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 August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Springs Broadway during CMS and state inspections, most recent first.
A resident with type-2 diabetes, malnutrition, depression, and unsteadiness on feet required extensive help with bathing, dressing, transfers, toileting, and meals, but the facility repeatedly failed to document ADL care such as bed mobility, dressing, toileting, bowel and bladder elimination, transfers, and snacks. Interviews with the CNA, ADON, and DON confirmed that charting was expected to reflect care provided, and facility in-services directed staff to document meals, bowel movements, grooming, skin changes, refusals, and other assigned tasks accurately and on time.
Two residents with severe cognitive and physical impairments did not receive necessary assistance with ADLs, including personal hygiene and nail care. Both had contracted hands with embedded debris, long and dirty nails, and strong odors, with staff confirming that required cleaning and interventions were not performed as outlined in their care plans.
Two residents with severe cognitive impairment and limited mobility experienced worsening hand contractures due to the facility's failure to implement and maintain appropriate interventions. Both residents were observed with contracted hands containing food debris and skin matter, with no evidence of daily cleaning or use of hand rolls or splints. Staff interviews confirmed that contractures were not being monitored or reported, resulting in increased pain and hygiene issues for the affected residents.
Dietary staff prepared and served pureed meals that did not meet required consistency standards, with visible chunks and watery textures observed in foods intended for residents on pureed diets. Staff acknowledged the improper preparation, and six residents with pureed diet orders were affected.
Multiple instances of cross contamination were observed during meal service, including staff handling food and food-contact surfaces with ungloved hands, retrieving utensils from food pans, and allowing food to come into contact with non-food surfaces. Staff acknowledged that these actions could spread infection, and the facility's policy requiring safe food handling was not followed.
A resident who was cognitively intact and dependent on staff for eating due to multiple medical conditions did not receive a palatable meal at a safe temperature. The resident's lunch tray was left unattended, and when a CNA eventually began feeding the resident, the food was found to be cold. The Dietary Manager confirmed that the food temperatures were below the acceptable range.
Missed ADL Documentation and Assistance for a Resident With Extensive Care Needs
Penalty
Summary
The facility failed to provide and document ADL assistance for one resident who was admitted with type-2 diabetes, malnutrition, depression, and unsteadiness on feet. The resident’s MDS showed cognitive intactness with a BIMS score of 15, but also showed the resident needed substantial to maximal assistance with toileting hygiene, lower body dressing, footwear, chair/bed transfer, toilet transfer, and tub/shower transfer, along with partial to moderate assistance with bed mobility and occasional bowel and bladder incontinence. The care plan identified an ADL self-care performance deficit and directed extensive assistance with bathing and dressing, one-person assistance with transfers, set-up assistance with meals/eating, and limited assistance with bed mobility. Record review of the ADL Task Documentation Survey Report showed multiple missed documentation entries for the resident’s care. In February, bed mobility, dressing, toileting ADLs, and snacks were not documented on several occasions. In March, transferring was not documented on multiple occasions, bowel and bladder elimination was not documented for 13 days, and snacks were not documented on 6 days. In April, bowel and bladder elimination was not documented 22 times, transferring 9 times, and snacks 11 times. The report also included a resident-specific in-service stating the resident was to be assisted as needed and every two hours with all ADL care, and to get up every day for all meals except breakfast unless refused. During interviews, the Lead CNA stated that charting was checked at the end of the day and that in-services had been completed on charting, with disciplinary action possible if charting was not done. The ADON stated that documentation acknowledges what care was done and that if it is not documented, the care was not done; the DON similarly stated that documentation shows the care given and that if documentation is not done, the care was not done. Facility in-services instructed staff to document meals, bowel movements, grooming, skin changes, resident concerns, showers, refusals, and other assigned tasks accurately and before the end of the shift. The facility policy stated that residents unable to carry out ADLs independently are to receive appropriate support and assistance with hygiene, mobility, elimination, and dining.
Failure to Provide ADL and Nail Care for Residents with Contractures
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs), specifically personal hygiene and nail care, for two residents with significant cognitive and physical impairments. One resident, admitted with a history of stroke, diabetes, and malnutrition, was observed with a contracted left hand containing embedded food and skin matter, long and dirty nails digging into the palm, and a strong, unpleasant odor. Staff interviews confirmed that the contracture was not being cleaned daily, nail care was overdue, and interventions to prevent skin breakdown were not in place, despite the resident being totally dependent on staff for personal hygiene and at risk for impaired skin integrity. Another resident, with diagnoses including obesity, diabetes, and chronic kidney disease, was also found with a contracted left hand that had not been cleaned or received nail care. Observations revealed food matter, skin flakes, and long, thick nails with dark debris under them. The resident was unable to open the contracted hand fully and reported pain. Staff, including the rehab director and restorative nursing assistants, acknowledged that the contracture had worsened, was not reported or addressed, and that daily cleaning and appropriate interventions were not being performed as required by the care plan. Throughout the survey, multiple staff members, including CNAs, LPNs, and the administrator, confirmed that nail and contracture care should be performed regularly, especially for residents with diabetes and contractures, to maintain hygiene and prevent skin breakdown. However, documentation and direct observation showed that these essential care tasks were not completed as needed, and there was a lack of communication and follow-through regarding the residents' changing conditions and care needs.
Failure to Prevent Worsening of Contractures and Maintain Range of Motion
Penalty
Summary
The facility failed to ensure that two residents with limited range of motion (ROM) did not experience a worsening of their contractures, as required by facility policy and standards of care. Both residents had significant cognitive impairment and were dependent on staff for personal hygiene and mobility. Despite these needs, neither resident had appropriate interventions in place to maintain or improve their ROM, nor were their contractures being managed or monitored effectively by staff. For one resident with a history of stroke, diabetes, and severe cognitive impairment, observations revealed a contracted left hand with embedded digits, food and skin matter present, and nails digging into the palm, causing pain and a strong odor. Staff interviews confirmed that the hand was not being cleaned regularly, interventions for the contracture were not in place, and the contracture had worsened since therapy ended. The care plan did not address the contracture, and staff were unsure when the hand was last cleaned, despite acknowledging the risk of skin breakdown and infection. A second resident, also with severe cognitive impairment and multiple comorbidities, was observed multiple times with a contracted left hand containing food matter and skin flakes, and no interventions in place. The resident reported pain when attempting to open the hand. The Rehab Director was unaware of the contracture and confirmed that it had worsened without being reported or managed. Staff responsible for restorative care stated that contractures should be cleaned daily and managed with hand rolls or splints, but this was not being done. The lack of intervention and monitoring led to a worsening of contractures and associated hygiene issues for both residents.
Improper Preparation of Pureed Diets for Residents
Penalty
Summary
The facility failed to provide food in the proper form for residents requiring pureed diets, as observed during meal preparation and service. Dietary staff were seen preparing pureed chicken pot pie and a broccoli and cauliflower blend that did not meet the required pudding-like consistency. Instead, the pureed foods contained visible chunks of chicken, carrots, peas, and broccoli, and the vegetable blend was described as watery and thin. Both dietary staff and CNAs acknowledged that the pureed foods were not of the correct consistency, with staff specifically noting the presence of chunks and thinness, which did not align with the facility's policy or the recipe instructions for pureed diets. Multiple staff members, including dietary staff and CNAs, confirmed during interviews and observations that the pureed foods were not adequately blended and contained pieces that could pose a risk to residents. The facility's policy and recipe required pureed foods to be smooth and pudding-like, but the observed products did not meet these standards. Six residents with orders for pureed diets were affected by this deficiency.
Cross Contamination During Meal Service
Penalty
Summary
During lunch service, multiple instances of cross contamination were observed in the facility's kitchen. Dietary staff were seen handling food and food-contact surfaces with ungloved hands, including retrieving a scoop from a pan of cream corn and touching the food in the process, as well as touching the inside of bowls and the middle of plates before adding food. Additionally, a bowl of cream corn fell into a pan of baked beans, and the staff used tongs to remove the bowl and then scooped out the cream corn from the beans, but continued to use the same pan of baked beans for resident meals. Staff also prepared guest trays in foam containers, allowing the container tops to touch the food, and cream corn was observed on the outside of the containers. Bread was handled and cut with ungloved hands, and no hand hygiene was performed before or during these actions. Further observations included a staff member pouring juice into a container of pork ribs, during which the bottom of the pan touched the ribs, and the ribs were subsequently served to residents. Interviews with dietary staff and the Dietary Manager confirmed awareness that such practices could lead to cross contamination and potential illness, acknowledging that touching dishes and food with unclean hands could spread infection. The facility's policy required food preparation procedures to avoid contamination, but these procedures were not followed during the observed meal service.
Failure to Serve Palatable Meal at Safe Temperature
Penalty
Summary
The facility failed to serve a palatable meal for a resident who was cognitively intact and dependent on staff for eating due to multiple medical conditions, including functional quadriplegia, hemiplegia, adult failure to thrive, and legal blindness. The resident's lunch tray was delivered but left unattended on a cabinet with the lid half off. The resident expressed willingness to eat if someone would feed her. When a CNA eventually began feeding the resident, the resident complained that the food was not hot. The CNA confirmed that the food should have been warmed before serving. The Dietary Manager later checked the temperatures of the food on the last tray served on the 400 Hall and found that the temperatures were below the acceptable range. The baked ham and black-eyed peas were at 123 degrees Fahrenheit, potatoes at 103.2 degrees Fahrenheit, cinnamon apples at 83.1 degrees Fahrenheit, and cornbread at 103.5 degrees Fahrenheit. The Dietary Manager acknowledged that the temperatures were not in range and stated that another plate would be made. Facility policies indicated that meals should be transported in a manner that ensures proper temperature maintenance and that residents needing assistance should be served last, with the server preparing the tray and assisting the resident as needed.
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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 West Memphis
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Springs Of Avalon | 0.6 mi | ★★★★★ | 0 | 0 |
| Willowbend Health And Rehabilitation, Llc | 3.8 mi | ★★★★★ | 0 | 0 |
| Regional One Health Subacute Care | 8 mi | — | 0 | 0 |
| Harborview Post Acute | 9.3 mi | ★★★★★ | 7 | 0 |
| Parkway Health And Rehabilitation Center | 9.8 mi | ★★★★★ | 1 | 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 August 2026) and official state health department websites.