Below 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 July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Robinson Nursing And Rehabilitation Center Llc during CMS and state inspections, most recent first.
Two residents with severe cognitive impairment were observed with long, jagged nails and a dark brown substance underneath, potentially fecal matter, indicating a failure in personal hygiene care. Interviews with CNAs suggested the substance could spread infections, and the facility lacked a nail care policy.
A resident's wheelchair was not in good working condition, causing discomfort and potential harm. Despite the resident's reports, the facility failed to replace the wheelchair promptly. The resident, who was on anticoagulant medication, was at risk for skin tears and bruising. Staff interviews revealed inconsistencies in wheelchair inspections, and the facility lacked a policy for equipment maintenance.
A resident with medical conditions including atrial flutter and diabetes was receiving 2 liters of oxygen therapy without a physician's order, contrary to facility policy. The LPN and administrator confirmed the absence of an order, which is required for oxygen therapy as it is considered a medication. This oversight resulted in the therapy not being documented on the Medication Administration Record (MAR).
The facility failed to ensure proper hand hygiene and adherence to manufacturer specifications during food preparation. Dietary staff were observed handling clean equipment and food without washing their hands after touching dirty objects, contrary to the facility's handwashing policy. Additionally, an opened bottle of lemon juice, used in recipes and for cleaning, was not refrigerated as required by the manufacturer. These actions indicate a lack of adherence to professional standards in food handling and storage.
The facility failed to ensure a safe and clean environment, as surveyors observed stained privacy curtains and damaged furniture in two residents' rooms. CNAs expressed concerns about potential health risks from the stains, which could be fecal matter, and the sharp edges of the damaged chairs. The Nurse Consultant confirmed there was no policy on furniture replacement.
A facility failed to encode and transmit an MDS assessment for a resident following discharge in a timely manner. The resident was discharged, but the MDS discharge assessment was not completed or sent to CMS as required. The MDS Coordinator confirmed the delay, noting the assessment was overdue by 118 days.
A facility failed to accurately code the MDS for a resident with a level II PASRR, despite the resident's care plan and historical forms confirming this status. The MDS Coordinator acknowledged the error, which was due to a misinterpretation of the RAI manual. The incorrect coding could affect the resident's care plan and reimbursement.
A facility failed to develop a care plan for a resident receiving supplemental oxygen, despite documentation on the MDS. The resident had diagnoses including atrial flutter and diabetes. An LPN confirmed the absence of a care plan, and the Administrator acknowledged the need for one. The facility lacked a specific care plan policy, relying on the RAI manual, and the MDS Coordinator noted the oversight was due to the absence of an oxygen order.
The facility failed to maintain clean and sanitary shower rooms, as black residue was found in the grout lines of tiles in two of four shower rooms. A resident with osteoarthritis, requiring assistance with showering, confirmed the presence of black areas in the grout. Staff interviews revealed inconsistencies in cleaning procedures, with different disinfectants used, yet the residue persisted, indicating a lapse in maintaining sanitary conditions.
Failure to Provide Adequate Nail Care for Residents
Penalty
Summary
The facility failed to provide adequate personal hygiene care, specifically nail care, to two residents who were dependent on assistance for activities of daily living. Resident #83, who has severe cognitive impairment and multiple diagnoses including dementia and schizophrenia, was observed on two occasions with long, jagged nails and a dark brown substance underneath them. Similarly, Resident #87, also with severe cognitive impairment and diagnosed with Alzheimer's Disease and Vascular Dementia, was observed with a dark brown substance under and on top of their fingernails. These observations were made during a survey conducted in early January 2025. Interviews with CNAs revealed that the brown substance under the residents' nails could potentially be fecal matter, which poses a risk of spreading infections such as clostridium difficile. The facility's Nurse Consultant confirmed that there was no existing policy for nail care, indicating a systemic issue in maintaining personal hygiene standards for residents who are unable to care for themselves. This lack of policy and oversight contributed to the deficiency observed by the surveyors.
Deficiency in Wheelchair Maintenance and Resident Safety
Penalty
Summary
The facility failed to ensure that a resident's wheelchair was in good working condition, leading to potential harm. The resident, who was cognitively intact and used a wheelchair for mobility, reported that the wheelchair was digging into her legs and scraping her skin. Despite informing the staff about the issue, the resident had not received a replacement wheelchair. Observations revealed that a cap was missing from the frame of the wheelchair, causing it to press into the resident's leg. The resident had a history of type 2 diabetes, restless legs syndrome, and was on anticoagulant medication, which increased her risk for skin tears and bruising. Interviews with facility staff revealed inconsistencies in the inspection and maintenance of wheelchairs. The Administrator stated that wheelchairs are inspected every shift, but was unsure why a new wheelchair had not been ordered. The Lead CNA mentioned that wheelchairs are inspected nightly and on shower days, but was only informed about the issue the day before. The facility lacked a policy for wheelchairs or equipment, contributing to the oversight. A skin assessment conducted after the resident received a new wheelchair showed no damage to her skin.
Lack of Physician's Order for Oxygen Therapy
Penalty
Summary
The facility failed to ensure that a resident receiving oxygen therapy had a physician's order for the treatment. Resident #37, who had medical diagnoses including atrial flutter, opioid dependency, and diabetes, was observed receiving 2 liters of oxygen via nasal cannula. The facility's policy, revised in 2016, mandates that oxygen therapy should only be administered with a written order from a licensed physician. However, during an observation and subsequent interviews, it was discovered that there was no physician's order for the oxygen therapy being administered to Resident #37. On multiple occasions, the resident was observed with the oxygen concentrator set at 2 liters, but when asked, the LPN could not find any corresponding physician's order. The LPN mentioned that the resident was placed on oxygen following a chest X-ray but acknowledged the absence of a formal order. The facility administrator confirmed that oxygen therapy requires a physician's order as it is considered a medication, and the nursing staff is responsible for ensuring such orders are in place. The lack of an order meant that the oxygen therapy did not appear on the Medication Administration Record (MAR) for documentation.
Failure in Hand Hygiene and Food Storage Practices
Penalty
Summary
The facility failed to ensure proper hand hygiene and adherence to manufacturer specifications during food preparation and handling, as observed during two meals. Dietary staff were seen handling clean equipment and food without washing their hands after touching dirty objects. For instance, a dietary aide used a water hose to spray leftover food from dishes, contaminating his hands, and then handled clean equipment without washing his hands. Another dietary staff member handled cooked turkey and clean pans without washing her hands, and later contaminated gloves while preparing food. These actions were contrary to the facility's handwashing policy, which requires handwashing before starting work and after touching dirty items. Additionally, the facility did not follow manufacturer specifications for storing food items. An opened bottle of lemon juice, which should have been refrigerated according to the manufacturer's instructions, was found on a shelf above the food preparation counter. This lemon juice was used both for cleaning the grill and in recipes. The dietary manager and staff confirmed the use of the lemon juice but did not ensure it was stored correctly. These deficiencies highlight a lack of adherence to professional standards in food handling and storage, as outlined in the facility's policies.
Facility Fails to Maintain Safe and Clean Environment
Penalty
Summary
The facility failed to maintain a safe, functional, and comfortable environment for its residents, as evidenced by observations made during facility rounds. On two separate occasions, surveyors noted that privacy curtains in two rooms were stained with dark brown substances, with one curtain having dark brown lumps. Additionally, the furniture in these rooms was found to be damaged, with chairs exhibiting peeled vinyl and sharp, rough edges. These conditions were observed in rooms occupied by residents, potentially exposing them to unsanitary conditions and physical harm. Interviews with Certified Nursing Aides (CNAs) revealed concerns about the potential health risks associated with the stained curtains and damaged furniture. CNA #12 mentioned that the stains could be from a milkshake or fecal matter, which could pose a danger due to germs like Clostridium difficile (C-Diff) or hepatitis. CNA #10 echoed these concerns, suggesting that the stains could be feces and highlighting the risk of disease transmission. Both CNAs noted that the sharp edges of the damaged chairs could cause skin tears and harbor germs. The Nurse Consultant confirmed the absence of a policy on furniture replacement, indicating a lack of procedural guidance to address such issues.
Failure to Timely Transmit MDS Assessment Post-Discharge
Penalty
Summary
The facility failed to encode and transmit a Minimum Data Set (MDS) assessment for a resident following their discharge in a timely manner. The resident was discharged on September 13, 2024, but as of January 9, 2025, the MDS discharge assessment had not been completed or transmitted to the Centers for Medicare & Medicaid Services (CMS). This delay was confirmed by the MDS Coordinator, who acknowledged that the discharge information should have been entered within seven days of the resident's discharge. The assessment was overdue by 118 days at the time of the review.
Inaccurate MDS Coding for PASRR Level II
Penalty
Summary
The facility failed to ensure the Minimum Data Set (MDS) accurately reflected the preadmission screening and assessment resident record (PASRR) for a resident with a level II PASRR. The resident, diagnosed with paranoid schizophrenia, bipolar disorder, and diabetes, had an annual MDS assessment indicating a Brief Interview for Mental Status (BIMS) score of 14, suggesting cognitive intactness. However, section A1500 of the MDS incorrectly indicated that the resident did not have a level II PASRR. This discrepancy was noted despite the resident's care plan and historical forms confirming the level II PASRR status. The MDS Coordinator acknowledged the error, stating that the incorrect coding was due to a misinterpretation of the RAI manual, which guides the MDS coding process. The coordinator confirmed that the MDS is crucial for driving the resident's care plan and can impact reimbursement.
Failure to Care Plan Oxygen Therapy for Resident
Penalty
Summary
The facility failed to develop and implement a care plan for a resident who was receiving supplemental oxygen. The resident, who had diagnoses including atrial flutter, opioid dependency, and diabetes, was observed receiving two liters of oxygen. Despite this, there was no care plan in place addressing the oxygen therapy. A Licensed Practical Nurse (LPN) confirmed the absence of a care plan and acknowledged the importance of having one to guide staff on the appropriate oxygen level, the reason for its use, and necessary interventions. The deficiency was further highlighted during an interview with the facility's Administrator, who confirmed that oxygen therapy should be included in the care plan as it directs staff on resident care. The facility did not have a specific care plan policy but followed the Resident Assessment Instrument (RAI) manual. The MDS Coordinator noted that the lack of an order for oxygen led to the oversight in care planning, despite the oxygen therapy being documented on the Minimum Data Set (MDS).
Deficiency in Shower Room Sanitation
Penalty
Summary
The facility failed to maintain a clean and sanitary condition in two of the four shower rooms, as evidenced by the presence of black residue in the grout lines of the shower tiles on the floor and walls. This deficiency was observed by the surveyor and confirmed by interviews with residents and staff. The facility's policy required housekeeping to disinfect the shower rooms in the morning and at the end of the day, but the presence of black residue indicated a failure to adhere to these procedures. A resident with a diagnosis of osteoarthritis of the left hip, who required partial to moderate assistance with showering, confirmed the presence of dark, black areas in the grout on the floor tiles and the base of the shower. The resident used all the showers in the halls and required a shower chair due to their inability to stand. This resident's observations were consistent with the surveyor's findings of black residue in multiple shower stalls across different halls. Interviews with staff, including a CNA and housekeepers, revealed inconsistencies in the cleaning process. The CNA reported sanitizing the showers with soap and a purple spray solution, while the housekeepers described using a pink bathroom disinfectant and a floor cleaner with a dark blue label. Despite these efforts, the black residue persisted, suggesting that the cleaning procedures were either inadequate or not properly executed. The housekeeping supervisor confirmed that showers were cleansed twice daily with a disinfectant, but the presence of black residue indicated a lapse in maintaining the required sanitary conditions.
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Illustrative
What surveyors actually found near you
We read the 113 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near North Little Rock
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lakewood Health And Rehab, Llc | 2.1 mi | ★★★★★ | 2 | 0 |
| The Blossoms At North Little Rock Rehab & Nursing | 2.7 mi | ★★★★★ | 1 | 0 |
| Arkansas State Veterans Home At North Little Rock | 2.7 mi | ★★★★★ | 0 | 0 |
| Premier At The Springs | 3.8 mi | ★★★★★ | 6 | 0 |
| Sherwood Nursing & Rehabilitation Center, Inc | 5.1 mi | ★★★★★ | 4 | 1 |
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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.