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 White River Healthcare during CMS and state inspections, most recent first.
The facility failed to maintain kitchen equipment and food storage areas in a clean and sanitary condition, leading to potential cross-contamination and food safety issues. Observations revealed issues with refrigerator seals, thawed frozen items, and grime on kitchen equipment. The Dietary Manager acknowledged these concerns, and the facility's kitchen policies were reviewed, indicating non-compliance with federal and state guidelines.
The facility failed to ensure proper hand hygiene between resident interactions, as observed with a CNA who did not wash hands after assisting one resident and before entering another's room. Additionally, a fan in a resident's room was found with residue, posing a contamination risk. The facility also did not implement Enhanced Barrier Precautions for a resident with a feeding tube, as an LPN did not follow necessary gown and glove use during medication administration.
A facility failed to provide written notification to a resident's representative about a hospital transfer, as required by regulations. The resident, who had severe cognitive impairment and multiple health conditions, was transferred to the ER due to labored breathing and unresponsiveness. The facility relied on a computerized telephone message system for notification and did not send written communication, as confirmed by the social service director.
A facility failed to notify a resident's representative in writing about the bed hold policy upon the resident's transfer to the hospital. The resident, with severe cognitive impairment and multiple diagnoses, was sent to the ER for evaluation. The facility relied on a computerized telephone message system for communication and did not provide written notifications, as confirmed by the social director.
A resident's room contained unauthorized medications and wound cleanser, despite the resident not being permitted to self-administer medication. Staff confirmed these items should not have been present, as the care plan lacked documentation for self-administration. The facility's policy requires an interdisciplinary assessment and documentation for self-administration, which was not followed.
The facility failed to employ staff with the necessary competencies in the food and nutrition service, as the Dietary Manager had not started certification classes despite being in the position since late 2022. Efforts to enroll the manager in a program were incomplete, and a consultant had provided a list of online programs.
The facility did not inform residents or their representatives about the need for a neutral venue in arbitration agreements. This was confirmed through a review of agreements and interviews with staff, revealing that the contracts lacked this information.
Deficiencies in Kitchen Sanitation and Food Storage
Penalty
Summary
The facility failed to maintain kitchen equipment and food storage areas in a clean and sanitary condition, leading to potential cross-contamination and food safety issues. Observations revealed that small bowls were placed on a steam table without covering, and refrigerator door seals were discolored and appeared moldy. The Dietary Manager acknowledged the inability to clean these seals effectively. Additionally, a stand-up deep freezer had thawed ice cream and shakes, with wobbly doors and condensation, indicating improper temperature maintenance. The industrial can opener blade and deep fryer baskets were found with unknown substances, and the deep fryer had a buildup of grime, raising concerns about contamination. Further observations showed that a dry goods storage room chest freezer had a damaged seal, and a stand-up freezer had rust lines and exposed insulation, which could lead to cross-contamination. The use of food tongs for both toast and bacon was noted as inappropriate by the Dietary Manager. A grey double shelf holding gloves and plastic wrap was found with unknown substances, and the facility's kitchen policies were reviewed, indicating a failure to adhere to federal and state guidelines for kitchen sanitation and food storage.
Infection Control Deficiencies in Hand Hygiene and Equipment Cleaning
Penalty
Summary
The facility failed to ensure proper hand hygiene was performed by staff between resident interactions, as observed with a CNA who did not wash hands after assisting one resident and before entering another resident's room. This lapse in hand hygiene was acknowledged by the CNA during an interview, confirming that handwashing should have occurred prior to entering the resident's room. Additionally, the facility did not maintain cleanliness of personal equipment, specifically a fan in a resident's room, which was observed to have a grayish-brownish residue on the blades and screen. The fan was used by a resident with a feeding tube and other medical conditions, and the presence of residue was confirmed by both the Infection Preventionist nurse and the Administrator, who acknowledged that the dirty fan could blow dust into the air. The facility also failed to implement Enhanced Barrier Precautions (EBP) for a resident with a feeding tube, as indicated by the lack of proper gown and glove use during medication administration. An LPN admitted to forgetting about the EBP requirements, which were signified by a red heart signage on the resident's room. This oversight was noted during an observation of the medication administration process, where the LPN did not follow the necessary precautions.
Failure to Provide Written Notification of Hospital Transfer
Penalty
Summary
The facility failed to notify the resident, their representative, or Power of Attorney (POA) in writing about the resident's transfer to the hospital, as required by regulations. The facility's policy on transfer or discharge notice, revised in December 2016, did not include a requirement for written notification to the resident or their representative. Instead, the policy stated that a written notice would be sent in the event of an impending transfer or discharge within 30 days. This deficiency was identified during a review of the records for a resident who was transferred to the hospital. The resident in question had severe cognitive impairment, as indicated by a Brief Interview for Mental Status (BIMS) score of 3, and was diagnosed with conditions including congestive heart failure, atrial fibrillation, and stage 3 chronic kidney disease. On the day of the transfer, the resident exhibited labored breathing and was unresponsive to verbal stimuli, prompting the family to request a transfer to the emergency room. The facility used a computerized telephone message system to notify the family but did not provide written notification, as confirmed by the social service director during an interview. The facility also lacked a business office manager at the time.
Failure to Provide Written Bed Hold Policy Notification
Penalty
Summary
The facility failed to notify resident representatives or Power of Attorney (POA) in writing of the bed hold policy upon a resident's transfer to the hospital, as required. The facility's policy titled 'Transfer or Discharge Notice,' revised in December 2016, did not include any indication of notifying the resident/representative or POA in writing. Instead, the policy stated that a written notice would be sent in the event of an impending transfer or discharge within 30 days. This deficiency was identified during a review of the records for a resident who was admitted with diagnoses including congestive heart failure, atrial fibrillation, stage 3 chronic kidney disease, and a personal history of urinary tract infections. The resident had severe cognitive impairment and was receiving antibiotic therapy. The resident was sent to the emergency room for evaluation and treatment due to labored respirations and unresponsiveness to verbal stimulus. The facility's computerized telephone message system indicated that a message was sent the day after the transfer, but it did not include a written notification of the bed hold policy. During an interview, the social director confirmed that the facility communicates with residents/representatives through the computerized telephone message system and does not send written notifications for the bed hold policy or the reason for hospital transfers. The facility did not have a business office manager at the time, and the social department was responsible for sending notifications.
Failure to Maintain Safe Environment for Resident
Penalty
Summary
The facility failed to ensure that the environment for a resident was free from accident hazards, as evidenced by the presence of medications and wound cleanser in the resident's room. The resident, who had a Brief Interview for Mental Status score of 15, indicating intact cognitive function, was observed to have a bottle of nasal spray on a rolling bedside table, and cough drops and wound cleanser on the dresser. The resident's care plan did not document permission for self-administration of medication, which is a requirement for residents who are allowed to self-administer. Interviews with facility staff, including an LPN and the Director of Nursing, confirmed that the nasal spray, cough drops, and wound cleanser should not have been in the resident's room, as the resident was not authorized to self-administer medication. The facility's policy on self-administration of medication requires an interdisciplinary team assessment to determine if self-administration is safe and appropriate, with proper documentation in the medical record and care plan. The presence of these items in the resident's room without proper authorization and documentation represents a failure to maintain a safe environment free from accident hazards.
Deficiency in Dietary Staff Competency
Penalty
Summary
The facility failed to employ staff with the appropriate competencies and skill sets to carry out the functions of the food and nutrition service, specifically lacking a qualified dietician. During an investigation, it was confirmed that the Dietary Manager had not started classes for dietary certification, despite having taken the position on December 31, 2022. The facility was in the process of enrolling the Dietary Manager in a program, but the necessary paperwork had not been completed. An email from a Dietary Consultant dated August 8, 2024, provided a list of online programs to the Dietary Manager and the Administrator, indicating that steps were being considered but not yet implemented.
Failure to Inform Residents of Neutral Arbitration Venue
Penalty
Summary
The facility failed to ensure that residents or their representatives were clearly informed about the arbitration process, specifically regarding the requirement for both parties to agree on a neutral venue. This deficiency was identified through a review of arbitration agreements for four residents, which did not include any mention of a neutral meeting place. Interviews with the Social Director and the Administrator confirmed the omission, with the Administrator acknowledging that the facility may have left out this critical information in the contracts.
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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 Calico Rock
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pioneer Therapy And Living | 9.8 mi | ★★★★★ | 2 | 0 |
| Southfork River Therapy And Living | 18.3 mi | ★★★★★ | 3 | 0 |
| The Blossoms At Mountain View Rehab & Nursing Cen | 20.2 mi | ★★★★★ | 3 | 0 |
| Lake Forest Senior Living At Mountain Home | 21.9 mi | ★★★★★ | 0 | 0 |
| Eaglecrest Nursing And Rehab | 23.1 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.