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 The Lakes At Maumelle Health And Rehabilitation during CMS and state inspections, most recent first.
The facility failed to ensure proper dish sanitation due to the dishwasher's rinse cycle not reaching the required 180 degrees. Initial observations showed temperatures of 130 and 140 degrees, and subsequent attempts recorded a maximum of 150 degrees. The Dietary Manager used a chemical addition feature as a temporary measure and later confirmed proper temperatures with a new thermometer. Documentation of temperatures was also lacking.
The facility failed to document the use of fall mats in the care plans of two residents, despite their use as a fall prevention measure. One resident with a history of falls and a femur fracture had a fall mat in place, but it was not documented in the care plan. Another resident with metabolic encephalopathy had a damaged fall mat that increased fall risk, yet it was not listed in the care plan. Staff confirmed the oversight, highlighting a lack of proper documentation for safety interventions.
The facility failed to ensure proper placement and maintenance of fall mats for two residents, increasing fall risks. One resident's fall mat was torn and not replaced, while another's was improperly placed, rendering it ineffective. Additionally, a janitor's closet and a housekeeping cart with chemicals were found unsecured, posing safety hazards. Staff acknowledged these issues, but no documented interventions were provided.
The facility failed to secure medication carts according to professional principles and its policy, potentially affecting all residents. An LPN left a medication cart unlocked and unattended while administering medication to a resident, which was confirmed by the DON as a violation of the facility's policy requiring locked compartments for drugs and biologicals.
A resident with memory problems and multiple diagnoses was found with medication on their bedside table without an assessment by the interdisciplinary team to determine if self-administration was appropriate. The DON confirmed that no residents were authorized to self-administer medications, and the facility's policy requires an assessment for such authorization.
A resident's PHI was compromised when an LPN left a computer screen unlocked on a medication cart, displaying sensitive information. The DON confirmed this as a HIPAA issue, as the facility's policy requires personnel to protect such information from unauthorized disclosure.
A facility failed to accurately complete an MDS for a resident, incorrectly documenting anticoagulant use without a corresponding physician order. The MDS Coordinator confirmed the error during an interview and acknowledged the need for modification.
The facility failed to provide palatable meals to residents, as observed by surveyors. A resident with multiple medical conditions reported dissatisfaction with the food, missing condiments, and a lack of recent dietary assessment. Other residents also expressed dissatisfaction, and a test tray revealed issues with meal quality. The Dietary Manager acknowledged the importance of palatable meals and the problems with overcooked meat.
An LPN failed to follow proper infection control practices during wound care for a resident with multiple pressure ulcers. The LPN did not wash hands between glove changes, leading to potential cross-contamination. The resident has a history of traumatic amputation, gastrointestinal hemorrhage, and other conditions. The facility's policy requires handwashing before and after resident contact and after glove removal, which was not adhered to during the observed care.
The facility failed to maintain kitchen equipment in safe working condition, as observed by a surveyor who found water puddles on the floor due to a leaking dishwasher. The Dietary Manager was aware of the issue but had not reported it. Additionally, a black substance, possibly mildew or mold, was found near the dishwasher, indicating a lack of maintenance and timely reporting.
Dishwasher Temperature Deficiency
Penalty
Summary
The facility failed to ensure that dishes were properly sanitized due to issues with the dishwasher's rinse cycle temperature. During an observation, the surveyor noted that the dishwasher's rinse cycle temperature initially reached only 130 degrees and, after running the cycle longer, reached 140 degrees, which is below the required 180 degrees for proper sanitation. The Dietary Manager acknowledged that the dishwasher sometimes needed to run multiple cycles to reach the appropriate temperature. Additionally, the temperature records for the month of June had not been documented in the binder, although the Dietary Consultant suggested that the kitchen staff might have recorded them on paper. Further investigation revealed that the highest temperature recorded during multiple rinse cycle attempts was 150 degrees. The Dietary Manager mentioned a feature on the dishwasher that allows for a chemical to be added when temperatures are insufficient, which he planned to use until the dishwasher could be checked. Later, the Dietary Manager purchased a new thermometer and confirmed that the dishwasher was rinsing at a sufficient temperature of 182.3 degrees. Training materials on food safety and equipment maintenance were provided to the kitchen staff, and in-services on sanitation and hazards were conducted by the Administrator.
Failure to Document Fall Mat Interventions in Care Plans
Penalty
Summary
The facility failed to ensure that the comprehensive care plans for two residents were individualized to address the use of fall mats as an intervention for fall prevention. Resident #26, who had a history of falls and a diagnosis of a displaced intertrochanteric fracture of the right femur, was observed multiple times with a fall mat placed under or next to the bed. However, the care plan did not document the use of a fall mat as an intervention. The LPN confirmed that the fall mat was not documented in the care plan, and the DON acknowledged that such interventions should be documented. Similarly, Resident #43, who had a diagnosis of metabolic encephalopathy and an overactive bladder, was observed with a damaged fall mat that posed an additional fall risk. The CNA and DON both confirmed the poor condition of the fall mat. Despite a recent fall incident, the care plan did not document the use of a fall mat as an intervention. The MDS Coordinator confirmed that the fall mat should have been listed in the care plan to ensure staff awareness and proper implementation of safety measures.
Deficiencies in Fall Mat Placement and Chemical Security
Penalty
Summary
The facility failed to ensure that fall mats were properly placed and maintained for residents at risk of falls, leading to potential safety hazards. Resident #43 was observed with a fall mat that had tears and peeling edges, which increased the risk of falls. Despite being aware of the condition of the fall mat, the facility did not replace it promptly, as confirmed by interviews with the CNA and DON. Additionally, Resident #26's fall mat was improperly placed under the bed or slanted, creating gaps that rendered it ineffective in preventing injuries from falls. The improper placement was acknowledged by both the CNA and LPN, who confirmed that the fall mat was intended as a fall intervention. The facility also failed to secure housekeeping carts and janitor closets, posing a risk of exposure to hazardous chemicals. A janitor's closet was found unlocked, containing several cleaning chemicals. Furthermore, a housekeeping cart with a broken lock was left unattended in the hallway, with chemicals stored inside. Housekeeping staff acknowledged the broken lock and the potential risk of residents accessing the chemicals. Despite being aware of the issue, the facility did not document any in-service training or interventions to address the unsecured chemicals. These deficiencies highlight the facility's failure to maintain a safe environment for residents by not addressing known hazards and ensuring proper supervision. The lack of timely interventions and maintenance of safety equipment, such as fall mats, and the unsecured storage of chemicals, posed significant risks to resident safety.
Failure to Secure Medication Carts
Penalty
Summary
The facility failed to store drugs and biologicals in accordance with professional principles and its own policy, which had the potential to affect every resident in the building. On June 3, 2024, at 7:38 AM, a surveyor observed an LPN walking to the dining room with a medication cup in hand, leaving the medication cart unlocked. Later, at 8:31 AM, the surveyor found an unattended and unlocked medication cart in the hallway, while the LPN was in a room across the hall, encouraging a resident to take medication. The LPN confirmed that the cart was not viewable from her position in the room. On June 5, 2024, the Director of Nursing acknowledged that the cart should be locked when unattended to prevent unauthorized access. The facility's policy on medication storage requires that compartments containing drugs and biologicals be locked when not in use, and that carts used to transport such items should not be left unattended if open or potentially accessible to others.
Failure to Assess Resident for Self-Administration of Medication
Penalty
Summary
The facility failed to ensure that a resident did not self-administer medication without an assessment by the interdisciplinary team to determine if it was clinically appropriate and safe. The resident, who had a diagnosis of dysphagia, acute kidney failure, and chronic pulmonary edema, was found with sore throat spray on their bedside table. This medication was prescribed for moderate pain related to COVID-19 throat pain. The resident's care plan did not document that they self-administer medications, and the Quarterly Minimum Data Set indicated that the resident had long-term memory problems and was unable to complete the Brief Interview of Mental Status. During the survey, the Director of Nursing (DON) confirmed that no residents in the facility were authorized to self-administer medications and that medications should not be on the bedside table. The facility's policy on self-administration of medications states that residents have the right to self-administer if deemed appropriate and safe by the interdisciplinary team. However, this assessment had not been conducted for the resident in question, leading to a deficiency in the facility's adherence to its policy.
Failure to Protect Resident's PHI
Penalty
Summary
The facility failed to protect the Patient Health Information (PHI) of a resident, as observed by a surveyor. On the morning of June 3, 2024, an LPN left a computer screen unlocked on a medication cart, displaying the resident's personal and medical information, including their name, status, location, gender, date of birth, age, physician, allergies, code status, and ordered medications. This occurred when the LPN walked to the dining area, leaving the computer unattended. The Director of Nursing (DON) later confirmed that the computer screen should have been locked or closed to protect the resident's privacy, acknowledging it as a Health Insurance Portability and Accountability Act (HIPAA) issue. The facility's policy on Protected Health Information (PHI) mandates that all personnel ensure the management and protection of resident and facility information to prevent unauthorized release or disclosure.
Inaccurate MDS Documentation for Anticoagulant Use
Penalty
Summary
The facility failed to complete an accurate Minimum Data Set (MDS) for a resident. The resident's Quarterly MDS, with an Assessment Reference Date (ARD) of February 29, 2024, incorrectly documented the resident as taking an anticoagulant. However, a review of the physician order recap report dating back to February 28, 2024, revealed no physician order for an anticoagulant for the resident. During an interview on June 4, 2024, the MDS Coordinator confirmed that the MDS indicated the resident was taking an anticoagulant, but upon further review, acknowledged that there was no record of such an order. The MDS Coordinator admitted that the MDS was not coded correctly and stated that a modification would be made.
Facility Fails to Provide Palatable Meals
Penalty
Summary
The facility failed to provide palatable food to its residents, as observed during a survey. Resident #4, who has multiple medical diagnoses including encephalopathy, muscle wasting, and Type II Diabetes, reported dissatisfaction with the taste of the food. On two occasions, the resident's meal tray was missing ordered items such as sweet and low artificial sweetener and butter for breakfast items like waffles and cream of wheat. The Dietary Manager confirmed that meal trays should include usual condiments, but the resident's tray did not. Additionally, the resident's last dietary assessment was conducted nearly two years prior, indicating a lack of recent evaluation of dietary needs. Other residents also expressed dissatisfaction with the meals. Resident #41 reported being served the same food repeatedly and relying on family for meals, while Resident #6 found the meals unpalatable and unseasoned. A test tray from the facility kitchen revealed issues such as overcooked, dry, and chewy pork, bland mashed potatoes and green beans, and melted ice cream. The Dietary Manager acknowledged that meals should be palatable and that overcooked meat is not suitable for older residents, as it affects taste and nutrient retention.
Inadequate Infection Control During Wound Care
Penalty
Summary
The facility failed to ensure proper infection prevention and control practices during wound care for a resident with multiple pressure ulcers. The resident, who has a history of traumatic amputation, gastrointestinal hemorrhage, pulmonary embolism, esophagitis, muscle wasting, and schizophrenia, was observed receiving wound care from an LPN. The LPN did not wash or clean hands after changing gloves multiple times during the procedure, which included handling contaminated items and touching various surfaces without proper hand hygiene. This lack of hand hygiene and glove changes led to potential cross-contamination. The LPN was observed performing wound care on the resident's pressure ulcers located on the right superior dorsal thigh, coccyx, and left hip. During the procedure, the LPN placed a red bag on top of clean wound care supplies, scratched their head, and touched their scrubs, all without washing hands between glove changes. The facility's infection control policy requires handwashing before and after direct contact with residents, after removing gloves, and after handling potentially contaminated items. The LPN acknowledged the potential for cross-contamination during an interview with the surveyor.
Kitchen Equipment Safety Deficiency
Penalty
Summary
The facility failed to ensure that kitchen equipment was in safe, working condition, as observed by the surveyor. On two separate occasions, the surveyor found water puddles on the kitchen floor, first between the dishwasher and sinks, and later between the steam table and refrigerators. The water was traced back to a leaking dishwasher, which had not been reported by the Dietary Manager (DM) despite being aware of the issue. Additionally, a black substance, possibly mildew or mold, was observed on a strip of wood between the dishwasher and the wall, which the DM could not identify. These observations indicate a lack of timely reporting and maintenance of kitchen equipment, contributing to the deficiency.
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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 Maumelle
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Springs Of Pinnacle Mountain | 6.3 mi | — | 9 | 0 |
| Pleasant Valley Rehabilitation And Nursing | 7.1 mi | — | 0 | 0 |
| Hickory Heights Health And Rehab, Llc | 7.5 mi | — | 0 | 0 |
| The Blossoms At Breckenridge Rehab & Nursing Cente | 8.1 mi | — | 4 | 0 |
| Robinson Nursing And Rehabilitation Center Llc | 8.1 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.