Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
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 Little River Nursing & Rehab during CMS and state inspections, most recent first.
A facility failed to include a stage 3 pressure ulcer in a resident's care plan, despite having Physician's Orders for wound care. The resident, diagnosed with Parkinson's disease, pain, and depression, was cognitively intact and had a stage 2 pressure ulcer according to the MDS assessment. The MDS Coordinator and DON confirmed the oversight, acknowledging that the care plan should have addressed the pressure ulcer to ensure consistent care.
A facility failed to document the rationale and duration for continuing a resident's PRN anti-anxiety medication beyond the 14-day limit set by CMS regulations. The resident, with multiple diagnoses including dementia, was receiving psychotropic medications without a documented evaluation of risks versus benefits. The facility's policy required periodic medication reviews, which were not followed, and the Director of Nursing confirmed the absence of necessary documentation.
Failure to Include Pressure Ulcer in Care Plan
Penalty
Summary
The facility failed to ensure that the Comprehensive Care Plan for a resident with a stage 3 pressure ulcer contained the necessary information to fully provide and coordinate care and services. The resident, who had diagnoses of Parkinson's disease, pain, and depression, was cognitively intact and had a stage 2 pressure ulcer as per the Annual Minimum Data Set (MDS) assessment. However, the care plan, last revised on 12/26/2024, did not include the presence of or care instructions for the pressure ulcer. A Physician's Order dated 01/21/2025 indicated specific wound care instructions for a pressure injury, but these were not reflected in the care plan. The deficiency was confirmed through record review and interviews with facility staff. The MDS Coordinator acknowledged that the care plan did not address the pressure ulcer, despite having Physician's Orders for wound care since 12/26/2024. The Director of Nursing also confirmed the oversight, stating that the pressure ulcer should have been included in the care plan to ensure consistent care. The facility's policy on care plans requires the Interdisciplinary Team to develop and implement a comprehensive, person-centered care plan for each resident, which was not adhered to in this case.
Failure to Document Rationale for Extended Use of PRN Psychotropic Medication
Penalty
Summary
The facility failed to ensure that gradual dose reductions (GDR) were attempted for psychotropic medications, specifically anti-anxiety medications, for a resident without a physician's documented evaluation of the specific risks versus benefits of continuing the as-needed (PRN) medication past 14 days. The resident, who had diagnoses including heart failure, chronic obstructive pulmonary disease, and non-Alzheimer's dementia, was receiving anti-anxiety, antidepressant, and hypnotic medications. The facility's care plan indicated the use of anti-anxiety medications for anxiety, and a physician's order allowed for the medication to be given every 12 hours as needed. However, the facility did not document the rationale or duration for continuing the medication beyond the 14-day limit set by CMS regulations. The Consultant Pharmacist Medication Regimen Review (MRR) noted the need for documentation if the medication was to be continued beyond 14 days, but the Advanced Practice Nurse (APN) only noted that the medication should be continued per family request, without providing a clinical rationale or duration. The Director of Nursing (DON) confirmed the absence of this documentation in the resident's medical record. A Letter of Necessity was later provided, indicating the need for long-term use of the medication, but it did not address the pharmacy consultant's recommendation. The facility's policy on medication therapy emphasized the need for periodic review of medications for continued indications, proper dosage, and duration, which was not adhered to in this case.
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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 Ashdown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pleasant Manor Nursing & Rehab | 0.8 mi | — | 1 | 0 |
| Cornerstone Retirement Community | 14.1 mi | — | 5 | 0 |
| Avir At Cowhorn Creek | 14.3 mi | — | 22 | 0 |
| Reunion Plaza Senior Care And Rehabilitation Cente | 14.5 mi | — | 24 | 2 |
| Heritage Plaza Nursing Center | 14.9 mi | — | 1 | 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.