Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lawrence Hall Health & Rehabilitation during CMS and state inspections, most recent first.
A resident with a stage 2 pressure ulcer and severe cognitive impairment received wound care without the required use of a gown by the treatment nurse, contrary to EBP protocols. Facility staff indicated that EBP was only used for wounds with drainage, not for small or dry wounds, despite facility policy requiring targeted gown and glove use during high-contact care.
The facility failed to properly store medications, leaving anti-viral medication cards on a nurse's station counter near residents, and did not maintain the correct temperature for a medication refrigerator storing flu vaccines. An LPN admitted to forgetting the medications on the counter, and the refrigerator was found to be at 30°F, below the recommended range. The DON confirmed no staff reported the incorrect temperature, and in-service training did not cover these issues.
The facility's dietary department failed to maintain cleanliness and proper food storage, leading to potential cross-contamination. Observations revealed open food items, drinks without dates, and unclean equipment. The Certified Dietary Manager confirmed these issues, highlighting risks of contamination and bacterial growth.
The facility did not complete a discharge summary for a resident with dementia and diabetes, despite policy requirements. The resident was cognitively intact, with a BIMS score of 14. The DON confirmed the oversight during an interview.
A resident with dementia and dysphagia was improperly positioned during meal times, lying down in bed and unable to see or reach their food. Despite being dependent on staff for assistance, the resident was not adequately supported, and the facility lacked a policy for proper positioning during meals. Staff interviews confirmed the oversight, highlighting a deficiency in care protocols.
A resident with multiple medical conditions, including dementia and dysphagia, was not provided the correct physician-ordered therapeutic diet. The resident was supposed to receive a low concentrated sweets (LCS) diet with pureed texture, but was served food that was not pureed. Staff interviews confirmed the discrepancy, and the facility lacked a policy for checking meal trays before serving.
The facility failed to maintain infection control by leaving utility and linen closet doors open, allowing resident access to dirty linens and trash. Clean linens were found on the floor, and a CNA did not perform proper hand hygiene during perineal care. Additionally, an LPN failed to sanitize hands between serving meal trays. The DON confirmed these actions were against infection control policies.
Failure to Implement Enhanced Barrier Precautions During Wound Care
Penalty
Summary
The facility failed to ensure that Enhanced Barrier Precautions (EBP) were properly implemented for a resident with a stage 2 pressure ulcer. The resident, who had severe cognitive impairment and an unhealed pressure ulcer on the right buttocks, was observed receiving wound care from a treatment nurse who did not wear a gown as required by EBP protocols. The nurse stated that gowns were only used if the wound had drainage, and did not use one for this resident's wound care. Further interviews with the Infection Preventionist revealed that the facility's practice was to place residents on EBP only for chronic wounds or wounds with copious drainage, and not for small or dry wounds, even if they were stage 2 pressure ulcers. The facility's policy indicated that EBP involves targeted gown and glove use during high-contact resident care activities to reduce transmission of multidrug-resistant organisms, but this was not followed in the case of the resident with the stage 2 pressure ulcer.
Medication Storage and Temperature Control Deficiencies
Penalty
Summary
The facility failed to ensure proper storage of medications, as observed when five medication cards of an anti-viral medication were left on top of the nurse's station counter. This occurred while an LPN was distracted on the phone, with residents, including an ambulatory one, nearby. The LPN admitted to placing the medications on the counter and forgetting them, acknowledging that this was not an appropriate storage method and that medications should be locked on the cart or in the medication room. Additionally, the facility did not maintain the appropriate temperature range for the 300 Hall medication refrigerator, which was found to be at 30 degrees Fahrenheit, below the recommended 35-46 degrees Fahrenheit for storing flu vaccines. The LPN confirmed the importance of maintaining the correct temperature to ensure medication efficacy. The DON confirmed that no staff reported the incorrect temperature on a previous date, and the in-service training provided to staff did not cover medication storage or temperature maintenance for refrigerated medications.
Deficiencies in Dietary Department Cleanliness and Food Storage
Penalty
Summary
The facility failed to maintain cleanliness and proper storage practices in its dietary department, leading to potential cross-contamination and food safety issues. Observations revealed that a bag of sliced white bread was left open after breakfast, increasing the risk of contamination. Additionally, numerous drinks in the cooler lacked received or open dates, and a sticky, brownish substance was found under prune juice containers, indicating inadequate cleaning practices. The Certified Dietary Manager acknowledged these issues, confirming that the tray should have been cleaned and the prune juice container disposed of. Further inspection of the food serving area showed that wheeled silver carts were not properly maintained. The first cart had sheet pans with dried, crusty spills and unknown particles, while the second cart contained cereals without received or open dates. The toaster used at breakfast was not cleaned, and disposable food domes were not covered, posing a risk of contamination. The Certified Dietary Manager confirmed that these items should have been cleaned and covered to prevent cross-contamination. Additional deficiencies were noted in the storage and handling of utensils, condiments, and bulk food items. Utensils were stored uncovered, and coffee carafes were left open, allowing debris to enter. The bulk sugar container and dishwashing machine were found with unknown substances and buildup, indicating a lack of regular cleaning. The walk-in refrigerator had multiple areas with unknown substances and structural issues, raising concerns about food safety. An expired container of egg salad was also found, which had been distributed for resident snacks. The Certified Dietary Manager confirmed these issues, highlighting the potential for bacterial growth and cross-contamination due to improper storage and cleaning practices.
Failure to Complete Discharge Summary for Resident
Penalty
Summary
The facility failed to ensure a written discharge summary and information form was completed for a resident reviewed for discharge. The facility's policy, updated on 06/28/2024, requires the Director of Nursing or their designee to complete a discharge note when a resident is discharged home. The resident in question was admitted with diagnoses of dementia and diabetes and had a Brief Interview for Mental Status (BIMS) score of 14, indicating cognitive intactness. However, a review of the resident's medical records revealed that no completed discharge summary was present. During an interview, the Director of Nursing confirmed that the discharge summary was not completed for the resident.
Improper Positioning of Resident During Meal Consumption
Penalty
Summary
The facility failed to ensure proper positioning of a resident during meal consumption, which was identified during a survey. Resident #13, who was admitted with diagnoses including dementia, dysphagia, gastrointestinal hemorrhage, and gastro-esophageal reflux disease, was observed inappropriately positioned while in bed during meal times. The resident was dependent on staff for bed mobility and eating assistance, as noted in their care plan. However, during observations, the resident was found lying down in bed with the head of the bed elevated only about 30 degrees, unable to see or reach the food on the over-the-bed table. Interviews with staff, including a CNA and the DON, confirmed that Resident #13 was not in the correct position for eating and should have been assisted to sit up in bed. The DON acknowledged that the resident's position could lead to choking, indicating a lack of adherence to proper care protocols. Additionally, the facility did not have a policy in place for positioning residents during meal consumption, contributing to the deficiency observed.
Failure to Provide Correct Therapeutic Diet
Penalty
Summary
The facility failed to ensure that a resident received the correct physician-ordered diet, which was a therapeutic and mechanically altered diet. The resident, who had diagnoses including dementia, dysphagia, gastrointestinal hemorrhage, and gastro-esophageal reflux disease with esophagitis, was supposed to be on a low concentrated sweets (LCS) diet with pureed texture and regular consistency liquids. However, during an observation, the resident was served a meal that did not meet these specifications. The eggs appeared lumpy, the meat was grainy, and the cereal was glazed over, indicating that the food was not pureed as required. Interviews with staff, including a CNA, the Certified Dietary Manager/Kitchen Director, and the Director of Nursing, confirmed that the food served to the resident was not in the correct pureed form. The facility did not have a policy in place for checking meal trays prior to serving, and it was noted that the responsibility for ensuring the correct diet and consistency were served fell on the nurses, CNAs, or resident assistants. This lack of policy and oversight led to the resident receiving an incorrect diet, which was not in line with the physician's orders.
Infection Control Deficiencies in Utility Room, Linen Handling, and Hand Hygiene
Penalty
Summary
The facility failed to maintain proper infection control measures in several areas, leading to potential cross-contamination and infection risks. On the 200 Hall, the Soiled Utility door was found open, allowing resident access to dirty linens and trash, which should have been secured. Additionally, the Linen Closet door was also left open, with clean linens and lift pads improperly resting on the floor, contrary to infection control protocols. The Director of Nursing confirmed that these practices were not in line with the facility's infection control policies. In another instance, a Certified Nursing Assistant (CNA) did not perform appropriate hand hygiene while providing perineal care to a resident with memory problems and incontinence issues. The CNA used both hands to handle wipes without sanitizing them between uses, which was acknowledged as an infection control issue by the CNA and the Director of Nursing. The facility's policy required staff to pull out multiple wipes before starting care and to place them on a clean barrier to avoid contamination. Furthermore, during meal service, a Licensed Practical Nurse (LPN) failed to sanitize hands between serving trays to residents, despite the availability of hand sanitizer on the meal cart. The LPN admitted to not sanitizing hands due to initially not seeing the sanitizer. The Director of Nursing confirmed that hand sanitation between residents is crucial for infection control, as outlined in the facility's handwashing policy.
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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 Walnut Ridge
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Green House Cottages Of Walnut Ridge | 0.4 mi | ★★★★★ | 2 | 0 |
| Pocahontas Healthcare And Rehabilitation Center | 15.1 mi | ★★★★★ | 3 | 0 |
| Randolph County Nursing Home | 15.2 mi | ★★★★★ | 0 | 0 |
| Arkansas Continued Care Hospital Of Jonesboro | 22.7 mi | — | 0 | 0 |
| Ridgecrest Health And Rehabilitation | 23.6 mi | ★★★★★ | 3 | 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 August 2026) and official state health department websites.