Average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Crestpark Wynne, Llc during CMS and state inspections, most recent first.
Failure to Submit PBJ Staffing Data: The facility did not electronically submit required PBJ staffing data for the quarter, and the PBJ Staffing Data Report was not available during survey. The DON/Administrator stated the data for the quarter had not been sent to the state or CMS because of a data entry error, then she lost track of time and forgot to submit it. She also confirmed the facility had no policy for PBJ data and reporting.
Improper Food Storage and Expired Items in Kitchen Areas: The surveyor observed multiple unsealed frozen foods, expired frozen and dry storage items, soiled flour bags, and seasoning containers left open near the stove. In the refrigerator, uncooked pork was stored above eggs and tomatoes, and the DM stated the juice could leak and contaminate the items below. The facility policy required food to be covered, dated, and stored by type.
Failure to implement EBP during wound care: an LPN provided wound treatment to a resident with an active pressure ulcer and wore gloves but no gown, and there was no EBP signage or PPE outside the room. The resident had severe cognitive impairment and required extensive assistance with care. Interviews showed the LPN, multiple CNAs, and the DON/IP were not familiar with EBP, and the DON/IP and Administrator could not provide an isolation policy or prior EBP training.
The facility failed to ensure proper food storage, equipment maintenance, and cleanliness. Observations revealed open food items, expired bread, improperly stored kitchen equipment, and rust on dining room tables. Interviews with the DM and Administrator confirmed awareness of these issues, but the facility's Food Safety and Sanitation Policy and Procedure were not followed.
The facility failed to ensure that Quarterly MDS assessments for two residents were transmitted in a timely manner, resulting in a delay of 120 days. The issue was discovered during a survey, revealing a lapse in the facility's monitoring process.
The facility failed to apply hand rolls to prevent further decline in ROM for two residents with hand contractures. Observations and interviews confirmed the absence of devices to prevent worsening contractures, and care plans did not document the contractures.
The facility failed to update the care plans for three residents to reflect their current needs, including a contracture, oxygen therapy, and Hospice services. The MDS Coordinator confirmed that care plans should be updated quarterly and as needed, but this was not done in these cases, indicating a lapse in adherence to guidelines.
The facility failed to ensure proper personal hygiene for two residents. One resident, who required total assistance with ADLs, was repeatedly observed unshaven despite policies and orders. Another resident had long, dirty fingernails and stubble on the chin, with staff confirming the need for nail care and shaving, indicating a lapse in adherence to the care plan.
The facility failed to apply hand rolls to prevent further decline in ROM for two residents with hand contractures. Observations and interviews confirmed the absence of preventive devices, contrary to the facility's policy on Restorative/Rehabilitation Care.
The facility failed to properly position fall mats for a resident at risk of falls and did not address exposed wires in a call light for another resident. Despite training and policies, the fall mat was found under the bed, and the exposed wires were not reported or fixed, posing safety hazards.
The facility failed to complete a change of condition assessment within 14 days for a resident admitted to Hospice. The MDS Coordinator did not review the dates and the facility lacks a daily stand-up meeting to discuss changes in resident status, leading to the oversight.
A resident with severe cognitive impairment was observed rifling through a trash can containing a soiled brief, then touching various surfaces and interacting with others. Staff confirmed that the soiled brief should have been removed after incontinence care, highlighting an infection control issue.
Failure to Submit PBJ Staffing Data
Penalty
Summary
The facility failed to electronically submit complete and accurate direct care staffing information for the 2nd Quarter 2025 to CMS in the required uniform format based on payroll and other verifiable and auditable data. During the annual recertification survey, the PBJ Staffing Data Report was not available upon request, and the Administrator stated that the facility’s PBJ data for January 2025, February 2025, and March 2025 had not been submitted to the state or to CMS. In an interview on 07/23/2025 at 9:26 AM, the Administrator confirmed she was responsible for completing and sending the staffing reports, and said she did not submit the PBJ because she received an error with the data entry, then lost track of time and forgot to submit it. She also stated the facility did not have a policy regarding PBJ data and reporting.
Improper Food Storage and Expired Items in Kitchen Areas
Penalty
Summary
The facility failed to ensure stored foods were properly covered, dated, and stored in accordance with its food storage policy and professional standards. During a tour of the freezer, the surveyor and the Dietary Manager observed an open plastic bag with two beef patties stored unsealed, along with a bag of sausage patties, a bag of catfish, and a box of pork steak that were also opened and unsealed. The freezer also contained a box of frozen fruit juice cups with an expiration date of 05/05/2024 and a box of four-ounce chocolate shakes with an expiration date of 06/11/2025. The Dietary Manager acknowledged that unsealed food could dry out and that out-of-date products should be discarded. During the dry storage, refrigerator, and cooking area tours, additional food storage issues were observed. Two 25-pound self-rising flour bags had brownish soiled areas, and the Dietary Manager stated they would be thrown away because they were no longer good. Twenty-three moderately thick honey consistency beverages were stored with best-by dates of 04/29/2025 and 05/28/2025, and a container of BBQ sauce had a best-by date of 03/05/2025; the Dietary Manager discarded these items during the tour. In the refrigerator, a box of uncooked pork was stored on a shelf above eggs and tomatoes, and the Dietary Manager stated the juice could leak onto those items and contaminate them. In the cooking area, three seasoning containers were stored near the stove with lids open and unsealed. The facility policy stated that high-risk food should be date marked, frozen foods should be covered, labeled, and dated, and meat, fish, and poultry should be stored on lower shelves, while fruits, vegetables, juices, and breads should be stored on upper shelves.
Failure to Implement EBP During Wound Care
Penalty
Summary
The facility failed to ensure Enhanced Barrier Precautions (EBP) were implemented for one resident with an active wound. During observation, an LPN provided wound care to the resident, performed hand hygiene, prepared supplies, and put on gloves, but did not put on a gown before performing the wound treatment. There was also no EBP signage or PPE noted outside the resident’s room. The resident’s record showed admission in 2022 with diagnoses including UTI, dehydration, and COPD, and the annual MDS indicated a BIMS score of 06, severe cognitive impairment, dependence on staff for transfers, and substantial to maximal assistance with dressing and personal hygiene. The resident’s physician orders included wound treatment for the left buttock, and the resident summary assessment identified a pressure ulcer to the left buttock. The Skin/Wound Log listed the resident with active wounds. During interview, the LPN confirmed she was not familiar with EBP and stated she did not wear a gown during the wound treatment. Multiple CNAs also stated they were not familiar with EBP or were unsure what PPE was required, and the DON/IP stated she was not familiar with EBP, could not provide a policy or procedure for isolation, and could not provide prior in-services or training regarding EBP. The Administrator also stated she was not aware of a policy or procedure regarding EBP or isolation.
Improper Food Storage and Equipment Maintenance
Penalty
Summary
The facility failed to ensure proper food storage, equipment maintenance, and cleanliness in the kitchen and dining areas. Observations revealed that food items such as potato flakes and paprika were left open, exposing them to air and contaminants. Additionally, expired bread products were found on the bread rack. Kitchen equipment, including mixing bowls, skillets, and steam table pans, were stored right side up, allowing dust and contaminants to collect. The shelves where these items were stored contained multiple food particles. Deep frying baskets were coated in a thick, sticky tan substance, and several pots were dented and blackened. The dining room tables had legs covered in rust, and a digital thermometer was improperly used, with the plastic end inserted into baked beans. Interviews with the Dietary Manager (DM) and the Administrator revealed awareness of these issues. The DM confirmed that pots and pans should be stored face down to prevent debris accumulation and acknowledged the presence of rust on kitchen equipment and dining room tables. The DM also described the substance on the deep fryer baskets as a buildup of grease. The Administrator admitted that the facility had intended to address the rust on the tables by painting the legs but had not yet done so. The facility's Food Safety and Sanitation Policy and Procedure were not followed, as evidenced by the improper handling and storage of food and equipment.
Failure to Timely Transmit MDS Assessments
Penalty
Summary
The facility failed to ensure that Quarterly Minimum Data Set (MDS) assessments for two residents were transmitted in a timely manner. Specifically, the MDS for two residents were identified as being 120 days late. The MDS Coordinator initially believed that the assessments had been submitted and received, as indicated by paper confirmations. However, upon further investigation prompted by the survey, it was discovered that the assessments had not been accepted by CMS as previously thought. The MDS Coordinator confirmed that the assessments were late and were resubmitted on the evening of the survey. The issue was not identified until the survey brought attention to it, indicating a lapse in the facility's monitoring process. The Director of Nursing provided documentation that comprehensive assessments must be transmitted electronically within 14 days of the Care Plan Completion Date, and all other MDS assessments must be submitted within 14 days of the MDS completion date.
Failure to Apply Hand Rolls for Residents with Hand Contractures
Penalty
Summary
The facility failed to ensure that hand rolls were applied to prevent further decline in range of motion (ROM) for two residents with hand contractures. Resident #13's care plan, dated 05/26/2023, did not document the contracture to the left hand. Observations on 04/09/2024 and 04/10/2024 revealed that Resident #13 had a left hand contracture with no device present to prevent the contracture from worsening. Both a Certified Nurse Assistant (CNA) and the Director of Nursing (DON) confirmed the absence of a device to prevent the contracture from getting worse. Similarly, Resident #28's care plan, dated 12/19/2023, did not document the contracture to the left hand. Observations and interviews on 04/10/2024 and 04/11/2024 confirmed that Resident #28 had a left hand contracture with no device present to prevent further decline. The Minimum Data Set (MDS) Coordinator acknowledged that contractures should be documented on the comprehensive care plan to address activities of daily living (ADLs) and necessary interventions like hand rolls.
Failure to Update Individualized Care Plans
Penalty
Summary
The facility failed to ensure that the individualized care plans for three residents were updated to reflect their current needs. Resident #13's care plan, dated 05/26/2023, did not document the contracture in the resident's left hand, and an incident report noted that the resident was found lying on the floor next to the bed on 03/05/2024. Resident #19's care plan, dated 05/19/2023, did not document the use of oxygen therapy, despite physician orders and medication administration records indicating the need for oxygen as frequently as needed to maintain saturation levels at or above 93%. Resident #30, who had a diagnosis of unspecified dementia without behavioral disturbance, was admitted to Hospice on 03/26/2024, but the care plan was not updated to include Hospice services or the discontinuation of all medications except for PRN and comfort medications. The MDS Coordinator confirmed that care plans should be updated quarterly and as needed, citing falls and major medication changes as examples. The facility's policy, based on CMS's RAI Version 3.0 Manual, requires the interdisciplinary team to review and revise care plans as needed and communicate with the resident or their family regarding care plans and their wishes. The failure to update the care plans for these residents indicates a lapse in adhering to these guidelines, potentially impacting the quality of care provided to the residents.
Failure to Maintain Personal Hygiene for Residents
Penalty
Summary
The facility failed to ensure proper personal hygiene for two residents, leading to deficiencies in care. Resident #13, who required total assistance with activities of daily living (ADLs), was observed on multiple occasions to be unshaven despite the facility's policy and physician orders indicating the need for regular shaving. Both a Certified Nursing Assistant (CNA) and the Director of Nursing (DON) confirmed that Resident #13 should have been shaved on bath days but was not, indicating a lapse in the care provided to the resident. Resident #3, who had diagnoses of unspecified sequelae of cerebrovascular accident and unspecified atrial fibrillation, was also found to have deficiencies in personal hygiene. The resident's care plan required nail care every two weeks, but observations revealed long, dirty, and jagged fingernails, as well as stubble on the chin. The resident expressed dissatisfaction with the lack of nail care and shaving. Both a CNA and a Licensed Practical Nurse (LPN) confirmed the resident's nails were dirty and needed clipping, and the chin hair needed plucking or shaving, indicating a failure to adhere to the care plan and maintain the resident's personal hygiene.
Failure to Apply Hand Rolls for Residents with Hand Contractures
Penalty
Summary
The facility failed to ensure that hand rolls were applied to prevent further decline in range of motion (ROM) for two residents. Resident #13's care plan did not document the contracture to the left hand, and observations on multiple occasions revealed that the resident's left hand was contracted with no device present. Both a Certified Nursing Assistant (CNA) and the Director of Nursing (DON) confirmed the absence of a device to prevent the contracture from worsening. Similarly, Resident #28's care plan did not document the contracture to the left hand, and observations confirmed the presence of a left hand contracture with no device to prevent further decline. Both the CNA and the DON verified the lack of a preventive device for Resident #28's contracture. The facility's policy on Restorative/Rehabilitation Care states that the goals are to maintain the present level of function and to improve or restore physical function. However, the facility did not adhere to this policy for Residents #13 and #28, as evidenced by the lack of hand rolls or other devices to prevent the worsening of their hand contractures. This failure was observed and confirmed by both the CNA and the DON during the surveyor's investigation.
Improper Positioning of Fall Mats and Exposed Wires in Call Lights
Penalty
Summary
The facility failed to ensure that fall mats were properly positioned for a resident diagnosed with Alzheimer's disease and convulsions. Despite an in-service training on fall risk reduction and a documented incident where the resident fell and hit their forehead, the fall mat was observed to be positioned underneath the bed on multiple occasions. Both a CNA and the DON confirmed that the fall mat should have been placed on the side of the bed, indicating a lapse in adherence to the facility's policy on accident prevention and supervision. Additionally, the resident's care plan did not document the fall, further highlighting a gap in proper documentation and follow-up care. Another deficiency was observed with a different resident, where a call light with exposed wires and a cable cord hanging near the bathroom door were noted. The CNA and Maintenance Employee confirmed that these issues were hazardous and had not been reported or addressed. The facility's policy on maintaining call lights requires staff to report any malfunctioning call lights to maintenance, but this protocol was not followed. The exposed wires and hanging cable posed potential safety risks, and the lack of reporting and timely maintenance intervention contributed to the deficiency.
Failure to Complete Change of Condition Assessment
Penalty
Summary
The facility failed to complete a change of condition assessment within 14 days after a significant change for a resident diagnosed with unspecified dementia without behavioral disturbance. The resident was admitted to Hospice, and the last Minimum Data Set (MDS) completed was a Quarterly assessment with an Assessment Reference Date (ARD) of 12/04/2023. No Significant Change assessment was present in the medical record. The MDS Coordinator admitted to not reviewing the dates and claimed responsibility for the oversight. The facility does not have a daily stand-up meeting to discuss changes in resident status, which contributed to the oversight.
Improper Disposal of Incontinence Care Waste
Penalty
Summary
The facility failed to ensure proper disposal of incontinence care waste for a resident diagnosed with Dementia, Delusional disorder, and Cognitive communication deficit. The resident, who scored a 2 on the Brief Interview for Mental Status (BIMS) indicating severe cognitive impairment, was observed wandering the halls and rifling through the trash in their room. The trash can contained a soiled brief with a visible blue wetness indicator, which the resident touched before leaving the room and interacting with other residents and staff, thereby potentially spreading contaminants. A registered nurse later confirmed that the soiled brief should have been removed after incontinence care was performed, acknowledging the infection control issue posed by leaving it in the trash can. Further interviews with staff revealed that the soiled brief should not have been left in the trash can, as it is an infection control issue. The facility's training documentation on Incontinent Care/Foley Care Observation also indicated that clean-up should involve placing everything in appropriate bags. This lapse in proper disposal of incontinence care waste highlights a failure in adhering to infection control protocols, particularly for a resident with severe cognitive impairment who is prone to wandering and touching various surfaces and objects within the facility.
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Illustrative
What surveyors actually found near you
We read the 23 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Wynne
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| River Ridge Rehabilitation And Care Center | 0.5 mi | ★★★★★ | 0 | 0 |
| Crestpark Forrest City, Llc | 13.7 mi | ★★★★★ | 11 | 0 |
| Woodruff County Health Center | 23.2 mi | ★★★★★ | 8 | 0 |
| Woodbriar Nursing Home | 24.6 mi | ★★★★★ | 4 | 0 |
| Three Rivers Health And Rehabilitation Center | 29.5 mi | ★★★★★ | 5 | 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.