Based on observation, record review and interview, the facility failed to ensure a resident was promptly provided with toileting assistance, which resulted in an incontinent episode, after which the facility failed to ensure incontinent care and a bed linen change were promptly provided, to maintain good hygiene and prevent odors for 1 (Resident #11) of 39 (Residents #118, 119, 117, 109, 17, 70, 61, 24, 80, 65, 57, 51, 30, 9, 108, 43, 42, 84, 67, 11, 28, 217, 83, 95, 116, 5, 14, 3, 104, 100, 32, 52, 20, 29, 76, 54, 218, 19 and 13) sampled residents who required assistance with toileting. …
F677 citations in Arkansas
ADL care for dependent residents · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arkansas cites F677 less often than its own record predicts
0.64 times the national share — cited less often here than elsewhere.
Of every deficiency written in Arkansas in 2025, this is the portion that was F677.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arkansas surveyors wrote
F677 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, and record review, the facility failed to ensure Activities of Daily Living (ADLs) were completed for one resident (Resident #27) out of 4 residents reviewed for ADL care (Resident #6, #7, and #115). Specifically, incomplete documentation was noted in Resident #27's electronic health record (EHR) regarding Resident #27 received bath/showers, as appropriate. Based on observations, interviews, record review and facility policy review, the facility failed to ensure Activities of Daily Living (ADLs) related to hygiene/bathing were completed for one resident (Resident #27) out of four residents reviewed. …
Based on observation, record review, and interview, the facility failed to ensure fingernails were cleaned and trimmed to promote good personal hygiene for 1 (Resident #43) of 16 (Resident #8, 9, 13, 17, 20, 26, 30, 32, 37, 43, 45, 51, 53, 58, 218 and 264) case mix residents who were dependent on staff for nail care. The failed practice had the potential to affect 39 residents who were dependent on staff for nail care, as documented on a list provided by the Administrator on 2/2/18 at 10:14 a.m. The findings are: Resident #43 had a [DIAGNOSES REDACTED]. a. The care plan (no recent revision date) documented, .ADL (Activities of Daily Living) self-care performance deficit . Date Initiated: 9/23/14 . Approaches . One person assist with personal hygiene, grooming . when needed . …
The short window
Recent years
| Year | Share of Arkansas citations | vs expected |
|---|---|---|
| 2023 | 5.40% | 1.94× |
| 2024 | 4.61% | 1.90× |
| 2025 | 1.45% | 0.64× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arkansas surveyors cite →
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