Blossoms at Breckenridge: Aide Hit Resident - AR
The December 18 incident at The Blossoms at Breckenridge Rehab & Nursing Center involved a resident with schizoaffective disorder who scored 7 on a cognitive assessment, indicating significant mental impairment. Federal inspectors found the facility failed to protect the resident from abuse and delayed reporting the incident to state authorities.
Licensed Practical Nurse #2 was sitting at the nurses' station when she heard loud smacking sounds coming from the resident's room. The nurse heard the aide saying "Get up and go to the bathroom" followed by the resident screaming "ow, ow, ow with each hit."
The LPN immediately got the wound care nurse and told the aide to leave. She then asked Certified Nursing Assistant #1 directly if she had hit the resident.
"No I was popping her on the butt," the aide replied, according to the incident report.
The nurse's witness statement described hearing the resident "screaming ouch, ouch from the swats from aide [CNA #1] x4 times." She noted that "from the sound, it was not a clap that was heard."
When inspectors interviewed the resident twelve days later, the victim confirmed the assault. "They hit me on the butt and I hit them back first," the resident told investigators.
The aide, who was no longer employed at the facility by the time of the federal inspection, gave a different account when questioned by investigators. She claimed she "clapped their hands like it was time to get up" and only "patted them on their booty" while telling the resident it was time to use the bathroom.
"No I clapped my hands like I always do, I don't hit residents," the aide insisted when asked directly about striking the resident.
But the Director of Nursing confirmed to inspectors that the LPN had reported hearing "loud [sounds] at the nurses station" and that when questioned, the aide "stated that they clapped her hand but patted her buttocks."
The facility's own incident report documented that the aide "confirmed that they popped the resident on the butt trying to get her to go the bathroom" and that the nurse "heard ouch with each of four swats."
The victim had been admitted to the facility in October with a diagnosis of schizoaffective disorder, a condition that combines symptoms affecting emotional state with impaired thinking and behavior. The resident's care plan noted they were "at risk for alteration psychosocial wellbeing related to living in skilled facility for long term care" but listed no interventions to address this risk.
Beyond the immediate abuse, inspectors found the facility violated federal reporting requirements. The incident occurred at 6:00 AM on December 18, but administrators didn't notify the state Office of Long-Term Care until 10:58 AM the following day.
Federal regulations require nursing homes to report abuse allegations within 24 hours when they don't result in serious bodily injury, or within two hours if they involve abuse or serious injury. The facility's own policy stated reports should be made "immediately" to state authorities.
The administrator acknowledged the delayed reporting to inspectors, saying the facility "tried to send in the reportable within a timely manner but had difficulty." The administrator confirmed that a body audit and assessment of the resident was completed, the employee was suspended, and both the resident's representative and attending physician were notified.
The aide was ultimately terminated after the facility's investigation concluded the abuse allegations were "founded."
During the incident, the LPN described the aide as someone who "wasn't very welcoming with the residents" and "didn't like to repeat herself." The nurse said she "did not see Resident #3 being struck but heard her being struck."
Inspectors also found deficiencies in care planning for another resident. A patient with post-traumatic stress disorder, schizoaffective disorder, and nightmare disorder had a care plan that failed to address the PTSD diagnosis entirely. The resident had been admitted in February 2023 with these documented conditions, but staff responsible for care planning told inspectors that addressing trauma-related triggers "would be a question for the physician."
The Licensed Practical Nurse responsible for completing care plans could not identify all of the resident's mental health diagnoses when questioned by inspectors. When asked about interventions to prevent re-traumatization, she deferred to the physician rather than acknowledging the care plan's gaps.
The Director of Nursing, when asked how active diagnoses are identified for care plans, simply responded "you look in the care plan" — a circular answer that failed to explain how diagnoses make it into the plan initially.
The facility's care plan policy requires plans to "remain current and inform staff of resident's needs, strengths, goals, and approaches" using a "person-centered care" approach. But for the resident with PTSD, no such person-centered interventions existed despite the documented trauma history.
The administrator told inspectors that care plans should help "staff know and understand how to provide proper care for the resident," but acknowledged the plans must be completed within 48 hours of admission and updated quarterly.
The abuse victim, meanwhile, continues to live at the facility with significant cognitive impairment and a care plan that identified psychosocial risks but provided no interventions to address them. The resident who struck back at their attacker remains in a system that failed to protect them from the assault and then failed to report it promptly to authorities who might ensure it never happens again.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Blossoms At Breckenridge Rehab & Nursing Cente from 2025-01-08 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 19, 2026 · Our methodology
The Blossoms at Breckenridge Rehab & Nursing Cente in LITTLE ROCK, AR was cited for violations during a health inspection on January 8, 2025.
Federal inspectors found the facility failed to protect the resident from abuse and delayed reporting the incident to state authorities.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.