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 Woodland Hills Rehab & Nursing Cen during CMS and state inspections, most recent first.
A resident with dementia, urinary incontinence, and painful urination had a physician order for a UA to rule out UTI and treat if indicated, but staff did not promptly obtain the urine specimen and did not notify the MD or APRNs when they were unable to collect it. When the UA was finally obtained, the lab reported a critical result positive for UTI, and an oral antibiotic was ordered and placed on the MAR, yet nurses documented the medication as unavailable or not located, did not effectively use the emergency kit or pharmacy, and one nurse signed off doses as given when they were not administered. During this time, the resident’s condition declined, with reports of pain, lack of eating and drinking, and decreased mobility, and the resident was ultimately sent to the hospital and admitted to the ICU with septic shock and related diagnoses before dying. Surveyors determined that the failures to timely obtain the UA, act on critical lab results, and provide ordered antibiotic treatment constituted neglect and resulted in an Immediate Jeopardy citation under federal requirements for freedom from abuse, neglect, and exploitation.
A facility failed to ensure an LPN working through an agency held an active and unencumbered license, as required by state law and facility policy. The facility relied on the agency for credential verification and did not independently confirm the LPN's license status, resulting in the LPN working multiple shifts while the license was expired or encumbered, in violation of licensure restrictions.
A resident with diabetes did not receive required toenail care, resulting in excessively long and sharp nails, due to confusion among staff about responsibility and lack of podiatry follow-up. Another resident experienced a significant delay in call light response, with staff either on break or unaware of the call, despite the resident's risk for falls and reported pain. The DON and Administrator confirmed these lapses in care and response.
Surveyors observed dietary staff handling food and plates with bare hands and a food processor blade falling into pureed food during meal service. Staff acknowledged these actions as cross contamination, and the affected food was served to residents.
Two residents with cognitive impairments were repeatedly exposed due to lack of privacy curtains and inadequate clothing, resulting in visible exposure to staff and others. Staff acknowledged the dignity concerns, and documentation showed awareness of the residents' needs, but interventions to maintain privacy and dignity were not consistently implemented.
Two residents with cognitive impairments did not receive necessary ADL care, including facial hair removal and nail trimming, despite care plans requiring staff assistance. Over several days, one resident was observed with unshaved facial hair and another with long, jagged, and dirty fingernails, even while staff were present. Staff interviews confirmed that these care tasks were not completed as needed, citing staffing shortages as a contributing factor.
The facility did not properly secure cigarettes and lighters, allowing several residents—including those with cognitive impairments and seizure disorders—to possess and use smoking materials unsupervised. Staff observed residents lighting their own cigarettes and found smoking materials hidden in personal belongings, despite policies requiring secure storage and supervision. Staff interviews confirmed ongoing challenges with residents and families bringing in prohibited items and inconsistent enforcement of smoking policies.
Three syringes of an anti-anxiety medication for a resident with dementia and schizophrenia were not documented in the narcotic book as required. The medication was found in the medication room without proper logging, and staff were unable to locate any record of its receipt or transfer. The facility's policy did not address narcotic documentation, and staff interviews confirmed the expected process was not followed.
A box of over-the-counter medications was found left out in an unsecured central supply room with a broken door, making medications accessible to residents. Additionally, expired supplemental feeding bottles were not removed from the supply shelf, and staff were unaware of the unsecured storage and expired items. Facility policy required secure storage and removal of expired items, but these procedures were not followed.
The facility failed to provide a safe, clean, and homelike environment, as evidenced by broken tiles, unsecured cabinets with hazardous items, and rusted doorframes in the shower rooms. A CNA expressed concerns about potential dangers, including falls and ingestion of harmful substances. The Maintenance Supervisor was unaware of needed repairs, and the Maintenance Request Log was not being used. The Administrator acknowledged the issues, and additional hazards were noted, such as an exposed electrical outlet and peeling tabletop finish.
The facility failed to maintain appropriate food temperatures, resulting in cold meals being served to residents across multiple halls. Observations revealed that unheated food carts were left open during meal delivery, leading to significant temperature drops in food items. Residents consistently reported that their meals were often cold, indicating a systemic issue with food service delivery.
The facility was found deficient in maintaining kitchen cleanliness and proper hand hygiene. Observations revealed unclean kitchen surfaces, a non-operational garbage disposal, and chipped door frames. Dietary staff failed to follow hand hygiene protocols, contaminating gloves and not properly sanitizing equipment, contrary to facility policy.
A resident with severe cognitive impairment and mental health diagnoses was found with poor hygiene and overgrown toenails due to the facility's failure to provide adequate personal care. The resident's care plan required assistance with bathing and toenail checks, but staff did not follow procedures, leading to unaddressed hygiene needs. Interviews revealed a lack of documentation and awareness among staff regarding bathing and toenail care procedures.
A resident's anti-diarrhea medication was left at the bedside in a medicine cup, despite no authorization for self-administration. The liquid medication was identified by an LPN, although the physician's order specified pills. The DON confirmed the medication should not have been left in the room, as it posed a risk to other residents.
Failure to Timely Obtain UA and Administer Antibiotic for UTI Leading to Immediate Jeopardy
Penalty
Summary
The deficiency involves the facility’s failure to protect a resident from neglect by not obtaining a urine specimen and not initiating ordered antibiotic treatment in a timely manner for a suspected urinary tract infection (UTI). The resident had dementia, encephalopathy, urinary incontinence, bipolar disorder, anxiety, and painful urination, and was assessed as moderately impaired for decision making. The resident’s care plan directed staff to call the physician as needed for agitation, confusion, and changes in eating habits. A physician order was written to obtain a urinalysis (UA) to rule out a UTI and to treat if indicated. Although the order was entered into the electronic system by an assistant director of nursing, staff did not promptly obtain the urine specimen, and there were communication failures among nurses regarding responsibility for collecting the sample. Some nurses reported they were told a urine sample was needed, while others stated they were never informed, and no one notified the physician or APRN when the specimen was not obtained within the expected timeframe. When the urine specimen was eventually collected, the lab report showed a critical result indicating a positive UTI that required antibiotic treatment. An order for an oral antibiotic was created and appeared on the Medication Administration Record (MAR) to be given four times a day for five days. However, progress notes documented that the medication was “not available” and that staff “could not locate” the antibiotic. Nursing staff gave conflicting accounts about whether the pharmacy had been called, whether the emergency medication kit was checked, and whether the antibiotic had been pulled from the emergency dispensing cabinet. Pharmacy staff reported there was no record of the antibiotic being pulled from the emergency kit and that the first request to order the antibiotic was received by phone days after the critical lab result. One nurse admitted signing off doses on the MAR as given when they had not been administered, and another nurse stated the resident did not receive the antibiotic due to lack of communication. During this period, multiple staff and a visitor observed significant changes in the resident’s condition. A visitor reported that the resident, who was usually walking and talking, was instead in bed moaning, scratching, and appearing to be in pain, and was told by an LPN that the resident had not eaten or drunk anything for a couple of days and needed IV antibiotics. The visitor requested that the resident be sent to the hospital. CNAs and nurses reported that the resident had been walking when first admitted but later was not walking and was reported to be “hurting a lot.” The APRNs and the medical director stated they expected urine samples to be collected the same day or within 24–48 hours of the order and expected to be notified if staff could not obtain specimens or if lab results were out of range, but they were not informed of the delays or the lack of antibiotic administration. The medical director and APRNs assumed the ordered antibiotic was being given. The resident was ultimately transferred to the hospital and admitted to the intensive care unit with diagnoses including septic shock, respiratory failure, strep pneumonia, acute kidney failure, leukocytosis, and metabolic acidosis, and was later pronounced deceased. The facility’s own abuse/neglect policy defined neglect as failure to provide necessary goods and services to avoid physical harm, pain, mental anguish, or emotional distress, and the surveyors determined that the failures to timely obtain the UA and to timely provide ordered antibiotic treatment constituted neglect under this policy and under federal requirements for freedom from abuse, neglect, and exploitation. The survey also identified systemic communication and process issues that contributed to the deficiency. Staff reported that lab orders placed in the electronic MAR would “fall off” after 24–48 hours, so if nurses were not verbally informed of pending labs, they might not know a specimen was needed. Several nurses stated they were never told that a urine sample was required for the resident, while others said they had been told but did not escalate the issue when they could not obtain the specimen. One RN learned of the urine order only through a group text message on her personal phone. APRNs reported having repeated problems with the facility not completing physician orders, to the point that one APRN began scanning and emailing orders to multiple leaders because orders were written three or four times without being carried out. The administrator, who was not a nurse, stated she was unsure how nurses communicated lab orders and indicated that nurses should contact the physician if an antibiotic was not available the same day it was ordered. These documented failures in following physician orders, obtaining ordered labs, administering ordered medications, and communicating critical information led surveyors to cite the facility at Immediate Jeopardy level under 42 CFR §483.12 for failure to protect the resident from neglect. The hospital records confirmed that the resident was admitted to the intensive care unit with septic shock, respiratory failure, strep pneumonia, acute kidney failure, leukocytosis, and metabolic acidosis, and that the resident died shortly thereafter. A visitor reported being told that the resident’s UTI had become septic and that the resident was in organ failure, had pneumonia, and strep, which was consistent with the hospital documentation reviewed by the surveyor. Adult Protective Services contacted the facility administrator and requested that the resident be sent to the hospital. The facility’s own policies on abuse, neglect, exploitation, resident rights, and medication administration required that residents receive necessary care and that medications be administered according to orders and within required time frames. The survey findings concluded that the facility’s failure to timely obtain the ordered UA, failure to timely initiate and provide the ordered antibiotic, and failure to communicate and act on critical lab results constituted neglect that caused or was likely to cause serious injury, harm, impairment, or death, resulting in an Immediate Jeopardy citation at scope and severity level K under the federal regulation for freedom from abuse, neglect, and exploitation.
Failure to Verify Active LPN License for Agency Nurse
Penalty
Summary
The facility failed to ensure that a Licensed Practical Nurse (LPN) working in the facility held an active and unencumbered license, as required by state law and facility policy. The LPN in question was employed through an agency and later applied to work directly for the facility. The Administrator reported that the facility relied on the agency to verify the nurse's credentials and did not independently verify the license status of agency nurses. There was no policy in place for hiring agency nurses, and the facility did not maintain employee records for them. Documentation revealed that the LPN worked multiple shifts through the agency while the license was expired or encumbered, and the facility only confirmed the expired status after the LPN had already worked these shifts. Further review of records indicated that the LPN's license had been placed on probation by the Arkansas State Board of Nursing, with explicit restrictions prohibiting employment through a staffing agency. Despite this, the LPN continued to work in the facility via the agency. Facility policies required verification of licensure for all new hires, but this process was not followed for agency staff. The deficiency was identified through interviews, document reviews, and policy examinations, which collectively demonstrated the facility's failure to ensure compliance with licensure requirements for nursing staff.
Failure to Provide Nail Care and Timely Call Light Response
Penalty
Summary
The facility failed to provide appropriate nail care for a resident with type 2 diabetes mellitus, who was admitted with orders to be evaluated and treated by a podiatrist as needed. Despite care plan interventions to check and trim fingernails and toenails, and to notify the nurse if the resident was diabetic, the resident reported that their toenails had not been cut since admission. Staff interviews revealed confusion regarding responsibility for nail care, with aides stating they did not cut the resident's toenails due to the diabetes diagnosis, and nursing staff indicating either the podiatrist or nurse was responsible. Observations confirmed the resident's toenails were excessively long, curved, and sharp, and the resident stated they could only wear open-toed shoes as a result. There was no documentation that the resident had seen a podiatrist since admission, and the DON confirmed the toenails were too thick for staff to cut and that the resident needed podiatry care. Additionally, the facility failed to ensure timely response to a resident's call light. The resident, who had moderate cognitive impairment and was at risk for falls, was observed with their call light on for an extended period while staff were either on break or unaware of the call. The resident reported waiting 30 minutes for assistance and stated that call lights sometimes went unanswered, especially at night. Staff interviews confirmed that the resident was asked to wait until after lunch to be put in bed, and that there was a lack of awareness among staff regarding coverage during breaks. The DON and Administrator both acknowledged that call lights should be answered immediately and that staff should not ask residents to wait for assistance.
Cross Contamination During Food Service
Penalty
Summary
During lunch service, multiple instances of cross contamination were observed in the facility's kitchen. A dietary aide was seen handling slices of cake with bare hands, both when bagging them and when preparing portions for puree diets. The aide had cake residue on all ten fingertips, and the cake was subsequently served to all diets in the facility. The aide later acknowledged that food should not be touched with bare hands but was unsure of the reason. Additionally, the blade from a food processor fell into pureed pasta, and the dietary manager removed it before continuing to use the puree. Another dietary staff member was observed repeatedly handling plates with bare hands, placing their entire hand in the middle of each plate while setting up the meal line. This practice continued throughout the lunch service. Both the dietary manager and the staff member later confirmed in interviews that these actions constituted cross contamination and could potentially lead to foodborne illness among residents. No specific residents or their medical conditions were mentioned in the report.
Failure to Maintain Resident Dignity Due to Lack of Privacy and Inadequate Clothing
Penalty
Summary
The facility failed to ensure a dignified existence for two residents with cognitive impairments, resulting in repeated exposure and lack of privacy. One resident with severe cognitive impairment and a history of removing clothing was observed multiple times lying in bed unclothed, with the hospital gown removed and blankets not covering the body. The resident's room lacked a privacy curtain, and the resident was visible from the hallway and to staff and other residents passing by. Staff interviews confirmed that the privacy curtain had not been in place for some time, and that the resident's exposure was recognized as a dignity issue. Another resident with moderate cognitive impairment and a history of dementia and depressive disorder was observed walking in the hallway wearing only a t-shirt and a hospital gown, with the lower body and brief exposed. The resident repeatedly asked for pants and attempted to cover the exposed area by holding the gown closed. Staff stated that the resident was low on clothes and that laundry had not yet delivered additional clothing. The resident remained exposed for an extended period, and staff acknowledged the situation as uncomfortable and embarrassing for the resident. Facility staff, including CNAs, LPNs, and the DON, acknowledged during interviews that the lack of privacy and exposure of residents was a dignity issue. Documentation and care plans indicated awareness of the residents' behaviors and needs, but interventions such as ensuring privacy curtains and adequate clothing were not consistently implemented, resulting in repeated instances where residents' dignity was not maintained.
Failure to Provide Adequate ADL Care: Facial Hair and Nail Care Deficiencies
Penalty
Summary
The facility failed to provide adequate activities of daily living (ADL) care, specifically facial hair removal and nail care, for two residents who required assistance. One resident with moderate cognitive impairment and multiple diagnoses, including diabetes and dementia, was observed over several days with unkempt facial hair across the upper lip and chin, despite care plans indicating the need for cuing and supervision with ADLs. Documentation showed inconsistent recording of bath and care refusals, but there was no evidence that the resident refused facial hair care during the observed period. Another resident with severe cognitive impairment and a history of stroke was dependent on staff for all ADLs. This resident was observed repeatedly with long, jagged, and dirty fingernails, some with sharp edges and food matter underneath. The care plan required regular nail checks and trimming, but observations over multiple days showed no changes or improvement in nail condition. The resident was also seen using their hands to eat and scratch themselves, with staff present but not addressing the nail care needs. Interviews with staff, including a CNA and an LPN, confirmed that ADL care such as nail trimming and facial hair removal should be performed daily and on bath days. Staff acknowledged the negative outcomes of unkempt nails and facial hair, including hygiene and dignity concerns. Staffing shortages were cited as a reason for missed care, with one CNA reporting being the only staff member on the unit and unable to complete baths or grooming as scheduled.
Failure to Secure Smoking Materials and Supervise Resident Smoking
Penalty
Summary
The facility failed to ensure that cigarettes and lighters were properly stored and that residents did not have access to these items without staff knowledge, resulting in multiple residents possessing and using smoking materials unsupervised. Several residents, including those with moderate cognitive impairment and diagnoses such as seizure disorder, aphasia, Huntington's disease, anxiety, schizophrenia, and stroke, were observed in the designated smoking area with cigarettes and lighters in their possession. Despite facility policy requiring all smoking materials to be stored securely and only provided during supervised smoke breaks, residents were found with full packs of cigarettes and lighters, and some were observed lighting their own cigarettes without staff assistance. Staff interviews revealed that residents and their families frequently brought in cigarettes and lighters, sometimes concealing them in personal belongings or drawers. Staff acknowledged that it was an ongoing challenge to prevent residents from obtaining and keeping these items, despite education efforts directed at both residents and families. The facility's policy and care plans specified that smoking materials should be stored in locked areas and that residents should not have unsupervised access, but these procedures were not consistently followed. In one instance, a resident was found with a cigarette and lighter in a personal case during a smoke break, and another resident was caught smoking in their room, prompting a discharge notice. Observations and interviews indicated that staff were aware of the policy but did not always enforce it, and residents were able to circumvent controls by receiving items from visitors or after outings. The facility's documentation showed that not all residents were accurately assessed for smoking status, and some residents' care plans were not updated to reflect changes in their smoking behavior. Staff also reported that they did not routinely search residents' belongings due to concerns about resident rights, which contributed to the ongoing issue of residents possessing prohibited smoking materials.
Failure to Document Receipt and Storage of Narcotic Medication
Penalty
Summary
The facility failed to ensure that three syringes of a name brand anti-anxiety medication for a resident with dementia, schizophrenia, and urinary retention were properly documented in the narcotic book. During an observation, it was found that the syringes, which were labeled for the resident and dated, were present in the medication room but had not been logged in the narcotic book as required. The Unit Manager and DON were unable to locate any documentation of the medication in the narcotic books, and the DON confirmed that the medication had not been signed for or logged when received from the pharmacy. The DON also noted that the medication should have been transferred and documented when the resident moved between halls, but this was not done. Further review showed that the pharmacy manifest indicated the resident received four syringes of the medication, but there was no current order for the medication in the resident's Medication Administration Record. The facility's policy on drug storage did not address narcotic documentation, and an in-service on medication storage stated that all narcotic medication was to be accurately logged in and stored according to policy. Interviews with staff confirmed the expected process for receiving and documenting narcotics, which was not followed in this instance.
Medications and Expired Supplements Improperly Stored in Unsecured Supply Room
Penalty
Summary
Surveyors observed that the facility failed to ensure medications and biologicals were securely stored and inaccessible to residents. Specifically, a box containing various over-the-counter medications was found resting on a pallet in the central supply room, which had a broken doorknob and could not be closed, leaving the door ajar. The medications included items such as laxatives, sleep aids, zinc, aspirin, acetaminophen, vitamin D3, iron, NSAIDs, stool softeners, glucose gel, magnesium, and antacids, with one bottle of antacid found open. The Administrator confirmed these medications should have been locked at the nurse's station and acknowledged that residents should not have access to the room. The Director of Nursing confirmed that expired supplemental feeding bottles were available on the supply shelf and should have been removed, while a registered nurse admitted not noticing the door was open during her shift and acknowledged that residents could have accessed the medications left out in the open. The facility's policy required drugs and biologicals to be stored in a safe, secure, and orderly manner, with expired drugs returned to the pharmacy or destroyed. However, the central supply room was not secured due to the broken doorknob, and expired supplemental feeding was not removed from the shelf. The Medical Director was unaware that medications were being stored in an open box in the central supply room and expressed concern about potential diversion. There was no documentation indicating whether any residents had received the expired supplemental feeding.
Facility Fails to Maintain Safe and Clean Environment
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment for its residents, as evidenced by multiple deficiencies observed in the physical environment. The community shower room on E Hall was found with broken and missing tiles, rusted and unsecured doorframes, and black and brown grout between tiles. Additionally, the door to the shower room was left open, posing a risk of residents entering unsupervised. The unsecured cabinet in the shower room contained various personal care items with caution labels, which could be hazardous if accessed by residents. Certified Nursing Assistant (CNA) #8 expressed concerns about the potential dangers posed by the broken tiles and unsecured cabinet, noting that residents could fall or ingest harmful substances. The CNA also identified a brown spot on the shower bed as dried bowel movement, which could be infectious, and noted the presence of mold on another shower bed. The Maintenance Supervisor was unaware of the need for repairs and mentioned that the Maintenance Request Log was no longer being used, leading to unaddressed maintenance issues. The Administrator acknowledged the need for repairs in the shower room and expressed concern about the open door, which could allow residents to enter and sustain injuries. Additionally, Resident #4's over-the-bed tabletop was observed with peeling finish and exposed pressed board, and the tiles at the entrance to their bathroom were cracked and missing. An outlet under the sink in the shower room on D Hall was pushed into the sheetrock with large holes on both sides, and an electrical cord was hanging from a fan above the sink, indicating further safety hazards.
Failure to Maintain Appropriate Food Temperatures
Penalty
Summary
The facility failed to ensure that hot foods were served hot and cold foods were served cold, affecting the palatability and nutritional intake of residents across multiple halls. Observations and interviews with residents revealed consistent complaints about the temperature of the food, with several residents stating that their meals were often cold. This issue was observed during both lunch and breakfast services on different days, indicating a systemic problem with food service delivery. During the lunch service, it was noted that food carts were unheated and left open while trays were being loaded and delivered to various halls. This practice resulted in significant temperature drops in the food items, as evidenced by temperature checks conducted immediately after the last trays were served. For instance, the temperature of breaded beef fried steak and carrots was recorded at 113 degrees Fahrenheit, which is below the recommended serving temperature for hot foods. Similarly, during breakfast service, the unheated food carts were again left open, leading to cold food being served to residents. Temperature checks showed that items like scrambled eggs and pancakes were served at temperatures as low as 78.9 degrees Fahrenheit and 75 degrees Fahrenheit, respectively. These findings highlight a failure in maintaining appropriate food temperatures, which is crucial for ensuring resident satisfaction and nutritional intake.
Deficiencies in Kitchen Cleanliness and Hand Hygiene
Penalty
Summary
The facility failed to maintain cleanliness and proper hygiene standards in the kitchen, as observed during a survey. The kitchen ceiling tiles, air vents, walls, storage racks, exhaustion fan, and garbage disposal were found to be unclean, with rust, black stains, and grease buildup. The garbage disposal was non-operational for about three weeks, leading to leftover food items and a strong odor. Additionally, door frames were chipped, exposing metal, and the metal shelf below the steam table was rusted and bent. These conditions were observed during a survey, indicating a lack of adherence to professional standards for food storage, preparation, and service. The dietary staff also failed to follow proper hand hygiene protocols. A dietary aide was observed contaminating gloves by not washing hands before putting them on and then handling clean plates. Another dietary staff member washed hands but contaminated them again by turning off the faucet with bare hands before handling food. Furthermore, the same staff member did not use soap or sanitize equipment properly when washing a blender blade, bowl, and lid, which were to be used for preparing food for residents requiring mechanical soft diets. These actions were contrary to the facility's hand washing policy, which requires hand washing at the start of a shift and after activities that contaminate the hands.
Failure to Provide Adequate Personal Care and Toenail Maintenance
Penalty
Summary
The facility failed to provide adequate personal care, including bathing and toenail care, for a resident who required assistance with activities of daily living (ADL). The resident, who had severe cognitive impairment and multiple mental health diagnoses, was observed with dry, flaky skin and overgrown toenails that were not properly maintained. The facility's policy required that nails be checked on bath days and reported to the nurse if they needed trimming, but this was not followed. The resident's care plan indicated the need for partial assistance during bathing, yet the resident was observed with poor hygiene and untrimmed toenails. Interviews with staff revealed a lack of proper documentation and follow-up on the resident's bathing and toenail care. The Certified Nursing Assistant (CNA) responsible for the resident's care was unaware of the procedures for providing showers on the closed unit and relied on personal care wipes instead. The Director of Nursing (DON) acknowledged that CNAs had stopped charting baths and showers, and the resident was not included on the podiatrist list for toenail care. The DON and CNA confirmed the resident's toenails were too long and needed attention, but there was no evidence of appropriate action being taken to address the resident's hygiene needs.
Medication Left at Bedside Poses Risk
Penalty
Summary
The facility failed to ensure that medications were not left at the bedside, which could lead to accidents and injuries. This deficiency was identified for one resident who was not assessed to self-administer medications. The resident's care plan and physician orders did not authorize self-administration of medications. Despite this, a medicine cup containing a blue/green liquid was found on the resident's nightstand. The liquid was later identified by an LPN as the resident's anti-diarrhea medication, although the physician's order specified anti-diarrhea pills, not liquid. The incident was observed by a surveyor, who involved the Assistant Director of Nursing (ADON) and the Director of Nursing (DON) in the investigation. The ADON and DON confirmed that medications should not be left in the resident's room, as it posed a risk of other residents accessing it. The DON verified that the resident had not been assessed to self-administer medications and confirmed that the medication was left by an LPN, contrary to the facility's policy and the resident's care plan.
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Illustrative
What surveyors actually found near you
We read the 104 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — 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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Illustrative
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Nursing homes near Little Rock
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Green House Cottages Of Poplar Grove | 0.3 mi | ★★★★★ | 0 | 0 |
| The Springs Of Barrow | 1 mi | ★★★★★ | 4 | 0 |
| Presbyterian Village, Inc | 1 mi | ★★★★★ | 0 | 0 |
| The Blossoms At Breckenridge Rehab & Nursing Cente | 1.2 mi | ★★★★★ | 4 | 0 |
| Briarwood Nursing And Rehabilitation Center,inc | 1.2 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.