Below average — CMS composite of the measures below.
The next survey window likely opens around April 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 The Blossoms At Newport Rehab & Nursing Center during CMS and state inspections, most recent first.
Failure to protect a resident from abuse: A resident with severe cognitive impairment was assaulted by another resident with a known history of aggression after an LPN and CNA left the secured unit unattended following an attack on the CNA. The aggressive resident then struck the other resident in the face, causing a fall and injuries including a facial laceration and skin tear. Police and ER records confirmed the resident was beaten by another resident while no staff were present on the unit.
A resident with a feeding tube, severe cognitive impairment, cerebral palsy, Lennox-Gastaut syndrome, and dysphagia was on EBP per the care plan. Although EBP signage and PPE were available in the room, a CNA transferred the resident from a wheelchair to bed without wearing a gown. Staff interviews showed they understood EBP requirements for residents with feeding tubes, and the DON stated proper PPE was expected when required.
The facility failed to maintain proper food safety and hygiene practices, including inadequate hand hygiene by dietary staff, unsanitary conditions in the ice machine and scoop holder, and improper storage of expired and unsealed food items. These deficiencies were observed during meal preparations and in various storage areas, indicating a lack of adherence to professional standards.
The facility failed to provide written information about the right to formulate an advance directive to two residents with severe cognitive impairment. Both residents had indications of wanting an advance directive in their medical records, but no documented wishes were found. The facility's policy requires this information to be provided and displayed prominently, which was not followed.
The facility failed to ensure comprehensive care plans for two residents, leading to deficiencies. A resident's fall was not documented in the care plan, and interventions were not noted, despite the resident being at high risk for falls. Additionally, the care plan did not document opioid use or include a black box warning. Another resident's care plan lacked black box warnings for prescribed medications. These omissions were confirmed by the DON and MDS Coordinator.
Surveyors found hygiene deficiencies in a facility, including unshaved facial hair for a resident with cognitive deficits, untrimmed and dirty fingernails for two residents requiring assistance with personal care, and a resident wearing stained clothing. Staff interviews confirmed these hygiene lapses, which were contrary to the residents' care plans and facility policies.
The facility failed to cover clean linen carts and implement Enhanced Barrier Precautions (EBP) for a resident with an indwelling catheter. Observations showed staff not wearing appropriate PPE during high-contact care, and entering contact precaution rooms without PPE or hand hygiene, violating infection control policies.
The facility failed to maintain a clean and comfortable environment due to a persistent foul odor in the 400 hall. A surveyor noted the odor, and a CNA confirmed it had been present for months. The Administrator acknowledged the issue, stating it was noticeable to staff, residents, and visitors.
A resident with moderate cognitive impairment was observed twice in a hospital gown instead of their personal clothing, despite expressing a preference for their own attire and having clothing available. Interviews with CNAs and the DON confirmed the resident's right to be dressed in their own clothing, aligning with the facility's dignity policy.
The facility failed to ensure a clean and sanitary environment in a resident's restroom, as observed by surveyors. A foul smell and brown substance were found on the toilet seat and light switch, with similar substances in the trash can. Despite claims of daily cleaning, reviews of cleaning schedules showed multiple tasks were not completed, contributing to the unsanitary conditions.
A resident with Alzheimer's and severe cognitive impairment developed an unstageable pressure ulcer on the coccyx. The facility failed to ensure complete physician orders for wound care treatment, as the orders only mentioned the medication without detailing the full treatment process. An LPN confirmed the omission and planned to update the order.
The facility did not adhere to the planned menu for residents on pureed diets, resulting in incorrect portion sizes being served. A dietary staff member used a 4-ounce ladle instead of the required 3/4 cup for preparation and a #10 scoop for serving, leading to residents receiving less than the prescribed amount of pureed spaghetti. The staff member admitted to not consulting the menu, causing a failure to meet the nutritional needs of the residents.
The facility failed to provide pureed foods with the correct consistency, serving residents chunky spaghetti and runny bread. Staff confirmed the inadequacy, acknowledging the need for a smooth, lump-free consistency as per facility policy.
A resident with cognitive and physical impairments was not provided with necessary assistive eating devices, despite recommendations for a built-up spoon. Observations showed the resident struggling to feed themselves, using fingers to assist with food placement, and dropping food. Staff confirmed the need for adaptive equipment, which was not provided, leading to continued difficulty in self-feeding.
A resident with a history of falls and a bimalleolar fracture was admitted to the facility with specific follow-up instructions. The facility failed to ensure timely follow-up appointments due to a transportation issue and did not consistently perform required wound care, as evidenced by missing documentation on the Treatment Administration Record. Interviews confirmed that if wound care is not signed off, it is not done, leading to complications in the resident's condition.
Failure to Protect a Resident During a Resident-to-Resident Assault
Penalty
Summary
The facility failed to protect one resident from physical abuse during a resident-to-resident altercation on the secured unit after the unit was left unsupervised by an LPN and a CNA assigned to that area. Resident #85 had severe cognitive impairment, dementia, delusions, and required supervision as needed. Resident #86 had dementia, moderate cognitive impairment, and a documented history of aggressive, combative, and physically abusive behaviors toward staff and others. According to the record, Resident #86 entered the day room where Resident #85 and a CNA were present and began hollering at Resident #85. The CNA attempted to redirect Resident #86 without success. Resident #86 then assaulted the CNA, hitting her and grabbing her hair, causing both to fall to the ground. The LPN assisted the CNA away from Resident #86, and both staff members left the secured unit. After the staff left, Resident #86 attacked Resident #85, hitting Resident #85 in the face and causing Resident #85 to fall. Resident #85 was later found on the floor with a laceration and discoloration to the left eye and a skin tear to the right ring finger, and the ER record documented that Resident #85 had been physically assaulted by another resident, was struck several times to the face and head, and had an opened wound above the right eye. Police documentation stated there were no staff on the secured unit when officers were informed of the situation, and interviews confirmed staff had left the unit uncovered after the assault on the CNA. Facility records and interviews also showed the DON and Administrator acknowledged the secured unit was not to be left unattended and that staff were expected to stop resident-to-resident altercations.
Failure to Use EBP and PPE During High-Contact Care
Penalty
Summary
The facility failed to ensure staff followed Enhanced Barrier Precautions and wore appropriate PPE during direct, high-contact care for a resident with a feeding tube. Resident #34 was admitted with diagnoses including cerebral palsy, Lennox-Gastaut syndrome, and dysphagia, and the quarterly MDS indicated severe cognitive impairment and the presence of a feeding tube. The care plan required EBP for the feeding tube, with gloves and gown before high-contact care activities such as dressing, bathing, transferring, hygiene, changing linens or briefs, toileting assistance, device care, and wound care. During observation, PPE was available in a clear bin in the resident’s room and EBP signage was posted on the door, but a CNA transferred the resident from a wheelchair to the bed without wearing PPE such as a gown. Interviews with CNAs showed they understood EBP to require PPE when a resident had a feeding tube or other devices, and the DON stated staff were expected to wear proper PPE when required. The facility policy stated that residents with indwelling medical devices, including feeding tubes, required gowns and gloves during high-contact care activities.
Deficiencies in Food Safety and Hygiene Practices
Penalty
Summary
The facility failed to ensure proper hand hygiene and glove use among dietary staff, as well as maintaining sanitary conditions in food storage and preparation areas. Observations revealed that a dietary aide adjusted her hair net and then handled clean plates without washing her hands. Additionally, the ice machine used for resident beverages was found to have a wet, colored residue on the panel, which was easily wiped off, indicating inadequate cleaning. The ice scoop holder also had a reddish slimy residue, and the scoop was resting directly on it, further compromising sanitation. Expired and improperly stored food items were found throughout the facility. An opened box of salt was hard and unusable, and an opened can of ground ginger was past its expiration date. In the refrigerator, an opened box of heavy cream was expired, and in the freezer, opened bags of pie shells and cookie dough were not sealed. A gallon of barbeque sauce was stored at room temperature despite manufacturer's instructions to refrigerate after opening. In the nourishment room, nutritional drinks and a bag of prunes lacked received dates, and in the medication room, expired lemon lime drink and peanut crackers were found. The facility's hand washing policy was not adhered to, as evidenced by a dietary aide using contaminated tissue to dry her hands after washing, then handling clean equipment. Another dietary aide handled a pot of meat sauce and a food cart without washing her hands before touching clean equipment. These actions, along with the improper storage and handling of food items, demonstrate a failure to follow professional standards for food safety and hygiene, potentially impacting the health and safety of the residents.
Failure to Provide Advance Directive Information
Penalty
Summary
The facility failed to ensure that written information regarding the right to formulate an advance directive was provided to residents or their responsible parties. This deficiency was identified for two residents who were reviewed for advance directives. Resident #62, who has severe cognitive impairment, quadriplegia, traumatic brain injury, and PTSD, had a Physician Ordered Life Sustaining Treatment (POLST) form indicating the desire for an advance directive. However, no advance directive was located in the resident's medical record, and the care plan only noted to follow instructions if an advance directive existed. The Director of Nursing confirmed the absence of documented advance directive wishes for this resident. Similarly, Resident #2, who also has severe cognitive impairment and a diagnosis of dementia, had a Resuscitation Designation Order indicating the presence of an advance directive. However, no advance directive wishes were documented in the medical record, and the care plan similarly noted to follow instructions if an advance directive existed. The Director of Nursing confirmed the lack of documented advance directive wishes for this resident as well. The facility's policy requires that residents be provided with information about their rights to formulate an advance directive upon admission and that this information be prominently displayed in the medical record, which was not adhered to in these cases.
Care Plan Deficiencies for Two Residents
Penalty
Summary
The facility failed to ensure that the comprehensive care plan addressed and individualized appropriate care and services for two residents. Resident #54 experienced a fall on 9/27/2024, which was not documented in the care plan. The resident reported falling while trying to use a urinal, resulting in head and rib pain, and was sent for x-rays. Despite having brake extenders as an intervention, this was not included in the care plan, and there was no Incident and Accident report for the fall. The Director of Nursing confirmed that the fall and intervention should have been documented in the care plan to inform staff of the resident's high risk for falls. Additionally, Resident #54's care plan did not document opioid use or include a black box warning, despite the resident having an order for Ultram (Tramadol) and opioid use noted in the Minimum Data Set. The Director of Nursing and the MDS Coordinator confirmed the omission of opioid use and the black box warning in the care plan. Similarly, Resident #72's care plan did not include black box warnings for prescribed antidepressants, opioids, and anticoagulants, which was confirmed by the Director of Nursing. The facility's policy requires comprehensive, person-centered care plans to include measurable objectives, timeframes, and risk factors associated with identified problems.
Hygiene Deficiencies in Resident Care
Penalty
Summary
The facility failed to maintain proper hygiene for several residents, as observed by surveyors. Resident #46 was noted to have unshaved facial hair, despite having a care plan that required assistance with personal hygiene. The resident's shower task sheet indicated that they received showers, but the personal hygiene aspect, including shaving, was not adequately addressed. This resident had multiple diagnoses, including cognitive communication deficit and dementia, which necessitated assistance with daily living activities. Resident #2 was observed with untrimmed fingernails and a brown/black substance underneath them. Despite having a care plan that required regular nail checks and trimming, the resident's nails were not maintained. The resident required substantial to maximal assistance with personal care due to conditions like rheumatoid polyneuropathy and dementia. Interviews with staff confirmed the neglect in maintaining the resident's nail hygiene, which was also a preference expressed by the resident's family. Resident #52 was found wearing a stained shirt and had long, dirty fingernails. The resident's care plan indicated a need for assistance with activities of daily living, including personal hygiene and dressing. Despite this, observations showed that the resident's clothing and nail care were neglected. Interviews with staff confirmed that the resident should have been provided with clean clothing and proper nail care, as outlined in the facility's policy on nail care.
Infection Control Deficiency Due to Improper PPE Use and Linen Cart Management
Penalty
Summary
The facility failed to ensure that clean linen carts were properly covered and that Enhanced Barrier Precautions (EBP) were implemented for a resident to prevent potential infection and/or the spread of infections. Observations on multiple occasions revealed that clean linen carts had their front flaps completely open across several halls, which was confirmed by the Director of Nursing (DON) as a breach of protocol. Additionally, the facility's policy indicated that residents with indwelling medical devices should be placed on EBP, requiring staff to wear appropriate personal protective equipment (PPE) during high-contact care activities. A resident with an indwelling urinary catheter was observed receiving care from Certified Nursing Assistants (CNAs) who did not wear gowns, despite the resident being on EBP. Interviews with the CNAs and the DON confirmed that the CNAs should have worn gloves and gowns. Further observations showed a CNA and a Licensed Practical Nurse (LPN) entering contact precaution rooms without donning PPE or performing hand hygiene, which was against the facility's Infection Prevention & Control Program policy. These actions and inactions contributed to the deficiency in infection control practices at the facility.
Facility Fails to Maintain Sanitary Environment Due to Persistent Odor
Penalty
Summary
The facility failed to provide a clean, sanitary, and comfortable environment for residents, staff, and visitors. During initial rounds on November 4, 2024, at 10:00 AM, a surveyor noted a strong odor in the 400 hall of the facility. This observation was corroborated by a Certified Nursing Assistant (CNA) during a concurrent observation and interview on November 12, 2024, at 2:30 PM, who stated that the 400 hall had smelled foul for months. Additionally, during an interview on November 7, 2024, at 4:00 PM, the Administrator acknowledged the significant odor in the 400 hall, which was noticeable to staff, residents, and visitors.
Resident Dignity Violation: Inappropriate Dressing
Penalty
Summary
The facility failed to ensure that a resident, identified as Resident #179, was dressed appropriately in their own clothing, which compromised the resident's right to dignity and self-determination. On two separate occasions, the surveyor observed Resident #179 in a hospital gown instead of their personal clothing. The resident, who has moderate cognitive impairment and requires assistance with dressing, expressed a preference for wearing their own clothes and confirmed the need for assistance to do so. Despite having daily clothing available in their dresser, the resident was not dressed in their personal attire. Interviews with two Certified Nursing Assistants (CNAs) confirmed that the resident was inappropriately dressed in a hospital gown and should have been dressed in their own clothing. The Director of Nursing (DON) acknowledged that it is a resident's right to be dressed in a manner that maintains their dignity. The facility's policy on Resident Dignity, effective since April 2021, emphasizes that residents should be treated with dignity and respect, which includes being assisted in maintaining their self-esteem and self-worth.
Failure to Maintain Sanitary Restroom Environment
Penalty
Summary
The facility failed to maintain a clean and sanitary environment in a resident's restroom, compromising the resident's right to a safe and comfortable living space. During an observation, a foul, stale smell was detected in the restroom, and a brown chunky substance was found smeared on the toilet seat and adhered to the light switch. Additionally, the trash can contained paper products with a similar colored unknown substance. Interviews revealed that the housekeeping supervisor claimed rooms were cleaned daily, yet a review of the cleaning schedules for 10/31/2024 and 11/4/2024 showed multiple cleaning tasks were not completed, including cleaning of the trashcans, bathroom vent, and wiping down walls and door handles. The administrator did not provide a response when questioned about the bathroom's condition, indicating a lack of immediate acknowledgment or action regarding the deficiency. The documented inactions and incomplete cleaning tasks contributed to the unsanitary conditions observed in the resident's restroom.
Incomplete Physician Orders for Pressure Ulcer Treatment
Penalty
Summary
The facility failed to ensure that physician orders were in place for wound care treatment for a resident who developed a pressure ulcer while in the facility. The resident, who was admitted with Alzheimer's Disease and had severe cognitive impairment, was found to have an unstageable pressure ulcer on the coccyx. The care plan for the resident included specific interventions for monitoring and reporting the status of the wound, but the physician orders for the treatment were incomplete. The deficiency was identified during a review of the resident's clinical records, which showed that the treatment order for the pressure ulcer was not fully documented. The order only mentioned the medication to be used, without detailing the complete treatment process. This was confirmed during an interview with an LPN, who acknowledged the omission and stated that she would update the order to include the full treatment details.
Failure to Follow Menu Portion Sizes for Pureed Diets
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 pureed diets. On November 4, 2024, the menu specified that residents on pureed diets should receive 3/4 cup of pureed spaghetti. However, during meal preparation, a dietary staff member used a 4-ounce ladle (1/2 cup) to blend the spaghetti with meat sauce, instead of the required 3/4 cup. Furthermore, when serving the meal, the staff member used a #10 scoop (1/3 cup) to serve the pureed spaghetti to residents, again deviating from the menu's specified portion size. During an interview, the dietary staff member admitted to not consulting the menu and confirmed the use of incorrect portion sizes for both preparation and serving. This oversight led to residents receiving less than the prescribed amount of pureed spaghetti, failing to meet their nutritional needs as outlined in the facility's menu plan.
Improper Consistency of Pureed Foods
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 the noon meal preparation, a dietary staff member used a blender to puree spaghetti with meat sauce, but the resulting mixture was chunky with visible noodle pieces. This inconsistency was observed during the meal service, where residents on pureed diets were served the improperly prepared spaghetti. Further observations revealed that the pureed bread served was runny due to an incorrect ratio of milk to bread. Staff members, including dietary aides and the Dietary Manager, confirmed the inadequacy of the pureed food consistency, acknowledging that the spaghetti was too thick and lumpy, and the bread was too runny. The facility's policy on pureed food, which was reviewed, indicated that all foods should be processed until smooth, resembling an applesauce-like or pudding consistency, with no lumps, and not pasty, sticky, or runny.
Failure to Provide Assistive Eating Devices
Penalty
Summary
The facility failed to provide appropriate assistive devices during meals for a resident with significant cognitive and physical impairments. The resident, who has a diagnosis of Peripheral Vascular Disease, Dementia, reduced mobility, muscle weakness, lack of coordination, Dysphagia, and abnormal posture, was observed having difficulty feeding themselves with a regular fork. Despite the resident's care plan indicating a need for assistance and the use of a built-up spoon as recommended by Occupational Therapy, the resident was not provided with the necessary adaptive equipment during meals. Observations over several days showed the resident struggling to eat, using their fingers to assist with food placement on the utensil, and dropping food on their clothing and tray. Interviews with staff, including a CNA and the Director of Rehabilitation, confirmed the resident's need for a built-up spoon to facilitate self-feeding. However, this need was not met, resulting in the resident's continued difficulty with self-feeding and reliance on staff assistance during meals.
Failure to Follow Physician's Orders and Incomplete Wound Care
Penalty
Summary
The facility failed to ensure that physician's orders were followed for a resident who was discharged from the hospital following surgery. The resident, who had a history of falls and a bimalleolar fracture of the left lower leg, was admitted to the facility with specific instructions to follow up with a primary physician and an orthopedic surgeon. However, the facility did not have a policy for physician's orders, and the resident missed the initial orthopedic follow-up appointment due to a transportation issue. The follow-up was rescheduled, but the delay contributed to complications in the resident's condition. Additionally, the facility did not consistently perform the required wound care as ordered by the physician. The Treatment Administration Record (TAR) showed that wound care was not documented on two of the seven ordered days, indicating it was not performed. Interviews with the Director of Nursing (DON) and the treatment nurse confirmed that if wound care is not signed off on the TAR, it is not done. The treatment nurse was unavailable on one of the missing days, and the charge nurse did not ensure the wound care was completed, leading to further deterioration of the resident's condition.
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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 Newport
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Blossoms At White River Rehab & Nursing Center | 0.8 mi | ★★★★★ | 0 | 0 |
| Mountain Meadows Health And Rehabilitation | 22.3 mi | ★★★★★ | 2 | 0 |
| Wood-lawn Heights | 23.5 mi | ★★★★★ | 2 | 0 |
| Woodruff County Health Center | 23.7 mi | ★★★★★ | 8 | 0 |
| The Springs Batesville | 24.1 mi | ★★★★★ | 8 | 0 |
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