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Complaint Investigation

Fayetteville Health And Rehabilitation Center

Inspection Date: November 21, 2025
Total Violations 1
Facility ID 045220
Location FAYETTEVILLE, AR
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Inspection Findings

F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

#3 looked at Resident #4's Physician Orders, and confirmed the order dated 10/09/2024, instructed for the resident's HOB to be elevated to 30-45 degrees, while in bed.

During an interview on 09/24/2025 at 10:25 AM, the MDS Nurse confirmed Resident #4's Physician's Order specified the residents HOB should be raised 30-45 degrees, while in bed. The resident's Care Plan stated, HOB elevated, but did not specify a degree. The MDS Nurse said Resident #4's Care Plan did not include

the Physician's Order for the HOB to be elevated while the resident was in bed.

During an interview on 09/24/2025 at 12:00 PM, the Director of Nursing (DON) said the Physician's Order and Care Plan should be followed by the facility staff when providing care to any resident. The DON reviewed Resident #4's Physician Order and confirmed the order required the resident's HOB to be elevated at 30-45 degrees, while in bed. The DON then said, if the HOB was not elevated; the resident could aspirate.

During an interview on 09/24/2025 at 12:30 PM, the Administrator said they expected the staff to follow the Physician's Orders and Care Plan when providing care to any resident.

During an interview on 09/24/2025 at 2:54 PM, the Medical Director (MD)/Physician stated any resident who received bolus feedings, should have their HOB elevated when lying in bed, so they would not aspirate or regurgitate. The MD said they were familiar with Resident #4 and with their order for their HOB to be elevated 30-45 degrees, while in bed. The MD then confirmed Resident #4's HOB should be elevated at 30-45 degrees, and their expectations of the staff at the facility was that the Physician Orders be followed word for word.

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

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📋 Inspection Summary

FAYETTEVILLE HEALTH AND REHABILITATION CENTER in FAYETTEVILLE, AR inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in FAYETTEVILLE, AR, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from FAYETTEVILLE HEALTH AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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