Ouachita Nursing And Rehabilitation Center

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

You must ask a close-end question. [Resident #14] can give consent for a medical procedure. The DON had conversation about safe sexual activity, and I had a long conversation about it. [Resident #14] doesn't want to discuss it and will roll [their] eyes. I feel like Resident #14 is competent enough to make decisions. We had mental health see the resident this week and they did some medication changes. We have to monitor and go forward. We have explained all the sexual activity consequences and STD issues to the resident the expectation is definitely not for ‘that’ to happen at all.’ HSKP #3 was terminated immediately. We have all the in-services on abuse and neglect you don't do that. I can't say for sure there were any interventions in place, there was nothing in place for a male not going in to [Resident #14’s] room alone. We have done an in-service that is going in this reportable if there is any new or erratic behavior it needs to be reported to me and the DON immediately.

During an interview on 08/20/2025 at 4:34 PM, [NAME] [CID] City Police Department stated, she was waiting on subpoenas for both HSKP #3 and Resident #14’s information and the CID was going to thoroughly investigate the incident. The [NAME] stated, This is an active open case, and we will be turning everything over to the prosecutor's office.

A review of a facility undated policy titled, Abuse and Neglect Policy and Procedures, Investigation & Reporting, revealed, “it is a policy of this facility to ensure that a system is in place to prevent and detect mistreatment, neglect and abuse of residents and the misappropriation of resident property.” “The following criteria will be utilized in the abuse prevention system: Employee training referred to

the “Residents Rights, Abuse and Neglect Policy, Corporate Compliance, and Rules of employee conduct; Understanding residents abusive conduct, understand differences that lead to conflict. Protective and Prevention Measures included, staff and residents will be supervised in an effort to identify inappropriate behaviors that could signal possible abuse. Identifying situations in which abuse/neglect is more likely to occur included: Upon admission to the facility, each resident will be assessed to determine if

they are at risk for abusing others or if the resident may be at a higher risk for abuse than other residents.

The assessment may include the use of family interviews and documentation from previous institutional providers.” The Abuse Policy did not address sexual abuse. No definition, training for recognition of sign and symptoms, or interventions to prevent sexual abuse.

A review of a facility undated policy titled, Compliance and Ethics Program, indicated the “facility recognizes the importance of and is committed to adhering to legal, professional, and ethical standards of conduct.” “The Program applies to various individuals who are associated with Facility, hereafter collectively referred to as ‘Team Members’.” “All Team Members are required to report any suspected instance of abuse or neglect immediately to the Compliance Officer, Compliance Team, or their supervisor.” “d. Any alleged, suspected or witnessed occurrence of sexual abuse to residents by an individual.”

A review of the Arkansas Code, Subchapter 17- Adult and Long-Term Care Facility Resident Maltreatment Act, Section 12-12-1708- Persons required to report adult or long-term care facility maltreatment, stated, (Q) An employee in a facility was a mandated reported of any suspected abuse.

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/21/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Ouachita Nursing and Rehabilitation Center

1411 Country Club Road Camden, AR 71701

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0656 Level of Harm - Minimal harm or potential for actual harm

a little clearer and you can piece them together. I would talk to Resident #14’s Representative for consent purposes. In my opinion I would not say [Resident #14] was capable of giving consent for sex. The [Representative] said the resident had a history of sexual activity. Resident behaviors are not consent for staff to interact with them sexually. [Resident #14] should only be with female staff, if it's a male staff they should have a female there to limit the exposure.”

Residents Affected - Few

During an interview on 08/21/2025 at 11:57 AM, the DON stated that because of Resident #14’s stroke the resident cannot carry on a conversation. “We know [Resident #14] enough and have been around enough we can communicate with [Resident #14’s] wants and needs.” I have never seen it, but [Resident #14] likes to give oral sex. I don't know how many partners there have been. It has been reported to me about 4 different times, not oral sex just sitting on the front porch with residents. This last incident someone caught [Resident #14] in the act.” The interventions are for Resident #14 to see mental health, get prior approval for a medication to and increase other medications. This is to see if

they will suppress hyper sexuality. The facility staff talked to resident’s Representative in a care plan meeting, and it was determined not to be a new behavior. During the care plan meeting the behavior was discussed. Resident #14’s representative gave consent, “well not really giving consent the [Representative] wishes the resident wouldn't do it. It is not my expectation the residents should have sex with employees.

During an interview on 08/21/2025 at 12:26 PM, the Administrator stated, Resident #14 had grabbed on female and male staff members and male residents. “[Resident #14] had several boyfriends we have had care plan meeting with family. The DON had conversation about safe sexual activity, and I had a long conversation about it. We had mental health see the resident this week and they did some medication changes. We have to monitor and go forward. We have explained all the sexual activity consequences and STD issues to the resident. I don't have answers for why [Resident #14] wase not care planned for any of

the sexual behaviors. I don't feel comfortable answering; it probably should have been. We don't have a policy and procedure on it. “We redirect [Resident #14] and tell the resident they shouldn't do that. I can't say for sure there were any interventions in place, there was nothing in place for a male not going in to [Resident #14’s] room alone.

During an interview on 08/21/2025 at 3:04 PM, the MDS Nurse explained the sexual activity was entered

on the Care Plan. “It was located under the ADLs because it was [Resident #14] and another resident consenting. It was not considered a behavior and there were no interventions for sexual activity.

When something happens or gets reported we update the care plan at that time.”

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Federal health inspectors cited OUACHITA NURSING AND REHABILITATION CENTER in CAMDEN, AR for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-21.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 3 deficiencies cited during this inspection of OUACHITA NURSING AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-12.