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- A validation survey was conducted 4/4/22 to 4/7/22.
- Regs out of compliance –
- N 131 – Facility failed to ensure chemical restraint and seclusion were not used simultaneously for 1 resident.
- N 143 – Facility failed to ensure a physicians order for a physical restraint was signed by the physician for 1 resident.
- N 207 – Facility failed to ensure serious occurrences were reported to the Office of Long Term Care and Disability Rights Arkansas were notified after suicidal attempts taken by 2 residents.
- Plan of Correction – Retraining on restraints/seclusion, review of policies, operational rule for review of all ESIs, review of serious occurrence incidents for compliance with reporting with goal of 100% compliance monthly for 4 months.
- A revisit was conducted on 5/9/22 for all deficiencies cited on 4/7/22. All deficiencies have been corrected, and no new noncompliance was found.
