The Springs of Pine Bluff

In the surveyor’s words

From the most serious findings on record at The Springs of Pine Bluff, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 20, 2025

  Based on observation, interview, and facility policy review, the facility failed to ensure that the kitchen air vent was cleaned; the kitchen floor was free of chips, debris, dirt, rust, and stains, and floor tiles were replaced; food items stored in the freezer were covered or sealed; the ice machine was maintained in a clean and sanitary condition in one of one kitchen, and dietary staff washed their hands before handling clean equipment or food items for two of two meals observed. The findings include: During a tour of the kitchen on 06/16/2025 at 8:52 AM, this surveyor observed the following: a. A cabinet below the deep fryer had four gas pilot valves, with grease on them. The bottom of the cabinet had a mixture of grease and greasy food crumbs. […]

• No harm, potential for more than minimal, widespreadF812Mar 28, 2024

  Based on observation and interview, the facility failed to ensure 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; ceiling tiles door frames and floor tiles were free of chips, stains and rust and were maintained in clean sanitary conditions, foods stored in the dry storage area refrigerator and freezer were covered and sealed to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; expired food items were promptly removed from stock to prevent potential food borne illness for residents who received meal trays from 1 of 1 kitchen; foods were dated when opened to assure first in, first out usage to prevent potential for… […]

• No harm, potential for more than minimal, widespreadF812Oct 8, 2021

  Based on observation, record review and interview, the facility failed to ensure kitchen carts, floors, equipment, steam table, and the ice machine were maintained in clean condition, foods were dated, and tightly sealed, expired food was discarded promptly, food was stored off the floor, and glasses were allowed to air dry before use to minimize the risk of food borne illness for residents who received meals from the kitchen and ice from the ice machine located on Hall 300. These failed practices had the potential to affect 55 residents who received meals and ice from the kitchen (total census: 57), as documented on the Diet List provided by the Dietary Service Manager on [DATE]. The findings are: 1. […]

• No harm, potential for more than minimal, patternF677Jun 20, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure nail care was provided for one (Resident #5) of one resident reviewed for nail care and failed to ensure a bath or shower was provided for one (Resident #386) of one resident reviewed for baths/showers. The findings include: Resident #5 During an observation on 06/17/2025 at 9:01 AM, this surveyor observed Resident #5 lying in bed awake. The resident ' s fingernails, on both hands, were past the tips of the fingers and a dark substance was underneath the nail beds. Resident #5 stated not remembering the last time their fingernails were trimmed. During an observation on 06/18/2025 at 2:41 PM, this surveyor observed Resident #5 sitting up in a Geri-chair in their room, awake. […]

• No harm, potential for more than minimal, patternF880Apr 9, 2025

  [NAME] Deputy Based on observation, record review, review of the glucometer manual, review of facility policies, and staff interviews, the facility failed to ensure staff performed proper handwashing, adhered to Enhanced Barrier Precautions (EBP), and correctly disinfected the facility glucometer for two (Resident #2 and #7) of seven residents sampled for infection control. The findings include: On 04/08/2025 at 8:55 AM, during 200 hall observation, Certified Nursing Assistant (CNA) #1 knocked on Resident #2 ' s door, verbalized the resident's name, cleansed her hands with hand sanitizer, donned gloves and a gown, then entered the resident's room, closing the door behind her. Signage on Resident #2's door indicated the resident was on EBP. […]