The Springs Of Brinkley
The Springs of Brinkley in Brinkley, AR — inspection on February 23, 2026.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
jeopardy to resident health or safety 1.
Mandatory care plan revision following behavior changes with individualized interventions.
be installed by facility maintenance director when received.
Invoice from [online vendor] given to show that shatter-resistant film was ordered and per-tracking order the shatter-resistant film is due to arrive on 02/24/2026.
Per POR Step #4: Monitoring: A. DON/Designee will review the 24-hour report three times weekly for four weeks to identify new or increasing exit-seeking behaviors.
B. DON/Designee will complete weekly audits of five residents for four weeks to identify:
- Elopement risk assessments completed.
- Individualized interventions are present.
- Documentation reflects staff implementation.
After 4 weeks, audits will decrease to monthly for two months, then transition to routine QAPI monitoring.
Per interim DON all unit resident's records were reviewed on Friday and will review the 5 resident charts on every Friday.
The DON completed 24-hour monitoring over the weekend and will monitor 3 times a week.
Calendar was reviewed to show when she monitored the 24-hour report with no negative findings.
045430 02/23/2026
The Springs of Brinkley 1214 North Main Brinkley, AR 72021
During a phone interview on 02/23/26 at 5:55 PM, LPN #9 indicated one of the nurses went outside to smoke around 4:25 AM and noticed the window was broken. LPN #9 indicated Resident #1 was not on the unit, or in the parking lot. LPN #9 indicated he called the Administrator and the police and informed them that there was an elopement. LPN #9 indicated the family was called after the Administrator arrived at the facility. LPN #9 indicated the Administrator, and the DON went out looking for Resident #1. LPN #9 indicated the police called and returned Resident #1 to the facility around 5:05 AM. LPN #9 indicated the DON is notified of changes that need to be made to the care plan by the nurses.
A review of a policy titled, Wandering and Elopements, dated March 2019, revealed if a resident is identified as at risk for wandering, elopement, or other safety issues the resident's care plan will include strategies and interventions to maintain the resident's safety.
A policy titled Missing Resident, dated March 2019 revealed it is the policy of the facility that staff who have residents under their care are responsible for knowing the location of those residents.
A review of an in-service report dated 02/17/2026 revealed rounding should be completed every two hours for all residents. At no time should staff be asleep during their shift.
This is grounds for termination.
A review of a policy titled, Recognizing Signs and Symptoms of Abuse/Neglect, dated April 2021 revealed neglect is defined as failure to provide goods and services as necessary to avoid physical harm.
A review of a form titled, Personnel Action Form, revealed CNA #1 was terminated effective 02/17/2026.
The termination reason was sleeping while on duty.
Following the incident on 02/17/2026 Resident #1 was placed on 1:1 supervision and continued, was moved to a different room on the other side of the hallway within the unit, and shatter proof mesh was ordered for the facility windows.
The facility also terminated CNA #1 effective 02/17/2026, with the reason of falling asleep while on duty.
The facility re-educated staff who worked on the unit following the incident on 02/17/2026, that rounding should be completed every two hours for all residents, and at no time should a staff member be asleep during their shift.
Nurses, support, and administrative staff were interviewed over multiple shifts to verify understanding of training with no negative findings.
These actions were performed before the survey team entered the facility, and verified by interview, observation and document review, resulting in this finding being cited at past non-compliance.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.