Arkansas Veterans Home at Fayetteville

In the surveyor’s words

From the most serious findings on record at Arkansas Veterans Home at Fayetteville, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Mar 2, 2022

  Based on observation, record review and interviews the facility failed to ensure interventions were developed and implemented to provide adequate supervision after a resident exited the building for 1 (Resident #1) of 3 (Residents #1- #3) who either were at risk of elopement and/or who had exited the facility. This failed practice resulted in immediate jeopardy, which caused or was likely to cause serious injury, serious harm, or death to Resident #1, who was actively mobile and exited the facility through an unsupervised exit door, resulting in injuries after the resident fell . The Administrator was notified of the Immediate Jeopardy on 3/1/22 at 2:20 PM. The findings are: 1. […]

• No harm, potential for more than minimal, widespreadF802Jan 26, 2024

  Based on observation, interview and record review, the facility failed to ensure a sufficient number of competent staff were employed to safely and effectively carry out the functions of 1 of 1 kitchen in the facility which fed 45 residents. The findings are: On 1/24/24, the Certified Dietary Manager served lasagna, lettuce salad and chilled dessert to residents on the 500 and 600 halls. The lasagna did not temp to the required temp of 135.0 degrees, and the lettuce salad temp was 103.0 degrees which it should be 41 degrees or below. […]

• No harm, potential for more than minimal, widespreadF804Jan 26, 2024

  49071 Based on observation, record review and interview, the facility failed to ensure meals were served at temperatures that were acceptable to the residents, to improve palatability and encourage good nutritional intake during 1 of 1 meal observed. The failed practice had the potential to affect 45 residents who received meal trays in their rooms and in dining rooms on 500 and 600 Hall. The findings are: 1. On 1/24/24 at 12:13 PM the surveyor observed the first tray being served on the kitchen line. The Certified Dietary Manager took the temperature of the food on the steam table with the following results; lasagna 173.3, lettuce salad 39.0, and the chilled dessert 36 degrees. 2. […]

• No harm, potential for more than minimal, widespreadF812Jan 26, 2024

  Based on observation, record review and interview the facility failed to ensure that hot food was maintained at or above 135 degrees before serving and failed to ensure that cold food maintained at or below 41 degrees before serving, to minimize the potential for food borne illnesses for residents who received meals from 1 of 1 kitchen, and facility failed to ensure food was covered during transport. These failed practices had the potential to affect 45 residents who received meals from the kitchen. the findings are: 1. On 1/24/24 at 12:13 PM, surveyor observed the first tray being served on the kitchen line. The Certified Dietary Manager took the temperature of the food on the steam table with the following results; lasagna 173.3, lettuce salad 39.0, and the chilled dessert 36 degrees. 2. […]

• No harm, potential for more than minimal, widespreadF812Oct 21, 2022

  Based on observation and interview, the facility failed to ensure food items stored in the refrigerator, freezer, and storage area were covered and sealed; dietary staff washed their hands before handling clean equipment or food items; failed to ensure 1 of 3 ice machines were maintained in a clean and sanitary condition to prevent potential contamination of residents' beverages for residents who received meals from 1 of 1 kitchen and hot foods were maintained at or above 135 degrees Fahrenheit on the steam table while awaiting service to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen and failed to ensure staff fully covered the mouth and nose with their mask while serving a meal. […]