Based on observation, record review, and interview, the facility failed to ensure [MEDICAL CONDITION] care, including suctioning and replacement of the outer cannula when it became dislodged, was provided when needed and by competent nursing staff, to ensure a resident with copious tracheal secretions maintained a patent airway and prevent serious potential complications for 1 of 1 (Resident #22) sampled residents who had a [MEDICAL CONDITION]. The failed practice resulted in immediate jeopardy, which caused or could have caused serious harm, injury or death to Resident #22, who was observed multiple times with copious secretions that were not suctioned by the licensed nurse responsible for the resident's care and was also observed with his outer cannula dislodged, with the assigned nurse… …
F695 citations in Arkansas
Respiratory care · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arkansas cites F695 less often than its own record predicts
0.33 times the national share — cited less often here than elsewhere.
Of every deficiency written in Arkansas in 2025, this is the portion that was F695.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arkansas surveyors wrote
F695 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 interview and record review, the facility failed to ensure respiratory care and services were provided in accordance with the prescribed Physician's Orders for one (Resident #1) of one resident reviewed. The findings include: Review of Resident #1's Physician's Orders revealed Resident #1 had diagnoses that included chronic combined congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD) and obstructive sleep apnea. The Physician's Orders revealed the following: -Admit to [hospice name] with diagnosis of COPD with an order date of [DATE]. -BIPAP (Bilevel positive airway pressure) to be applied every night with settings preset by respiratory at back up rate-at bedtime with an order date of [DATE]. …
The short window
Recent years
| Year | Share of Arkansas citations | vs expected |
|---|---|---|
| 2023 | 7.32% | 3.14× |
| 2024 | 2.78% | 1.26× |
| 2025 | 0.72% | 0.33× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arkansas surveyors cite →
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