisor stated that the lint traps were supposed to be cleaned every hour, but further observation suggested they had not been cleaned recently. The last recorded cleaning was at 6:00 AM, and between 6:00 AM and 9:00 AM, three or four loads of laundry were dried. The facility's documentation indicated that lint traps should be emptied after each load, but this was not adhered to, leading to the deficiency.
Failure to Maintain Resident Dignity During Incontinent Care
Penalty
Summary
The facility failed to maintain the dignity of a resident during the performance of Activities of Daily Living (ADL), specifically during incontinent care. The incident involved a resident diagnosed with dementia and anxiety disorder, who was moderately cognitively impaired as indicated by a Brief Interview for Mental Status (BIMS) score of 03. The resident was dependent on two staff members for transferring and toileting due to bowel incontinence and limited physical mobility. During an observation, Certified Nursing Assistants (CNAs) #6 and #7 were seen performing incontinent care on the resident without pulling the privacy curtain, thereby compromising the resident's privacy and dignity. Interviews conducted with CNA #6 and CNA #7 confirmed that the privacy curtain should have been pulled completely to ensure the resident's privacy. The Director of Nursing (DON) also acknowledged that the curtain should have been used to provide privacy and dignity to the resident. The facility's policy on Resident Rights emphasizes the importance of treating each resident with consideration, respect, and full recognition of their dignity and individuality, which was not adhered to in this instance.
Failure to Complete Timely MDS Assessment for Resident on Hospice
Penalty
Summary
The facility failed to complete a Significant Change in Status Minimum Data Set (MDS) comprehensive assessment within 14 calendar days for a resident who experienced a significant change in condition. The resident, who was admitted with a primary diagnosis of encephalitis, was readmitted to the facility with hospice care ordered. Despite this significant change, the MDS Coordinator did not complete the required assessment within the specified timeframe. During an interview, the MDS Coordinator acknowledged awareness of the resident's hospice care status upon readmission but confirmed that the significant change MDS was not completed. Additionally, the resident's care plan was outdated, still listing medications that the resident was no longer taking and lacking new interventions related to hospice care. The MDS Coordinator confirmed that the care plan did not address the level of care needed during mealtimes, which could negatively impact the resident if the information is incorrect.
Failure to Implement Comprehensive Care Plan for Resident
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident, resulting in discrepancies and inaccuracies in the care provided. The resident, who was admitted with a primary diagnosis of encephalitis and later readmitted with hospice care orders, required full assistance with meals and fluids. However, the care plan did not accurately reflect this need, as it stated the resident required only setup or clean-up assistance. Additionally, there was a discrepancy between the diet ordered by the physician and the diet documented in the care plan, with the resident receiving a regular diet with mechanical soft texture, while the care plan indicated a pureed texture. Further issues were identified in the care plan, which had not been updated to reflect significant changes in the resident's health status and medication regimen following their readmission. The MDS Coordinator confirmed that a significant change MDS assessment was not completed within the required timeframe, and the care plan still listed medications that the resident was no longer taking, while omitting a current medication, atropine. The care plan also failed to address the level of care needed during mealtimes and did not include new interventions related to hospice care, highlighting a lack of accurate and up-to-date information to guide the care provided to the resident.
Failure to Follow Enhanced Barrier Precautions for Resident with Pressure Ulcer
Penalty
Summary
The facility failed to ensure staff followed Enhanced Barrier Precautions (EBP) for a resident with a stage 3 pressure ulcer on the right heel. The resident, who was admitted with a diagnosis of a pressure ulcer, had severe cognitive impairment as indicated by a Brief Interview for Mental Status (BIMS) score of 01. The care plan for the resident included interventions such as a Low Air Loss Mattress and encouragement of good nutrition and hydration. The resident was placed on Enhanced Barrier Precautions due to the wound on the right heel and coccyx, as per physician's orders starting on 9/27/24. During an observation, it was noted that Certified Nursing Assistants (CNAs) #8 and #9 did not use Personal Protective Equipment (PPE) while providing incontinent care and transferring the resident. CNA #9 incorrectly stated that the wound on the resident's bottom was healed and that barrier precautions were no longer necessary. However, the Wound Consultant and Treatment Nurse confirmed that the pressure ulcer on the right heel was still current and required treatment, indicating that the resident should have remained under Enhanced Barrier Precautions with PPE available for staff use.
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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 Atkins
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Legacy Heights Nursing And Rehab, Llc | 11.3 mi | ★★★★★ | 0 | 0 |
| Stella Manor Nursing And Rehabilitation Center | 12.1 mi | ★★★★★ | 0 | 0 |
| Dardanelle Nursing And Rehabilitation Center,inc | 12.3 mi | ★★★★★ | 4 | 0 |
| Russellville Nursing And Rehabilitation Center | 13 mi | ★★★★★ | 8 | 0 |
| Brookridge Cove Rehabilitation And Care Center | 13.2 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.