Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Waldron during CMS and state inspections, most recent first.
The facility failed to serve meals according to the planned menu, resulting in residents on mechanical soft diets receiving only 2 ounces of meatballs instead of the required 4 ounces. The dietary staff did not prepare enough meatballs, leading to nutritionally imbalanced meals.
The facility failed to ensure proper food storage and handling practices, with multiple instances of opened and unsealed food items and expired products not removed. Dietary staff did not adhere to hand hygiene and glove use protocols, contaminating gloves and handling food without washing hands. These actions violated the facility's handwashing policy, contributing to the deficiencies observed.
The facility failed to ensure proper hand hygiene practices by staff, as observed with two CNAs and an Infection Control/Wound Care Nurse. The CNAs did not change gloves appropriately while caring for a resident with cognitive impairment and incontinence, and the nurse did not use hand sanitizer or proper PPE while treating a resident with a pressure ulcer. The DON confirmed the importance of hand hygiene between glove changes.
A facility failed to ensure a resident's privacy and dignity during care. The resident, with moderate cognitive impairment and frequent incontinence, was observed receiving care from two CNAs without privacy measures in place. Despite being in a private room, one CNA stated privacy was not needed due to the lack of a roommate, while the other acknowledged potential privacy issues. The DON confirmed that privacy measures should always be in place, aligning with the facility's dignity policy.
A resident with a stage II pressure ulcer did not receive wound care as per the physician's order. The order required cleansing with normal saline, but the Infection Control/Wound Care Nurse used a dermal wound cleanser instead. The DON confirmed the discrepancy, noting it could impact the resident's healing.
A facility failed to provide adequate incontinence care for a resident with moderate cognitive impairment and frequent incontinence. During an observation, two CNAs did not clean all areas exposed to urine, which they acknowledged could lead to skin breakdown. The DON confirmed that all areas should be cleaned to prevent infections, as per facility policy.
The facility failed to prepare meals that were palatable and visually appealing, as evidenced by two residents' complaints about the lack of seasoning. Observations revealed poor food handling practices by a dietary staff member, who admitted to not seasoning the rice properly and allowing it to clump together. The rice was described as sticky and bland by both the Assistant Dietary Manager and the Dietary Manager.
The facility failed to prevent Legionella growth in its water system and did not ensure proper PPE use for a resident on droplet precautions. The Maintenance Director and DON were unaware of their roles in the water management team, and a CNA was observed not following PPE protocols for a COVID-19 positive resident.
Failure to Serve Meals According to Planned Menu
Penalty
Summary
The facility failed to ensure that meals were prepared and served according to the planned written menu, resulting in nutritionally imbalanced meals for residents on mechanical soft diets. On December 9, 2024, the noon meal menu specified that residents on pureed regular diets and mechanical soft diets were to receive 4 ounces of meatballs in sauce. However, during the meal service, the dietary staff member, DC #1, used a 2-ounce spoon to serve only 2 ounces of ground meatballs to eight residents, instead of the required 4 ounces. This resulted in the prepared meatballs running out after serving only eight residents. Subsequently, additional meatballs were prepared, but again, DC #1 served only 2 ounces to the remaining nine residents. The Assistant Dietary Manager confirmed that one meatball weighed 1 ounce, indicating that the residents received fewer meatballs than required. DC #1 admitted to not preparing enough meatballs, as only two bags were available in the freezer, whereas three or four bags were needed to meet the menu requirements. This oversight led to the failure to provide nutritionally balanced meals as per the planned menu.
Food Storage and Hand Hygiene Deficiencies
Penalty
Summary
The facility failed to ensure proper food storage and handling practices in the kitchen, dry storage areas, refrigerator, and freezer. Observations revealed multiple instances of opened and unsealed food items, including baking soda, brown sugar, grits, salt, soy sauce, cake mix, fortified milk, cornmeal, doughnuts, coconut, yogurt, shredded carrots, vegetables blend, biscuits, chicken nuggets, peas and carrots, onion rings, fries, and corn on the cob. Additionally, expired food items, such as baking soda, were not promptly removed from storage. These practices do not align with professional standards for food safety and storage. The dietary staff also failed to adhere to proper hand hygiene and glove use protocols. During meal preparation and service, staff members were observed contaminating gloves by touching non-food items and failing to change gloves or wash hands before handling food. Specific instances included a dietary staff member using contaminated gloves to handle bread sticks, check meatball temperatures, and serve meals. Another staff member was observed contaminating gloves by touching tray cards and clothing, then handling plates and food without washing hands or changing gloves. The facility's policy on handwashing, which requires washing hands before working with food, utensils, or equipment, and as needed during food preparation, was not followed. This lack of compliance with hand hygiene and food safety protocols contributed to the deficiencies observed during the survey, indicating a failure to maintain a safe and sanitary environment for food preparation and service.
Failure in Hand Hygiene Practices
Penalty
Summary
The facility failed to ensure proper hand hygiene practices were followed by staff while providing care to residents. Specifically, two Certified Nursing Assistants (CNAs) did not use proper hand hygiene when caring for a resident with moderate cognitive impairment and frequent incontinence. The CNAs were observed not changing gloves appropriately and handling clean items with dirty gloves, which was confirmed by one of the CNAs who acknowledged the lapse in hand hygiene. Additionally, the Infection Control/Wound Care Nurse did not adhere to proper hand hygiene or use the appropriate Personal Protective Equipment (PPE) while providing wound care to a resident with an unhealed stage II pressure ulcer. The nurse admitted to usually using hand sanitizer after removing gloves but failed to do so during the observed care. The Director of Nursing confirmed that staff should wash or sanitize hands between glove changes and should not apply clean items with dirty gloves.
Failure to Ensure Resident Privacy and Dignity
Penalty
Summary
The facility failed to ensure care was provided to a resident in a manner that promoted dignity. The resident, who had moderate impaired cognition and was frequently incontinent, was observed receiving care from two CNAs without any measures in place to promote privacy and dignity. Despite the resident being in a private room, CNA #3 stated that privacy measures were not implemented because the resident did not have a roommate. However, CNA #2 acknowledged that someone could walk into the room, which would pose a privacy issue. The Director of Nursing confirmed that privacy measures should be in place regardless of the room type, as someone could enter the room or look through the window. The facility's policy on dignity emphasized that each resident should be cared for in a manner that enhances their sense of well-being and self-esteem.
Failure to Follow Physician's Order for Wound Care
Penalty
Summary
The facility failed to adhere to a physician's order for wound care for a resident with a stage II pressure ulcer. The resident, who was cognitively intact, had a care plan indicating a risk for impaired skin integrity due to impaired mobility and declining health. The physician's order specified that the wound on the right side of the sacrum should be cleansed with normal saline, followed by the application of Leptospermum (Manuka) honey and a hydrocolloid dressing. During an observation, the Infection Control/Wound Care Nurse was seen using a dermal wound cleanser instead of the prescribed normal saline. The nurse acknowledged the error, stating that the order was misread. The Director of Nursing confirmed that the use of wound cleanser instead of normal saline did not comply with the physician's order, which could potentially harm the resident and affect the healing process of the wound.
Inadequate Incontinence Care for a Resident
Penalty
Summary
The facility failed to provide adequate incontinence care for Resident #5, who had moderate impaired cognition and was frequently incontinent of bowel and bladder. During an observation, Certified Nursing Assistants (CNAs) #2 and #3 did not clean all areas of the perineal and buttock regions that had been exposed to urine. Both CNAs confirmed that not all areas were cleaned, acknowledging that this could potentially leave urine on the resident and cause skin breakdown. The Director of Nursing stated that all areas exposed to urine should be cleaned to remove germs, urine, and stool, and to prevent skin breakdown. The facility's policy on perineal care emphasizes the importance of cleanliness, comfort, and infection prevention.
Deficiency in Meal Preparation and Palatability
Penalty
Summary
The facility failed to ensure that meals were prepared in a manner that maintained appearance and taste acceptable to residents, which is crucial for improving palatability and encouraging good nutritional intake. During an observed meal, two residents expressed dissatisfaction with the food, citing a lack of seasoning. One resident mentioned that the food was sometimes good and sometimes bad, while another described the food as horrible and lacking seasoning. The deficiency was further evidenced by the actions of Dietary [NAME] (DC) #1, who was observed using a contaminated gloved hand to push rice into a pan, indicating poor food handling practices. The rice was described as sticky and bland by both the Assistant Dietary Manager and the Dietary Manager. DC #1 admitted to not seasoning the rice properly, allowing it to clump together, and failing to mix in the butter thoroughly. She acknowledged tasting the rice after cooking and confirmed it was bland, indicating a lack of adherence to proper cooking and seasoning procedures.
Inadequate Infection Control and Water Management
Penalty
Summary
The facility failed to implement adequate measures to prevent the growth of Legionella and other opportunistic waterborne diseases in its building water system. The Water Management Program policy required weekly control measures such as visual inspections, disinfection levels, and temperature checks to be conducted by the maintenance director or designee. However, during an interview, the Maintenance Director admitted to having no knowledge of Legionella, and the Administrator was unaware of the process, relying on corporate maintenance for guidance. The Director of Nursing, who was supposed to be part of the water management team, also lacked awareness and had not been monitoring the situation. Additionally, the facility did not ensure proper use of Personal Protective Equipment (PPE) for a resident on droplet precautions due to a COVID-19 diagnosis. The care plan and physician's orders specified the need for PPE, including gowns, gloves, and masks, to prevent the spread of infection. However, a Certified Nursing Assistant (CNA) was observed entering the resident's room with only a surgical mask, contrary to the posted droplet precaution instructions. The CNA and another staff member were unable to articulate the necessity of using the correct PPE, indicating a lack of understanding and adherence to infection control protocols.
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What surveyors actually found near you
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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 Waldron
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Oak Manor Nursing And Rehabilitation Center Inc | 19.6 mi | ★★★★★ | 2 | 0 |
| The Green House Cottages Of Homewood | 20.9 mi | ★★★★★ | 0 | 0 |
| Pink Bud Home For The Golden Years | 23.8 mi | ★★★★★ | 0 | 0 |
| Heavener Nursing & Rehab | 28.2 mi | ★★★★★ | 0 | 0 |
| Greenhurst Nursing Center | 28.3 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.