Based on observations, interviews, record review, it was determined that the facility failed to ensure the call light system was effectively working for 200 and 300 halls; and failed to implement an emergency backup system for 2 of 4 halls. The facility census was 48. It was determined the facility's noncompliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. The Immediate Jeopardy (IJ) was related to State Operations Manul, Appendix PP, S483.90 (Physical Environment) at a scope and severity of K. The IJ began on 10/06/2024 at 6:00 AM shift change, when night shift staff notified day shift staff that the call lights were not working. …
F919 citations in Arkansas
Call system · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arkansas cites F919 less often than its own record predicts
0.41 times the national share — cited less often here than elsewhere.
Of every deficiency written in Arkansas in 2025, this is the portion that was F919.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arkansas surveyors wrote
F919 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, the facility failed to ensure a resident had a functional call light, and that call light was kept in reach to prevent accidents and injuries for 1 (Resident 25) of 1 resident sampled for resident communication availability and functionality. A review of Medical Diagnosis revealed Resident 25 with a diagnoses of dementia, stroke, and heart failure. The Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 02/07/2024 suggest a Brief Interview for Mental Status (BIMS) score of 00 (00-7 indicates severe cognitive impairment). Section GG0120 reveals resident uses a walker, and section GG0170 indicates Resident 25 can walk 50 feet with supervision. …
The short window
Recent years
| Year | Share of Arkansas citations | vs expected |
|---|---|---|
| 2023 | 0.85% | 1.95× |
| 2024 | 0.41% | 0.94× |
| 2025 | 0.18% | 0.41× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arkansas surveyors cite →
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