Premier at the Springs: Foot Care Safety Failures - AR
The violation, cited under F0677, covered personal hygiene care. Inspectors determined that some residents were affected.
The facility's own written policy acknowledged the stakes clearly enough. Residents with diabetes, peripheral vascular disease, or other conditions that complicate foot health were supposed to be referred to qualified professionals, including podiatrists and endocrinologists, with staff helping arrange transportation to and from those appointments. For residents without those complicating conditions, trained staff could handle routine care, including toenail clipping, but within professional standards of practice.
That last phrase is where things broke down.
Inspectors reviewed CDC guidelines on infection prevention in podiatry settings. Those guidelines exist for a reason. A toenail clipped without proper precautions can become an ingrown nail. An instrument not properly handled can introduce fungal or bacterial infection. In a population that already includes many residents with compromised circulation or immune function, those are not minor risks.
The inspection did not document that a resident had been visibly harmed. The cited level of harm was minimal harm or potential for actual harm. But the gap between what the facility's own policy required and what staff were actually doing was real enough to draw a federal citation.
Premier at the Springs is a skilled nursing facility. Foot care is among the most routine tasks performed on residents who cannot manage it themselves. The CDC guidelines inspectors referenced are not obscure. They are the baseline.
The inspection was conducted on August 14, 2025, and was triggered by a complaint.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Premier At the Springs from 2025-08-14 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 20, 2026 · Our methodology
PREMIER AT THE SPRINGS in NORTH LITTLE ROCK, AR was cited for violations during a health inspection on August 14, 2025.
The violation, cited under F0677, covered personal hygiene care.
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.