The Blossoms at Eureka Springs Rehab & Nursing Cen

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF755May 22, 2026

  Based on observation, interview, and record review the facility failed to have an accurate system of medication records that enabled periodic, accurate reconciliation and accounting for all controlled medications with prompt identification of loss or potential diversion of controlled substances for three (Resident #1, Resident #2, and Resident #3) of three residents reviewed. The findings include: Resident #1 Review of Resident #1's admission Record revealed the facility admitted the resident with diagnoses which included type 2 diabetes mellitus, anemia, recurrent depressive disorders and schizoaffective disorder, bipolar type. […]

• No harm, potential for more than minimal, patternF812May 30, 2025

  Based on observation, interviews, and facility policy review, the facility failed to ensure the ice machine was clean and sanitary to avoid contamination of the ice provided to residents in 1 of 1 ice machines. The findings include: During an observation and interview on 05/29/2025 at 9:00 AM, Dietary Manager (DM) #4 was asked to wipe the inside of the ice machine with a white paper towel. A pink and brown discoloration was transferred to the paper towel. DM #4 wiped the bottom of the ice guard, with a different white paper towel, and the surveyor observed pink discoloration transfer to the paper towel. DM #4 wiped the wall on the side above the ice with a new white paper towel. A brown discoloration transferred onto the paper towel. […]

• No harm, potential for more than minimal, patternF880May 30, 2025

  Based on observation, interviews, and record review, it was determined the facility failed to ensure staff performed hand hygiene while providing incontinent care for 1 (Resident #48) of 1 sampled resident reviewed for incontinent care; failed to properly clean a glucometer after use for 1 (Resident #49) of 1 sampled resident reviewed for glucometer use; and failed to ensure staff implemented infection control practices while performing wound care for 1 (Resident #219) of 1 sampled resident reviewed for wound care. The findings are: 1. A review of Resident #48's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 03/12/2025, indicated the resident was dependent on staff for toileting hygiene. a. […]

• No harm, potential for more than minimal, patternF576Aug 29, 2024

  Based on observations, interviews, record review, and facility document review, the facility failed to allow the resident to receive and open their packages for 1 (Resident #12) of 1 resident reviewed for privacy of communication by mail. Findings include: A review of a facility policy titled, Resident Rights, revised on 11/01/2022 and signed by Resident #12 and the facilities representative on 08/24/2023, indicated residents have the right to communicate by mail in privacy. A review of the Admission Record indicated the facility admitted Resident #12 with diagnoses that included major depressive disorder with a single episode, post-traumatic stress disorder, anxiety, and bipolar disorder. […]

• No harm, potential for more than minimal, patternF584Aug 29, 2024

  Based on observations, interviews, record review, facility document review, and facility policy review, the facility failed to maintain limited access to special care residents in 2 of 2 units reviewed for resident comfort and safety. Findings include: A review of a facility policy titled, Resident Rights, revised on 11/01/2022, indicated residents have a right to live in a safe and environment. A review of a facility policy titled, Special Care Unit, revised on 02/15/2022, indicated the facility would maintain a safe environment for residents who were an elopement risk, at risk due to cognitive impairment, and/or occurrences of behavior symptoms. The Interdisciplinary Team (IDT) reviewed appropriate placement for residents quarterly. […]