The Blossoms at Berryville Rehab & Nursing Center

In the surveyor’s words

From the most serious findings on record at The Blossoms at Berryville Rehab & Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Apr 28, 2021

  Based on observation, record review, and interview the facility failed to ensure a resident, who was at high risk for elopement and wore a Wander Guard transmitter, was adequately monitored and failed to ensure Wander guard alarms were audible or loud enough for staff to hear and respond in a prompt manner to prevent the potential for elopement, accident, and or injury for 1 (Resident #1) of 4 (Residents #1, #2, #3, and #4) sampled residents who were at high risk for elopement and wore Wander Guard transmitters. […]

• Actual harm, patternF760Apr 23, 2026

  Based on observations, interviews, record review and facility policy review, it was determined that the facility failed to ensure significant medication errors did not occur for two (Resident #1 and Resident #5) of five residents reviewed for medication administration. The findings include: Resident #1 Review of Resident #1's admission Record, indicated the facility admitted Resident #1 on 03/09/2026 with diagnoses that included pneumonia, chronic obstructive pulmonary disease (COPD), cognitive communication deficit, congestive heart failure, atrial fibrillation, pulmonary hypertension, peripheral vascular disease, chronic kidney disease stage 3, hypertension, hyperlipidemia, and aortic valve stenosis. […]

• No harm, potential for more than minimal, widespreadF812Dec 4, 2025

  Based on observation, interview, and facility document review, the facility failed to ensure that the food preparation equipment and environment were maintained in a clean and sanitary condition to prevent contamination and the potential development of foodborne pathogens, specifically, not cleaning the drip pans and fish fryer. The findings include: During an observation on 12/01/2025 at 11:20 AM, during the initial tour of the facility's kitchen, this surveyor observed the drip pans were covered with aluminum foil, approximately two feet long, by two feet wide. […]

• No harm, potential for more than minimal, widespreadF812Aug 8, 2024

  Based on observations, interviews, facility document review, and facility policy review, the facility failed to ensure the following: foods stored in walk in refrigerator was stored off the ground for 1 of 1 kitchen, that beneath the dishwasher was clean for 1 of 1 kitchen, standing water in front of the refrigerator in kitchen and in walk in refrigerator with towels/sheet in floor absorbing water in 1 of 1 kitchen, drinks in the unit refrigerator was labeled, dated and covered for 1 of 3 dining rooms, foods on the unit was dated and used by expiration/best by date 1 of 3 dining rooms, resident's and employee foods not stored in the same refrigerator in 1 of 3 dining rooms and the refrigerator was clean and in sanitary condition for 1 of 3 dining rooms in order to prevent cross… […]

• No harm, potential for more than minimal, widespreadF725Jun 16, 2022

  Based on observation, record review and interview, the facility failed to ensure sufficient staff were available at all times to provide nursing and related services to meet the residents' needs safely. This failed practice had the potential to affect all 51 residents as documented on the Resident Census and Conditions of Residents provided by the Director of Nursing (DON) on 6/13/22 at 9:20 AM. The findings are: 1. On 06/12/2022 at 1:03 PM, Certified Nursing Assistant (CNA) #3 was setting up a resident's lunch tray at the feeding assistance table and left the tray uncovered with no aide to feed the resident. 2. On 06/12/2022 at 1:04 PM, CNA #3 was setting up another resident's lunch tray at the feeding assistance table with no aide to feed resident. 3. […]