Based on interview, record review and policy review the administration (governing body) failed to ensure policies were implemented regarding management and operation of the facility to ensure residents were able to attain or maintain the highest practicable physical, mental, and psychosocial well-being. During the survey, the survey team identified no full-time registered nurse (RN) working 8 consecutive hours per day and licensed practical nurses (LPN) were not certified to assess and manage peripherally insert center catheters (PICC). Additionally, the survey team identified bed rails were installed without consent and residents were not assessed for their needs. The survey team identified residents with falls had not received fall assessments and interventions to prevent further falls. …
F835 citations in Arkansas
Administration · Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arkansas cites F835 more often than its own record predicts
1.23 times the share F835 takes of citations nationally.
Of every deficiency written in Arkansas in 2025, this is the portion that was F835.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arkansas surveyors wrote
F835 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 record review and interviews the facility's Administration failed to ensure residents/ residents representatives received greater than a 24-hour notice before residents were quickly transferred to other nursing facilities to prevent mental anguish and anxiety for all 64 residents transferred on [DATE] and [DATE]. This failed practice affected all 64 residents in the facility per lists provided by the Regional Director on [DATE] between 11:34 AM and 3:34 PM via emails. The findings are: I. Corporate and Administration Interviews: a. On [DATE] at 5:16 PM, the Director of the Office of Long-Term Care (OLTC) conducted a phone interview with the Regional Director of (Corporation). She asked what was going on at the (Facility in Little Rock). …
Based on observations, interviews, and record review, the facility administration failed to effectively and efficiently manage its resources to ensure all residents who resided in the facility attained and maintained their highest practicable mental and psychosocial well-being. The findings include: Review of a facility document titled, Application for Employment, dated 09/25/2000, indicated the Administrator had experience that included office manager in a nursing facility in Arkansas, was a certified nursing assistant (CNA) in an at home nursing agency, had experience billing Medicaid, filing Medicaid paperwork, handling accounts payable, and doing timecards. …
The short window
Recent years
| Year | Share of Arkansas citations | vs expected |
|---|---|---|
| 2023 | 0.08% | 0.27× |
| 2024 | 0.24% | 0.72× |
| 2025 | 0.36% | 1.23× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arkansas surveyors cite →
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