Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F838 in Arkansas. Pick another state for the same tag.
Against expectation — 2025
Arkansas cites F838 more often than its own record predicts
Versus expected share7.17×
7.17 times the share F838 takes of citations nationally.
Share of Arkansas citations1.81%
Of every deficiency written in Arkansas in 2025, this is the portion that was F838.
Arkansas1.81%
National0.25%
Share of all citations that were F838.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arkansas surveyors wrote
F838 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.
D · No harm, potential for more than minimal, isolatedAugust 14, 2026
Based on interviews and facility document review, the facility failed to ensure the facility assessment was utilized to inform staffing decisions to ensure sufficient staffing to meet resident needs, evidenced by not following the facility assessment staffing guidelines for 49 of 93 shifts reviewed from 07/09/2026 day shift through 08/08/2026 night shift.The findings include:Review of a facility policy titled, Facility Assessment, dated 1/15/2026, indicated the facility had an average daily census of 76- . …
C · No harm, potential for minimal, widespreadDecember 4, 2025
Based on record review, interview, and facility policy review, the facility failed to ensure required components were included in the facility assessment dated [DATE].
The findings include:
A review of the Facility Assessment, with the date of assessment or update of 05/01/2025, revealed no governing body member was listed as being involved in the completion of the facility assessment and no staff retention information was documented in the facility assessment.
During an interview on 11/19/2025 at 2:56 PM, the Administrator stated he completed the facility assessment. If he had any nursing questions, he involved the Director of Nursing (DON) and reviewed the facility assessment with the Medical Director for input. …
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