Above average — CMS composite of the measures below.
A standard survey is most likely before around December 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 Lakewood Health And Rehab, Llc during CMS and state inspections, most recent first.
Arbitration Agreements for two residents stated that signing was a condition of admission and did not include the required 30-day rescission language. One resident had moderate cognitive impairment with a hx of stroke, polyneuropathy, and dysphagia, while the other was cognitively intact with dx including DM, quadriplegia, and spina bifida. The SS Director and Administrator confirmed the agreements were missing the required language, and the Administrator stated the facility did not have a policy on Arbitration Agreements.
The facility failed to ensure proper food handling and storage, leading to potential foodborne illness risks. Raw chicken was improperly thawed, and multiple food items were found unsealed or expired. Additionally, dietary staff demonstrated poor hygiene practices, such as not washing hands after contamination, affecting 72 residents receiving meals.
The facility posted photographs of residents on its social media site without obtaining written consent from the residents or their representatives. The Administrator confirmed the existence of the social media page and the lack of consent forms for the posted images, despite initially stating that consents were obtained during the COVID-19 pandemic.
The facility failed to maintain acceptable meal temperatures, affecting residents receiving meal trays in their rooms. Unheated food carts led to milk being served at 44-45°F and hot foods like lasagna and scrambled eggs at temperatures below standard. A resident reported the food as always ice cold, highlighting a systemic issue in meal delivery.
The facility failed to provide pureed food items with a smooth, lump-free consistency, as observed during two meals. Dietary staff prepared pureed lasagna and garlic bread that remained lumpy, with visible pieces of pasta and bread. The Dietary Manager confirmed the lumpy consistency of these items. Additionally, pureed orange chicken and rice were also observed to be lumpy. This deficiency had the potential to affect three residents on pureed diets.
A resident with severe cognitive impairment and mobility issues did not receive consistent nail care as required by their care plan. Observations revealed thick, discolored toenails and overgrown fingernails. CNAs confirmed the nails were overgrown and suggested a podiatrist was needed. The facility lacked a nail care policy, contributing to the deficiency.
A resident with moderate cognitive impairment and mobility dependence was found with siderails installed without prior assessment or informed consent. The facility did not address siderail use in the care plan, and the DON admitted to bypassing alternative measures. Observations and interviews revealed inconsistencies in monitoring and a lack of documentation for entrapment risk assessment.
A resident with COPD had their inhaler improperly stored on an over-bed table instead of in the medication cart, as required by facility policy. The resident was cognitively intact and had an order for the inhaler to be used twice daily. Observations and interviews with LPNs confirmed the inhaler should have been stored securely, and no written order for bedside storage was documented.
A facility failed to implement enhanced barrier precautions (EBP) for a resident with a PEG tube. The resident's care plan lacked interventions for gastrostomy status, and an LPN administered care without wearing a gown, believing EBP was only for wounds. Another LPN confirmed the need for gloves and gowns, and the administrator admitted there was no specific EBP policy, despite an in-service form indicating such requirements.
Arbitration Agreements Improperly Made a Condition of Admission
Penalty
Summary
The facility failed to ensure that the Arbitration Agreement was not presented as a condition of admission and that the agreement included a statement that it could be rescinded within 30 calendar days of signing for two residents reviewed. Resident #19 was admitted with diagnoses including stroke with hemiplegia, polyneuropathy, and dysphagia, and a quarterly MDS showed a BIMS score of 10, indicating moderate cognitive impairment. Review of the resident’s Arbitration Agreement showed that signing the agreement was a condition of admission and that it governed the resolution of claims once signed, but it did not include the required rescission statement. Resident #56 was admitted with diagnoses including diabetes mellitus, quadriplegia, and spina bifida, and a quarterly MDS showed a BIMS score of 15, indicating cognitive intactness. Review of this resident’s Arbitration Agreement also showed that signing was a condition of admission and that the agreement governed the resolution of claims once signed, but it did not include the statement that it could be rescinded within 30 calendar days. The Social Service Director and the Administrator both confirmed that the agreements for these two residents stated signing was a condition of admission and did not contain the rescission language, and the Administrator stated the facility did not have a policy on Arbitration Agreements.
Improper Food Handling and Storage Practices
Penalty
Summary
The facility failed to ensure proper food handling and storage practices, which could lead to potential foodborne illnesses. Observations revealed that raw chicken was improperly thawed in standing water at a temperature of 63 degrees, which is unsafe. The Dietary Manager and staff were unable to articulate the correct procedures for thawing meat safely. Additionally, the facility lacked a policy on food preparation or thawing, contributing to the improper handling of food items. Further inspection of the kitchen and storage areas uncovered multiple instances of food items not being covered, sealed, or dated. Opened boxes of hamburger patties, sausage links, and other food items were found unsealed in the freezer, increasing the risk of freezer burn and spoilage. Expired food items, such as pancakes and chocolate cream pie, were not promptly discarded, and some items lacked received or opened dates, making it difficult to ensure first-in, first-out usage. The facility also demonstrated poor hygiene practices among dietary staff. Staff members were observed handling food and clean equipment without washing their hands after touching contaminated surfaces. This included instances where gloves were contaminated during the process of handling food items. These practices, combined with the lack of proper food storage and handling, posed a significant risk of foodborne illness to the 72 residents receiving meals from the facility's kitchen.
Failure to Obtain Consent for Social Media Posts
Penalty
Summary
The facility failed to ensure the privacy and confidentiality of residents' personal and medical information by posting photographs of residents on the facility's social media site without obtaining written consent from the residents or their designated representatives. On July 9, 2024, during an interview, the Administrator confirmed the existence of a social media page started during the COVID-19 pandemic and stated that consents were supposedly obtained at that time. However, upon reviewing the social media postings, the surveyor identified pictures of several residents and requested the corresponding signed consent forms. The Administrator admitted that no consent forms were available for the posted images. Further inquiry on April 11, 2024, confirmed that no consents had been found for any of the residents featured on the social media page.
Inadequate Meal Temperature Maintenance
Penalty
Summary
The facility failed to ensure that meals were served in a manner that maintained a palatable appearance and at temperatures acceptable to the residents. This deficiency was observed during two meals, affecting residents who received meal trays in their rooms across multiple halls. On several occasions, food carts delivered to different halls were unheated, resulting in food items being served at inappropriate temperatures. For instance, milk was consistently served at temperatures around 44-45 degrees Fahrenheit, and hot food items like lasagna and scrambled eggs were served at temperatures significantly below the standard for hot foods, such as 110 degrees Fahrenheit for lasagna and 88-95 degrees Fahrenheit for scrambled eggs. The observations included specific instances where residents expressed dissatisfaction with the food temperature, such as a resident stating that the food was always ice cold. The surveyor noted that the unheated food carts were delivered by various staff members, including dishwashers and dietary aides, and the temperatures were recorded by CNAs and an LPN. These findings indicate a systemic issue with the facility's meal delivery process, affecting a significant number of residents across different halls.
Facility Fails to Ensure Smooth Consistency of Pureed Diets
Penalty
Summary
The facility failed to ensure that pureed food items were blended to a smooth, lump-free consistency, which is necessary to minimize the risk of choking or other complications for residents requiring pureed diets. During an observation, a dietary staff member used a 4-ounce spoon to place servings of lasagna into a blender, but the resulting mixture was thick, lumpy, and contained visible pieces of pasta. Similarly, when pureeing garlic bread with whole milk, the consistency remained lumpy. The Dietary Manager confirmed the lumpy consistency of the pureed food items served to residents on pureed diets. Further observations revealed that pureed orange chicken and rice on the steam table were also lumpy, with visible pieces of chicken and rice. The Dietary Manager again acknowledged the lumpy consistency of these pureed food items. This deficiency was observed during two meals and had the potential to affect three residents who were on pureed diets.
Failure to Provide Consistent Nail Care for Resident
Penalty
Summary
The facility failed to consistently provide nail care to promote good grooming and personal hygiene for a resident with severe cognitive impairment and mobility issues. The resident, who had diagnoses affecting gait and coordination, was observed with thick and discolored toenails and overgrown fingernails. The resident's care plan required staff to check and trim nails on designated bath days and as necessary, but the resident reported that no one had provided toenail care, and the fingernails were longer than usual. Certified Nursing Assistants confirmed the resident's nails were overgrown and that the toenails were thick and layered, suggesting a need for a podiatrist. The facility lacked a policy on nail care, contributing to the oversight. The deficiency was identified through observations and interviews, highlighting a lapse in the facility's adherence to the resident's care plan for activities of daily living.
Failure to Assess and Document Siderail Use for Resident
Penalty
Summary
The facility failed to conduct a proper assessment for the use of siderails for a resident, identified as Resident #60, before their installation. The resident, who has moderate cognitive impairment and is dependent on staff for mobility, was observed with siderails in use without prior assessment or informed consent. The resident's care plan did not address the use of siderails, and the Nursing Quarterly assessment indicated that siderails were not needed at the time. Observations and interviews revealed that the resident's family member and the resident themselves did not use the siderails for turning or positioning. The Director of Nursing (DON) admitted that the facility typically goes straight to using siderails if requested by a resident, without trying alternative measures or explaining the risks and benefits. The DON also confirmed that there was no physician's order for the siderails, and the resident's care plan did not include siderail use. Further interviews with the DON and a Certified Nursing Assistant (CNA) highlighted inconsistencies in monitoring practices and a lack of documentation regarding the assessment of entrapment risks associated with siderail use. The DON was unaware of the siderails being used for Resident #60 and acknowledged that the resident's assessment did not indicate the need for siderails. The facility also lacked documentation of the manufacturer's guidelines for siderail installation and an assessment of the bed, mattress, and siderails for entrapment risks.
Improper Storage of Inhaler for Resident with COPD
Penalty
Summary
The facility failed to ensure proper storage of an inhaler for a resident diagnosed with chronic obstructive pulmonary disease (COPD). The resident, who was cognitively intact, had an order for a budesonide-formoterol inhaler to be used twice daily. However, the inhaler was observed on the resident's over-bed table on multiple occasions, contrary to the facility's policy that requires medications to be stored in the medication cart unless there is a written order for bedside storage. Observations revealed that the inhaler was left on the over-bed table while the resident was asleep and awake, indicating a lack of adherence to the facility's medication storage policy. Interviews with two Licensed Practical Nurses (LPNs) confirmed that the inhaler should have been stored in the medication cart after use. The facility's policy allows for bedside medication storage only with a prescriber's written order and an assessment of the resident's ability to self-administer medications, neither of which were documented in this case.
Failure to Implement Enhanced Barrier Precautions for Resident with PEG Tube
Penalty
Summary
The facility failed to consistently implement enhanced barrier precautions (EBP) for a resident with a Percutaneous Endoscopic Gastrostomy (PEG) tube. The resident, who had a diagnosis of esophageal obstruction, dysphagia, and gastrostomy status, was on EBP as indicated in their order summary. However, the care plan initiated for the resident did not include any focus problems or interventions regarding the gastrostomy status. During an observation, a Licensed Practical Nurse (LPN) entered the resident's room without wearing a gown, although she did put on gloves before administering water, medications, and enteral formula through the PEG tube. The LPN admitted to not wearing a gown, mistakenly believing that EBP was only necessary for wounds. Further interviews revealed that another LPN confirmed the requirement for both gloves and a gown for residents on EBP. The facility administrator acknowledged the absence of a specific policy for enhanced barrier precautions, although an in-service form dated prior to the incident indicated that gloves and gowns were required for residents with a wound, catheter, feeding tube, or central line. This lack of adherence to EBP protocols and the absence of a clear policy contributed to the deficiency identified during the survey.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 111 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — 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
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near North Little Rock
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Premier At The Springs | 1.7 mi | ★★★★★ | 6 | 0 |
| Robinson Nursing And Rehabilitation Center Llc | 2.1 mi | ★★★★★ | 0 | 0 |
| The Blossoms At North Little Rock Rehab & Nursing | 3.1 mi | ★★★★★ | 1 | 0 |
| Arkansas State Veterans Home At North Little Rock | 3.1 mi | ★★★★★ | 0 | 0 |
| Sherwood Nursing & Rehabilitation Center, Inc | 4.3 mi | ★★★★★ | 4 | 1 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Lakewood Health And Rehab, Llc.
100% money-back within 48 hours.
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.