Above average — CMS composite of the measures below.
The next survey window likely opens around November 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 Promenade Health And Rehabilitation during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and a history of agitation was physically restrained by two CNAs using a sheet tied around the waist and secured to a chair, while an LPN was present. The restraint was not authorized by a physician or included in the care plan, and staff involved had previously received training on restraint policies prohibiting such actions without proper authorization.
A resident with hemiplegia, kidney failure, atrial fibrillation, and moderate cognitive impairment was transferred with a mechanical lift that had a missing safety clip on the arm hook. Two CNAs used the lift despite the missing clip, and both acknowledged it was a safety measure that kept the sling from slipping off. Staff and leadership stated equipment not in good repair should not be used, and the Maintenance Director said the missing clip was a safety hazard during lifting or transfer.
Failure to perform hand hygiene during perineal care: Two CNAs assisted a resident with hemiplegia, kidney failure, and atrial fibrillation who was dependent on staff for incontinent care. During observed peri care, both CNAs wore the same gloves throughout the procedure, did not change gloves or perform hand hygiene after cleaning the peri area and buttocks, and one CNA handled a clean brief and other clean items while still wearing dirty gloves; both CNAs acknowledged the lapse, and the DON confirmed staff should wash hands and change gloves during peri care.
The facility failed to date an opened bag of salad mix, which was observed by a surveyor over two consecutive days. Interviews with the Dietary Manager, Infection Preventionist, and DON confirmed that all opened food items should be dated to prevent serving expired food to residents. This failure was a breach of the facility's food storage policy.
A resident with severe cognitive impairment was found to have a seat belt attached to their wheelchair, used as a restraint without proper medical justification. The seat belt was requested by the family as a reminder due to the resident's lack of safety awareness, but it was not indicated as a restraint in the care plan. Facility staff acknowledged the seat belt's ineffectiveness in preventing falls, and observations showed the resident was unable to remove it upon request, indicating it functioned as a restraint.
The facility failed to ensure proper hand hygiene during meal service and medication administration. A CNA served meal trays without sanitizing hands, and an LPN administered medication without hand hygiene, even using bare hands to handle a dropped pill. Interviews confirmed these actions violated facility protocols, indicating a deficiency in infection control practices.
Failure to Ensure Resident Freedom from Physical Restraints
Penalty
Summary
The facility failed to ensure that a resident was free from the use of physical restraints, as required by regulation. On the evening of the incident, two CNAs were observed tying a sheet around a resident's waist and securing it to the back of a chair, while an LPN was present in the room. The incident was witnessed by another CNA, who reported it to the lead CNA, and subsequently to facility administration. The resident involved had severe cognitive impairment, with a diagnosis of dementia and anxiety, and had a history of agitation and striking at staff, but there was no physician order or care plan in place for the use of physical restraints for this resident. Facility documentation, including incident reports and witness statements, confirmed that the staff involved had knowledge of the facility's restraint policies, which prohibit the use of physical restraints for staff convenience and require a physician's written order for any restraint use. Despite this, the staff proceeded to restrain the resident without proper authorization or documentation. The facility's investigation included review of personnel files, interviews with involved staff, and review of relevant policies, all of which indicated that the restraint was not care planned or medically authorized. The incident was reported to the appropriate authorities, and the facility's internal investigation found that the staff involved had violated facility policy regarding restraint use. The resident was assessed following the incident, with no negative outcomes documented. The deficiency was identified based on observations, interviews, and review of facility records, which demonstrated a failure to protect the resident's right to be free from physical restraints except as authorized for medical treatment.
Mechanical lift used with missing safety clip
Penalty
Summary
The facility failed to ensure a mechanical lift was in safe operational condition before it was used to transfer a resident. Resident #34 had diagnoses including hemiplegia, kidney failure, and atrial fibrillation, and the quarterly MDS indicated moderate cognitive impairment with dependence on staff for toileting, personal hygiene, bathing, lower body dressing, and maximum assistance for upper body dressing. The care plan directed that the resident required a mechanical lift with two-person assistance. During observation, CNA #8 and CNA #7 used the mechanical lift to transfer Resident #34 from a wheelchair to a bed. The lift was observed with its legs in an open position and rear casters unlocked, and a metal clip on the right-side arm hook was missing. The resident was lowered to the bed while the lift remained in that condition. When asked about the equipment, both CNAs stated the missing clip was a safety measure that kept the lift pad from slipping off the hook and agreed the lift should not have been used if it was not in good repair. The maintenance log showed a separate lift issue had been reported earlier, with the legs opening by themselves and maintenance documenting that it could not be fixed and would be replaced. The LPN confirmed that equipment not in good working order should be removed from service, and the Administrator, Maintenance Director, Medical Director, and DON all stated that equipment in poor repair should not be used on residents. The Maintenance Director stated the missing clip was a safety hazard because it prevented the lift pad from coming off the arm hooks during lifting or transfer.
Failure to Perform Hand Hygiene During Perineal Care
Penalty
Summary
The facility failed to ensure proper hand hygiene was maintained during perineal care for one resident who had diagnoses including hemiplegia, kidney failure, and atrial fibrillation. The resident’s quarterly MDS showed moderate cognitive impairment and dependence on staff for toileting, personal hygiene, bathing, and lower body dressing. The care plan identified a self-care deficit related to limited mobility, hemiplegia, and balance impairment, and required two staff assistance for incontinent care. During observation of perineal care, two CNAs assisted the resident with a mechanical lift and removed a wet brief, but both staff members wore the same gloves throughout the entire procedure. One CNA wiped the buttocks and sacral area, while neither CNA changed gloves or performed hand hygiene during the care. One CNA then removed a clean brief from a bedside drawer and placed it on the resident without changing gloves, and both CNAs continued touching the bed rails, drawer, linens, clothing, and trash while still wearing the same dirty gloves. Both CNAs acknowledged that hand hygiene was not done during the perineal care, and the DON stated staff should wash hands and change gloves during perineal care and should not touch clean areas with dirty gloves because of cross contamination.
Failure to Date Opened Food Items
Penalty
Summary
The facility failed to ensure that opened food items were properly dated for food service safety, which had the potential to affect all 85 residents. During an observation on July 22, 2024, a surveyor noted an 18-ounce bag of salad mix in the refrigerator without a date. The Dietary Manager placed this bag in a box with other salad mixes. The following day, the same bag was observed again without a date, despite the Dietary Manager claiming to have dated it. The Dietary Manager then removed the bag to place a date on it. Interviews with the Dietary Manager, Infection Preventionist, and Director of Nursing confirmed that all opened food items should be dated to prevent serving expired food to residents. The facility's policy on food storage requires all foods to be stored wrapped or in covered containers, labeled, and dated to prevent cross-contamination. The failure to date the salad mix upon opening was a breach of this policy, highlighting a lapse in the facility's food safety practices.
Unnecessary Use of Restraint on Resident
Penalty
Summary
The facility failed to ensure that a resident was free from the use of an unnecessary restraint, specifically a seat belt attached to a wheelchair, which was fastened around the resident's waist, preventing them from standing. The resident, who had severe cognitive impairment and was at high risk for falls, was observed with the seat belt in place, despite being able to unfasten it at times. The seat belt was initially requested by the family as a personal reminder due to the resident's lack of safety awareness, but it was not indicated as a restraint in the resident's care plan. The facility's policy on the use of restraints states that restraints should only be used for the safety and well-being of the resident and must be ordered by a physician for a specific medical symptom. However, the seat belt was applied per family request without a clear medical justification or a completed assessment for its necessity. The facility's documentation revealed inconsistencies in the orders and monitoring of the seat belt, with several orders being discontinued and no comprehensive assessment completed to justify its use. Interviews with facility staff indicated that the seat belt was used as a reminder for the resident to remain seated, but it did not effectively prevent falls or restrain the resident, as they were able to unfasten it at times. The staff acknowledged that the seat belt was not beneficial in preventing falls and that the resident's family insisted on its use. Observations showed that the resident was unable to remove the seat belt upon request, indicating that it functioned as a restraint, contrary to the facility's policy and the resident's rights.
Inadequate Hand Hygiene and Medication Administration Practices
Penalty
Summary
The facility failed to ensure proper hand hygiene practices were followed by staff during meal service and medication administration, leading to potential infection risks. Certified Nursing Assistant (CNA) #3 was observed serving meal trays to residents without performing hand hygiene before or after handling the trays and the meal cart. Despite having completed infection control training, CNA #3 was unaware of the requirement to sanitize hands between serving trays, indicating a gap in adherence to the facility's hand hygiene policy. Additionally, during medication administration, Licensed Practical Nurse (LPN) #1 did not perform hand hygiene after leaving a resident's room and before handling medication bottles. LPN #1 was observed administering medication to a resident and, upon dropping a pill onto the resident's shirt, picked it up with bare hands and placed it into the resident's mouth. This action was contrary to the facility's policy, which requires discarding contaminated medication and performing hand hygiene before and after resident contact. Interviews with the Director of Nursing (DON), Infection Control Preventionist (ICP), and another LPN confirmed that the facility's protocol was not followed. They stated that hand hygiene should be performed before and after each resident interaction and that contaminated medication should be discarded and replaced. The failure to adhere to these protocols highlights a deficiency in infection prevention and 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 Rogers
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hampton Place Healthcare, Llc | 1.3 mi | ★★★★★ | 0 | 0 |
| Jamestown Nursing And Rehab, Llc | 1.3 mi | ★★★★★ | 0 | 0 |
| Innisfree Health And Rehab, Llc | 1.5 mi | ★★★★★ | 0 | 0 |
| The Blossoms At Rogers Rehab & Nursing Center | 2 mi | ★★★★★ | 3 | 0 |
| Bradford House Nursing And Rehab, Llc | 2.1 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.