CONWAY HEALTHCARE AND REHABILITATION CENTER Nursing Home


CONWAY HEALTHCARE AND REHABILITATION CENTER (CCN: 045245) is a For profit - Limited Liability company facility located in CONWAY, AR (72034). The facility has an overall rating of 3/5, health inspection rating of 2/5, and a staffing rating of 3/5. It offers 105 certified beds and maintains an average of 69.5 residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 3.87141 total hours per resident per day. It has been certified since August 15, 1994 and the last listed health inspection was on March 17, 2023, The facility is located in Faulkner county and provides senior and nursing home care.

CONWAY HEALTHCARE AND REHABILITATION CENTER Summary


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Provider Name: CONWAY HEALTHCARE AND REHABILITATION CENTER

Address: 2603 DAVE WARD DRIVE, CONWAY, AR 72034

Phone: (501) 329-2149

County: Faulkner (220)

Ownership Type: For profit - Limited Liability company

Certified Beds: 105

Average Residents Per Day: 69.5 ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: FAULKNER SNF OPERATIONS LLC

First Approved Date: August 15, 1994

Affiliated Entity: SOUTHERN ADMINISTRATIVE SERVICES (480)

Retirement Community: N, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Resident

Sprinkler System Status: Yes

Overall Rating: 3 ()

Health Inspection Rating: 2 ()

QM Rating: 5 ()

Long Stay QM Rating: 5 ()

Short Stay QM Rating: 4 ()

Staffing Rating: 3 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 2.68180, LPN Staff Hours Per Day: 0.8049, RN Staff Hours Per Day: 0.3846, Licensed Staff Hours Per Day: 1.1896

Total Nurse Staff Hours Per Day, per resident: 3.87141

Weekend Nurse Staff Hours: 3.46348, Weekend RN Staff Hours: 0.3640

PT Staff Hours Per Day, per resident: 0.0400

Nurse Staff Turnover: 61.5, Nurse Turnover Note:

RN Turnover: 33.3, RN Turnover Note:

Admin Left Number: 1, Admin Turnover Note:

Case Mix Nurse Aide Hours Per Day, per resident: 1.9802, Case Mix LPN Hours Per Day: 0.6245, Case Mix RN Hours Per Day: 0.2753

Adjusted Nurse Aide Hours Per Day, per resident: 2.75902, Adjusted LPN Hours Per Day: 0.9511, Adjusted RN Hours Per Day: 0.5263

Total Adjusted Nurse Hours Per Day, per resident: 4.23685

Adjusted Weekend Nurse Hours Per Day, per resident: 3.79042

Health Survey Dates and Scores: Cycle 1: 2023-03-17 (Score: 40), Cycle 2: 2021-10-22 (Score: 36), Cycle 3: 2020-08-28 (Score: 317)

Total Weighted Health Score: 84.833

Reported Incidents: 2, Substantiated Complaints: 0

Infection Control Citations: 1

Fines and Penalties: Number of Fines: 2, Total Fines in Dollars: 17169.75, Payment Denials Number: 0, Total Penalties Number: 2

Location and GPS: 2603 DAVE WARD DRIVE,CONWAY,AR,72034 (35.0704, -92.465)

Process Date: 2024-03-01


Health Inspection Citations Details

Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2023-03-17

Type: Health, Deficiency: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-04-14

Citation on 2023-03-17

Type: Health, Deficiency: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-04-14

Citation on 2023-03-17

Type: Health, Deficiency: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-04-14

Citation on 2023-03-17

Type: Health, Deficiency: PASARR screening for Mental disorders or Intellectual Disabilities

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-04-14

Citation on 2023-03-17

Type: Health, Deficiency: Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-04-14

Citation on 2023-03-17

Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-04-14

Citation on 2023-03-17

Type: Health, Deficiency: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-04-14

Citation on 2021-10-22

Type: Health, Deficiency: Assure that each resident’s assessment is updated at least once every 3 months.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-11-19

Citation on 2021-10-22

Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-11-19

Citation on 2021-10-22

Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-11-19

Citation on 2021-10-22

Type: Health, Deficiency: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-11-19

Citation on 2021-10-22

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

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-11-19

Citation on 2021-07-28

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity: K - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-07-29

Citation on 2021-06-17

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.

Corrected: Past Non-Compliance on 2021-06-16

Citation on 2020-08-28

Type: Health, Deficiency: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-09-18

Citation on 2020-08-28

Type: Health, Deficiency: Allow residents to self-administer drugs if determined clinically appropriate.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-09-18

Citation on 2020-08-28

Type: Health, Deficiency: Reasonably accommodate the needs and preferences of each resident.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-09-18

Citation on 2020-08-28

Type: Health, Deficiency: Honor the resident's right to manage his or her financial affairs.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-09-18

Citation on 2020-08-28

Type: Health, Deficiency: Assure the security of all personal funds of residents deposited with the facility.

Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-09-18

Citation on 2020-08-28

Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-09-18

Citation on 2020-08-28

Type: Health, Deficiency: Provide safe, appropriate pain management for a resident who requires such services.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-09-18

Citation on 2020-08-28

Type: Health, Deficiency: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-09-18

Citation on 2020-08-28

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

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-09-18

Citation on 2020-08-28

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

Severity: K - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-10-23


Fire Safety Citations Details

Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2023-03-15

Type: Fire Safety, Tag: 0321, Version: New

Description: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-04-14

Citation on 2023-03-15

Type: Fire Safety, Tag: 0347, Version: New

Description: Properly provide smoke detection systems in areas open to corridors.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-04-14

Citation on 2023-03-15

Type: Fire Safety, Tag: 0353, Version: New

Description: Inspect, test, and maintain automatic sprinkler systems.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-04-14

Citation on 2020-08-25

Type: Fire Safety, Tag: 0039, Version: New

Description: Conduct testing and exercise requirements.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-10-08

Citation on 2020-08-25

Type: Fire Safety, Tag: 0353, Version: New

Description: Inspect, test, and maintain automatic sprinkler systems.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-10-08