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Complaint Investigation

Russellville Nursing And Rehabilitation Center

February 26, 2026 · Russellville, AR · 215 South Portland Avenue
Citations 6
CMS Rating 3/5
Beds 100
Provider ID 045340
Healthcare Facility
Russellville Nursing And Rehabilitation Center
Russellville, AR  ·  View full profile →
Inspection Summary

RUSSELLVILLE NURSING AND REHABILITATION CENTER in RUSSELLVILLE, AR — inspection on February 26, 2026.

Found 6 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.

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Inspection Findings

FF0636
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited RUSSELLVILLE NURSING AND REHABILITATION CENTER in RUSSELLVILLE, AR for a deficiency under regulatory tag F-F0636 during a standard health inspection conducted on 2026-02-26.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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 6 deficiencies cited during this inspection of RUSSELLVILLE NURSING AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-03-28.

Federal health inspectors cited RUSSELLVILLE NURSING AND REHABILITATION CENTER in RUSSELLVILLE, AR for a deficiency under regulatory tag F-F0638 during a standard health inspection conducted on 2026-02-26.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Assure that each resident’s assessment is updated at least once every 3 months.

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 6 deficiencies cited during this inspection of RUSSELLVILLE NURSING AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-03-28.

During an interview onˆ[DATE]ˆatˆ11:14ˆAM,ˆthe Administratorˆ(Admin)ˆwasˆtold Residentˆ#20 hadˆdevelopedˆmaggotsˆinˆaˆwoundˆbut could not recall the nurse who made the discovery.ˆThe Admin stated, I know that the LPN and RN Treatment nurses and PA looked [the following day] and did not see any maggots.ˆThe Admin then provided an investigationˆfile, which revealed body audits were done, and daily skinˆchecks were doneˆfor two weeks, [DATE]-[DATE], on Resident #20Resident #20's body audit showed a right hip open area with redness and edema up to the hip, both legs weeping, open area to the right ankle, open area to the back of the left thigh, and wounds and red area to both lower extremities.

The file included an in-service dated [DATE] was given to the LPN Treatment Nurse on Body Audit Review and Nursing Weekly Skin Audit given by Wound Consultant.ˆ During an interview onˆ[DATE]ˆatˆ10:48 AM,ˆthe PAˆsaidˆshe was asked to assess a wound onˆResident #20ˆ's posterior right calf but could not remember when this was.ˆThe PA described the wound as appearingˆvascular,ˆarterialˆor venous, and weeping.ˆThe PA then revealed the wound had already been cleaned by LPN #15 and she did not see maggots.ˆˆˆ During an interview on [DATE] atˆ3:00 PM, the Medical Doctor (MD) revealed she was told Resident #20 had a woundˆinˆJuneˆ2025 but was not told nursing had reported maggots were found in the wound.ˆThe MD revealed that Resident #20 was seen by the PA, and the LPN and RN Treatment Nurses the next day.ˆThe MD revealed that had she known about the existence of myiasis, sheˆdefinitely wouldˆhave made sure Resident #20's right calf wound was cleaned very well and would have met and had a conversation with leadership to discuss how theˆwound got there. We would have had aˆdiscussion about wound care.ˆThe MD revealedˆsheˆoperatesˆa wound clinicˆand depending on the stage, sheˆwould expectˆstaff to notify her forˆtreatment recommendations and try to healˆthe wound.ˆShe then stated thatˆdepending on how bad a woundˆwas,ˆthe MDˆwould see them in the wound clinic orˆcome by [the facility].

The MDˆstatedˆsheˆdefinitelyˆexpectedˆto be notified if maggots were found in a wound.ˆThe MD revealed it would beˆdifficult for a nursing home resident to get maggots in a wound, butˆnot impossible.ˆLarvae are very tiny and might not be seen, it wouldˆdepend onˆif they were getting ready to hatch.ˆˆ ˆ A review ofˆa policyˆtitled, WoundˆDressingˆChange,ˆSterile, revised [DATE], revealedˆto cleanse wound per order.

The policy did not address the procedure to follow with new skin findings.ˆˆˆ A review of an article titled About Myiasis, dated [DATE], by the Centers Disease Control revealed myiasis was a parasitic infection of fly larva or maggots in human tissue.

People who had untreated open wounds were at high risk for getting myiasis, and it could be spread by ticks, mosquitos, and flies. A person with myiasis would normally develop a lump in their tissue that may begin to move as the larvae grows.

The areas would likely to become infected without treatment.

Some larvae move deep into the body, and some flies dropped their eggs on or near a person's wound, sores, or nose.

Treatment was removal of larvae, and daily wound care is important for healing.ˆˆ

Federal health inspectors cited RUSSELLVILLE NURSING AND REHABILITATION CENTER in RUSSELLVILLE, AR for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2026-02-26.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.

Scope/Severity Level D: isolated, 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 6 deficiencies cited during this inspection of RUSSELLVILLE NURSING AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-03-28.

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Federal health inspectors cited RUSSELLVILLE NURSING AND REHABILITATION CENTER in RUSSELLVILLE, AR for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2026-02-26.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Scope/Severity Level D: isolated, 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 6 deficiencies cited during this inspection of RUSSELLVILLE NURSING AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-03-28.

Federal health inspectors cited RUSSELLVILLE NURSING AND REHABILITATION CENTER in RUSSELLVILLE, AR for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2026-02-26.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

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 6 deficiencies cited during this inspection of RUSSELLVILLE NURSING AND REHABILITATION CENTER.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-03-28.

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 RUSSELLVILLE, 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 RUSSELLVILLE NURSING AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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