Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Conway Healthcare And Rehabilitation Center during CMS and state inspections, most recent first.
A resident who was cognitively intact and admitted for anxiety disorder was discharged to another facility despite having filed an appeal against the involuntary discharge. Staff and the Medical Director reported no evidence of physical abuse or smoking policy violations by the resident. The Ombudsman and the resident's family confirmed the appeal was filed before the discharge, but the facility proceeded with the transfer in violation of policy requiring appeals to be resolved prior to discharge.
The facility failed to maintain a safe and homelike environment, with observations of cluttered floors, detached wall vinyl, and wall rails posing potential hazards. Maintenance was unavailable, and no requests for repairs were documented, indicating a lack of proactive measures to address these issues.
The facility failed to prevent continuous verbal and physical altercations between two residents, despite multiple incidents and staff interventions. These altercations caused distress among other residents and posed a serious risk of harm, leading to a determination of non-compliance with federal regulations.
The facility failed to ensure interventions were utilized to prevent worsening of contractures for two residents. One resident did not have a left elbow extension brace or cushion boots as required, and another resident did not have a hand brace in place, leading to worsening contractures. Both a CNA and an RN confirmed that the absence of these interventions could lead to further complications.
The facility failed to maintain sanitary conditions and properly clean food preparation equipment and utensils in the kitchen. Observations included expired food items, unsanitary surfaces, and improper cleaning of a food processor used to prepare food for residents. Kitchen utensils were also stored in a manner that exposed them to contaminants.
The facility failed to ensure proper hand hygiene by laundry staff between resident rooms while delivering clean laundry and did not keep a trash barrel covered, allowing a resident with severe cognitive impairment to dig through the trash. Staff interviews revealed a lack of adherence to infection control policies and delayed action in addressing the need for a trash barrel lid.
The facility failed to provide pneumonia vaccines to two residents despite having obtained their consent. The current process involves Social Services obtaining consent and uploading it into the chart, but there is a lack of clarity on who ensures the orders are completed, leading to the deficiency.
A resident with severe cognitive impairment and multiple diagnoses was found unable to reach their call light due to improper placement and a fall mat blocking access. The care plan required the call light to be within reach, but this was not adhered to, as confirmed by a CNA.
The facility failed to update the care plan for a resident with severe cognitive impairment and aggressive behaviors. Despite a care plan revision indicating placement on a secured unit, the resident was returned to a regular room after family opposition. The Administrator was unaware of issues with the resident's vulnerable roommate, and the MDS Coordinator stressed the importance of an accurate care plan for quality care.
The facility failed to ensure that a resident was free from unnecessary psychotropic medication. The resident, with severe cognitive impairment and multiple diagnoses, was prescribed Depakote and Quetiapine without appropriate clinical indications or implementation of gradual dose reductions (GDR) and non-pharmacological interventions. Interviews revealed a lack of understanding of the medications' appropriate use and regulatory requirements.
Resident Discharged Despite Pending Appeal
Penalty
Summary
The facility failed to comply with regulations regarding the discharge of a resident who had filed an appeal against an involuntary discharge. The resident, who was cognitively intact and admitted with an anxiety disorder, was issued a 30-day discharge notice. Despite the resident filing an appeal on the same day the notice was given, the facility proceeded to discharge the resident to another facility the following day. The care plan for the resident did not indicate any anticipated discharge, and there was no documentation of smoking behavior or physical abuse by the resident. Multiple staff members, including CNAs and the Medical Director, reported no knowledge or evidence of the resident being physically abusive or violating smoking policies. Interviews with the resident, their family member, and the Ombudsman confirmed that the resident did not want to be discharged and had filed an appeal prior to being removed from the facility. The Ombudsman stated that the appeal was cancelled only after the resident had already been discharged. Facility policy and federal regulations prohibit the transfer or discharge of a resident while an appeal is pending, unless there is a documented risk to health or safety, which was not substantiated in this case. The Administrator acknowledged awareness of the pending appeal but chose to proceed with the discharge regardless.
Facility Fails to Maintain Safe and Homelike Environment
Penalty
Summary
The facility failed to maintain a safe and homelike environment, as evidenced by several observations during environmental rounds. In one room, clutter was observed on the floor, including cardboard boxes, shoes, clothes, personal documents, books, magazines, and plastic grocery bags of clothes, which were spread out between and in front of the privacy curtain. Additionally, a bedside table obstructed the sink pathway, with detached cords lying on the floor. In the dining room, wall vinyl was detaching, and the floor had discolored stains and debris. Another room had a wall rail detached from the wall, held up by a bedside table, and vinyl trim was detached from the wall with gashes present, exposing a grainy white substance. During a tour with the Administrator and the Corporate Nurse Consultant, it was revealed that maintenance was not available, and there were no maintenance requests for the observed issues in the facility's Maintenance Request Book. The Administrator acknowledged the absence of maintenance, and the Corporate Nurse Consultant stated that repairs would be made immediately. However, the lack of documented maintenance requests indicates a failure to address environmental hazards proactively, contributing to the unsafe conditions observed.
Failure to Prevent Resident-to-Resident Abuse
Penalty
Summary
The facility failed to ensure residents were free from abuse, resulting in continuous altercations of verbal and physical abuse between two residents. Resident #47, who has diagnoses including cerebral palsy, bipolar disorder, and PTSD, and Resident #54, who has Down Syndrome and generalized anxiety disorder, were involved in multiple incidents. These altercations included verbal threats and physical aggression, such as kicking and ramming wheelchairs, which were witnessed by other residents and staff. Despite previous incidents and attempts to separate the residents, the facility did not effectively prevent further altercations, leading to a significant risk of harm to all residents in the facility. On multiple occasions, staff observed and intervened in altercations between Resident #47 and Resident #54. For example, on one occasion, Resident #54 rammed their wheelchair into Resident #47, leading to a heated argument and physical aggression. Staff attempted to separate and calm the residents, but the altercations continued to occur. Witnesses, including other residents and staff members, reported that these incidents were frequent and disruptive, causing distress among other residents. Despite these observations, the facility's interventions were insufficient to prevent further incidents. Interviews with staff and residents revealed that the altercations between Resident #47 and Resident #54 were a common occurrence, with some residents expressing feelings of unsafety and disturbance. Staff members reported that they tried to keep the residents apart and monitored them, but these measures were not effective in preventing the altercations. The facility's failure to implement effective interventions and protect residents from abuse led to a determination of non-compliance with federal regulations, posing a serious risk of harm to the residents.
Removal Plan
- Resident #47 was placed on 1 on 1 observation by nursing staff for verbal altercation that occurred in the dining room.
- Resident #54 was placed on 1 on 1 observation by nursing staff for verbal altercation that occurred in the dining room.
- Resident #47 was transported to [local hospital] for medical clearance to be evaluated and treated for behavioral health.
- Nurse consultant in-serviced Administrator, Assistant Administrator, and the Assistant Director of Nursing (ADON) on ensuring any resident-to-resident altercation and any residents that witness the altercation are assessed for psychosocial affects and offered Mental Health Services if needed.
- Assistant Administrator in-serviced all staff on duty on Resident-to-Resident altercations, to stop the altercation immediately, and protect the resident involved. This includes any resident that witnessed the altercation to ensure an assessment is completed to ensure their psychosocial wellbeing is addressed and any Mental Health issues are assessed. Assistant administrator will in-service all oncoming employees before starting assigned shifts.
- Assistant Administrator interviewed all residents that are interviewable for any psychosocial distress and offered mental health care as needed.
- Nurse consultant contacted our behavioral health provider to immediately see any residents that have been negatively affected and were available as needed. Mental Health services provider was notified.
Failure to Prevent Worsening of Contractures
Penalty
Summary
The facility failed to ensure interventions were utilized to prevent worsening of contractures for two residents. Resident #40 had diagnoses of abnormal posture, stiffness of the left shoulder, and stiffness of the left elbow. The care plan indicated the resident required a restorative program to maintain range of motion and prevent contractures, including the use of a left elbow extension brace and cushion boots. However, observations on multiple occasions revealed that these interventions were not in place. Both a CNA and an RN confirmed that the absence of these interventions could lead to worsening contractures and the development of pressure ulcers. Additionally, the resident's care plan was not being followed as prescribed, leading to potential harm to the resident's condition. Resident #66 had a diagnosis of hemiplegia and hemiparesis after a cerebral vascular incident and required a hand brace for at least 16 hours a day. Despite this, observations showed that the resident did not have the hand brace in place, and the contracture had worsened. The CNA mentioned that the resident could not handle the brace anymore and inserted a washcloth in the resident's hand as an alternative. The RN was unaware of the specific interventions in place for the resident's contracture, indicating a lack of proper communication and adherence to the care plan. The absence of necessary interventions led to the worsening of the resident's condition, highlighting a significant deficiency in the facility's care practices.
Unsanitary Conditions and Improper Cleaning Practices in Kitchen
Penalty
Summary
The facility failed to ensure that dishes and utensils were stored under sanitary conditions and that food preparation equipment was cleaned properly in the kitchen. Observations by the surveyor revealed multiple instances of unsanitary conditions, including a hand washing station with water leaking from the base, creating a red-brown stain, and an eye wash station covered in red/brown spots with debris inside. Expired food items, such as tortillas, were found in storage, and various kitchen surfaces, including the backsplash and surveillance camera, were covered in yellow/brown and brownish-gray material, respectively. Additionally, a medium-sized hole was observed in the ceiling, and fans in the kitchen were coated in gray/black matter. The venti hood and surrounding areas were also found to be covered in yellow/brown matter, with a nozzle dripping off the orange rubber piece and a white plastic pipe thickly coated in the same substance. The dishwashing area had discolored tiles, missing tiles, and a large crack in the back wall, with a red/brown stain on one of the tiles and a hole in the middle of it. The back wall of the three-compartment sink was discolored, and a faucet was continuously dripping. The food processor was observed to have soap bubbles and water inside after being run through the dishwasher, and it was used to prepare food for residents without being properly cleaned. Kitchen utensils were stored in a manner that exposed them to contaminants, and a dietary aide was observed touching the inside of a scoop before using it to prepare food for residents on pureed diets. The dietary manager confirmed that the cleaning schedule was the only one in use, and it was evident that the schedule was not being followed adequately. The surveyor observed multiple instances of unsanitary conditions and improper cleaning practices, which were confirmed by the dietary manager and dietary aide. The facility's failure to maintain sanitary conditions and properly clean food preparation equipment and utensils posed a risk to the health and safety of the residents. The observations made by the surveyor highlighted significant deficiencies in the facility's adherence to professional standards for food storage, preparation, and distribution.
Infection Control and Trash Barrel Coverage Deficiencies
Penalty
Summary
The facility failed to ensure proper hand hygiene was performed by laundry staff between resident rooms while delivering clean laundry. During an observation, a laundry employee was seen coughing into her hands and then handling clean laundry without sanitizing her hands. This practice was repeated as the employee moved from one resident room to another, delivering laundry and collecting empty hangers without performing hand hygiene. Interviews with the laundry staff revealed a lack of awareness and adherence to the facility's infection control policies, which require hand sanitization before and after entering resident rooms. Additionally, the facility failed to keep a trash barrel covered, which allowed a resident with severe cognitive impairment to dig through the trash. The resident was observed moving garbage around and lifting items from the barrel, which was located in a common area without a lid. Interviews with staff indicated that there was awareness of the need for a lid on the trash barrel, but it had not been promptly addressed. The Assistant Director of Nursing and the Administrator confirmed that trash barrels should be covered to prevent infection and resident access, and that lids had been recently ordered but not yet implemented.
Failure to Administer Pneumonia Vaccines
Penalty
Summary
The facility failed to provide a pneumonia vaccine for two residents, despite having obtained their consent. The facility's policy specified that each resident should be assessed for pneumococcal immunization upon admission and offered the vaccine unless medically contraindicated or already immunized. However, a review of the electronic health records for both residents showed no information indicating that the pneumonia vaccine was administered, even though consent forms were signed and dated for both residents. The Infection Control Preventionist (IPC) confirmed that the vaccines were never administered and mentioned that the facility was working on a process for vaccine notifications. During interviews, it was revealed that the current process involves Social Services obtaining consent from new residents and uploading the document into their chart. The nurse is then supposed to check the computer for the document and order the vaccine. However, Social Services was not aware of who ensures that the orders are actually completed. This lack of clarity and communication led to the failure in administering the pneumococcal vaccines to the two residents.
Failure to Ensure Call Light Accessibility for Resident
Penalty
Summary
The facility failed to ensure that a resident's call device was within reach, which is a critical aspect of accommodating the needs and preferences of residents. Resident #29, who has severe cognitive impairment and multiple diagnoses including Parkinson's Disease, Type 2 diabetes, and a history of repeated falls, was observed sitting in a wheelchair in the middle of the room with the call light lying across the bed on top of the linens. The resident was unable to reach the call light due to a fall mat impeding access to the bed. This situation was confirmed during an interview with CNA #2, who acknowledged that the call light should have been within reach and moved the resident's wheelchair closer to the bed to rectify the situation. The resident's care plan, which was initiated on 06/01/2020, specifically included an approach to ensure the call light was within reach to mitigate the risk of falls and serious injury. Despite this, the call light was not accessible to Resident #29 at the time of the surveyor's observation. The CNA's statement and subsequent actions confirmed the deficiency, highlighting a lapse in adhering to the care plan and ensuring the resident's safety and ability to call for assistance when needed.
Failure to Update Care Plan for Resident with Severe Cognitive Impairment
Penalty
Summary
The facility failed to update the care plan for a resident with severe cognitive impairment, Down Syndrome, Generalized Anxiety Disorder, and Unspecified Intellectual Disabilities. The resident exhibited disruptive and aggressive behaviors, including yelling at other residents and staff, throwing items, and physically aggressing towards others. Despite a care plan revision indicating the resident was placed on a male secured unit to decrease stimuli, the resident was later returned to a regular room on the 400 hall after a care plan conference where the family opposed the suggested placement. The facility did not update the care plan to reflect these changes accurately. The Administrator acknowledged that the resident was moved to see if a decrease in stimuli would help but was returned to the original hall after being hit. The Administrator was unaware of any issues with the resident's vulnerable, non-verbal, and fully dependent roommate, despite the resident's aggressive behavior towards them. The MDS Coordinator emphasized the importance of an accurate care plan for providing the best quality of care, noting that inaccuracies could result in unmet needs for the resident.
Failure to Ensure Residents Are Free from Unnecessary Psychotropic Medication
Penalty
Summary
The facility failed to ensure that residents were free from unnecessary psychotropic medication, specifically for one resident who was prescribed Depakote and Quetiapine. Resident #51, who had Alzheimer's disease with late onset, unspecified dementia, depression, PTSD, and unspecified convulsions, was receiving Depakote for seizures and behaviors and Quetiapine for PTSD. The physician orders for these medications did not include an end date, and the clinical indications for their use were not aligned with the FDA-approved indications for these drugs. Interviews with the LPN and ADON revealed a lack of understanding of the appropriate clinical indications for these medications and the process for addressing unnecessary medications with the physician, including the use of gradual dose reductions (GDR). The facility did not implement GDR or non-pharmacological interventions prior to or instead of continuing the psychotropic medications, as required by regulations. The quarterly Minimum Data Set (MDS) assessment indicated that Resident #51 had severe cognitive impairment and exhibited behavioral symptoms 1 to 3 days a week. Despite this, the facility did not adequately address the necessity of the psychotropic medications. The LPN and ADON both acknowledged that the resident was receiving these medications for behaviors and mood stabilization, but they did not demonstrate a clear understanding of the appropriate use of these medications or the regulatory requirements for GDR and non-pharmacological interventions. This deficiency highlights a failure in the facility's medication management practices and oversight by the interdisciplinary team (IDT).
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Conway
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Salem Place Nursing And Rehabilitation Center, Inc | 0.2 mi | — | 5 | 0 |
| Heritage Living Center | 1.5 mi | — | 4 | 0 |
| The Blossoms At Conway Rehab & Nursing Center | 1.7 mi | — | 0 | 0 |
| Superior Health & Rehab, Llc | 2.6 mi | — | 0 | 0 |
| Greenbrier Nursing And Rehabilitation Center | 11.5 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.