Sulphur Springs Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Sulphur Springs Health and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Dec 12, 2024

  Based on observation, interview and record review the facility failed to ensure the resident environment remained as free of accident hazards as was possible and failed to ensure each resident received supervision and assistance devices to prevent accidents for 1 of 3 residents (Resident #14) reviewed for accidents and supervision. 1. The facility failed to ensure 2-person assistance was used while providing Resident #14 a bed bath on 06/09/2024. This resulted in Resident #14 falling out of bed and fracturing her right distal tibia (right lower end of the leg). 2. The facility failed to ensure staff knew where to find resident information on the required level of assistance each resident needed. An Immediate Jeopardy (IJ) situation was identified on 12/11/2024 at 4:25 PM. […]

• No harm, potential for more than minimal, widespreadF804Mar 25, 2026

  Based on observation, interview and record review the facility failed to each resident received and the facility provided food and drink that was palatable, attractive, and at a safe and appetizing temperature for 8 of 8 confidential residents, and 1 of 1 meal reviewed for palatability, attractiveness, and appetizing foods. The dietary staff failed to provide food that was palatable and at an appetizing temperature for residents. This failure could place residents at risk of a decreased food intake, hunger, and unwanted weight loss.Findings included: During an observation on 3/24/2026 at 11:50 PM revealed the last temperature was checked of the lunch meal on the warming table with warming plates to prepare to serve the assisted dining area first, main dining, north hall, west hall, and… […]

• No harm, potential for more than minimal, widespreadF812Mar 25, 2026

  Based on observation, interview and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility's 1 of 1 kitchen reviewed for food safety requirements. The facility failed to ensure there was not dust on the air vent above the preparation area.The facility failed to ensure there was no dust and bugs inside the light fixture above the stove. The facility failed to ensure floors did not have a sticky substance.The facility failed to ensure the skillet did not have a carbon buildup around the edge.The facility failed to ensure the baking sheet did not have a carbon buildup around the edge.The facility failed to ensure there was no trash laying on the ground, spilled out of trash bag, in the… […]

• No harm, potential for more than minimal, widespreadF925Mar 25, 2026

  Based on observation, interview and record review the facility failed to maintain an effective pest control program so that the facility was free of pests and rodents for 1 of 1 facility reviewed for pest control. The facility failed have an effective pest control program to eradicate the cockroaches in the facility. This facility failure could place residents at risk for diarrhea, dysentery (infectious diarrhea), salmonella (an infection that can lead to diarrhea, fever, and stomach cramps), and other serious health concerns.Findings included:During an observation on 3/23/26 at 10:40 a.m. revealed 2 alive water bugs in the secure dining area crawling on the floor. During an observation on 3/23/26 at 11:09 a.m. […]

• No harm, potential for more than minimal, widespreadF804Nov 15, 2023

  Based on observation, interview, and record review, the facility failed to provide food that was palatable and served at an appetizing temperature for 3 of 22 residents (Resident's #4, #36, and #42) reviewed for palatable food. The facility failed to provide palatable food served at an appetizing temperature or taste to Resident #4, Resident #36, and Resident #42, who complained the food was served cold, was bland, and did not taste good. This failure could place residents who ate food from the kitchen at risk of weight loss, altered nutritional status, and diminished quality of life. The findings included: During an interview on 11/13/2023 beginning at 10:03 AM, Resident #36 stated the food was terrible. […]