Conway Healthcare and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Conway Healthcare and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF689Jul 28, 2021

  Based on observation, record review, and interview the facility failed to ensure all windows in the facility were secured so residents could not raise windows and climb out for 1 (Resident #1) of 7 (Residents #1, #2, #3, #4, #5, #6, and #7) sampled residents who were at risk for elopement. This failed practice resulted in immediate jeopardy which caused or could have caused serious harm, injury or death for Resident #1 who exited through his bedroom window and left the facility premises and had the potential to cause more than minimal harm to 64 residents who were at risk for elopement per a list provided by the MDS (Minimum Data Set) Coordinator on 07/28/2021 at 12:13 p.m. The Administrator was notified of the Immediate Jeopardy on 07/26/2021 at 8:28 p.m. The findings are: 1. […]

• Immediate jeopardy, isolatedF600May 6, 2024

  According to observation, record review, and interview the facility failed to ensure residents were free from abuse with continuous altercations of verbal abuse and physical abuse between two residents (Resident #47 and Resident #54). This failed practice had the potential to affect all 66 residents currently in the facility to psychosocial harm from repeated resident to resident abuse altercations. It was determined the facility's non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. […]

• Immediate jeopardy, isolatedF689Jun 17, 2021

  Based on observation, record review and interview, the facility failed to ensure the alarm on the exit door on the men's secured unit was functioning properly to alert staff a resident at high risk for elopement had exited the facility while unsupervised to prevent the potential for accident and or injury for 1 (Resident #6) sample resident who was at high risk for elopement. This failed practice resulted in past noncompliance at the level of immediate jeopardy which caused or could have caused serious injury, harm or death for Resident #6 who after exiting the men's secured unit to the secured courtyard placed a chair up against the privacy fence and climbed over. […]

• No harm, potential for more than minimal, widespreadF812Oct 22, 2021

  Based on observation and interview, the facility failed to ensure the ice scoop holder and ice machine were maintained in clean condition; food items stored in the dry goods area were covered or sealed; and dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. The failed practices had the potential to affect 64 residents who received meals from the kitchen (total census: 66), as documented on a list provided by the Dietary Supervisor on 10/19/2021. The findings are: 1. On 10/18/21 at 12:03 PM, in the nourishment room on the 400 Hall, the ice scoop holder on the wall opposite the ice machine had pinkish substance on the rim of it. […]

• No harm, potential for more than minimal, patternF684Aug 21, 2025

  Based on observation, record review, interview, and facility policy review, the facility failed to ensure resident centered care was provided to two of two (Resident #8 and Resident #69) sampled residents dependent on staff for care based on one of one observation to ensure residents physical and psychosocial needs were met. Specifically, staff did not respond to a feeding tube alarm in a timely manner, a call light was placed out of the reach of a resident, and pain was not addressed in a timely manner. The findings include: Resident #8: During an observation on 08/18/2025 at 2:13 PM, this surveyor observed Resident #8 resting with their eyes closed, their tube feed was beeping, and the pump was not running. The resident's feeding pump said, tube slip detected, remove and reload cassette. […]