Beebe Retirement Center, Inc.

In the surveyor’s words

From the most serious findings on record at Beebe Retirement Center, Inc., in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF838Sep 5, 2025

  Based on observations, interviews, record review and facility policy review, it was determined that the facility failed to ensure sufficient staffing in accordance with the facility assessment on 24 of 66 shifts reviewed from 08/10/2025 to 09/01/2025, to ensure required care for was provided. The findings include: Review of the Facility Assessment, which was updated on 09/30/2024, indicated the facility's average census was 81 residents with 13 short term residents, 14 residents in the secure memory care unit, with the remainder the census and required staffing at the following ratio to meet the resident's needs: Day Shift (7am to 3 pm): 1 Certified Nursing Assistant (CNA) per 7 residents and 2 licensed nurses and a Medication Assistant Certified. […]

• No harm, potential for more than minimal, widespreadF812Apr 1, 2022

  Based on observation and interview, the facility failed to ensure leftover food items were used properly to maintain food quality and to prevent potential food borne illness for residents who received meal trays from 1 of 1 kitchen; dietary staff washed their hands between dirty and clean tasks and before handling clean equipment or food items to prevent potential for cross contamination for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 74 residents who received meals from the kitchen (total census: 75), as documented on a list provided by Dietary Supervisor on 3/29/2022 at 11:43 AM. The findings are: 1. On 3/28/22 at 11:35 AM, a zip lock bag that contained pieces of bacon was stored on a shelf in the freezer. […]

• No harm, potential for more than minimal, patternF761Sep 5, 2025

  Number of residents sampled: Number of residents cited: Based on observation, interview and policy review, it was determined the facility failed to ensure to ensure no expired medications were given to residents in two of three medication carts observed for expired medications. The findings include: During an observation on 09/04/2025 at 9:15 AM, this surveyor observed four opened multi-use Lantus insulin pens, one opened Basaglar multi-use insulin pen and one opened Degludec insulin pen, were observed in the top drawer of the medication cart used for 400, 500, and 600 halls. There was no indication of an opened date on the insulin pens. […]

• No harm, potential for more than minimal, patternF641Jul 18, 2024

  Based on observations, interviews, record review, facility document review, and facility policy review, it was determined the facility failed to accurately complete assessments for 2 (Residents #42 and #59) residents reviewed for accurate completion of the Minimum Data Set (MDS). Findings include: A review of a facility policy titled, Resident Assessment Instrument, revised September 2010, indicated, .1. The Interdisciplinary Assessment Team must use the MDS form currently mandated by Federal and State regulations to conduct the resident assessment. Other assessment forms may be used in addition to the MDS form. 2. The purpose of the assessment is to describe the resident's capability to perform life functions and to identify significant impairments in functional capacity. 3. […]

• No harm, potential for more than minimal, patternF880Jul 18, 2024

  Based on observations, interviews, record review, facility policy review, it was determined that the facility failed to ensure proper hand hygiene before, during, and after medication pass for 2 (Resident #6 and #132) residents and failed to ensure enhanced barrier precautions were being followed for a resident with a feeding tube for 1 (Resident #59) of 1 resident reviewed for enhanced barrier precautions. The findings are: 1. A review of the Admission Record, indicated the facility admitted Resident #59 with gastrostomy status (placement of a feeding tube). a. The quarterly Minimum Data Set with an Assessment Reference Date of 06/29/2024 revealed Resident #59 had a feeding tube and received a mechanically altered diet and a therapeutic diet. b. […]