Above 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 Nightingale At Stonegate during CMS and state inspections, most recent first.
Housekeeping and maintenance failed to keep shower rooms, resident rooms, and HVAC vents clean and sanitary. Surveyors observed feces in toilets, mold-like residue on shower chairs, straps, tiles, and walls, a loofah left hanging in a shower room, a shower bucket with cloudy dirty liquid, an outlet with exposed wiring next to a resident’s bed, and dirt, dust, debris, and food crumbs inside vents on the 400 Hall. Staff, including the DON, Administrator, CNA, and Housekeeping Supervisor, described the shower areas as not sanitary for residents to use.
Failure to post the resident census on a daily basis. Review of the Daily Staffing Logs showed the census was not provided or posted, and the section for census information was left blank for an entire month. The BOM confirmed there was no location in the facility where the census was posted for viewing and stated the information had not been completed since she began in the role. The Administrator confirmed there was no other area where the census was posted.
The facility failed to maintain resident dignity during meal assistance. An LPN was observed standing while feeding two residents despite available chairs, and a resident with severe cognitive impairment was repeatedly seen with dried food on their clothing and face after meals. The DON confirmed that staff should be seated when assisting with meals and that residents should be cleaned within thirty minutes after eating.
The facility failed to revise care plans for a resident with dementia and another with an indwelling urinary catheter. The dementia care plan lacked necessary interventions, and the catheter care plan did not include required care details, leading to the resident's hospitalization with acute kidney injury and a urinary tract infection.
The facility failed to lock a shower room, posing a safety hazard for five residents, and did not remove disposable razors from a bathroom, increasing the risk of harm for a resident requiring assistance with shaving. Both issues were confirmed by staff and the DON.
The facility failed to ensure medications were not left at the bedside for a resident and that the medication lockbox used to store controlled medication requiring refrigeration was properly secured. A resident was observed with Triple Antibiotic Ointment on the bedside table without an order to self-administer medications. Additionally, locked boxes containing Lorazepam for two residents were not permanently affixed to the refrigerator, contrary to facility policy.
The facility failed to ensure food items were properly stored, sealed, and dated, leading to potential foodborne illness risks. Observations included uncovered food items, improper storage of leftovers, and an unclean ice machine. Maintenance issues in the dishwashing area and kitchen, along with a dietary employee's failure to follow handwashing protocols, further compromised food safety and hygiene.
The facility failed to provide a resident, their representative, and the Ombudsman with written documentation regarding a hospital transfer. The resident, with a severely impaired mental status, was transferred due to vomiting dark brown emesis, but no notice of transfer or bed hold policy was documented. The Administrator confirmed the absence of the required notifications.
The facility failed to provide a bed hold notification to a resident with severe cognitive impairment or their representative following a hospital transfer due to vomiting. The Administrator confirmed the absence of the required documentation.
A resident with reduced mobility and muscle wasting due to a stroke was found with long and uneven fingernails, indicating inconsistent nail care. The resident required assistance with nail care on the right hand but reported that staff had not offered help. The facility lacked a specific policy on fingernail care, and it was provided on an as-needed basis.
A facility failed to ensure proper hand hygiene by staff during meal service, potentially spreading infections among residents. A CNA was observed assisting two residents without sanitizing hands between tasks and after touching her face. The DON confirmed that hand hygiene should be performed between tasks and after touching the face, as per CDC guidelines.
Unsanitary shower rooms, exposed outlet, and dirty HVAC vents
Penalty
Summary
Housekeeping and maintenance failed to provide a safe, sanitary, comfortable environment in multiple areas of the facility, including shower rooms, resident rooms, and hall ventilation units. In the 300 Hall shower room, surveyors observed dried brown substance and a black ring in the toilet bowl, black spots on the shower chair legs, back, mesh seat, and strap, orange/brown/white residue on the chair and strap, residue on a loofah hanging in the room, and black spots around the lower shower wall tile. In the 100 Hall shower room, surveyors observed a black transferable substance on shower tiles and grout lines and orange discoloration under the shower chair frame. These conditions remained unchanged on later observations, and a loose body chair bucket in the 100 Hall shower room contained cloudy, dirty liquid filled to the rim. During interviews and observations, Housekeeper #2, CNA #3, the DON, the Administrator, and the Housekeeping Supervisor all identified the toilet contents as feces or dried feces and described the shower chairs and strap as having mold, mildew, or similar black, brown, gray, and orange residue. The DON stated the loofah should not have been hanging in the shower and that the room was not sanitary for residents to use. The Administrator stated the bathroom was not sanitary for residents and noted residents had previously mentioned mold on the wall. The Housekeeping Supervisor also stated the toilet contained feces and mold and that the shower room was not clean and sanitary for residents to shower in. Additional observations showed an electrical outlet in room [ROOM NUMBER] B with half of the face plate missing and exposed wiring, with the resident’s bed pushed against the wall next to the outlet. The Maintenance Supervisor confirmed the exposed outlet was a safety hazard and stated outlet covers should be intact to prevent injury from electrical shock or fire. In multiple rooms on the 400 Hall, dirt, dust, debris, and food crumbs were observed inside HVAC vents on repeated rounds. The 400 Hall shower room and whirlpool room also contained a bath chair with multiple substances on it, dark substance along tile corners and behind the toilet, a toilet with a greenish-brown ring, and a shower gurney mattress with cracked seams and debris underneath it. Facility staff stated shower rooms were deep cleaned only on Sundays, while the facility policy stated housekeeping services would be provided daily, including weekends, and that toilet and bath facilities would be clean and sanitary at all times.
Failure to Post Daily Resident Census
Penalty
Summary
The facility failed to post the resident census on a daily basis as required. A review of a Daily Staffing Log dated 07/23/2025 showed the census was not provided or posted, and a review of the June 2025 Daily Staffing Log showed the area designated to display the census was not completed for the month. During interview, the Business Office Manager stated she had been responsible for maintaining the Daily Staffing Logs for over a year and verified there was no place in the facility where the census was posted and available for viewing. She also confirmed the census information had not been completed on the Daily Staffing Logs since she began in the role. The Administrator stated she was responsible for ensuring the BOM completed the Daily Staffing Logs and confirmed there was not another area where the census was posted.
Failure to Maintain Resident Dignity During Meal Assistance
Penalty
Summary
The facility failed to treat each resident with respect and dignity, and care for each resident in a manner that promotes maintenance or enhancement of their quality of life. This was observed in three residents. Resident #7, who had moderately impaired cognition, required assistance with spoon feeding for all meals. Resident #50, who was cognitively intact, also required assistance with eating. On one occasion, an LPN was observed standing over both residents while providing feeding assistance, despite several unoccupied chairs being available. The LPN admitted that staff usually stand if there are not enough chairs, although the Director of Nursing (DON) confirmed that staff should be seated to avoid dignity issues. Resident #10, who had severe cognitive impairment, was observed multiple times with dried food on their clothing and face after meals. Despite being seen self-propelling in a wheelchair around the facility, the resident's appearance was not attended to promptly. Both a Nursing Assistant and a Certified Nursing Assistant acknowledged the presence of dried food on the resident's clothing. The DON confirmed that residents should not have dried food on their face and clothing after meal service and that staff should assist residents with cleaning within thirty minutes to maintain their dignity.
Failure to Revise Care Plans for Dementia and Catheter Care
Penalty
Summary
The facility failed to ensure care plans were reviewed and revised at least quarterly and/or when residents' care needs changed. Specifically, the care plan for a resident with dementia did not include any documented interventions regarding dementia care, despite the resident having a severe cognitive impairment as indicated by a BIMS score of 6. The MDS Coordinator confirmed that dementia care should have been added to the care plan to guide staff in providing appropriate care for the resident. Additionally, the care plan for a resident with an indwelling urinary catheter lacked necessary interventions for catheter care. The resident, who was cognitively intact with a BIMS score of 15, was readmitted with a catheter, but the care plan only noted the presence of the catheter without detailing the required care. The resident was later found to have cloudy sediment in the catheter tubing and was admitted to the hospital with acute kidney injury and a urinary tract infection. The Director of Nursing confirmed that the care plan should have included specific interventions for catheter care.
Failure to Lock Shower Room and Remove Razors
Penalty
Summary
The facility failed to ensure a shower room was locked to prevent potential accidents and hazards for five residents who ambulate or self-propel. Additionally, the facility did not remove disposable razors from a bathroom, increasing the potential for harm for a resident who required staff assistance for shaving. Specifically, Resident #9, who was cognitively intact and required supervision for personal hygiene, was found to have multiple disposable razors left in their bathroom on several occasions. The Certified Nursing Assistant (CNA) confirmed that the razors should not have been left in the resident's room as they could pose a risk of harm to the resident or others. Furthermore, the surveyor observed an unlocked shower room door, which was confirmed by both an LPN and the Director of Nursing (DON) as a safety hazard. The DON acknowledged that the door should be kept locked to prevent residents from entering and potentially slipping on a wet floor. The facility's Accident Hazards Prevention policy was reviewed but did not contain pertinent information to support the deficient practice.
Medication Storage and Self-Administration Deficiencies
Penalty
Summary
The facility failed to ensure that medications were not left at the bedside for one resident and that the medication lockbox used to store controlled medication requiring refrigeration was properly secured and permanently affixed to the refrigerator. Resident #257, who had diagnoses of osteoarthritis and weakness, was observed with Triple Antibiotic Ointment on the bedside table without an order to self-administer medications. The Licensed Practical Nurse (LPN) and Director of Nursing (DON) confirmed that there were no orders or care plans in place for Resident #257 to self-administer medications, and the medication should not have been at the bedside. Additionally, the facility did not properly secure the locked boxes used to store controlled medications requiring refrigeration. The surveyor observed that the locked boxes containing Lorazepam for two residents were not permanently affixed to the refrigerator and could be removed. The DON confirmed that the locked boxes were not permanently attached prior to the surveyor's observation. The facility's policies required that controlled drugs be stored in separately locked and permanently affixed compartments, which was not adhered to in this instance.
Food Safety and Hygiene Deficiencies in Kitchen Operations
Penalty
Summary
The facility failed to ensure food items stored in the refrigerator and freezer were covered, sealed, and dated, which could lead to potential foodborne illness for residents. Observations included an opened box of biscuits in the freezer and open boxes of sausage and bacon in the refrigerator, all of which were not covered or sealed. Additionally, leftover meat items were improperly stored and used for mechanical soft diets. The ice machine in the kitchen had wet black/gray residue, and the Dietary Supervisor confirmed it was cleaned only once a week, despite its use for residents' water pitchers and beverages. The dishwashing area had several maintenance issues, including a loose baseboard, a cracked wall, and a wash temperature below the required level. The kitchen floor had a thick buildup of grease, lint, and discoloration, and the shelf below the food preparation counter had rust stains. Furthermore, a dietary employee failed to wash her hands after handling dirty objects before touching clean equipment, violating the facility's handwashing policy. These deficiencies had the potential to affect 55 residents who received meals from the kitchen. The facility's policy on handwashing and glove usage was not followed, as evidenced by the dietary employee's actions. The overall cleanliness and maintenance of the kitchen and dishwashing areas were inadequate, posing a risk of contamination and foodborne illness. The observations and interviews conducted by the surveyor highlighted significant lapses in food safety and hygiene practices within the facility's kitchen operations.
Failure to Provide Transfer Notification
Penalty
Summary
The facility failed to ensure that a resident, their representative, and the Office of the State Long-Term Care Ombudsman were provided with written documentation regarding a transfer to the hospital. Resident #21, who had a severely impaired mental status as indicated by a BIMS score of 6, was admitted to the facility and later transferred to the hospital due to vomiting dark brown emesis with a foul odor. The transfer occurred on January 13, 2024, but there was no documentation of a notice of transfer or bed hold policy in the resident's electronic health record. When asked by the surveyor, the Administrator confirmed that they did not have the required notice of transfer or bed hold notification for the hospital visit on that date.
Failure to Provide Bed Hold Notification
Penalty
Summary
The facility failed to ensure that a resident and/or their representative was provided with a copy of the bed hold policy following a transfer to the hospital. Resident #21, who had severe cognitive impairment with a BIMS score of 6, was admitted to the facility and later transferred to a local hospital's emergency room due to vomiting dark brown emesis with a foul odor. Upon review of Resident #21's electronic health record, there was no documentation of a bed hold notification for the transfer. The Administrator confirmed that no bed hold notification was provided for the hospital visit.
Inconsistent Nail Care for Resident with Reduced Mobility
Penalty
Summary
The facility failed to ensure consistent nail care for a resident who required assistance due to reduced mobility and muscle wasting. Resident #54, who had a stroke affecting the entire left side, was observed with fingernails on the right hand greater than 0.25 inches in length. The resident admitted needing help with nail care on the right hand but stated that staff had not offered assistance. The care plan indicated that nail length should be checked, trimmed, and cleaned on bath days and as necessary, but this was not consistently done. During an interview, a CNA familiar with the resident's care confirmed that the resident's fingernails were long and uneven. The CNA mentioned that nail care was sometimes performed by the Activity Director on Fridays or by CNAs, and that some residents did it themselves. However, the CNA was unsure if the resident was care planned for nail care. The facility did not have an individual policy on fingernail care, and it was documented that fingernail care was part of ADL care provided on an as-needed basis.
Failure to Ensure Proper Hand Hygiene During Meal Service
Penalty
Summary
The facility failed to ensure proper hand hygiene by staff during meal service, which had the potential to spread infections among residents. On 04/09/2024, a surveyor observed a CNA assisting two residents with meal service without sanitizing or washing hands between tasks. The CNA positioned one resident in a Geri-chair, then assisted another resident with feeding, and touched her face without performing hand hygiene. The CNA admitted to the surveyor that she should have sanitized her hands after each of these actions. The Director of Nursing (DON) confirmed that staff should sanitize their hands between tasks involving different residents and after touching their face. The facility's policy, aligned with CDC guidelines, emphasizes that handwashing is the most important way to prevent the spread of infection. The failure to follow these guidelines was observed and acknowledged by both the CNA and the DON, highlighting a lapse in infection control practices within the facility.
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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 Crossett
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Nightingale At Crossett | 1.4 mi | ★★★★★ | 6 | 0 |
| Cherry Ridge | 23.3 mi | ★★★★★ | 0 | 0 |
| Lagniappe Healthcare | 23.8 mi | ★★★★★ | 4 | 0 |
| Legrand Healthcare And Rehabilitation Center | 24.2 mi | ★★★★★ | 1 | 0 |
| Oak Woods Home For The Elderly | 25.7 mi | ★★★★★ | 0 | 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.