Above 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 Chapel Ridge Health And Rehab during CMS and state inspections, most recent first.
The facility failed to accurately complete MDS assessments for two residents, resulting in incorrect coding of mental illness status and medication usage. One resident with a documented mental illness and Level II PASARR was not properly identified as such on the MDS, while another resident's MDS inaccurately reflected discontinued medications and omitted current antidepressant use. Staff interviews revealed reliance on experience over current RAI Manual guidance, and outdated facility instructions contributed to these errors.
Inaccurate MDS Coding for Mental Illness and Medication Use
Penalty
Summary
The facility failed to ensure the accuracy of Minimum Data Set (MDS) assessments for two residents, resulting in deficiencies related to the proper coding of mental illness and medication usage. For one resident with diagnoses including schizophrenia, dementia, and type II diabetes, the MDS assessment did not accurately reflect the presence of a mental illness as required by Section A1500. Despite documentation from the state designated authority confirming a Level II PASARR and the presence of a mental illness, the MDS was incorrectly coded to indicate the absence of such conditions. This error was confirmed by both the Business Office Manager and the MDS Coordinator in-training, who acknowledged that the coding did not align with the resident's documented status. For another resident with diagnoses including brain cancer, bipolar disorder, and mood disorder, the MDS assessments inaccurately reported the use of certain medication classes. The resident's records showed that antianxiety, anticoagulant, and opioid medications had been discontinued prior to the assessment periods, and only an antidepressant was currently prescribed. However, the MDSs continued to indicate the use of antianxiety, anticoagulant, and opioid medications, while failing to document the use of an antidepressant. This discrepancy was identified through a review of the resident's medication administration records, physician orders, and care plan. Interviews with staff revealed that MDS assessments were being completed by an outside coordinator due to ongoing staff training, and that the RAI Manual was available but not always referenced. Both the off-site and in-training MDS Coordinators acknowledged errors in the completion of the MDS, attributing them to oversight and reliance on experience rather than strict adherence to the RAI Manual. The facility's instructions for completing Section N of the MDS were outdated, and staff confirmed that mistakes had been made in coding, particularly regarding the accurate reflection of PASARR status and medication 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 Fort Smith
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Methodist Health And Rehab | 1.7 mi | ★★★★★ | 0 | 0 |
| Covington Court Health And Rehabilitation Center | 2 mi | ★★★★★ | 5 | 0 |
| Legacy Health And Rehabilitation Center | 3 mi | ★★★★★ | 0 | 0 |
| Riverside Health Services | 3.1 mi | ★★★★★ | 6 | 0 |
| The Blossoms At Fort Smith Rehab & Nursing Center | 3.5 mi | ★★★★★ | 9 | 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.