Above average — CMS composite of the measures below.
The next survey window likely opens around January 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 Southridge Village Nursing And Rehab during CMS and state inspections, most recent first.
Missing Rationale for Continued Psychotropic Medications: The facility failed to ensure the provider documented a rationale for continuing psychotropic meds on the MRR for three residents. One resident had depression, anxiety, moderate cognitive impairment, and recent falls; another had dementia, Alzheimer’s disease, severe cognitive impairment, and an antipsychotic order; and a third had dementia, anxiety, depression, severe cognitive impairment, and an antidepressant order. In each case, the chart and MRR lacked provider documentation supporting continuation of the medication.
Infection Prevention and Control Failures: A facility failed to keep a PPE cabinet free of personal items, secure a biohazard/dirty utility room door, and maintain infection control during clean laundry delivery and PICC-line medication administration. An Environmental staff member delivered clean laundry without covering it or performing hand hygiene between rooms, and an LPN handling a resident’s PICC line picked up a glove from the floor, placed it near medication supplies, and continued care without hand hygiene or glove changes. A resident with a PICC line had osteomyelitis, chronic atrial fibrillation, and type 2 DM.
Pneumococcal Vaccine Education Not Documented: A resident with moderate cognitive impairment and multiple chronic diagnoses had pneumococcal vaccines offered and refused, but the record showed education was not provided for one refusal and the vaccine was not reoffered after 2023. The ADON confirmed the resident’s responsible party had refused prior vaccines, and the facility policy required documentation that education on benefits and side effects was provided when pneumococcal immunization was offered.
A facility failed to perform a quarterly smoking safety assessment for a resident who uses smokeless tobacco. The resident, cognitively intact, was found with multiple cans of chewing tobacco and asleep with tobacco in their cheek. The last assessment was conducted in 2022, contrary to the facility's policy of quarterly evaluations. The MDS Coordinator and DON acknowledged the oversight and the importance of regular assessments to ensure resident safety.
A facility failed to update a resident's care plan to include restorative services after discharge from therapy. Despite having a plan and instructions for restorative nursing, the resident was not added to the restorative services case mix. Interviews revealed communication lapses between therapy and the Medicare Manager, leading to the oversight.
A resident with muscle wasting and atrophy did not receive restorative services to maintain ADL functions after being discharged from therapy due to a lack of progress. Despite having a care plan for ADL deficits, there were no orders for restorative services, and the resident was not included in the Restorative Tracking Log. The Medicare Manager and DON confirmed a breakdown in communication and documentation, resulting in the resident not being added to the restorative program.
Missing Rationale for Continued Psychotropic Medications
Penalty
Summary
The facility failed to ensure that the provider documented a rationale for continuing psychotropic medications on the Medication Regimen Review (MRR) form for three residents reviewed for unnecessary medications. The deficiency involved Resident #2, Resident #7, and Resident #52, and the concern was identified during record review, interview, and facility policy review. The facility policy stated that the consultant pharmacist would provide a written, signed, and dated report with irregularities and recommendations to the DON and medical doctor for each resident. Resident #2 had diagnoses including depression and anxiety, moderate cognitive impairment with a BIMS score of 9, and required partial to moderate assistance with toileting, personal hygiene, and bathing. The resident had an order for a psychotropic medication given every six hours as needed for anxiety. The care plan addressed use of an anti-anxiety medication and monitoring for adverse reactions, but progress notes from 11/16/2025 to 12/20/2025 did not include rationales for continued use of the prescribed antidepressant medication. The Pharmacy MRR-Antidepressant form dated 12/05/2025 noted recent documented falls, but the provider’s rationale for continuing the medication was left blank. Resident #7 was admitted with diagnoses including dementia, Alzheimer’s disease, and anxiety, had severe cognitive impairment with a BIMS score of 7, and required assistance with personal hygiene and bathing. The resident had an order for an antipsychotic medication given in the morning and evening. The care plan identified psychotropic medication use and monitoring for adverse reactions and black box warning concerns, but progress notes from 01/20/2026 to 02/18/2026 did not include provider rationales for continuation. The Pharmacy MRR-Antipsychotic form dated 02/06/2026 recommended a gradual dose reduction, but the consultant pharmacist notes were blank and the provider continued the medication without documenting a rationale. Resident #52 had diagnoses including dementia, anxiety, and depression, severe cognitive impairment with a SAMS score of 3, and was dependent on staff for eating, toileting, personal hygiene, and bathing. The resident had an order for a psychotropic antidepressant at bedtime, the care plan addressed monitoring for adverse reactions, and progress notes from 05/01/2025 to 07/01/2025 did not show provider documentation supporting continuation of the medication.
Infection Prevention and Control Failures
Penalty
Summary
The facility failed to ensure personal items were not stored in a PPE cabinet used for enhanced barrier precautions. During an observation on 02/17/2026, a plastic 3-drawer PPE cabinet located outside resident rooms on 200-Hall contained a hairbrush, personal care wipes, an empty glove box, masks, and a mask/face shield combo in the top drawer. During the same observation, Medical Records staff removed the items and identified the wipes as a partially used pack of personal care wipes rather than disinfectant wipes, stating the brush and wipes should not have been in the clean drawer because they were not clean due to use. The facility policy for enhanced barrier precautions stated PPE is to be available close to or inside the resident room. The facility failed to ensure the door to a room labeled Biohazard was secured. During an observation on 02/17/2026, the Dirty Utility room door, marked with a sign indicating Biohazard and equipped with a push-button keypad lock, was not secured and opened when pulled. The room contained barrels used for soiled linens, trash, and biohazard waste. A CNA stated the door was supposed to be secured to keep residents out because of trash, chemicals, and dirty bedding, and the Environmental Supervisor stated the room should not be open because residents could get hurt if they entered. The facility failed to ensure staff performed hand hygiene during clean laundry delivery. During an observation on 02/17/2026, an Environmental staff member delivered clean laundry on 400-Hall without covering the clothing to prevent contamination. The staff member entered and exited multiple resident rooms without performing hand hygiene, including a room with enhanced barrier precautions signage. The staff member also hung dirty hangers on the metal basket with clean laundry and draped clean blankets over an arm to deliver them into rooms without a barrier. The staff member later stated the cart cover should have been used and hand hygiene should have been performed when moving from room to room to prevent cross contamination. The facility also failed to ensure hand hygiene and glove changes were performed during medication administration via a central line for a resident with a PICC line. Resident #37 had a BIMS score of 14, was cognitively intact, and had diagnoses including osteomyelitis, chronic osteomyelitis with a draining sinus of the right humerus, muscle wasting and atrophy, difficulty walking, chronic atrial fibrillation, difficulty swallowing, and type 2 diabetes mellitus. During an observation on 02/18/2026, an LPN handled medication supplies, picked up a glove that had fallen on the floor and placed it on the overbed table near the medication, touched the IV pole, and continued the procedure without hand hygiene or glove change before accessing the PICC line. The LPN later stated the table should have been cleaned, the glove from the floor should not have been placed near the medication, and gloves should have been changed with hand hygiene performed after touching the floor and IV pole.
Pneumococcal Vaccine Education Not Documented
Penalty
Summary
The facility failed to ensure education was provided when a pneumococcal vaccine was offered for one resident. Resident #41 was admitted with diagnoses including hemiplegia and hemiparesis following cerebral infarction, cognitive communication deficit, aphasia, and colon cancer. The resident’s annual MDS showed a BIMS score of 8, indicating moderate cognitive impairment, and also showed the pneumococcal vaccine was not up to date and had been offered and declined. The resident’s care plan did not address vaccinations, and there were no vaccine orders on the February 2026 order summary. The record showed a Participation in Immunization Programs form signed by the resident’s responsible party stating consent for a one-time pneumococcal vaccine, with no last known pneumonia vaccination documented. The clinical immunization record showed the resident refused both the PCV and PPSV vaccines on 02/20/2026. Earlier immunization documentation showed the resident refused PPSV23 with education provided on 02/17/2023, but when the resident refused PCV on 06/29/2023, education was not provided. The ADON stated immunizations were offered on admission and annually, and that verbal education on risks and benefits was included, but could not provide information showing the resident was offered or declined the pneumonia vaccine with education since 2023. During interviews, the ADON confirmed the resident’s responsible party had refused influenza and COVID vaccines upon admission in 2023, and that the pneumonia vaccine had not been reoffered since 2023. The facility policy required all residents to be offered pneumococcal vaccines and required documentation that education regarding benefits and potential side effects was provided, along with documentation of receipt, refusal, or medical contraindication. The cited regulatory reference likewise required that each resident be offered pneumococcal immunization and that the medical record include documentation that education was provided and whether the vaccine was received, refused, or not given due to contraindication.
Failure to Conduct Quarterly Smoking Safety Assessment
Penalty
Summary
The facility failed to conduct a comprehensive assessment quarterly for a resident's smoking safety screen. The resident, who was cognitively intact with a Brief Interview for Mental Status (BIMS) score of 13, was observed with five cans of chewing tobacco in their room and was asleep with chewing tobacco in their cheek. The last smoking safety screening assessment for this resident was completed in 2022, despite the facility's policy requiring quarterly re-evaluation of a resident's ability to smoke safely. The MDS Coordinator confirmed the lapse in conducting the assessment, acknowledging its importance in ensuring the resident's safety in self-administering chewing tobacco. The Director of Nursing also emphasized the need for regular assessments to prevent potential choking hazards associated with smokeless tobacco.
Failure to Update Care Plan for Restorative Services
Penalty
Summary
The facility failed to update and revise the care plan for a resident to include restorative services, despite the resident being discharged from therapy services. The resident, who was admitted with diagnoses including lower urinary tract calculus and muscle wasting and atrophy, had a care plan initiated that included physical and occupational therapy evaluations and treatments. However, restorative nursing services were not included in the interventions, and there were no orders for such services in the resident's order summary report. Although a Restorative Nursing Program document with instructions for the Restorative Nursing Assistant (RNA) was prepared, the resident was not added to the restorative services case mix. Interviews revealed that the Occupational Therapist confirmed the resident had a plan for restorative nursing services, but the RNA confirmed the resident was not currently receiving these services. The Medicare Manager, who oversees the restorative program, stated that there was a lack of communication and paperwork from therapy, which led to the resident not being added to the restorative program. The Director of Nursing confirmed that the information should have been added to the care plan within twenty-four hours, but this did not occur, resulting in the deficiency.
Failure to Provide Restorative Services for Resident
Penalty
Summary
The facility failed to provide restorative services to maintain or improve the Activities of Daily Living (ADL) functions for a resident who was admitted with diagnoses including lower urinary tract calculus and muscle wasting and atrophy. The resident was cognitively intact, as indicated by a Brief Interview for Mental Status (BIMS) score of 15. Despite having a care plan for an ADL self-care performance deficit related to weakness, which included interventions such as physical and occupational therapy evaluations, there were no orders for restorative nursing services for the resident. The Restorative Tracking Log did not include the resident, and although there were instructions for restorative nursing services provided by physical and occupational therapy, these were not implemented. Interviews revealed that the resident had been discharged from therapy services due to a lack of progress towards goals, and it was expected that restorative services would commence thereafter. However, the Restorative Nursing Assistant confirmed that the resident was not on the case mix for restorative services and had not received such services for a while. The Medicare Manager, who oversees the restorative program, acknowledged a breakdown in communication and documentation, as the necessary paperwork was not provided to her to add the resident to the restorative program. The Director of Nursing confirmed the process for adding residents to the restorative program, which was not followed in this case, leading to the deficiency.
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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 Heber Springs
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Springs Of Greers Ferry | 2 mi | ★★★★★ | 4 | 0 |
| The Springs Of Fairfield Bay | 17.1 mi | ★★★★★ | 4 | 0 |
| The Springs Searcy | 21.9 mi | ★★★★★ | 6 | 0 |
| The Crossing At Riverside Health And Rehabilitatio | 23.3 mi | ★★★★★ | 0 | 0 |
| The Blossoms At Oakdale Rehab & Nursing Center | 24.5 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.