Above average — CMS composite of the measures below.
A standard survey is most likely before around November 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 Brookridge Cove Rehabilitation And Care Center during CMS and state inspections, most recent first.
The facility failed to provide enough RN, LPN, and CNA coverage to meet resident needs and did not follow its own staffing matrix across reviewed shifts. The facility assessment identified residents with complex care needs, including wound care, tube feedings, dialysis, hospice, behavioral health, and extensive ADL assistance. Grievances, resident and family interviews, and staff statements described delayed call light response, missed turning and perineal care, wet briefs and linens, and residents waiting hours for brief changes, with staff reporting frequent short staffing and difficulty completing required care.
Food service staff failed to maintain sanitary conditions and proper hand hygiene. Mold-discolored hot dog buns were stored outside the freezer despite being required to remain frozen, expired food items were found in a freezer, a pest trap and two ice machines had rust, dirt, and black residue, and an opened tea box was left uncovered. Multiple dietary staff handled clean equipment and food items after touching dirty objects without washing their hands, contrary to facility policy.
A resident's photo was posted on the facility's public social media page without documented permission, even though the resident was under APS custody and the APS guardian said no permission was given for public display. The AD verified she took and posted the photos, which showed the resident with food on the face and shirt, and the Administrator confirmed the account was publicly shared and that resident photos should not be posted without signed consent. The facility's resident rights policy stated photographs and interviews shall not be released without written consent of the resident or responsible party.
Hand hygiene and EBP were not followed during observed incontinent care and wound care for two residents. Two CNAs did not sanitize their hands before, during, or after glove changes, used wipes multiple times, and touched resident surfaces and room items with dirty gloves during peri care. For a resident on EBP with a Stage 3 pressure injury, CNAs and an LPN did not wear gowns during high-contact care, and clothing and skin repeatedly touched the resident and bedding.
The facility failed to maintain a safe environment by not ensuring secure wall-mounted railings, crucial for resident safety. Observations showed unanchored and loose handrails on two halls. Despite a policy emphasizing safety for frail residents, no maintenance requests were recorded for these issues. The Administrator noted the maintenance staff was new and had not inspected the rails.
The facility failed to maintain a sanitary kitchen. An ice machine had a stained cloth trimming, and there was dust and dirt buildup on a spice rack, a coffee bin lid, and a food cart. The Dietary Manager was unaware of the cloth's origin and acknowledged that the areas should be cleaned weekly.
A facility failed to ensure a resident's bedding was clean and in place. The resident, diagnosed with dementia and multiple sclerosis, was observed on three occasions with stained bedding and a pillow without a slip covering. A CNA acknowledged the pillowcase should always be on the pillow and speculated the stain might be from spilled coffee.
The facility failed to ensure an accident/hazard-free environment for residents who smoke and require smoking aprons. Despite procedures requiring CNAs to ensure residents wear smoking aprons, multiple residents were observed smoking without them. Interviews confirmed the procedure, but the facility lacked a formal smoking policy.
Insufficient Nursing Staffing and Missed Resident Care
Penalty
Summary
The facility failed to provide sufficient nursing staff every day to meet resident needs and failed to maintain the required licensed nurse coverage on each shift. Based on facility document review, interviews, record review, and policy review, the facility did not follow its own staffing guidelines for 15 of 15 shifts reviewed from 01/04/2025 day shift through 03/06/2025 night shift. The facility assessment identified resident acuities requiring licensed nurse involvement, including cancer treatments, respiratory treatments, behavioral and mental health needs, medication management, IV/IM medications and infusions, dialysis care, ostomy care, hospice care, isolation precautions, wound care, tube feedings/parenteral nutrition, and drain/tube management. The facility assessment also identified extensive CNA care needs, including assistance with dressing, bathing, transfers, eating, toileting, mobility, splints/braces, and behavioral symptoms. The facility’s own staffing assessment called for higher staffing levels based on census, including day, evening, and night shift coverage for LPNs and CNAs. The staffing review showed repeated shortfalls across shifts, including days when the day shift had fewer LPNs and CNAs than required, evening shift had fewer LPNs and CNAs than required, and night shift had fewer LPNs and CNAs than required. On one reviewed day, no RN worked the night shift. Although the facility had RN coverage for eight consecutive hours each day, the bedside staffing levels did not meet the facility’s stated shift-based requirements. Interviews and grievance records reflected resident care concerns consistent with the staffing shortfalls. The grievance log included complaints that residents were not being turned, perineal care was not completed, call lights were not answered, and clothes were not changed. Residents and family members reported long waits for brief changes and call light response, wet briefs and wet linens, and residents remaining in urine-soaked beds. One resident reported waiting up to four hours for a brief change, and another resident was observed with two half-full urinals on the bedside table, creating a strong foul odor in the room and hall. Staff interviews also described frequent short staffing, missed baths, difficulty completing brief changes, call lights going unanswered for long periods, and staff being asked to stay over or work extra shifts because of call-ins and staffing shortages.
Food Storage, Equipment Sanitation, and Hand Hygiene Failures
Penalty
Summary
The facility failed to ensure food was stored and handled in a sanitary manner in the dietary and kitchen areas. During observation, a box of hot dog buns stored under a food preparation counter contained buns with sage discoloration, and the Dietary Manager stated there was mold on the buns. The buns had been received on 07/09/2025, were supposed to be kept frozen at 0 degrees Fahrenheit or below, and the Dietary Manager stated they had been out of the freezer since they were received. The facility Dietician verified the buns were supposed to remain frozen and stated that once removed from the freezer, they should be used within seven to 10 days. Expired food items were also observed in the freezer in the treatment room on 400 hall, including crackers with an expiration date of 05/08/25 and honey buns with an expiration date of 07/15/25. The facility also failed to maintain clean food service equipment and surfaces. The metal covering of a pest trap above the food preparation counter was rust colored and loose, and the cord attached to the trap had a greasy, dusty substance on it while hanging down toward a basket containing napkins with utensils for residents. Two ice machines, including the one by the kitchen door and the one in the kitchen, had wet black residue at the corners of the panel inside the machines and on the area where ice traveled down to the ice collector. The Dietary Manager stated the ice machines were cleaned once a week and confirmed both machines were dirty with black residue. An opened box of tea was also observed uncovered on a rack, exposing it to air, heat, and moisture. Hand hygiene was not performed by dietary staff after touching dirty objects and before handling clean equipment or food items. One Dietary Aide threw away a tissue, then picked up cups by the rim and placed them on trays without washing her hands. Another Dietary staff member washed blender parts, turned off the faucet with a bare hand, and then handled a clean blade and assembled the blender without washing her hands. Additional observations showed a Dietary staff member rinsed a spatula, turned off the faucet with a bare hand, put on gloves, and then handled bread for French toast, and another Dietary staff member washed her hands, turned off the faucet with a bare hand, and then handled a bowl and poured instant oatmeal without washing again. Facility policy stated hands should be washed before starting work and after touching dirty equipment and work surfaces.
Resident Photograph Posted on Public Social Media Without Consent
Penalty
Summary
Keep residents' personal and medical records private and confidential was not maintained when the facility posted photographs of a resident on its social media page without documented permission. The photos showed Resident #70 with food stains on the shirt and eating with food on the mouth, and the images were visible on the facility's publicly shared social media account with about 1,800 followers. Record review showed Adult Protective Services was the resident's custodian, and a physician affidavit indicated the resident was mentally and physically impaired and should remain in the protective custody of the Arkansas Department of Human Services. Interviews showed staff understood that photographs of residents could be taken and displayed on social media by the Activities Department, and that the Administrator, Assistant Administrator, and DON could also post photos. The Activities Director stated she took the photographs of Resident #70 and posted them to the facility's social media page, and she verified the resident was shown with food on the face and clothing. The Administrator also verified the photos were posted and stated the resident's photographs should not be posted on social media without signed consent. The Social Services Director stated that if a resident did not look presentable in a photograph, she would expect it to be deleted, and that posting a resident's photograph without consent would be against the resident's rights. The APS guardian stated the facility could not have Resident #70's photo displayed and reported she was not aware the resident's photographs were on social media or any other public forum. She stated that when a resident is under APS custody, the identifying photo may be taken and posted only on the admission record, and that the facility did not have permission to post the resident's photo to social media or any other public viewable forum. The facility policy titled Resident Rights and Responsibilities stated every resident has the right to know that photographs and interviews shall not be released without written consent of the resident or responsible party.
Hand Hygiene and EBP Not Followed During Resident Care
Penalty
Summary
The facility failed to ensure proper hand hygiene during incontinent care for two residents and failed to follow Enhanced Barrier Precautions (EBP) for one resident with a wound. During observed peri care for one resident, two CNAs did not use hand sanitizer at any point while providing care, did not sanitize their hands after removing dirty gloves and before putting on clean gloves, and handled clean gloves by reaching into their scrub tops. They also performed dirty and clean tasks together, used the same wipe multiple times, tucked used wipes between the resident’s legs, and touched the resident’s bedding, curtain, trash bag, door, and doorknob with dirty gloves. The resident’s stool remained on the wipe when the CNA later demonstrated the cleaning, and numerous wipes were needed to continue cleansing the resident. During observed incontinent care for a second resident, one CNA washed her hands and put on clean gloves but did not don a gown despite the resident being on EBP. She reached into her scrub top pocket for clean gloves without hand sanitizer, and her skin and clothing touched the resident’s skin, clothing, and bedding multiple times during care. Another CNA also did not use hand sanitizer before donning gloves and did not wear a gown while assisting with peri care; her arms and scrub top touched the resident’s skin, clothes, and bedding multiple times. An LPN entered the room to provide wound care to the resident’s groin, performed hand hygiene and donned gloves, but did not wear a gown, and her clothing touched the resident’s legs and bedding during the wound care. The resident on EBP had a Stage 3 pressure injury to the right gluteal fold, with orders for wound cleansing, collagen powder mixed with barrier cream, and leaving the wound open to air. The EBP order required gown and gloves during prolonged contact for personal care, transfers, and wound care. Interviews confirmed the CNAs and LPN did not follow hand hygiene expectations or EBP requirements, and the ADON and DON stated that hand hygiene should occur before and after glove use, wipes should be used one time, dirty wipes should not be tucked between a resident’s legs, and gowns and gloves should be worn for incontinent care and wound care when a resident is on EBP.
Failure to Ensure Safe Wall-Mounted Railings
Penalty
Summary
The facility failed to maintain a safe and homelike environment by not ensuring the safety of wall-mounted railings, which are crucial for resident safety and convenience. Observations revealed that on the 200 Hall, a wall-mounted handrail was not properly anchored, with the bracket disconnected from the sheetrock. Similarly, on the 300 Hall, another handrail bracket was found to be loose. The facility's policy on accident and hazard prevention highlights the increased vulnerability of frail residents to environmental hazards, emphasizing the importance of maintaining a safe environment. However, a review of the facility's Maintenance Request Form showed no recorded requests for repairs of the handrails in question, indicating a lapse in addressing these safety concerns. The Administrator acknowledged the issue, noting that the maintenance staff was new and had not yet inspected the rails.
Unsanitary Kitchen Conditions
Penalty
Summary
The facility failed to ensure the kitchen was maintained in a sanitary condition. During an observation, an ice machine was found with a wet cloth trimming under the lid that had brown and black stains. The Dietary Manager was unaware of the cloth's origin and stated it had been there for two years. Additionally, a thick layer of dust and lint was observed on a spice rack, a dirty lid on a blue bin containing coffee, and a food cart with a buildup of grease and dirt. The Dietary Manager acknowledged the dust and buildup, stating that the areas should be cleaned weekly.
Failure to Maintain Clean and Proper Bedding
Penalty
Summary
The facility failed to ensure that a resident's bedding was clean and in place. The resident, who was admitted with diagnoses of dementia and multiple sclerosis, had a care plan indicating a need for assistance with activities of daily living (ADLs) due to a self-care performance deficit. On three separate occasions, surveyors observed the resident with stained bedding: a yellowish/brown ring on the pillowcase used for positioning in a reclining chair, a stained blanket, and a pillow without a slip covering. A Certified Nursing Assistant (CNA) acknowledged that the pillowcase should be on the pillow at all times and speculated that the stain might be from spilled coffee.
Failure to Ensure Accident/Hazard-Free Environment for Smokers
Penalty
Summary
The facility failed to ensure an accident/hazard-free environment for residents who smoke and require smoking aprons. Resident #13, who has diagnoses of Alzheimer's, stroke with left side paralysis, and seizure disorder, was observed smoking without a smoking apron on two separate occasions. The resident's Quarterly Minimum Data Set (MDS) indicated that their cognition is intact with a score of 15 on the Brief Interview for Mental Status (BIMS). Despite the facility's procedure requiring CNAs to ensure residents wear smoking aprons to prevent burns, Residents #66, #16, and #13 were observed smoking without aprons on two different days. Interviews with CNAs and the Director of Nursing (DON) confirmed that the procedure involves taking residents out together, providing them with cigarettes, and ensuring they wear smoking aprons as indicated on a smokers list. However, the facility was unable to produce a smoking policy, indicating a lack of formal documentation and adherence to safety protocols. This deficiency highlights a failure in the facility's supervision and safety measures for residents who smoke, particularly those requiring additional protective measures like smoking aprons.
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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 Morrilton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Perry County Nursing And Rehabilitation Center | 11.9 mi | ★★★★★ | 2 | 0 |
| Atkins Nursing And Rehabilitation Center | 13.2 mi | ★★★★★ | 3 | 0 |
| The Blossoms At Conway Rehab & Nursing Center | 15 mi | ★★★★★ | 0 | 0 |
| Heritage Living Center | 16 mi | ★★★★★ | 5 | 0 |
| Conway Healthcare And Rehabilitation Center | 16.6 mi | ★★★★★ | 8 | 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.