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 The Blossoms At North Little Rock Rehab & Nursing during CMS and state inspections, most recent first.
A resident with epilepsy, status epilepticus, and severe cognitive impairment did not consistently receive an ordered antiseizure medication. The MAR showed multiple doses coded as held or otherwise not given, with limited documentation explaining the omissions, and one dose was charted as administered even though the nurse later said the medication was not available. The pharmacist reported only the initial supply was sent and no further requests were made, while staff stated they expected the pharmacy and provider to be contacted when a medication was unavailable.
The facility failed to ensure proper food storage and handling practices, including sealing opened food items and removing expired items. Additionally, a dietary employee did not follow handwashing protocols, increasing the risk of foodborne illness for 96 residents.
The facility failed to ensure pureed food items were blended to a smooth, lump-free consistency for residents requiring pureed diets. Observations revealed pureed cauliflower with separated water, gritty pureed sausage with skin, and lumpy pureed bread. The dietary supervisor acknowledged these issues.
The facility failed to ensure a clean and homelike environment, with observations of chipped paint, black matter, cobwebs, rust spots, and broken fixtures in various rooms and hallways. Interviews confirmed that maintenance issues were not being reported or addressed in a timely manner.
The facility failed to ensure that a resident or their representative was invited to a comprehensive care plan meeting. The resident's representative indicated it had been two years since they were last notified, a fact confirmed by the Social Services Director. Additionally, the facility lacks a policy for care plans.
Omitted antiseizure medication administration
Penalty
Summary
The facility failed to ensure a resident with epilepsy and a history of status epilepticus received prescribed antiseizure medication as ordered. The resident was admitted with diagnoses including epilepsy intractable with status epilepticus, acute respiratory failure with hypoxia, cognitive communication deficit, cerebral aneurysm, dementia, Alzheimer's disease, dysphagia, depression, and anxiety. The admission MDS showed severe cognitive impairment, and the care plan identified a seizure disorder with an intervention to administer seizure medications as ordered by the doctor. The resident's discharge medication list, the Medical Director's H&P, and the facility's order summary all reflected an active antiseizure medication order. The MAR showed multiple dates coded as hold or other/see nurse notes, with only one date documented as administered before discharge. Progress notes did not consistently explain the missed administrations; some entries stated the medication was on order or unavailable, while other dates had no note at all. On one date, the nurse documented the medication as administered even though she later stated it was not available. The pharmacist reported that seven tablets had been sent to the facility and that no additional doses were requested after the initial supply, even though the prescription was not exhausted and more doses were available to be requested. Staff interviews showed nurses and leadership expected that if a medication was unavailable, the pharmacy and provider should be contacted and a hold order obtained, but the record did not show that this occurred consistently for the resident's antiseizure medication.
Improper Food Storage and Handwashing Practices
Penalty
Summary
The facility failed to ensure proper food storage and handling practices in the kitchen, which had the potential to affect 96 residents. Observations included two opened plastic lock bags containing cheese slices that were not sealed, an opened bag of coffee on the counter, and various expired or undated food items in the refrigerator at the nurse's station. These items included two cartons of 2% milk, three unopened cups of nectar thickener water, an opened bag of Mexican style cheese, and bowls of chocolate and apple sauce covered with saran wrap without dates. These practices could lead to foodborne illnesses among residents receiving meals from the kitchen. Additionally, the facility failed to ensure that dietary staff followed proper handwashing protocols. Dietary Employee #1 was observed handling food and clean equipment without washing her hands after engaging in activities that could contaminate them. Specifically, DE #1 peeled cooked sweet potatoes, pushed a food cart, and attached clean blades to a blender without washing her hands. This non-compliance with handwashing protocols was acknowledged by DE #1 when questioned by the surveyor. The facility's handwashing policy, which mandates washing hands after engaging in activities that contaminate them, was not adhered to, further increasing the risk of foodborne illness for residents.
Improper Consistency of Pureed Food
Penalty
Summary
The facility failed to ensure pureed food items were blended to a smooth, lump-free consistency for residents requiring pureed diets. During an observation on 03/27/2024, a dietary employee served pureed cauliflower that had water separated from the vegetable, indicating an improper consistency. The dietary supervisor acknowledged that a thickener should have been added. On 03/28/2024, residents on pureed diets were served pureed sausage that was gritty with sausage skin and pureed bread that was thick and lumpy. The dietary supervisor confirmed these inconsistencies, noting that the sausage skin should have been removed and the bread had lumps.
Failure to Maintain a Clean and Homelike Environment
Penalty
Summary
The facility failed to ensure residents had a clean and homelike environment. Observations on D-Hall revealed large sections of chipped and missing paint, black rub marks along the wall, and a bathroom with missing floor tiles and thick, black matter under the shower seat, along the baseboards, in the corners, and around the commode. The Secure Unit on D-Hall had a cobweb in the corner behind the entrance door, brown matter on the wall above the rail, and trash behind the handrail. The fire extinguisher cover had rust spots, and room D29 had a dirty heating and air conditioning wall unit with broken slats and broken blinds. The bathroom between rooms D27 and D29 had black, crusty matter around the commode and in the corners, and the commode was twisted. Interviews with the Housekeeper, Administrator, Director of Nursing, and Maintenance confirmed these observations and revealed that maintenance issues were not being reported or addressed in a timely manner. Additional observations in rooms B8, B10, B12, and B1 showed scraped paint on the walls. The Maintenance Supervisor acknowledged these issues but stated they were being worked on. A review of the facility's policies and procedures confirmed that residents have the right to a safe, clean, and homelike environment, but the facility failed to uphold these standards. The Maintenance Request Book showed no requests related to the observed issues, indicating a lack of proper reporting and follow-up on maintenance concerns.
Failure to Invite Resident Representative to Care Plan Meeting
Penalty
Summary
The facility failed to ensure that a resident or their representative was invited to a comprehensive care plan meeting. Specifically, Resident #45's representative indicated that it had been two years since they had received any notification or call regarding a care plan meeting. This was confirmed by the Social Services Director, who also stated that it had been about two years since the family was last invited to a care plan meeting. Additionally, the Administrator reported that the facility does not have a policy for care plans, which further contributed 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 North Little Rock
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Arkansas State Veterans Home At North Little Rock | 0 mi | ★★★★★ | 0 | 0 |
| Robinson Nursing And Rehabilitation Center Llc | 2.7 mi | ★★★★★ | 0 | 0 |
| Lakewood Health And Rehab, Llc | 3.1 mi | ★★★★★ | 2 | 0 |
| The Blossoms At Cumberland Rehab & Nursing Center | 3.3 mi | ★★★★★ | 2 | 0 |
| The Blossoms At Midtown Rehab & Nursing Center | 3.3 mi | ★★★★★ | 15 | 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.