Crittenden County Health & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Crittenden County Health & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 7, 2025

  Based on observation, interview, and review of facility policy, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Food items in the walk-in freezer were not labeled or dated. Staff failed to completely cover their hair while in the kitchen. Staff failed to cover prepared food on the warming table. A cold food was not at the proper temperature for serving. These failures had the potential to affect all 61 of the facility's residents who consumed food from the kitchen. The findings include: 1. Review of the facility's policy titled, Storage Procedures, dated 08/2023, revealed, Food shall be properly stored to preserve flavor, nutritive value, and appearance. […]

• No harm, potential for more than minimal, patternF678Jan 21, 2021

  Based on observation, interview, facility policy review, and Crash Cart Daily check form review, it was determined the facility failed to ensure there was an effective system in place to ensure the equipment needed to provide Cardiopulmonary Resuscitation (CPR) was available on the crash cart at all times, to aide in maintaining heart and lung function until emergency transport and care arrived. The facility failed to ensure a suction machine, ambu bag, [MEDICATION(S)], and AED pads, were available on the crash cart at all times, per facility policy and Crash Cart checklist. In addition, the facility failed to ensure the oxygen tank on the cart had oxygen. […]

• No harm, potential for more than minimal, isolatedF756Mar 5, 2026

  Based on interview and record review, the facility failed to ensure the physician acknowledged the pharmacist's recommendation for a resident's monthly medication regime review for one of five sampled residents (Resident (R) 43) reviewed for unnecessary medications.The findings include: On 03/05/2026 at 10:12 AM, the Director of Nursing (DON) stated the facility did not have a policy that specified the timeframe in which a physician must respond to the consultant pharmacist's monthly medication regime review. Review of R43's Resident Face Sheet revealed the facility the resident on 08/27/2020 with diagnoses which included heart failure, hyperkalemia, and gastro-esophageal reflux disease without esophagitis. […]

• No harm, potential for more than minimal, isolatedF880Mar 5, 2026

  Based on observation, interview, record review, document review, and facility policy review, the facility failed to ensure staff wore a gown when they provided care to residents on enhanced barrier precautions (EBP) for one (Resident 42) of one sampled residents reviewed for tube feeding, one of (Resident 33) of one sampled residents reviewed for pressure ulcer/injury, and one (Resident 42) of five sampled residents reviewed for infection control.The findings include: A facility policy titled, Enhanced Barrier Precautions, reviewed 01/2025, specified, Policy: It is the policy of this facility to implement enhanced barrier precautions for the prevention of transmission of multidrug-resistant organisms. […]

• No harm, potential for more than minimal, isolatedF656Feb 7, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to implement multiple interventions on the comprehensive person-centered care plan for one (Resident (R) 37) of two sampled residents reviewed for wound care. Interventions regarding treatment orders, infection control measures, and odor control were not implemented in accordance with the resident's care plan. The findings include: Review of the facility policy, Resident Assessment Comprehensive Care Plans, updated 05/24/2022, revealed the facility must implement a comprehensive person-centered care plan for each resident. […]