Average — CMS composite of the measures below.
The next survey window likely opens around November 2026
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 The Village Rehab & Nursing Center during CMS and state inspections, most recent first.
Failure to serve ordered fortified foods to three residents with nutritional problems and cognitive impairment. One staff member was observed adding unmeasured butter to mashed potatoes, but the residents’ trays did not consistently include the ordered fortified items. Two residents received incomplete meal trays from the regular or alternate menu, and a third resident received a regular tray with no fortified food. Staff reported confusion about the fortified menu, while the RDM stated the fortified menus were kept in the production book.
Failure to Post Daily Nurse Staffing Information: Surveyors found no nurse staffing information posted in the facility's common areas, at the entrance, along the halls, or at the nurse's station for resident and visitor access. The HR Director said the daily staffing was not posted at the beginning of the shift because he had been updating it, and the Administrator stated she was aware it was supposed to be posted but did not understand its importance or purpose.
The facility failed to assess and care plan for self-administration of medications for two residents. One resident with severe cognitive impairment was found with artificial tears at the bedside without a physician's order or care plan. Another cognitively intact resident self-administered an inhaler and nasal spray without prior instructions or a care plan. The facility did not complete necessary assessments or obtain physician's orders for self-administration.
A medication cart was left unattended and unlocked with keys in the lock on a secured unit. An LPN confirmed the risk of unauthorized access to drugs, and the Administrator acknowledged the security lapse. The facility lacked a policy on accidents and hazards, which may have contributed to the incident.
The facility failed to properly label and store food items, with drink pitchers and cups left exposed, food dome covers uncovered, and a container of pureed breadcrumbs not sealed. The nourishment room refrigerator contained unlabeled food items, and an expired brownie mix was found. The Dietetic Technician confirmed these oversights, and facility policies on food storage and handling were not followed.
The facility failed to ensure proper hand hygiene and infection control during medication administration for two residents, including improper handling of drinking cups and failure to follow Enhanced Barrier Precautions for a resident with a feeding tube. Additionally, oxygen and updraft tubing were not stored properly for another resident, leading to potential contamination risks.
Failure to Serve Ordered Fortified Foods
Penalty
Summary
The facility failed to serve fortified foods to three residents who had diet orders and care plan interventions for fortified foods related to poor intake, weight loss, or nutritional problems. Resident #56 had diagnoses including dementia, a BIMS score of 13, and a care plan for a nutritional problem related to dysphagia and poor by mouth intake. Resident #30 had diagnoses including Alzheimer's disease and anemia, a BIMS score of 11, and a care plan directing staff to provide fortified foods at breakfast and large portions. Resident #68 had late onset Alzheimer's disease, a BIMS score of 12, and a care plan directing staff to add fortified foods and obtain weekly weights until stable. During a concurrent observation and interview, a staff member was observed with melted butter in a glass container and poured an unmeasured amount onto mashed potatoes for residents ordered fortified foods, stating, “that is my fortified mashed potatoes.” However, when Resident #56's tray was observed, no mashed potatoes were served, and the resident later received a lunch tray from the regular menu with only a biscuit with a soup-like substance on top, salad, a cookie, and a drink, with no fortified foods observed. Resident #30 was observed receiving an alternate menu tray, but only the turkey sandwich and a drink were served, with no chips, cookie, or fortified foods observed. Resident #68 was observed receiving the regular menu tray with a biscuit with a soup-like substance on top, side salad, and a cookie, with no fortified food observed. Staff interviews showed inconsistent knowledge and use of the fortified food process. One staff member stated there had been a fortified log from a prior dietary manager, did not know where it was, had just found it, and had not been making fortified foods by the menu. Another staff member stated residents requiring fortified foods were identified on tray cards and that fortified foods were still made, but ingredients were not measured. The Regional Dietary Manager stated staff were supposed to be trained to use the fortified menus in the production book and that the fortified menu ensures the appropriate amount of extra calories residents need.
Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to post the required nurse staffing information for resident and visitor access. On 12/17/2025 at 2:00 PM, a surveyor observed the common areas and found no nurse staffing information posted anywhere in the building. The surveyor checked the front entrance area, the entrance to every hall, the common area, and the nurse's station, but the information was not displayed. When the surveyor requested the staffing information, the Human Resource Director went into his office, wrote the information on a sheet of paper, and posted it on a glass window facing the common area near the facility entrance. During interviews, the Human Resource Director stated the daily posted staffing was not out and posted at the beginning of the shift because he had been working on updating it and had not gotten to it that day. The DON stated the information was there for visitors and residents to know how many nurses and CNAs were in the building. The Administrator stated she was aware the daily nursing staff information was supposed to be posted, but was not aware of the importance or purpose for the information, and later stated additional staffing information such as names and assignments was kept in a different area and staff would show it to anyone who asked.
Failure to Assess and Care Plan for Self-Administration of Medications
Penalty
Summary
The facility failed to properly assess, obtain physician's orders, and care plan for the self-administration of medications for two residents. Resident #73, who was admitted with severe cognitive impairment and a terminal prognosis related to Alzheimer's disease, was observed with a bottle of artificial tears on the nightstand. There was no physician's order or care plan for self-administration of medications, and no assessment was completed to determine the resident's capability to self-administer medications. A family member reportedly brought the medication into the facility and left it at the bedside, which was confirmed by a Medication Assistant Certified (MA-C). Resident #41, who was cognitively intact but had a behavior problem of refusing medication, was observed self-administering an inhaler and nasal spray without prior instructions or a care plan for self-administration. The resident had active orders for these medications but no assessment was completed to evaluate the resident's ability to self-administer. The Assistant Director of Nursing confirmed that a physician's evaluation, order, and care plan are required before a resident can self-administer medications, which were not in place for these residents.
Unattended and Unlocked Medication Cart
Penalty
Summary
The facility failed to ensure the security of a medication cart, which was left unattended and unlocked with the keys in the lock on a secured unit. This incident was observed by a surveyor at 9:35 AM, and confirmed by an LPN at 9:41 AM, who acknowledged that the unlocked cart posed a risk as anyone could access the drugs or narcotics, potentially allowing a resident to take medication that could harm or kill them. The Administrator also confirmed at 10:54 AM that the medication cart should not have been left unlocked with the keys in the lock, as it provided access to medications that residents could take and potentially harm themselves. Additionally, it was noted at 12:22 PM that the facility did not have a policy on accidents and hazards, which could have contributed to the oversight in securing the medication cart.
Improper Food Storage and Labeling
Penalty
Summary
The facility failed to ensure proper labeling and storage of food items, as well as the correct handling of food serving items. Observations revealed that drink pitchers and cups were improperly stored, with openings exposed, allowing potential contamination. Additionally, food dome covers were left uncovered, and a container of pureed breadcrumbs was not completely sealed. The nourishment room refrigerator contained several food items without proper labeling, including missing resident names, purchase dates, and open dates. An expired brownie mix was found, and several cans of salmon lacked received dates. Interviews and policy reviews highlighted further deficiencies. The Dietetic Technician acknowledged the improper sealing of the pureed breadcrumbs and confirmed the oversight in dating the salmon cans. The facility's policies on food storage and handling were not adhered to, as evidenced by the lack of proper labeling and storage practices. The Dietetic Technician inferred that the refrigerator was intended for resident use only, necessitating proper labeling of items. Despite the presence of policies, such as the Storage of Resident Food and Food Storage Areas Policy, these were not effectively implemented, leading to the observed deficiencies.
Infection Control and Hand Hygiene Deficiencies
Penalty
Summary
The facility failed to ensure proper hand hygiene and infection control measures during medication administration for two residents. An LPN was observed not sanitizing hands after removing gloves and before handling medication cups, leading to potential contamination. The LPN placed fingers inside drinking cups while separating them and did not sanitize hands before administering medications to a resident with severe cognitive impairment. This lack of hand hygiene was confirmed by the LPN during the observation. Additionally, the facility did not follow Enhanced Barrier Precautions for a resident with a feeding tube. The LPN did not sanitize hands or change gloves during the medication administration process for a resident who required tube feeding. The LPN entered the resident's room without wearing a gown or gloves, handled the feeding tube, and administered medications without proper hand hygiene or glove changes. This was confirmed by the LPN, who acknowledged the failure to perform hand hygiene and glove changes during the procedure. The facility also failed to provide proper storage for oxygen and updraft tubing for another resident. Observations revealed that the oxygen tubing and updraft mask were not stored properly, being left draped across the nightstand and concentrator. This was confirmed by both a CNA and an LPN, who acknowledged the improper storage and the importance of keeping the equipment properly stored to prevent contamination.
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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 Hot Springs
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Belvedere Nursing And Rehabilitation Center, Llc | 3 mi | ★★★★★ | 1 | 0 |
| The Springs Of Park Ave | 4.6 mi | ★★★★★ | 0 | 0 |
| Lake Forest Senior Living At Hot Springs Village | 6.6 mi | ★★★★★ | 2 | 0 |
| The Blossoms At Hot Springs Rehab And Nursing Cent | 8.7 mi | ★★★★★ | 0 | 0 |
| The Pines Nursing And Rehabilitation Center | 9 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.