F656 in Arkansas. Pick another state for the same tag.
Against expectation — 2025
Arkansas cites F656 more often than its own record predicts
Versus expected share1.37×
1.37 times the share F656 takes of citations nationally.
Share of Arkansas citations4.71%
Of every deficiency written in Arkansas in 2025, this is the portion that was F656.
Arkansas4.71%
National3.44%
Share of all citations that were F656.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arkansas surveyors wrote
F656 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.
J · Immediate jeopardy, isolatedFebruary 23, 2026
Based on record review, observation, interview, and video review, the facility failed to ensure effective care planned interventions were created and implemented following new on-set of wandering and/or elopement associated behaviors, in which Resident #1 attempted on multiple occasions to exit the facility and voiced intent to exit the facility in the future. At the time of the survey, there were 8 residents in the secured unit at risk of eloping.
It was determined the facility's noncompliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. …
Based on observations, interviews, record review, and the facility failed to develop, implement, and update a comprehensive person-centered care plan for 4 (Resident #85, Resident #90, Resident #31, and Resident #81) of 10 residents whose comprehensive care plans were reviewed. Specifically, the facility failed to ensure resident's falls were addressed appropriately in the care plan to prevent any further accidents and failed to follow the care plan related to falls.
Findings include:
A review of a facility policy titled, Comprehensive Care Plans, implemented on 04/2023, indicated, The comprehensive care plan will describe, at a minimum, the following: a. …
D · No harm, potential for more than minimal, isolatedAugust 20, 2026
Based on interviews, record review and facility policy review, it was determined the facility failed to develop and implement a comprehensive person-centered care plan for two (Resident #35 and Resident #5) of two residents reviewed. The findings include:On 08/20/2026 at 2:30 PM, the Administrator stated the facility did not have a policy for care plans. Resident #35A review of the admission Record, indicated the facility admitted Resident #35 on 11/17/2025 with diagnoses that included atrial fibrillation, spinal cord injury, quadriplegia, hypertension, chronic kidney disease neurogenic bladder, heart failure, convulsions, and reduced mobility.A review of the quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 06/04/2026, revealed Resident #35 had a Brief Interview… …
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