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Little Rock Post Acute And Rehabilitation Center

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About Little Rock Post Acute And Rehabilitation Center

General Information

Legal Business NameHighlands Of Little Rock West Markham Holdings, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsYes
First Accepted MedicareAugust 1, 2012 (5 years)
Capacity154
Residents87
Percent Occupied56%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Little Rock Post Acute And Rehabilitation Center

Little Rock Post Acute And Rehabilitation Center
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Arkansas Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Note that this facility has changed ownership within the past 12 months.

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

December 2, 2016 - 7 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintEnsure that residents are safe from serious medication errors.
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmComplaintProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
ESomePotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
ESomePotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

October 20, 2016 - 8 months ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 24 days
JFewImmediate JeopardyComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

July 28, 2016 - 11 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

June 22, 2016 - 12 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

April 1, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
KSomeImmediate JeopardyHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
FManyPotential for HarmComplaint+Inspection1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
ESomePotential for HarmHealth InspectionProvide food in a way that meets a resident's needs.
ESomePotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
ESomePotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
ESomePotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmHealth InspectionMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.

May 8, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

February 11, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
ESomePotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

December 19, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
HSomeActual HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
HSomeActual HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
ESomePotential for HarmComplaintGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
ESomePotential for HarmComplaintEnsure that residents are safe from serious medication errors.
ESomePotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmComplaintHelp and prepare each resident for a safe and easy discharge or transfer from the nursing home.
ESomePotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
ESomePotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

November 13, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$42,998 fine
---Payment DenialPayment denial for 44 days
ESomePotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

July 18, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
ESomePotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.

March 20, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 28 days
---Fine$34,580 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Little Rock Post Acute And Rehabilitation Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 50min
2hr 20min
ReportedExpected
CNA
1hr 45min
45min
ReportedExpected
LPN
55min
1hr 20min
ReportedExpected
RN
5hr 30min
4hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 2hr 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

71.7%
80.8%
80.8%
81.1%
96.1%
Q4 2015Q1 2016Q2 2016Q3 2016AR
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.0%
91.8%
86.0%
80.8%
94.6%
Q4 2015Q1 2016Q2 2016Q3 2016AR
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
38.1%
-
38.1%
25.0%
37.7%
Q4 2015Q1 2016Q2 2016Q3 2016AR
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
0.0%
8.3%
6.2%
1.9%
25.8%
Q4 2015Q1 2016Q2 2016Q3 2016AR
Percentage of long-stay residents who received an antianxiety or hypnotic medication
7.0%
23.6%
32.1%
24.9%
15.8%
Q4 2015Q1 2016Q2 2016Q3 2016AR
Percentage of long-stay residents whose ability to move independently worsened
9.3%
10.2%
6.0%
5.8%
16.3%
Q4 2015Q1 2016Q2 2016Q3 2016AR
Percentage of long-stay residents who received an antipsychotic medication
8.3%
19.0%
22.0%
38.3%
15.4%
Q4 2015Q1 2016Q2 2016Q3 2016AR
Percentage of long-stay residents whose need for help with daily activities has increased
2.4%
7.4%
11.4%
9.2%
7.2%
Q4 2015Q1 2016Q2 2016Q3 2016AR
Percentage of long-stay residents who self-report moderate to severe pain
7.0%
4.2%
10.0%
7.8%
6.5%
Q4 2015Q1 2016Q2 2016Q3 2016AR
Percentage of long-stay residents who lose too much weight
13.3%
13.8%
16.7%
13.5%
5.7%
Q4 2015Q1 2016Q2 2016Q3 2016AR
Percentage of high risk long-stay residents with pressure ulcers
5.6%
4.4%
0.0%
0.0%
2.7%
Q4 2015Q1 2016Q2 2016Q3 2016AR
Percentage of long-stay residents who have depressive symptoms
7.0%
8.3%
0.0%
0.0%
4.0%
Q4 2015Q1 2016Q2 2016Q3 2016AR
Percentage of long-stay residents with a urinary tract infection
4.7%
2.0%
4.0%
3.8%
4.3%
Q4 2015Q1 2016Q2 2016Q3 2016AR
Percentage of long-stay residents experiencing one or more falls with major injury
3.7%
2.7%
3.7%
5.3%
2.7%
Q4 2015Q1 2016Q2 2016Q3 2016AR
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.6%
Q4 2015Q1 2016Q2 2016Q3 2016AR
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

89.4%
88.2%
80.5%
80.0%
82.5%
Q4 2015Q1 2016Q2 2016Q3 2016AR
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
71.2%
65.4%
65.4%
65.4%
77.2%
Q4 2015Q1 2016Q2 2016Q3 2016AR
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
67.4%
70.4%
76.3%
72.3%
64.2%
Q4 2015Q1 2016Q2 2016Q3 2016AR
Percentage of short-stay residents who made improvements in function
19.3%
19.7%
24.4%
30.3%
15.0%
Q4 2015Q1 2016Q2 2016Q3 2016AR
Percentage of short-stay residents who self-report moderate to severe pain
1.1%
1.5%
0.5%
2.1%
2.3%
Q4 2015Q1 2016Q2 2016Q3 2016AR
Percentage of short-stay residents who newly received an antipsychotic medication
0.3%
0.3%
0.0%
0.0%
1.3%
Q4 2015Q1 2016Q2 2016Q3 2016AR
Percentage of short-stay residents with pressure ulcers that are new or worsened