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 The Blossoms At Oakdale Rehab & Nursing Center during CMS and state inspections, most recent first.
The facility was found deficient in food storage and handling practices. Observations included improperly sealed and dated food items, unsanitary kitchen conditions, and cross-contamination risks. The Dietary Manager confirmed these issues, highlighting the need for proper procedures to prevent contamination.
The facility failed to maintain a clean and hazard-free environment on the secure unit, affecting 14 residents. Observations showed exposed metal edges and electrical components in air conditioning units in two rooms, posing potential hazards. Handrails in the 200 Hall were dusty and filled with debris, indicating a lack of regular cleaning. Staff interviews confirmed these issues, with maintenance staff unaware of the hazards due to lack of reporting.
A facility failed to ensure a resident's DNR order was signed by an authorized individual. The resident, with moderate cognitive impairment and multiple medical conditions, had a DNR order signed by a friend without power of attorney. The administrator was unsure of the document's legality, and the resident's admission packet showed other forms were signed but not the DNR. This oversight constitutes a deficiency in honoring the resident's rights regarding advance directives.
The facility failed to provide adequate assistance with personal hygiene and grooming for two residents with cognitive impairments. One resident had long, dirty fingernails despite needing daily assistance, while another was observed with greasy hair and dirty hands and face over several days. Staff interviews revealed inconsistencies in care provision, highlighting a dignity concern and the importance of maintaining hygiene to reduce infections.
A facility failed to ensure safe transfers for a resident with dementia by not using a gait belt, as required by protocol. Another resident with severe cognitive impairment was left unattended in a beauty shop with unsecured hazardous materials, and a third resident at risk for falls had a fall mat at the bedside despite an intervention to remove it. These deficiencies highlight lapses in supervision and adherence to safety protocols.
The facility failed to implement effective infection control measures for a resident with C. diff, as staff did not have access to soap and water for hand hygiene. Additionally, staff did not wear gowns when providing care to a resident on Enhanced Barrier Precautions, despite facility policy requiring it. Both deficiencies were acknowledged by staff.
A facility failed to notify the Ombudsman of a resident's transfer, affecting a resident with respiratory failure, heart attack, and COPD. The administrator admitted the process was behind, and the MDS nurse was unaware of the requirement, indicating a lapse in compliance.
A facility failed to provide a resident with a written notice of the bed hold policy during hospital transfers. The resident, who was cognitively intact, did not recall receiving the policy, and the facility could not provide evidence of its issuance due to staffing and system changes. The Business Office Manager acknowledged the importance of informing residents about their financial responsibilities related to bed holds.
A facility failed to notify the state authority of a new bipolar disorder diagnosis for a resident, requiring a PASARR evaluation. The resident had a previous PASARR from another facility, but the state was not informed of the new diagnosis. The DON indicated that MDS staff are responsible for such notifications, and MDS #2, who took over after the resident's admission, acknowledged the oversight.
A facility failed to follow a physician's order to reduce a resident's Aripiprazole dose from 15 mg to 10 mg, despite agreement from the physician and a recommendation from the pharmacist. The DON or designated nurse did not implement the change or acknowledge it on the form, and the DON was unaware of the oversight.
A resident with severe cognitive impairment and mobility issues was found without a functional call light within reach, posing a safety risk. The call light system in the room was not working, and staff confirmed the issue, with no maintenance report filed. The facility's Administrator and DON acknowledged the importance of a working call light for resident safety.
Deficiencies in Food Storage and Handling Practices
Penalty
Summary
The facility failed to ensure proper food storage and handling practices, as observed during a survey. In the dry storage area, a large opened bag of elbow pasta was not sealed, and a fifteen-pound box of dinner rolls was left open in the walk-in freezer. Additionally, a gallon pitcher of reconstituted milk and a five-pound bag of shredded mozzarella cheese in the refrigerator were not labeled with dates. The Dietary Manager confirmed these findings, acknowledging the lack of proper sealing and dating of food items. Further observations revealed unsanitary conditions and practices in the kitchen. A drip pan under the stove was found covered in foil with large splotches of brown and black matter, along with large chunks of food. During temperature checks on the steam line, the unsanitized body of a thermometer touched food items, and a dietary staff member was observed with mashed potatoes on their ungloved hand, which fell into a dish intended for residents. The Dietary Manager and staff acknowledged these issues, recognizing the risk of cross-contamination and the need for proper cleaning and food handling procedures.
Environmental Hazards and Cleanliness Issues in Secure Unit
Penalty
Summary
The facility failed to maintain a clean and hazard-free environment on the secure unit, specifically affecting 14 residents. Observations revealed that in two rooms, the air conditioning and heating units had missing vents and covers, exposing sharp metal edges and electrical components. This posed a potential hazard to the residents residing in those rooms. Additionally, the handrails along the 200 Hall were found to be dusty and filled with debris and food wrappers, indicating a lack of regular cleaning as per the facility's housekeeping schedule. Interviews with staff, including a housekeeper and a CNA, confirmed the presence of these hazards. The housekeeper acknowledged that the handrails had not been cleaned in a while, despite being part of the cleaning checklist. The CNA noted the potential shock hazard from the exposed electrical components and the risk posed by the sharp edges of the air conditioning units. The maintenance staff admitted that the units were either too small or had broken plastic pieces, causing the covers to slip, and stated that these issues had not been reported to them previously. Maintenance logs reviewed did not contain any related information about these hazards.
Failure to Ensure Proper Authorization for DNR Order
Penalty
Summary
The facility failed to ensure that a resident's Advance Directive was properly signed by either the resident or the resident's power of attorney. The deficiency involved a resident with moderate cognitive impairment, as indicated by a Brief Interview for Mental Status (BIMS) score of 9. The resident had several medical diagnoses, including type 2 diabetes mellitus, hypertension, depression, chronic kidney disease, and abdominal pain. A Do Not Resuscitate (DNR) order was present in the resident's records, but it was signed by a friend who did not have the legal authority as a power of attorney. The review of the resident's care plan and physician orders confirmed the DNR status, but the consent form was not signed by an authorized individual. The facility's administrator acknowledged the issue, stating uncertainty about the legality of the document. The resident's admission packet showed that the resident had signed forms for influenza and pneumococcal vaccines but not the DNR forms. This oversight in ensuring the proper authorization for the DNR order constitutes a deficiency in honoring the resident's rights regarding advance directives.
Deficiencies in Personal Hygiene and Grooming Assistance
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living for residents who required it, leading to deficiencies in personal hygiene and grooming. Resident #69, who had severe cognitive impairment and physical limitations due to hemiplegia and contractures, was observed with long fingernails and a black substance underneath them. Despite the care plan indicating daily assistance with personal hygiene, the resident's nails remained untrimmed and dirty over several days. The Director of Nursing acknowledged that nail care was supposed to be completed on Sundays and shower days, but it was dependent on staffing, indicating inconsistency in care provision. Similarly, Resident #76, who had moderate cognitive impairment and required supervision for personal hygiene, was observed with greasy, uncombed hair, dry skin, and dirty hands and face over multiple days. Despite being offered sanitary towels, the resident did not receive adequate assistance or encouragement from staff to clean their hands and face before meals. Interviews with staff revealed a lack of consistent effort to maintain the resident's hygiene, with one CNA acknowledging the issue as a dignity concern and the Assistant Director of Nursing emphasizing the importance of washing hands and faces to reduce infections and maintain dignity.
Failure to Ensure Safe Transfers and Hazard-Free Environment
Penalty
Summary
The facility failed to ensure proper transfer procedures for Resident 47, who has dementia and requires moderate assistance for transfers. On January 14, 2025, a CNA was observed transferring the resident from a chair to a bed without using a gait belt, contrary to the facility's protocol. The CNA was unsure about the use of a gait belt, and another CNA confirmed that a gait belt should be used for such transfers. The Director of Nursing later confirmed that all residents needing transfer assistance should be transferred using a gait belt to prevent injury. Resident 2, who has severe cognitive impairment and multiple mental health diagnoses, was left unattended in the beauty shop. The beautician, who was a contract worker and had not received training on working with residents, left the resident in a potentially hazardous environment. The beauty shop contained unsecured hazardous materials, including scissors, a hot curling iron, and various chemical products. The administrator confirmed that no training had been provided to the beautician before she began working with the residents. Resident 62, identified as being at moderate risk for falls due to cognitive issues and balance deficits, was observed with a fall mat at the bedside, despite an intervention to remove it. The resident's fall risk assessment indicated impaired vision in adequate light. The presence of the fall mat at the bedside was contrary to the care plan intervention initiated on November 14, 2024, to remove it, indicating a failure to maintain the resident's environment as free of accident hazards as possible.
Infection Control Deficiencies in Resident Care
Penalty
Summary
The facility failed to implement an effective infection control program to prevent the spread of Clostridium Difficile (C. diff) for a resident who was on contact precautions. The resident, who had multiple wounds and was taking antibiotics for skin infections, was placed in a room without access to soap and water, which is necessary for proper hand hygiene to prevent the spread of C. diff. A CNA was observed not washing her hands with soap and water after removing personal protective equipment, as the nearest bathroom was 30 feet away. The Assistant Director of Nursing acknowledged that it was not best practice to have a resident with C. diff in a room without access to soap and water. Additionally, the facility failed to ensure that staff wore gowns when providing care to a resident on Enhanced Barrier Precautions due to having a suprapubic catheter and a colostomy. The CNA Supervisor and a CNA did not wear gowns while providing care, and a Treatment Nurse did not wear a gown while performing a skin assessment, despite the facility's policy requiring gowns and gloves during high-contact resident care activities. Both the Treatment Nurse and the CNA Supervisor acknowledged that they should have worn gowns during these interactions.
Failure to Notify Ombudsman of Resident Transfer
Penalty
Summary
The facility failed to ensure timely notification of a resident's discharge/transfer information to the Office of the Ombudsman. This deficiency affected a resident who had been hospitalized with diagnoses including respiratory failure, heart attack, and chronic obstructive pulmonary disease. The resident was cognitively intact, as indicated by a BIMS score of 15. The facility's administrator admitted that the process of sending discharge/transfer notifications to the Ombudsman had fallen behind, and there was no list of such notifications for the past four months. The MDS nurse, who had been in her role for several years, stated that she had never faxed a discharge transfer list to the Ombudsman and was unaware of any policy or procedure requiring this action. She confirmed that she only learned about this requirement the day before the surveyor's inquiry. The administrator provided a transfer form dated several months prior but could not confirm whether the required information had been sent to the Ombudsman, indicating a lapse in the facility's compliance with notification requirements.
Failure to Provide Bed Hold Policy Notice to Resident
Penalty
Summary
The facility failed to provide Resident 28 or their representative with a written notice of the bed hold policy in a language they could understand. This deficiency was identified during a review of records, interviews, and facility policy. Resident 28, who had diagnoses of respiratory failure, heart attack, and chronic obstructive pulmonary disease, was cognitively intact with a BIMS score of 15. Despite this, the resident did not recall receiving any documentation regarding the bed hold policy when transferred to the hospital. The facility's Administrator and Business Office Manager were unable to provide evidence of a bed hold policy being issued to Resident 28 during their hospital transfers in April and October 2024. The Business Office Manager acknowledged the importance of informing residents and their families about the bed hold policy to clarify financial responsibilities. However, due to a lack of a business office manager during the relevant period and a system change, the facility could not confirm if the policy was communicated to Resident 28. The Administrator could only provide a hospital transfer form, which did not include the bed hold policy information.
Failure to Notify State Authority of New Diagnosis Requiring PASARR
Penalty
Summary
The facility failed to inform the state designated authority about a new diagnosis for a resident, which required a Preadmission Screening and Resident Review (PASARR) evaluation. Resident #39, who was diagnosed with bipolar disorder on 9/01/2023, had a previous PASARR from another facility but was not reassessed after the new diagnosis. The state designated authority was unaware of Resident #39's presence at the facility and his bipolar diagnosis, as the last Level 1 PASARR application was dated 12/20/2021. The Director of Nursing indicated that the MDS staff are responsible for notifying the state authority of new diagnoses requiring PASARR. MDS #2, who took over after Resident #39's admission, acknowledged the oversight and stated that she is now responsible for such notifications.
Failure to Implement Physician-Ordered Dose Reduction
Penalty
Summary
The facility failed to ensure a physician order was followed for a dose reduction of Aripiprazole for Resident #43, who was cognitively intact with a Brief Interview for Mental Status score of 14. The resident's Care Plan, initiated on June 7, 2024, required staff to administer antidepressant medications as ordered by the physician. On September 3, 2024, a pharmacist recommended reducing the resident's Aripiprazole dose from 15 milligrams to 10 milligrams daily, which the physician agreed to on September 4, 2024. However, the Director of Nursing (DON) or designated nurse did not implement the dose reduction, nor did they sign or date the form acknowledging the change. As of January 16, 2025, the DON was unaware of why the dose reduction had not been completed.
Resident Lacks Functional Call Light in LTC Facility
Penalty
Summary
The facility failed to ensure that a resident had a functional call light within reach, which is crucial for preventing accidents and injuries. Resident 25, who has diagnoses of dementia, stroke, and heart failure, was observed without a call light in reach on multiple occasions. The call light system in the resident's room was not functioning properly, as the call light on the unoccupied bed was not attached to the wall, and the bathroom emergency cord did not activate the light above the door. Despite the resident's severe cognitive impairment and need for supervision while walking, the call light was consistently out of reach or non-functional. Staff members, including CNAs and an LPN, confirmed the malfunctioning call light system and the absence of a maintenance report addressing the issue. The Administrator acknowledged the problem, suggesting a dead battery might be the cause, and the DON emphasized the importance of having a working call light for resident safety. Despite an in-service training that included call light procedures, the deficiency persisted, leaving Resident 25 unable to call for assistance when needed.
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What surveyors actually found near you
We read the 14 citations issued within 25 miles in the last 12 months — 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
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Nursing homes near Judsonia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Crossing At Riverside Health And Rehabilitatio | 2.7 mi | ★★★★★ | 0 | 0 |
| The Springs Searcy | 5.5 mi | ★★★★★ | 6 | 0 |
| Beebe Retirement Center, Inc. | 18.7 mi | ★★★★★ | 3 | 0 |
| Des Arc Nursing And Rehabilitation Center | 21.7 mi | ★★★★★ | 0 | 0 |
| Southridge Village Nursing And Rehab | 24.5 mi | ★★★★★ | 5 | 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.