Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 North Hills Life Care And Rehab during CMS and state inspections, most recent first.
The facility failed to label medications with open dates for four residents and improperly handled medication packaging for one resident. Additionally, an LPN gave medication room keys to an unauthorized lab personnel, breaching security protocols. The DON confirmed these actions were against facility policy.
The facility failed to store and date pudding according to policy, leading to improper temperature maintenance. Puddings were found at room temperature at the nurses' station without proper dating. The LPN dated the puddings with the current date, contrary to the kitchen's practice. The Dietary Manager and DON were unaware of this process, resulting in the disposal of the puddings.
A facility failed to ensure privacy for a resident during a PICC line dressing change. The resident, who was cognitively intact and admitted with bacteremia and sepsis, was observed by their roommate and two family members during the procedure. The ADON did not pull the curtain or ask the resident about their comfort with spectators, later acknowledging the oversight during the sterile part of the procedure.
A resident with a toe infection was prescribed an antibiotic via a PICC line, with specific physician orders for the SASH protocol. An LPN administered less saline than ordered before and after the antibiotic, acknowledging the error. The DON confirmed the importance of following physician orders for the resident's health.
The facility failed to ensure proper hand hygiene during meal assistance and did not utilize Enhanced Barrier Precautions (EBP) or maintain aseptic techniques during a dressing change for a resident with a PICC line. CNAs were observed handling cups and food without sanitizing hands, and the ADON did not follow EBP while changing a dressing. Additionally, staff lacked knowledge of facility policies on dressing changes and IV tubing care, leading to potential contamination risks.
The facility failed to notify a resident's representative of changes to Parkinson's medication, including dosage reduction and discontinuation, without proper documentation or communication. The resident's family and primary care physician were unaware of these changes.
The facility failed to obtain and forward a complete surgical history for a resident with Parkinson's disease and a deep brain stimulator. This led to uninformed medication changes and lack of communication with the resident's family, potentially affecting the resident's health.
Medication Labeling and Security Deficiencies
Penalty
Summary
The facility failed to adhere to medication labeling and storage standards, as observed during a survey. Medications for four residents were found without open dates, which is against the facility's policy that requires multi-dose medications to be dated when opened. Specifically, an inhaler for one resident, another inhaler for a second resident, and a bottle of liquid morphine for a third resident were all in use but lacked open dates. Additionally, a medication card for a fourth resident was found with compromised pharmacy packaging, where pills were taped back into the slots, indicating improper handling. Furthermore, the facility did not maintain proper control over medication cart and room keys. An LPN was observed handing over the keys to an unidentified person in black scrubs, later identified as a phlebotomist from a contracted lab company. This individual was allowed to access the medication room unsupervised, which is a breach of security protocol. The Director of Nursing acknowledged that the keys should not have been given to unauthorized personnel and that the LPN should have managed the retrieval of specimens.
Improper Storage and Dating of Pudding
Penalty
Summary
The facility failed to adhere to its policy regarding the storage and dating of food items, specifically pudding prepared in the facility's kitchen. The policy required all food items to be kept below 41 degrees Fahrenheit and labeled with a use-by date. However, during an observation, a container with 20-25 vanilla and chocolate puddings was found at the central nurses' station without any ice or indication of having been kept cold, and the individual pudding tubs were not dated. The puddings were at room temperature, indicating they were not stored according to the required standards. Further investigation revealed that the puddings were retrieved from the kitchen for use during medication pass, and any unused puddings were stored in the refrigerator for resident snacks. The LPN involved stated that the puddings never came from the kitchen with a date, and she would write the current date on the lid when placing them on her medication cart. The Dietary Manager confirmed that the puddings were prepared in the kitchen and stored in a container with a date, but the individual tubs were not dated. The Dietary Manager was unaware of the LPN's dating process and acknowledged that the puddings had been out too long to maintain the correct temperature, leading to their disposal. The Director of Nursing was also unaware of the dating process used by the LPN.
Failure to Ensure Privacy During Care Procedure
Penalty
Summary
The facility failed to ensure privacy during care for a resident, identified as Resident #62, who was reviewed for privacy concerns. Resident #62 was admitted with diagnoses including bacteremia and sepsis and was cognitively intact, as indicated by a BIMS score of 15. During an observation, the Assistant Director of Nursing (ADON) entered the resident's room to perform a PICC line dressing change while the resident's roommate and two family members were present, all having a direct line of sight to the procedure. The ADON did not pull the room's curtain or ask the resident if they were comfortable with the presence of others during the procedure. During the sterile part of the dressing change, the ADON acknowledged the oversight by looking at the curtain divider and stating that it should have been pulled before performing the procedure.
Failure to Follow Physician Orders for IV Medication Administration
Penalty
Summary
The facility failed to ensure that physician orders were followed for a resident receiving intravenous (IV) medication. The resident, who was admitted with a local infection of the skin and subcutaneous tissue of the right toe, was prescribed an antibiotic to be administered through a peripherally inserted central catheter (PICC) line. The physician's orders included a specific protocol known as SASH (saline, antibiotic, saline, heparin) for flushing the PICC line, which required 10cc of normal saline (NS) before and after the antibiotic administration, followed by 5cc of heparin. During an observation, an LPN administered only 8.5cc of NS before and 7cc of NS after the antibiotic, instead of the ordered 10cc each time. The LPN acknowledged the discrepancy, stating that the full 10cc should have been used as per the physician's orders to ensure the complete delivery of the medication. The Director of Nursing confirmed that following physician orders for flushing the PICC line is crucial for the resident's health.
Infection Control Deficiencies in Hand Hygiene and Aseptic Techniques
Penalty
Summary
The facility failed to ensure proper hand hygiene during meal assistance, as observed with multiple residents. Certified Nursing Assistants (CNAs) were seen handling cups and food without performing hand hygiene, which is against the facility's infection control policy. For instance, one CNA was observed placing their fingers inside a resident's cup and handling food with bare hands without sanitizing between residents. Interviews with the CNAs revealed a lack of awareness and availability of hand sanitizer, contributing to the oversight in hygiene practices. The facility also failed to utilize Enhanced Barrier Precautions (EBP) and maintain aseptic techniques during a dressing change for a resident with a peripherally inserted central catheter (PICC) line. The Assistant Director of Nursing (ADON) did not wear a gown as required by EBP and used dirty gloves to touch the resident's face and PICC line insertion site. Additionally, the PICC line dressing was overdue for a change, and the IV tubing was left uncapped, exposing it to potential contamination. The deficiencies were further highlighted by the lack of knowledge among staff regarding the facility's policies on dressing changes and IV tubing care. A Registered Nurse (RN) was unaware of the dressing change schedule and the policy for IV tubing care, indicating a gap in training and adherence to infection control protocols. These lapses in infection prevention and control measures put residents at risk of exposure to infections.
Failure to Notify Resident's Representative of Medication Changes
Penalty
Summary
The facility failed to notify the resident's representative of changes to medication for a resident diagnosed with Parkinson's disease. The resident had a severely impaired mental status and was on a regimen of Carbidopa-Levodopa, which was adjusted multiple times without notifying the resident's representative. The changes included a reduction in dosage and eventual discontinuation of the medication, as well as the introduction of Amantadine HCl. The resident's family was not informed of these changes, and when questioned, the PA-C indicated the adjustments were made to reduce side effects and prevent unnecessary medication use. The resident's medical records did not contain documentation of notification to the representative about the medication changes. Interviews with the resident's relative and the PA-C confirmed that the family was unaware of the adjustments. The primary care physician was also not aware of the medication decrease and the presence of a deep brain stimulator in the resident. This lack of communication and documentation led to the deficiency identified by the surveyors.
Incomplete Surgical History and Medication Management
Penalty
Summary
The facility failed to ensure a complete surgical history was obtained and forwarded from the pre-admission screen for a resident with Parkinson's disease who had a deep brain stimulator. The pre-admission screen documented the presence of the deep brain stimulator, but this information was not included in the Admission Minimum Data Set (MDS) or communicated to the medical staff. Consequently, the resident's medication for Parkinson's disease, Carbidopa-Levodopa, was decreased without proper consideration of the deep brain stimulator's role in managing the resident's symptoms. The resident's spouse was not informed of the medication changes, leading to concerns about the resident's care and the necessity of the medication despite the presence of the neurostimulator. Interviews with the Certified Physician's Assistant (PA-C) and the Primary Care Physician/Medical Director revealed that they were unaware of the resident's deep brain stimulator. The PA-C believed the medication was being decreased to reduce side effects and prevent unnecessary medication use. However, the lack of communication and documentation regarding the deep brain stimulator led to an uninformed decision about the resident's care. Additionally, the Licensed Practical Nurse (LPN) working in the secure unit was also unaware of the deep brain stimulator and did not notice an increase in the resident's tremors with the medication decrease. This oversight had the potential to adversely affect the resident's health and well-being due to incomplete medical information and lack of communication with the resident's family.
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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 Fayetteville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Fayetteville Health And Rehabilitation Center | 1.2 mi | ★★★★★ | 7 | 0 |
| Butterfield Trail Village | 1.5 mi | ★★★★★ | 3 | 0 |
| Arkansas Veterans Home At Fayetteville | 1.8 mi | ★★★★★ | 0 | 0 |
| Edgewood Health And Rehab | 3.9 mi | ★★★★★ | 0 | 0 |
| Katherine's Place At Wedington | 4.5 mi | ★★★★★ | 4 | 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.