Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before 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 Quapaw Care And Rehabilitation Center Llc during CMS and state inspections, most recent first.
The facility failed to maintain cold food items at the required temperatures and did not keep one of the ice machines in a clean and sanitary condition. Cold food items were observed above the required 41 degrees Fahrenheit, and an ice machine in the therapy room had a wet brownish residue. The ice machine was used for residents' water pitchers and kitchen beverages.
The facility failed to prevent access to hazardous chemicals by allowing a resident to have odor eliminators at the bedside and leaving an unlocked housekeeping cart unattended. Additionally, the facility did not ensure the proper use of a mechanical lift, as CNAs used it with its legs in the closed position, contrary to the manufacturer's guidelines.
The facility failed to provide timely perineal care for a resident with cerebral palsy, leading to prolonged periods of incontinence and strong odors. Additionally, another resident's catheter bag and tubing were observed dragging on the floor, risking infection. The DON confirmed these practices were against protocol.
The facility failed to ensure meals were served at acceptable temperatures, affecting multiple residents who received meal trays in their rooms. One resident reported that the food was often not warm enough, with cold eggs and lukewarm coffee being common issues. An unheated food cart delivered to the 400-Hall had food items measured at unacceptable temperatures, further confirming the deficiency.
The facility failed to provide appropriate hand hygiene during perineal care for a resident with severe cognitive impairment and during medication administration by an LPN. Both staff members did not follow hand hygiene protocols, increasing the risk of infection spread among residents.
The facility failed to date and change the portable nasal cannula tubing for a resident every 7 days as required, potentially affecting two residents receiving oxygen therapy. The undated tubing was observed tucked into the resident's wheelchair, and staff confirmed the oversight and lack of a specific policy for oxygen storage.
The facility failed to ensure that a medication was stored securely, leading to potential misappropriation. An LPN left arthritis gel unattended on a cart while washing hands, and the DON confirmed that medications should not be left unattended. The facility lacked a policy on medication storage.
The facility failed to obtain informed consent for a resident prior to administering immunizations, which had the potential to affect all 87 residents. The consent form was not marked for or against vaccination, and the resident confirmed they did not consent. The facility's policy states that residents may refuse immunizations, but this was not followed.
Cold Food Temperature and Ice Machine Sanitation Deficiencies
Penalty
Summary
The facility failed to ensure cold food items were maintained at the required temperatures on the pans of ice by the steam table while awaiting service. On 05/01/2024, it was observed that the temperatures of the cold food items, including regular potato salad, mechanical potato salad, and coleslaw, were above the required 41 degrees Fahrenheit. Dietary Employee #1 confirmed that the cold food items should have been kept at 41 degrees Fahrenheit and acknowledged that they should have been set on ice while in the refrigerator. Additionally, the facility failed to maintain one of the two ice machines in a clean and sanitary condition. On 05/05/2024, the ice machine panel in the therapy room on the 500-hall was found to have a wet brownish residue. The Dietary Supervisor confirmed that the residue was brownish dirt and stated that the ice machine was used by CNAs for residents' water pitchers and by the kitchen for beverages served at mealtimes. The ice machine had been in use since the kitchen's ice machine broke down, and it was cleaned once a month by the maintenance man.
Failure to Prevent Access to Hazardous Chemicals and Improper Use of Mechanical Lift
Penalty
Summary
The facility failed to ensure that odor eliminators were not at the bedside for Resident #18, who was diagnosed with cerebral palsy, major depressive disorder, and anxiety. The resident, who was cognitively intact, had two 27-ounce bottles of scented odor eliminator labeled with warnings to keep out of reach of children and instructions for ingestion. These bottles were observed on top of a small refrigerator near the foot of the bed. The Licensed Practical Nurse (LPN) confirmed that residents should not have deodorizers in their rooms due to the risk of ingestion by residents with dementia who may wander into other rooms. The Director of Nursing (DON) also confirmed that it is inappropriate for residents to have odor eliminators in their rooms for the same reason. There was no policy on odor eliminators in the facility. Additionally, the facility failed to ensure the mechanical lift was used correctly. Certified Nursing Assistants (CNAs) used the lift with its legs in the closed position due to space constraints, which is against the manufacturer's guidelines that require the legs to be in the open position for stability to prevent falls. The DON confirmed that the legs should be in the open position to stabilize the lift's center of gravity. The manual guide for the mechanical lift also documented that the legs must be in the maximum opened/locked position before lifting a resident. Furthermore, the facility failed to ensure that the housekeeping cart was kept closed and locked. The surveyor observed an unattended housekeeping cart with the door open, keys in the door, and chemicals inside. Housekeeping staff admitted to leaving the cart unlocked and unattended, which could have allowed residents to access harmful chemicals. The DON confirmed that housekeeping carts should be locked to prevent residents, especially those with dementia, from ingesting chemicals. The facility did not have a policy on accidents and hazards related to housekeeping carts.
Failure to Provide Timely Perineal Care and Proper Catheter Management
Penalty
Summary
The facility failed to provide timely perineal care for a resident diagnosed with cerebral palsy, major depressive disorder, and anxiety, who required maximum assistance for toileting and bathing. Despite the care plan indicating the need for frequent peri care and the use of absorbent pads, the resident was observed to have a strong, foul odor in their room on multiple occasions. The resident reported being wet and not having their brief changed promptly. Certified Nursing Assistants (CNAs) were observed leaving the resident without changing the brief, and the Licensed Practical Nurse (LPN) confirmed that incontinent residents should be checked and changed every two hours, which was not done in this case. The Director of Nursing (DON) also confirmed that all staff are responsible for ensuring residents are clean and dry, but this protocol was not followed for this resident. Additionally, the facility failed to ensure proper catheter care for another resident. The resident's catheter bag and tubing were observed dragging on the floor while being transported in a wheelchair, which the CNA was unaware of until pointed out. The DON confirmed that the catheter bag and tubing should not drag on the floor as it could introduce infection or cause a leak. The facility's policy on perineal/catheter care did not contain pertinent information to prevent such occurrences.
Failure to Maintain Acceptable Food Temperatures
Penalty
Summary
The facility failed to ensure meals were served in a method that maintained the appearance of cold products and at temperatures that were acceptable to the residents. This deficiency was observed during one of two meals, affecting multiple residents who received meal trays in their rooms across various halls. Specifically, Resident #34, who had diagnoses of diabetes mellitus, chronic obstructive pulmonary disease, and depression, reported that the food was often not warm enough, with cold eggs and lukewarm coffee being common issues. The resident's care plan indicated a regular diet with specific instructions for breakfast, including enhanced cereal and prune juice, but the resident expressed dissatisfaction with the food quality and temperature during an interview with the surveyor. On another occasion, an unheated food cart containing nine breakfast trays was delivered to the 400-Hall. The temperature of the food items on the test trays was measured immediately after the last resident was served, revealing that the milk was at 46 degrees Fahrenheit, sausage at 103 degrees Fahrenheit, ground sausage with gravy at 105.9 degrees Fahrenheit, pureed sausage at 110 degrees Fahrenheit, scrambled eggs at 105.8 degrees Fahrenheit, and gravy at 108 degrees Fahrenheit. These temperatures were not acceptable to the residents and did not meet the standards for maintaining food palatability and safety, as evidenced by the residents' complaints and the surveyor's observations.
Failure to Adhere to Hand Hygiene Protocols
Penalty
Summary
The facility failed to provide appropriate hand hygiene during perineal care for a resident with severe cognitive impairment and multiple diagnoses, including dementia and anemia. During an observation, a CNA was seen performing perineal care on the resident without changing gloves or performing hand hygiene before handling clean linens and dressing the resident. The CNA acknowledged the lapse in protocol when questioned by the surveyor. The Director of Nursing confirmed that the staff should perform hand hygiene after perineal care and before handling clean items, as per the facility's policies on perineal care and hand hygiene. Additionally, the facility failed to use proper hand hygiene during medication administration. An LPN was observed disposing of a plastic cup and medication, then proceeding to administer medications to another resident without performing hand hygiene in between. The LPN also handled a resident's inhaler and nasal spray, washed hands, and then touched the same medications again, leading to potential contamination. The LPN admitted to the surveyor that this was a lapse in protocol. The Director of Nursing confirmed that hand hygiene should be performed between residents during medication pass to prevent the spread of infections. The facility's policies on hand hygiene and perineal care were provided, which clearly state the importance of hand hygiene in preventing healthcare-associated infections. The failure to adhere to these policies was observed in both the CNA's and LPN's actions, which had the potential to affect all residents in the facility by increasing the risk of infection spread.
Failure to Date and Change Portable Nasal Cannula Tubing
Penalty
Summary
The facility failed to ensure that the portable nasal cannula tubing for a resident was dated to ensure it was changed every 7 days, as required to prevent respiratory infections. This deficiency was observed in Resident 52, who had a physician's order for oxygen therapy and a care plan indicating the need for oxygen at 2 liters per minute via nasal cannula. The surveyor observed that the portable nasal cannula tubing was not dated or properly stored, and the resident was unaware of the location of the storage bag provided for the tubing. The Licensed Practical Nurse (LPN) and the Director of Nursing (DON) confirmed that the tubing should be changed every 7 days, but the facility lacked a specific policy for oxygen or oxygen storage. The deficiency was noted during multiple observations over several days, where the surveyor found the undated nasal cannula tubing tucked into the side of the resident's wheelchair cushion. The LPN and DON acknowledged the oversight and confirmed the requirement for weekly changes of the tubing. The facility's failure to date and change the portable nasal cannula tubing as per the physician's order and care plan had the potential to affect two residents on the 300 hall receiving oxygen therapy.
Unsecured Medication Storage
Penalty
Summary
The facility failed to ensure that a medication was stored securely, which could potentially lead to misappropriation by other residents, staff, or visitors. On 05/01/2024 at 09:14 AM, an LPN applied arthritis gel to a resident's knee, then left the gel unattended on top of the cart while washing hands in the resident's bathroom. When questioned by the surveyor, the LPN acknowledged that the gel should not have been left unattended. On 05/02/2024 at 02:40 PM, the DON confirmed that medications should not be left unattended as it opens up the possibility for residents to take the medication. Additionally, the DON admitted that the facility did not have a policy on medication storage.
Failure to Obtain Informed Consent for Immunizations
Penalty
Summary
The facility failed to obtain informed consent for a resident prior to administering immunizations, which had the potential to affect all 87 residents in the facility. On 05/01/2024, the Surveyor requested to see the vaccination consents for a resident, and the Business Office Manager provided a consent form that was not marked for or against vaccination. The Infection Preventionist confirmed that the resident did not consent to the immunization. The Director of Nursing provided a policy stating that residents or their representatives may refuse offered immunizations, but the facility did not follow this policy in this instance.
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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 Hot Springs
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Blossoms At Hot Springs Rehab And Nursing Cent | 3 mi | — | 0 | 0 |
| The Springs Of Red Oak | 3.5 mi | — | 0 | 0 |
| The Pines Nursing And Rehabilitation Center | 4.1 mi | — | 0 | 0 |
| Lake Hamilton Health And Rehab | 4.4 mi | — | 0 | 0 |
| The Springs Of Park Ave | 6.5 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.