Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 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 Pleasant Manor Nursing & Rehab during CMS and state inspections, most recent first.
The facility failed to maintain sanitary conditions in the ice machine and scoop, improperly stored opened food items, and did not ensure dietary staff practiced proper handwashing techniques, leading to potential cross-contamination. Additionally, hot food was not maintained at the required temperature, and improper storage temperatures were observed in the freezer, affecting 69 residents receiving meals.
The facility failed to notify residents and their representatives of the bed hold policy during hospital transfers. Four residents were affected, with conditions such as end-stage renal disease and pneumonia. The Administrator admitted the absence of a bed hold policy and notification process.
The facility failed to ensure pureed foods were blended to a smooth consistency, posing a risk to residents on pureed diets. Observations showed that pureed beef enchilada, Spanish rice, chicken, and bread were lumpy and thick. Staff acknowledged the improper consistency, indicating a failure to meet dietary needs.
The facility's pest control program was ineffective, leading to a significant fly infestation in the kitchen and dining areas. Observations confirmed numerous flies on food preparation surfaces and equipment, with the issue persisting for several months. The pest control measures in place, including ultraviolet sticky traps, were insufficient to address the problem.
A facility failed to provide a resident with the opportunity to formulate advance directives beyond code status, despite the resident's severe cognitive impairment and multiple diagnoses. The Administrator was unable to differentiate between an Advance Directive and a POLST and could not provide an Advance Directive for the resident, only a DNR policy.
The facility failed to accurately document the PASARR Level II diagnoses in the MDS for two residents with serious mental illnesses. Despite having diagnoses such as bipolar disorder and anxiety, the MDS for these residents was incorrectly marked as not requiring a Level II PASRR. The MDS Coordinator acknowledged the errors during the surveyor's review.
Deficiencies in Food Safety and Hygiene Practices
Penalty
Summary
The facility failed to maintain the ice machine and ice scoop in a clean and sanitary condition, which could lead to the growth of harmful bacteria. Observations revealed wet sage and brown residue in the ice machine and black/gray residue on the scoop holder. The Dietary Manager admitted that the ice machine was cleaned monthly, and the ice was used by CNAs for residents' water pitchers and in the kitchen for beverages. Additionally, opened food items in the refrigerator, freezer, and storage room were not covered, sealed, or dated, increasing the risk of cross-contamination. Items such as salt, liquid margarine, burritos, egg rolls, chocolate chip cookies, garlic, and fish fryer crumbs were improperly stored. Dietary staff failed to practice proper handwashing techniques, leading to potential cross-contamination of food and clean dishes. A Dietary Aide was observed washing her hands improperly, contaminating gloves, and handling clean dishes without changing gloves or washing hands. Another Dietary Aide was seen washing a blender bowl and blade with gloves on, then using the same gloves to handle clean equipment, which had leftover food stuck in the corners. These actions were contrary to the facility's handwashing policy, which requires washing hands before, during, and after food preparation. The facility also failed to maintain hot food at the required temperature, as evidenced by tomato soup being served at 101 degrees Fahrenheit without reheating. Additionally, the walk-in freezer contained mushy popsicles and soft ice cream, indicating improper storage temperatures. Moldy chili and unidentified food items were found in the unit refrigerator, further highlighting the facility's failure to ensure food safety and hygiene. These deficiencies had the potential to affect 69 residents who received meals from the kitchen.
Failure to Notify Residents of Bed Hold Policy During Hospital Transfers
Penalty
Summary
The facility failed to notify residents and their representatives of the bed hold policy, including reserve bed hold payments, when residents were transferred to the hospital. This deficiency was identified for four residents who were transferred to the hospital for various medical conditions, including end-stage renal disease, pneumonia, and sepsis. The facility did not provide written notification of the bed hold policy at the time of hospital transfer, as required. The Administrator admitted that the facility did not send out bed hold notices when residents were hospitalized and acknowledged the absence of a bed hold policy. This lack of notification and policy was confirmed through interviews and record reviews for the residents involved, highlighting a systemic issue in the facility's handling of bed hold notifications during hospital transfers.
Failure to Ensure Proper Consistency of Pureed Foods
Penalty
Summary
The facility failed to ensure that pureed food items were blended to a smooth, lump-free consistency, which is necessary to minimize the risk of choking or other complications for residents requiring pureed diets. During observations, it was noted that the pureed beef enchilada and Spanish rice served to residents were lumpy and not smooth, with visible rice grains in the mixture. The Dietary Manager acknowledged that the pureed rice had chunks and the beef enchilada had lumps, indicating a failure to achieve the required consistency for safe consumption by residents on pureed diets. Further observations revealed that the pureed chicken and bread served to residents were also not prepared to the appropriate consistency, being described as thick and lumpy. Certified Nursing Assistants assisting residents in the dining room confirmed that the pureed barbeque chicken and bread were thick. The Dietary Manager admitted that the pureed foods were thick and should have had more milk added to achieve the correct consistency. This deficiency in food preparation had the potential to affect residents who required pureed diets, posing a risk to their safety and well-being.
Inadequate Pest Control in Kitchen Areas
Penalty
Summary
The facility failed to maintain an effective pest control program, resulting in a significant presence of flies in the kitchen service areas and the main dining room. Pest control invoices revealed inconsistent and inadequate pest management efforts, with services targeting flies only after they became a noticeable issue. Observations made by surveyors on two separate occasions confirmed the presence of numerous flies in various locations within the kitchen, including on food preparation surfaces, equipment, and storage areas. The Dietary Manager acknowledged the issue, noting that the facility had been experiencing problems with flies for several months. Interviews with the pest control representative indicated that the facility's current pest control measures were insufficient, relying primarily on ultraviolet sticky fly traps inside the building and chemical interventions outside. The traps showed minimal effectiveness, capturing only a small number of flies over a period of several weeks. The pest control representative confirmed that the fly problem had been persistent and was not adequately addressed by the existing interventions, highlighting a deficiency in the facility's pest control program that had the potential to affect all residents.
Failure to Provide Opportunity for Advance Directives
Penalty
Summary
The facility failed to ensure that a resident was provided with the opportunity to formulate advance directives beyond code status, which is crucial for making decisions about care in the event of incapacitation. The resident in question, identified as having severe cognitive impairment with a BIMS score of 0, was admitted with multiple diagnoses including Alzheimer's disease, chronic fatigue, hypertension, dementia, and anxiety. Despite these conditions, the clinical records did not show that the resident was given the chance to establish an advance directive. During the survey, the Administrator in Training provided a POLST for the resident, but when questioned, the Administrator was unable to differentiate between an Advance Directive and a POLST, indicating a lack of understanding of the resident's rights and facility policies. Furthermore, the Administrator could not provide an Advance Directive for the resident and only presented a DNR policy, which did not cover the full scope of advance directives. This oversight highlights a deficiency in the facility's processes for ensuring residents' rights to make informed decisions about their care.
Inaccurate MDS Documentation for PASARR Level II Diagnoses
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) accurately reflected the preadmission screening and assessment resident record (PASARR) for two residents with a Level II PASRR diagnosis. Resident #14, who had diagnoses of bipolar disorder, anxiety disorder, and major depressive disorder, was incorrectly marked as not having a serious mental illness in Section A1500 of the MDS. Despite a letter from the State Designated Professional Associates indicating that the resident did not require specialized services beyond the capabilities of the nursing facility, the MDS Coordinator confirmed that the MDS should have been marked 'yes' for a PASARR II diagnosis. Similarly, Resident #45, with diagnoses of depression, anxiety disorder, manic episode, and bipolar disorder, was also incorrectly marked in Section A1500 of the MDS as not needing a Level II PASRR. The resident's care plan noted potential aggressive behavior related to bipolar disorder. The MDS Coordinator acknowledged the error, stating that the MDS should have been marked 'yes' for a PASARR II diagnosis, but was missed. These inaccuracies in the MDS documentation were identified during interviews and record reviews conducted by the surveyor.
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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) |
|---|---|---|---|---|
| Little River Nursing & Rehab | 0.8 mi | — | 0 | 0 |
| Cornerstone Retirement Community | 13.5 mi | — | 5 | 0 |
| Avir At Cowhorn Creek | 13.6 mi | — | 22 | 0 |
| Reunion Plaza Senior Care And Rehabilitation Cente | 13.8 mi | — | 24 | 2 |
| Heritage Plaza Nursing Center | 14.2 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.