Deficiency Index

The Blossoms at Breckenridge Rehab & Nursing Cente

Little Rock, Arkansas · CCN 045458

27 surveys since 2016, 7 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
94
Surveys
27
Harm or worse
7
Immediate jeopardy
6
The record, 2016–2026
’16’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy6

Findings at the most serious level CMS records.

Beyond CMS’s monthly file21/27

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
143
Ownership
For profit - Limited Liability company
Chain
Independent
County
Pulaski
Medicare-certified since
2016

CMS ratings

Overall
1
Health inspection
2
Staffing
2
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 46 for-profit facilities with 128 or more beds in Arkansas.

Last survey on record

Apr 2, 2026

221 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.503.82
Registered-nurse hours per resident day0.18—
Annual nurse turnover65.1%49.1%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$28,743 across 2 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ13.8%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1142.3%E1038.5%F415.4%
No harm, potential for minimalA—B—C—
CMS’s current file: 26 of the 94 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5842×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5541×

    Allow residents to self-administer drugs if determined clinically appropriate.

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

In the surveyor’s words

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

  • Immediate jeopardy, isolatedF600Jan 8, 2025

    51477 Based on observations, interviews, record review, and facility policy review, the facility failed to ensure residents were free from abuse for 2 (Residents #3 and #5) of 3 sampled residents reviewed for abuse. Specifically, the facility failed to ensure Resident #3 and #5 were free from emotional and physical abuse. 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 the residents. […]

  • Actual harm, isolatedF689Sep 12, 2025

    Based on observations, interviews, record review, and facility document review, the facility failed to ensure a resident who was at risk for elopement was adequately supervised in order to prevent the resident eloping from the secure unit for one (Resident #2) of three residents reviewed for accidents and supervision. The failed practice resulted in past noncompliance at the level of harm, which had the likelihood of causing more than minimal harm to Resident #2, who resided on the secure unit. The Administrator was notified of the past harm situation on 09/12/2025 at 3:50 PM. […]

  • No harm, potential for more than minimal, widespreadF812Nov 21, 2024

    Based on observation, interview and record review, the facility failed to ensure foods stored in the dry storage areas were covered, sealed and dated; 1 of 2 ice machines were maintained in clean and sanitary condition; the kitchen light fixtures were covered; ceiling tiles and door frames were maintained in good repair and were free of chips, stains and rust; baseboards were secured and were maintained in clean sanitary conditions, and dietary staff washed their hands before handling clean equipment or food items for 2 of 2 meals observed. The findings are: 1. On 11/19/24 at 2:34 PM, the following observations were made in the kitchen: a. An opened box of salt was on the food counter. The box was not covered. b. An opened box of mashed potatoes was on the counter. […]

  • No harm, potential for more than minimal, widespreadF838Nov 21, 2024

    Based on record review and interview, the facility failed to ensure the facility assessment included pertinent information to assure the necessary care and resources were allocated to meet the needs of the residents in 1 of 1 facility. This deficient practice had the potential to affect all residents of the facility. The total census was 81 residents. The findings are: The Facility Assessment 2024, dated as completed 05/15/2024, was reviewed and did not contain the following required information: -The involvement of the medical director, director of nursing and direct care staff (these signatures were missing on the review page dated 08/22/2024). -Staffing plan which addressed staffing needs for each resident unit and each shift. […]

  • No harm, potential for more than minimal, widespreadF812Dec 15, 2023

    Based on observation, interview and record review, the facility failed to ensure food stored in the freezer was covered or sealed to prevent potential contamination or freezer burn; 1 of 2 ice machines was maintained in clean and sanitary condition to prevent potential contamination of resident beverages; the kitchen wall and door frames were maintained in good repair and were free of chips, paint peeling, stains and rust; baseboards were secured and were maintained in clean sanitary conditions; 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. […]

Read 25 findings in full →The most serious and the most recent: 25 of 94 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 2, 2026Standard and complaint1 finding
  • Sep 12, 2025Complaint1 finding · 1 harm
  • Jan 8, 2025Complaint3 findings · 1 harm
  • Nov 21, 2024Standard and complaint4 findings
  • Mar 14, 2024Complaint1 finding
  • Dec 15, 2023Standard16 findings
  • Feb 7, 2023Complaint1 finding
  • Oct 27, 2022Complaint3 findings
Show the 19 earlier surveys
  • Sep 29, 2022Standard16 findings
  • Jun 2, 2022Complaint1 finding
  • Sep 10, 2021Complaint2 findings
  • Jul 30, 2021Standard7 findings
  • Jun 25, 2021Complaint1 finding
  • May 25, 2021Infection control2 findings
  • Feb 24, 2021Complaint1 finding
  • Nov 25, 2020Complaint3 findings
  • Oct 2, 2020Complaint2 findings
  • Aug 7, 2020Complaint3 findings
  • Jun 12, 2020Complaint1 finding
  • Mar 13, 2020Standard11 findings
  • Feb 22, 2019Standard2 findings
  • May 18, 2018Standard3 findings
  • May 24, 2017Complaint2 findings · 2 harm
  • Mar 11, 2017Complaint3 findings · 3 harm
  • Feb 2, 2017Standard2 findings
  • Nov 10, 2016Complaint1 finding
  • Jun 24, 2016Complaint1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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