Based on interviews, record review, facility document review, and facility policy review, it was determined the facility failed to ensure a written bed hold notification was provided prior to hospital transfer for 1 (Resident #76) of 7 sample residents reviewed for hospitalization . The findings include: 1. A review of the Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/28/2024, indicated Resident #76 had diagnoses of Dementia with other behavior disturbances, encephalopathy, presence of right artificial knee joint and a Brief Interview for Mental Status (BIMS) score of 14 (13-15 indicates cognitively intact). a. A facility letter dated 12/18/2024, indicated Resident #76 was transferred to [named Hospital] for behavior symptoms. b. …
F625 citations in Arkansas
Bed-hold notice · Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arkansas cites F625 more often than its own record predicts
1.89 times the share F625 takes of citations nationally.
Of every deficiency written in Arkansas in 2025, this is the portion that was F625.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arkansas surveyors wrote
F625 findings written in Arkansas, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on record review and interview, the facility failed to ensure written information regarding the facility Bed Hold policy was provided to the resident and/or resident's representative when the resident was transferred to the hospital to protect resident rights for 1 (Resident #7) of 2 (R#7, and #198) sampled residents who were transferred to the hospital in the last 120 days. This failed practice had the potential to affect 10 residents that had been transferred to the hospital in the last 120 days as documented a list provided by the Assistant Director of Nursing on 8/24/22 at 2:45 pm. The findings are: 1. Resident #7 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . …
The short window
Recent years
| Year | Share of Arkansas citations | vs expected |
|---|---|---|
| 2023 | 0.08% | 0.13× |
| 2024 | 0.65% | 0.93× |
| 2025 | 0.54% | 1.89× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arkansas surveyors cite →
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