The Lakes At Maumelle Health And Rehabilitation
THE LAKES AT MAUMELLE HEALTH AND REHABILITATION in MAUMELLE, AR — inspection on November 25, 2025.
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
information nor complaints of wound care not being provided for a resident. He reported the facility did have a treatment nurse but if the treatment nurse did not provide wound care the floor nurses were able to complete that care. He indicated if a resident had wound care orders and the wound care was not done it would be considered neglect. He reported it was important for a resident to receive wound care as ordered so they will heal.
On 09/19/2025 at 5:15 PM, during an interview, the DON verified that she first knew about Resident #42 not receiving wound care dressing changes on 08/18/2025.
The DON reported she spoke with LPN #5 on 08/19/2025 and gave a verbal warning.
The DON added LPN #5 did not disagree that the wound care was not completed.
She reported on 09/09/2025 she in serviced LPN #5, gave a written warning to LPN #5 and instructed LPN #5 you will report to me once a week on all the treatments in the facility with pictures and measurements.
The DON reported she met with LPN #5 on 09/12/2025 and discussed the treatments with LPN #5 in the DON's office.
She reported LPN #5 was placed on medical leave 09/18/2025.
The DON indicated it was undetermined if LPN #5 would continue employment when returning from medical leave.
The DON indicated when a resident had ordered wound care and did not receive that wound care it can be seen as neglect.
On 09/19/2025 the DON provided a Performance Plan for LPN #5 dated 09/09/2025.
The plan was signed on 09/09/2025 by LPN #5, the DON and Administrator.
A review of a facility document titled admission Documents included [State]Patient Rights section, dated 05/2017, which indicated the residents have the right to be adequately informed of their health, medical conditions, treatments, refuse medication or treatment and be notified of the consequences of refusals.
Residents have the right to 8.
Receive adequate and appropriate health care, protective and support services with recognized practice standards.
A review of a facility policy titled Abuse Prevention dated 2001, revised 04/2021, indicated Residents have the right to be free from abuse, neglect.
The policy interpretation indicated residents will be protected from abuse, neglect by facility staff and any other individual.
A review of a facility titled Inservice Education Report dated 05/02/2025 stated g. neglect is defined as failure to provide goods and services necessary to avoid physical harm, mental anguish, mental illness or the deterioration of a resident's physical or mental condition A review of a facility document titled Wound Care indicated the purpose of wound care is to promote healing of wounds.
The wound care includes verify physician's orders, assemble the supplies that are needed, utilize personal protective equipment (PPE), wash hands thoroughly, clean wound, apply treatments as indicated, dress wound, and document findings.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/25/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
The Lakes at Maumelle Health and Rehabilitation
103 Alexandria Drive Maumelle, AR 72113
SUMMARY STATEMENT OF DEFICIENCIES
During an interview with the Director of Nursing (DON) on 09/19/2025 at 5:49 PM, she stated the nurses knew how much oxygen to administer to a resident by [looking at] the Medication Administration Record (MAR).
The DON also stated the resident should have an order [from the medical provider] for oxygen to be administered, unless it was a situation where the resident was short of breath, but the nurses should call the doctor [for an order for this].
A review of an Oxygen Administration policy, revised October 2010, revealed the purpose for the policy was to provide guidance for safe oxygen administration and that in preparation for oxygen administration, the Physician's Order should be verified.
Facility ID: