Based on record review, interviews, and facility policy review, the facility failed to evaluate and revise the comprehensive care plan related to falls for 1 (Resident #3) of 1 sampled residents reviewed for accidents. Specifically, the facility failed to ensure appropriate fall prevention interventions were initiated after the resident had a fall with major injury. Based on record review, interviews, and facility policy review, the facility failed to evaluate and revise the comprehensive care plan related to falls for one (Resident #3) of one resident reviewed. …
F657 citations in Arkansas
Care plan timing and revision · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arkansas cites F657 less often than its own record predicts
0.78 times the national share — cited less often here than elsewhere.
Of every deficiency written in Arkansas in 2025, this is the portion that was F657.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arkansas surveyors wrote
F657 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 observations, interviews, record reviews, facility document reviews, and facility policy review, it was determined the facility failed to revise and update the care plan to reflect current tube feeding status for 1 resident (Resident #59) reviewed for care planning for tube feeding. Findings include: A review of a facility policy titled, Care Plan, Comprehensive Person-Centered revised December 2016, indicated, .13. Assessments of residents are ongoing and care plans are revised as information about the residents and the residents' conditions change . A review of the Admission Record indicated the facility admitted Resident #59 with diagnoses of dysphagia (difficulty swallowing) and gastrostomy status (feeding tube). …
The short window
Recent years
| Year | Share of Arkansas citations | vs expected |
|---|---|---|
| 2023 | 1.85% | 0.86× |
| 2024 | 2.84% | 1.48× |
| 2025 | 1.45% | 0.78× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arkansas surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction