Above average — CMS composite of the measures below.
The next survey window likely opens around February 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 Perry County Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with dementia, wandering, depression, anxiety, and repeated falls developed new behaviors of crawling, sitting, and lying on the floor, but the care plan did not include these behaviors or interventions for them. Staff documented the behavior in custom notes and stop-and-watch alerts, and interviews with CNAs, an LPN, the DON, and the Administrator confirmed the behavior was known and should have been care planned. The resident’s existing care plan addressed other behaviors and fall risk, but not the new floor-related behavior.
The facility failed to ensure proper hand hygiene and food safety practices, leading to potential foodborne illness risks. Staff members were observed handling food without changing gloves or washing hands after contamination. Additionally, food items in the freezer were not properly sealed, and hot food on the steam table was below the required temperature, posing a risk to residents.
The facility did not serve meals according to the planned menu, leading to nutritionally imbalanced meals. Residents on pureed diets did not receive bread or substitutes, and those on mechanical soft diets did not receive gravy. A dietary staff member admitted to not serving the prepared gravy and not serving pureed bread due to its texture.
The facility failed to ensure pureed food items were blended to a smooth, lump-free consistency for residents requiring pureed diets. Observations revealed that pureed pork chops, turnip greens, and black-eyed peas were inadequately processed, resulting in thick and lumpy textures. The dietary manager and staff acknowledged the issue, which persisted despite following the facility's policy on therapeutic and modified diets.
A resident in the dementia unit was observed reaching into a trash can without supervision, highlighting a lack of oversight in the dining room. Staff interviews confirmed the unsanitary and unsafe nature of the incident, with the absence of a specific policy contributing to the deficiency.
Failure to Care Plan New Floor-Lying Behavior
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident admitted with degeneration of the brain, dementia with mood disturbances, depression, anxiety, wandering, and repeated falls. A quarterly MDS showed severe cognitive impairment, dependence on staff for ambulation and position changes, frequent bowel and bladder incontinence, and multiple falls, including one with injury. The resident’s care plan, initiated after admission, addressed the need for a secured/special care unit, wandering, verbal and physical aggression, agitation, confusion, and fall risk, but it did not include the resident’s newly displayed behaviors of lying and sitting on the floor. Record review showed repeated documentation of the resident crawling, sitting, and lying on the floor throughout the unit over several months. These behaviors included being observed on the floor in hallways, in other residents’ rooms, beside staff while charting, and in front of a resident’s doorway. On one occasion, staff assisted the resident up from the floor and the resident laid back down unassisted. During a surveyor observation, the resident was seen lying on the floor in the middle of the hall on the memory care unit, and a CNA stated this was a known behavior. Interviews with CNAs, an LPN, the DON, and the Administrator confirmed the behavior was known to staff and should have been care planned. Staff stated they documented the behavior in custom notes and stop-and-watch alerts, and that the behavior was discussed as needing care planning. The DON and Administrator stated the behavior had been occurring since mid-December or early January and had not been consistently addressed in the care plan. The Administrator also stated the facility did not have a policy for care plans.
Deficiencies in Hand Hygiene and Food Safety Practices
Penalty
Summary
The facility failed to ensure proper hand hygiene and food safety practices in the kitchen, leading to potential foodborne illness risks. On one occasion, a dietary staff member handled a bottle of coke and a glass, contaminating her hands, and then proceeded to handle food without changing gloves or washing her hands. This resulted in contaminated cucumber slices being served to residents. Additionally, another dietary staff member was observed handling a spray bottle and then clean equipment without changing gloves or washing hands, acknowledging the lapse in proper hand hygiene. The facility also failed to maintain proper food storage and temperature control. Observations in the walk-in freezer revealed multiple opened boxes of food items that were not covered or sealed, which could lead to freezer burn and potential contamination. Furthermore, hot food items on the steam table were found to be below the required temperature of 135 degrees Fahrenheit, with items such as pureed pork chops and mashed potatoes measuring only 119 to 120 degrees Fahrenheit. These items were not reheated before being served to residents, posing a risk of foodborne illness. The facility's policy on handwashing and glove usage was reviewed, indicating a requirement for handwashing before starting work and after activities that may contaminate hands, but this was not adhered to by the staff.
Failure to Serve Meals According to Planned Menu
Penalty
Summary
The facility failed to ensure that meals were prepared and served according to the planned written menu, resulting in nutritionally imbalanced meals for residents. On September 3, 2024, during the noon meal, residents on mechanical soft diets were supposed to receive 2 ounces of gravy, and those on pureed diets were to receive 2 ounces of gravy and a #10 scoop of pureed bread. However, residents on pureed diets were not served any form of bread, and no substitutes were provided. Additionally, residents on mechanical soft diets did not receive the required gravy. During an interview, a dietary staff member acknowledged that the pureed bread appeared like a dough ball and was therefore not served. The same staff member also admitted to preparing the gravy but forgetting to serve it to the residents.
Inadequate Pureeing of Food for Residents on 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, it was noted that the dietary staff member placed breaded fried pork chops into a blender with whole milk, but the resulting mixture had a ground texture and was thick. Similarly, turnip greens and black-eyed peas were pureed but remained thick and lumpy, indicating that the pureeing process was inadequate. The dietary manager confirmed that the pureed meat had the consistency of ground meat and was too thick, and no gravy was added to adjust the texture. The dietary staff member acknowledged that the pureed items were too dry, even after adding milk during the pureeing process. Despite being placed in the oven and later served to residents, the consistency of the pureed foods did not improve, remaining thick and lumpy. This was contrary to the facility's policy on therapeutic and modified diets, which requires that residents receive foods with the appropriate texture.
Lack of Supervision in Dementia Unit Leads to Safety Concerns
Penalty
Summary
The facility failed to ensure adequate supervision for residents in the Dementia Unit, leading to a deficiency in maintaining a safe environment. On September 3, 2024, a resident in the Observation Hall Dining Room was observed self-propelling in a mobility device to a trash can, lifting the lid, and reaching inside with both hands. This incident occurred without any staff present in the dining room, highlighting a lack of supervision. Additionally, a Certified Nursing Assistant (CNA) left seven dementia residents unattended in the dining room while retrieving an alternative meal, further demonstrating insufficient oversight. Interviews with staff, including a CNA, a Licensed Practicing Nurse (LPN), and the Director of Nursing (DON), confirmed the unsanitary nature of the resident's actions and the potential safety risks, such as choking or altercations, due to the absence of supervision. The facility lacked a specific policy or procedure for the Observation Hall Dining Room, contributing to the oversight failure. The deficiency was identified through observations, interviews, and record reviews, emphasizing the need for constant supervision to prevent accidents and hazards in the dementia unit.
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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 Perryville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Brookridge Cove Rehabilitation And Care Center | 11.9 mi | ★★★★★ | 0 | 0 |
| Atkins Nursing And Rehabilitation Center | 18.2 mi | ★★★★★ | 3 | 0 |
| The Blossoms At Conway Rehab & Nursing Center | 19.1 mi | ★★★★★ | 0 | 0 |
| Conway Healthcare And Rehabilitation Center | 20.1 mi | ★★★★★ | 8 | 0 |
| Salem Place Nursing And Rehabilitation Center, Inc | 20.2 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.