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NURSING AND REHABILITATION CENTER AT GOOD SHEPHERD Inspection Report, Violations & Safety Grade (LITTLE ROCK, Arkansas)

3001 ALDERSGATE ROAD, LITTLE ROCK, Arkansas 72205

Phone: 5012179774

CMS Overall:5/5

Overview & Bed Count

Certified Beds

120

Avg Residents/Day

77.9

Ownership

For profit - Limited Liability company

Provider Type

Medicare and Medicaid

County

Pulaski

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall5/5

Health4/5

Staffing3/5

Quality5/5

Nurse Staffing Check

Metric	This Facility	Arkansas Avg	Difference
RN Hours per Resident per Day	0.32	0.41	-0.09
Total Nurse Hours per Resident per Day	4.02	4.08	-0.06
CMS Staffing Rating	3/5	3.4/5	-
Nursing Staff Turnover	59.5%	49%	-

Health Citation History

26 health citations on record

Date	Category	Description	Severity
2026-01-15	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2024-10-04	Administration Deficiencies	Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.	F – Moderate Harm Potential
2024-10-04	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	E – Moderate Harm Potential
2024-10-04	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E – Moderate Harm Potential
2024-10-04	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	E – Moderate Harm Potential
2024-10-04	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E – Moderate Harm Potential
2024-10-04	Nutrition and Dietary Deficiencies	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.	E – Moderate Harm Potential
2024-10-04	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2024-10-04	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D – Moderate Harm Potential
2024-10-04	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D – Moderate Harm Potential
2023-11-17	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2023-11-17	Resident Rights Deficiencies	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.	E – Moderate Harm Potential
2023-11-17	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	E – Moderate Harm Potential
2023-11-17	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	E – Moderate Harm Potential
2023-11-17	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E – Moderate Harm Potential
2023-11-17	Resident Assessment and Care Planning Deficiencies	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.	E – Moderate Harm Potential
2023-11-17	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E – Moderate Harm Potential
2023-11-17	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	E – Moderate Harm Potential
2023-11-17	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	E – Moderate Harm Potential
2023-11-17	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E – Moderate Harm Potential
2023-11-17	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	E – Moderate Harm Potential
2023-11-17	Nutrition and Dietary Deficiencies	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.	E – Moderate Harm Potential
2023-11-17	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E – Moderate Harm Potential
2023-11-17	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	E – Moderate Harm Potential
2023-11-17	Administration Deficiencies	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	E – Moderate Harm Potential
2023-11-17	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential

Fire Safety Citation History

9 fire safety citations on record

Date	Category	Description	Severity
2026-01-15	Construction Deficiencies	Use approved construction type or materials.	F – Moderate Harm Potential
2026-01-15	Smoke Deficiencies	Provide properly protected cooking facilities.	F – Moderate Harm Potential
2026-01-15	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	F – Moderate Harm Potential
2024-10-04	Smoke Deficiencies	Provide properly protected cooking facilities.	F – Moderate Harm Potential
2023-11-17	Emergency Preparedness Deficiencies	Conduct risk assessment and an All-Hazards approach.	F – Moderate Harm Potential
2023-11-17	Emergency Preparedness Deficiencies	Provide emergency officials' contact information.	F – Moderate Harm Potential
2023-11-17	Emergency Preparedness Deficiencies	Conduct testing and exercise requirements.	F – Moderate Harm Potential
2023-11-17	Emergency Preparedness Deficiencies	Implement emergency and standby power systems.	F – Moderate Harm Potential
2023-11-17	Smoke Deficiencies	Install a fire alarm system that can be heard throughout the facility.	F – Moderate Harm Potential

Total Penalties & Fines

Total Fine Amount (CMS)

Number of Fines

Total Penalties

No penalty records found.

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Need Help Finding Safe Care?

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3-Year Complete Report ($19)

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