Based on record review and interview the facility failed to ensure pain management consistent with professional standards of practice was provided for one resident (resident #1) of six (R#1, R#2, R#3, R#4, R#5, R#6) residents reviewed who were admitted with Physician Orders for pain medication. This failed practice had the potential to affect 1 resident who was at risk of pain due to fracture and resulted in past immediate jeopardy that caused or was likely to cause serious harm, injury, or death to Resident #1. The Administrator, Director of Nursing (DON) and the Consultant were notified of the Past Immediate Jeopardy (IJ) on 10/12/22 at 9:38 AM. …
F697 citations in Arkansas
Pain management · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arkansas cites F697 less often than its own record predicts
0.23 times the national share — cited less often here than elsewhere.
Of every deficiency written in Arkansas in 2025, this is the portion that was F697.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arkansas surveyors wrote
F697 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 observation, record review, and interview, it was determined that the facility failed to consistently give prescription pain medication every four (4) hours, as scheduled, for one (1) (Resident #4) of five residents reviewed for medication review. The findings are: A review of an admission Record indicated Resident #4 was admitted to the facility with diagnoses that included: fracture to right ankle, chronic pain syndrome, anxiety disorder, bipolar disorder and borderline personality disorder. The quarterly Minimum Data Set (MDS) with Assessment Reference Date (ARD) of 01/14/2025, revealed Resident #4 had a Brief Interview for Mental Status (BIMS) score of 15, which indicated the resident was cognitively intact for their daily decision making. …
Number of residents sampled:Number of residents cited:Based on interview and record review the facility failed to ensure one (Resident #14) of one resident reviewed for pain management, received their pain medication when requested. The findings include: Review of an admission Record revealed the facility admitted Resident #14 on 10/18/2024 with diagnoses which included age-related osteoporosis with current pathological fracture. Review of a quarterly Minimum Data Set with an Assessment Reference Date of 1/20/2026, revealed Resident #14 had a Brief Interview of Mental Status score of 15 which indicated Resident #14 was cognitively intact. …
The short window
Recent years
| Year | Share of Arkansas citations | vs expected |
|---|---|---|
| 2023 | 0.15% | 0.21× |
| 2024 | 0.06% | 0.08× |
| 2025 | 0.18% | 0.23× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arkansas surveyors cite →
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