Above 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 Springs Of Chenal during CMS and state inspections, most recent first.
An LPN and another LPN failed to maintain sterile technique during tracheal suctioning and trach care for a resident with a trach, respiratory failure, pneumonia, and cognitive impairment. During the procedure, supplies fell to the floor, no sterile drape was placed on the bedside table, a solution cup and sterile gloves were contaminated, hand hygiene was not performed after touching the bedside drawer, and the suction catheter contacted a non-sterile table before use. Interviews with the LPNs, NP, ADON, and DON confirmed tracheal suctioning is a sterile procedure and that hand hygiene should occur before gloving and after glove removal.
Staff did not wear gowns as required while providing high-contact care, including device care and transfers, to a resident on Enhanced Barrier Precautions for enteral tube feeding and severe cognitive impairment. Observations and staff interviews confirmed that both CNAs and an LPN failed to follow facility policy for PPE use during these activities.
A facility failed to develop a baseline care plan for a resident with a tracheostomy, who was admitted with a history of malignant neoplasm of the larynx and required specific respiratory care. Despite being cognitively intact and needing suctioning and trach care, the baseline care plan did not address these needs. Interviews with staff confirmed the oversight, highlighting a failure to adhere to the facility's policy of developing a baseline care plan within 48 hours of admission.
The facility failed to maintain proper food safety and hygiene standards, with dietary staff handling food and clean dishes without washing hands, leading to potential cross-contamination. Expired spices and improperly labeled food items were found, and the hand washing policy was contradictory, contributing to improper practices.
The facility failed to prepare and serve meals according to the planned recipes and menus, impacting the nutritional needs of residents. Fortified cereal was incorrectly prepared for breakfast, and fortified foods were not provided for lunch as planned. Dietary staff admitted to not following the recipes and menu, leading to deficiencies in meeting residents' nutritional requirements.
A facility failed to document a resident's advanced directive information in their clinical record, which is essential for ensuring their treatment preferences are known. The resident, admitted with diabetes, heart failure, and peripheral vascular disease, had no advanced directive information on file. The DON confirmed this oversight, acknowledging that such information should be collected at admission as per facility policy.
A facility failed to provide an Advanced Beneficiary Notice (ABN) to a resident and their representative, informing them of the end of Medicare coverage and potential financial liability. The Social Director, responsible for sending the ABN, was not informed by the IDT of the resident's transition to long-term care. Consequently, the resident's care conference person was informed of the change from Medicare to Medicaid payment over a phone call, but the resident was not included in this communication.
Breaks in Sterile Technique During Tracheal Suctioning
Penalty
Summary
The facility failed to ensure sterility was maintained during deep tracheal suctioning for a resident with a tracheostomy and failed to ensure proper hand hygiene was performed during resident care. Resident #1 was admitted with diagnoses including tracheostomy status, non-traumatic intracerebral hemorrhage with intraventricular involvement, acute respiratory failure with hypoxia, pneumonia, and Parkinsonism. The resident’s MDS indicated moderate cognitive impairment and dependence on staff for all self-care abilities. The care plan and physician orders directed tracheostomy suctioning and tracheostomy care, including suctioning for patency and tracheostomy care every shift and as needed. During observation, two LPNs entered the resident’s room to provide tracheal suctioning and trach care. Although both performed hand hygiene and used EBP initially, supplies fell off the bedside table and onto the floor, and they restarted setup. No sterile drape was applied to the bedside table. One LPN touched the inside of the solution cup with a bare hand, contaminated sterile gloves while donning them, and tore a glove while putting it on. She removed the gloves, reached into the bedside drawer for another pair of sterile gloves without performing hand hygiene, and again touched the outside of the gloves with her hands while donning them. The same LPN opened a sterile tracheal suction catheter package and placed the paper sleeve on the bedside table, allowing the catheter attachment area to rest on the non-sterile table. She then performed tracheal suctioning with the catheter after it had contacted the non-sterile table while using gloves that had been contaminated and were not sterile. She also reached into the bedside drawer for more gloves and the disposable inner cannula without performing hand hygiene after touching objects in the drawer, and she touched the resident’s gown and the bare table with gloved hands before placing the new inner cannula. Interviews with the LPNs, NP, ADON, and DON confirmed that tracheal suctioning is a sterile procedure, that the catheter should not touch a non-sterile surface, and that hand hygiene should be performed before donning gloves and after removing gloves.
Failure to Use Proper PPE During Enhanced Barrier Precautions
Penalty
Summary
Staff failed to don proper Personal Protective Equipment (PPE), specifically gowns, while providing care to a resident on Enhanced Barrier Precautions (EBP). Observations revealed that an LPN disconnected and reconnected an enteral feeding pump from a PEG tube without wearing a gown, and CNAs transferred the resident between bed and Geri-chair and provided incontinence care without gowns. These actions occurred despite the resident being care planned for EBP due to enteral tube feeding and severely impaired cognition. Interviews with staff indicated a lack of familiarity with EBP requirements, as one CNA stated she was not familiar with EBP and did not use a gown during care activities. The LPN acknowledged not wearing a gown during device care and understood EBP as a precaution to prevent bacterial transmission. The facility's policy required gown and glove use during high-contact care activities for residents on EBP, including device care and transfers, but this was not followed during the observed care of the resident.
Failure to Develop Baseline Care Plan for Resident with Tracheostomy
Penalty
Summary
The facility failed to develop and implement a baseline care plan to address the needs of a resident with a tracheostomy. The resident, who was admitted with a medical history of malignant neoplasm of the larynx and acquired absence of the larynx, required specific respiratory and tracheostomy care. The admission Minimum Data Set (MDS) indicated the resident was cognitively intact and required suctioning and trach care. However, the baseline care plan did not include any mention of the trach, which was a critical aspect of the resident's care needs. Interviews with facility staff, including the Assistant Director of Nursing (ADON), Director of Nursing (DON), and the Treatment Nurse (TN), confirmed the oversight. The ADON acknowledged that the resident was admitted with a [NAME] tube and had physician orders to clean the surgical incision, yet these details were not included in the baseline care plan. The DON also confirmed that the baseline care plan should have addressed the presence of the trach and included necessary interventions. The TN confirmed adherence to physician orders for cleaning the surgical incision, but the lack of a comprehensive baseline care plan was evident. The facility's policy requires a baseline care plan to be developed within 48 hours of admission to meet the resident's immediate health and safety needs, which was not adhered to in this case.
Food Safety and Hygiene Deficiencies
Penalty
Summary
The facility failed to maintain proper food safety and hygiene standards, as observed during a survey. Dietary staff were seen handling food and clean dishes without washing their hands, leading to potential cross-contamination. For instance, a dietary staff member was observed picking up tray cards and breakfast plates without washing his hands, and another staff member handled clean plates and the plate warmer without proper hand hygiene. Additionally, a dietary staff member used a rag to clean a spill and then proceeded to handle food without washing his hands. The facility also failed to ensure that food items were properly stored and labeled. Expired spices were found on the spice rack, and opened bags of food in the freezer and storage areas lacked open dates. In the medication room refrigerator, several food items belonging to residents were not labeled with names or received dates, and the freezer lacked a temperature gauge. Furthermore, some food items in the freezer showed signs of freezer burn, indicating improper storage conditions. The facility's hand washing policy was found to be contradictory, contributing to improper hand hygiene practices among dietary staff. The policy was reviewed and revised during the survey. However, the initial lack of clarity in the policy may have contributed to the observed deficiencies in hand hygiene practices, as staff were unsure of the correct procedures to follow.
Failure to Follow Nutritional Menus and Recipes
Penalty
Summary
The facility failed to ensure that meals were prepared and served according to the planned written quantified recipe and menu, which is necessary to meet the nutritional needs of the residents. During a survey, it was observed that the fortified cereal served for breakfast was not prepared according to the facility's recipe. Dietary staff added an incorrect amount of butter and brown sugar, deviating from the specified ingredients and quantities outlined in the recipe. This discrepancy was confirmed by the District Dietary Manager, Food Supervisor, and other dietary staff during an interview. Additionally, the facility did not provide the appropriate fortified foods for residents on a fortified diet during lunch. Instead of serving the planned fortified cheesy noodles, the dietary staff placed two sugar packs on the trays, failing to provide the necessary fortified foods. The dietary staff admitted to not considering the fortified diet requirements, and the Food Supervisor acknowledged that fortified potatoes are usually available but were not provided on that day. This oversight further highlights the facility's failure to adhere to the planned menu and meet the nutritional needs of the residents.
Failure to Document Advanced Directive Information
Penalty
Summary
The facility failed to document a resident's decision regarding an advanced directive in a prominent part of the clinical record, which is crucial for ensuring their wishes are known in the event of incapacitation. The deficiency was identified during a review of the clinical records for a resident who had been admitted with diagnoses of diabetes mellitus, heart failure, and peripheral vascular disease. Upon review, the surveyor was unable to locate any information about whether the resident had formulated an advanced directive. The Director of Nursing (DON) confirmed the absence of this information and acknowledged that it should have been obtained at the time of admission. The facility's policy requires that advanced directive information be collected prior to or upon admission and prominently displayed in the medical record. However, this was not done for the resident in question, who had been gone from the facility for over 30 days. The DON admitted that obtaining this information is a vital part of the admission process, which was not adhered to in this case.
Failure to Provide Advanced Beneficiary Notice
Penalty
Summary
The facility failed to provide an Advanced Beneficiary Notice (ABN) to a resident and their representative, which is required to inform them of the discontinuation of Medicare coverage and their potential financial liability for continued skilled services. The resident, who was moderately cognitively impaired, had multiple diagnoses including pneumonitis, acute kidney failure, and anoxic brain damage. The resident's care plan aimed for improvement in mobility and cognition. However, the facility did not send the ABN when the resident's Medicare coverage ended, as confirmed by the Administrative Consultant and the Social Director. The Social Director, responsible for sending the ABN, was not informed by the Interdisciplinary Team (IDT) that the resident was no longer eligible for skilled services under Medicare. The IDT meeting, which typically informs the Social Director of such changes, did not provide a specific date for the transition to long-term care. Consequently, the resident's care conference person was informed of the change from Medicare to Medicaid payment over a phone call, but the resident was not included in this communication. The lack of notification about the Medicare coverage ending resulted in the resident not receiving the necessary ABN to appeal the discharge or prepare for the financial implications.
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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 Little Rock
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Nursing And Rehabilitation Center At Good Shepherd | 1.1 mi | ★★★★★ | 4 | 0 |
| Colonel Glenn Health And Rehab, Llc | 1.4 mi | ★★★★★ | 1 | 0 |
| The Springs Of Barrow | 2.1 mi | ★★★★★ | 4 | 0 |
| The Blossoms At Woodland Hills Rehab & Nursing Cen | 2.7 mi | ★★★★★ | 2 | 1 |
| The Green House Cottages Of Poplar Grove | 2.9 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.