Below average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Van Buren Rehab And Nursing Center during CMS and state inspections, most recent first.
Medications, including topical treatments, were found unsecured at the bedsides of several residents and in an unlocked medication cart, contrary to facility policy. Staff interviews confirmed that medications should not be left unattended or accessible to residents without proper assessment and physician approval for self-administration. Some residents had significant medical conditions requiring careful medication management, yet medications were not always documented or ordered, and no residents had been approved for self-administration. The DON confirmed the absence of a self-administration policy and that no residents had such rights.
Staff failed to perform proper hand hygiene and use required PPE during wound care for a resident with multiple Stage IV pressure ulcers, and an LPN did not follow Enhanced Barrier Precautions when flushing a feeding tube for a resident with a gastrostomy tube. These lapses occurred despite facility policies and signage indicating the need for hand hygiene and PPE use during such care activities.
A resident with multiple fractures and malnutrition was discharged to a hospital, but the required MDS discharge assessment was not completed within the mandated 14-day period. Staff interviews revealed the delay was due to a lack of tracking and an erased scheduling tab, resulting in the assessment being signed months after the discharge.
A resident with a diagnosis of schizoaffective disorder, bipolar type, was admitted without the State Designated Agency being notified, leaving the PASARR review open. Staff interviews revealed confusion about who was responsible for notification, and the facility lacked a policy on PASARR notifications.
A facility failed to ensure medications were not left unattended in resident rooms. One resident with cognitive impairment was found with a medicated mouth rinse left unsupervised, while another resident had unauthorized access to triple antibiotic ointment and medicated shampoo. Additionally, a third resident with severe cognitive impairment had a cup of pills left on their bedside table, and a pill was found on the floor. The facility's policy requires medications to be administered by licensed personnel and not left unattended unless the resident is approved for self-administration.
Failure to Secure Medications and Lock Medication Carts
Penalty
Summary
The facility failed to ensure that medications were securely stored and not left unattended at residents' bedsides or in unlocked medication carts. Facility policy required that medication carts be locked when not in use and that medications should not be stored in residents' rooms unless approved for self-administration by the physician and care planning team. Observations revealed that topical medications, including antifungal powder and wound dressing cream, were found at the bedsides of multiple residents without proper authorization or documentation. Additionally, a medication treatment cart was observed unlocked in a hallway accessible to residents, containing various topical medications and supplies. Interviews with staff, including LPNs and the DON, confirmed that medications should not be left at the bedside or in unlocked carts, as this could allow residents, including those with cognitive impairments or wandering behaviors, to access and potentially misuse the medications. Staff were unaware that certain medications were left at the bedside, and there was no evidence that any residents had been assessed or approved for self-administration of medications. The DON also stated that the facility did not have a self-administration policy in place and that no residents had been granted self-administration rights. Medical record reviews for the involved residents showed that some had significant medical conditions, such as schizophrenia, kidney disease, osteomyelitis, and multiple skin integrity issues, requiring careful management of their medications and treatments. Despite these needs, medications were not consistently documented on treatment records, and some medications found at the bedside were not ordered by the physician. The facility's failure to follow its own policies and ensure secure medication storage resulted in the potential for residents to access and use medications inappropriately.
Failure to Follow Infection Control and Enhanced Barrier Precautions During Resident Care
Penalty
Summary
The facility failed to ensure proper infection prevention and control practices were followed during wound care and feeding tube care for two residents. In one instance, a CNA assisted with wound care for a resident with multiple Stage IV pressure ulcers and a history of frostbite, gangrene, and vascular disease. The CNA handled trash, then donned gloves without performing hand hygiene, entered the resident's room, and assisted with wound care. The CNA also changed gloves without using hand sanitizer or washing hands, citing a non-functioning alcohol gel pump as the reason. Both the DON and Administrator confirmed that hand hygiene should have been performed before gloving and in between glove changes, especially after handling trash and before assisting with wound care. In another instance, an LPN failed to follow Enhanced Barrier Precautions (EBP) while flushing a feeding tube for a resident with severe cognitive impairment and a gastrostomy tube. The LPN did not wear a gown during the procedure, despite EBP signage indicating the requirement for gown and gloves during device care. Interviews with staff and review of facility policies confirmed that EBP should be used for residents with indwelling medical devices, and that PPE was available in resident rooms. Additionally, the facility's wound care policy did not address hand hygiene during wound care, and the infection prevention policy referenced CDC guidance but did not specify procedures for these situations.
Failure to Timely Code Discharge to MDS
Penalty
Summary
The facility failed to ensure that a discharge was coded to the Minimum Data Set (MDS) in a timely manner for one resident. The resident had medical diagnoses including vertebra and humerus fractures and malnutrition, and was transported from the facility to a local hospital via ambulance. The discharge MDS assessment, which should have been completed within 14 days of discharge as required by the Resident Assessment Instrument (RAI) manual, was not completed and signed until several months after the resident's discharge. Interviews with the MDS Nurse, Regional MDS Consultant, and MDS Trainer confirmed that the discharge was not reported within the required timeframe. The MDS Nurse acknowledged the delay, and the Regional MDS Consultant stated there was no system in place to track unreported discharges. The MDS Trainer noted that discharges are typically tracked through the MDS scheduled tab and discussed in daily meetings, but in this case, the tab was erased, resulting in the missed assessment.
Failure to Notify State Agency of Resident Admission for PASARR
Penalty
Summary
The facility failed to notify the State Designated Agency when a resident with a diagnosis of schizoaffective disorder, bipolar type, was admitted. Review of the resident's records showed no documentation of a PASARR in the electronic record. The State Designated Agency confirmed that the resident had a Level II PASARR in 2022 and a review at another facility in 2024, but the review remained open because they were never informed of the resident's admission to the current facility. The Agency also noted that the new diagnosis would not alter the PASARR process unless there was suicidal behavior, as the resident already had a bipolar diagnosis. Interviews with facility staff revealed a lack of clarity regarding responsibility for notifying the State Designated Agency. The Administrator acknowledged that notification should have occurred upon admission, while the DON stated that the MDS nurse was responsible for this task. The Marketing Director, who had been in her role for four months, was unaware of her responsibility to contact the State Designated Agency and only recently learned of this duty. Additionally, the Administrator confirmed that the facility did not have a policy regarding PASARR notifications.
Medication Mismanagement in Resident Rooms
Penalty
Summary
The facility failed to ensure medications were not left unattended in resident rooms, as observed in the cases of two residents. One resident, diagnosed with malignant neoplasm of the tongue, bipolar disorder, and schizophrenia, was found with a 30 ml medication cup containing a medicated mouth rinse on their bedside table. This resident, who had moderate cognitive impairment and no order to self-administer medication, was observed using the medication unsupervised, which was against the facility's policy. The Licensed Practical Nurse (LPN) confirmed that the medication should not have been left in the room as the resident did not have an order to self-administer. Another resident, with diagnoses including metabolic encephalopathy, transient ischemic attack, and dementia, was found with a tube of triple antibiotic ointment and a bottle of medicated gel shampoo on their bedside table. This resident, who was cognitively intact but did not have orders for these medications, had these items within reach, which was against the facility's policy. The LPN confirmed that there were no orders for these medications and that they should not have been accessible to the resident. Additionally, a third resident with severe cognitive impairment was reported by their representative to have a cup of pills left on their bedside table, which had another resident's name on it. A pill was also found on the floor, which the LPN could not identify. The Director of Nursing stated that medications should not be left at the bedside, especially for residents with dementia, as it could cause harm. The facility's policy clearly states that medications should be administered by licensed personnel and not left unattended unless the resident is approved for self-administration.
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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 Van Buren
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Van Buren Healthcare And Rehabilitation Center | 1.4 mi | ★★★★★ | 3 | 0 |
| Valley Springs Rehabilitation And Health Center | 2.1 mi | ★★★★★ | 0 | 0 |
| Legacy Health And Rehabilitation Center | 2.7 mi | ★★★★★ | 0 | 0 |
| Methodist Health And Rehab | 5.1 mi | ★★★★★ | 0 | 0 |
| Chapel Ridge Health And Rehab | 5.3 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.