De Witt, AR

Crestpark Dewitt, LLC

1-star overall rating with 1-star inspections with $9,438 in total fines with 14 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

1325 Liberty Drive, De Witt, AR

(870) 946-3569

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

70

Certified beds

Average residents

31

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Crestpark

Operator or chain grouping

Approved since

1991-12-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

Higher values indicate more complex resident acuity

RN turnover

60%

Annual RN turnover · state 48% · national 45%

Total nurse turnover

28%

Annual nurse turnover · state 51% · national 46%

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.88%
10.72%
0.2 pts worse
No Different than the National Rate · Eligible stays 28 · Observed rate 10.71% · Lower 95% interval 6.69%
Discharge to community Not Available
50.57%
Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 0.76
1.02
0.3 pts better
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 12 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 73
Staff flu vaccination coverage 95.89%
42%
53.9 pts better
Numerator 70 · Denominator 73
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.9
2.0
1.9 pts worse
1.9
2 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.9 · Observed 2.8 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 4.7
2.2
2.5 pts worse
1.8
2.9 pts worse
Long Stay · 20240701-20250630 · Adjusted 4.7 · Observed 3.6 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
94.9%
5.1 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
96.1%
3.9 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 7.9%
3.9%
4 pts worse
3.3%
4.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 6.2% · Q3 16.1% · Q4 6.7% · 4Q avg 7.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 9.6%
1.4%
8.2 pts worse
11.4%
1.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 7.4% · Q3 14.3% · Q4 13.8% · 4Q avg 9.6%
Percentage of long-stay residents who lose too much weight 5.9%
4.9%
1 pts worse
5.4%
0.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 3.3% · Q3 3.4% · Q4 7.1% · 4Q avg 5.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.5%
21.8%
5.7 pts worse
19.6%
7.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 31.2% · Q2 25.8% · Q3 24.1% · Q4 28.6% · 4Q avg 27.5%
Percentage of long-stay residents who received an antipsychotic medication 27.2%
12.5%
14.7 pts worse
16.7%
10.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 26.9% · Q3 26.1% · Q4 30.8% · 4Q avg 27.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 16.2%
11.4%
4.8 pts worse
16.3%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.2% · 4Q avg 16.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 20.4%
10.4%
10 pts worse
14.9%
5.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 26.9% · Q3 29.6% · Q4 3.7% · 4Q avg 20.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.4%
0.7%
0.7 pts worse
1.0%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.6% · Q3 3.1% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 19.8%
1.1%
18.7 pts worse
1.7%
18.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 22.6% · Q3 32.3% · Q4 6.7% · 4Q avg 19.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 5.2%
14.6%
9.4 pts better
19.8%
14.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 3.2% · Q3 12.2% · Q4 2.9% · 4Q avg 5.2%
Percentage of long-stay residents with pressure ulcers 3.8%
4.6%
0.8 pts better
5.1%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 3.3% · Q3 5.2% · Q4 0.0% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
81.8%
18.2 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 100.0%
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.4%
1.4 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-03 · Fire 2024-10-03

14 health deficiencies

Top issue: Pharmacy Service (5 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2023-10-19 · Fire 2023-10-19

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 3 Health 2022-07-15 · Fire 2022-07-15

9 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-03

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-11-01

F · Potential for more than minimal harm 2024-10-03

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-11-01

F · Potential for more than minimal harm 2023-10-19

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-11-17

F · Potential for more than minimal harm 2023-10-19

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-11-17

F · Potential for more than minimal harm 2023-10-19

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2023-11-17

F · Potential for more than minimal harm 2022-07-15

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2022-08-16

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-10-03

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-11-02

F · Potential for more than minimal harm 2024-10-03

F838 · Administration Deficiencies

Health

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.

Corrected 2024-11-02

F · Potential for more than minimal harm 2024-10-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-02

E · Potential for more than minimal harm 2024-10-03

F567 · Resident Rights Deficiencies

Health

Honor the resident's right to manage his or her financial affairs.

Corrected 2024-11-02

E · Potential for more than minimal harm 2024-10-03

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-11-02

E · Potential for more than minimal harm 2024-10-03

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-11-02

E · Potential for more than minimal harm 2024-10-03

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-11-02

E · Potential for more than minimal harm 2024-10-03

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-11-02

E · Potential for more than minimal harm 2024-10-03

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-11-02

D · Potential for more than minimal harm 2024-10-03

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-11-02

D · Potential for more than minimal harm 2024-10-03

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-11-02

D · Potential for more than minimal harm 2024-10-03

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-11-02

D · Potential for more than minimal harm 2024-10-03

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-11-02

D · Potential for more than minimal harm 2024-10-03

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-11-02

F · Potential for more than minimal harm 2023-10-19

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2023-11-17

F · Potential for more than minimal harm 2023-10-19

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-11-17

E · Potential for more than minimal harm 2023-10-19

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-11-14

E · Potential for more than minimal harm 2023-10-19

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2023-11-17

E · Potential for more than minimal harm 2023-10-19

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-11-17

D · Potential for more than minimal harm 2023-10-19

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-11-17

F · Potential for more than minimal harm 2022-07-15

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-10-02

F · Potential for more than minimal harm 2022-07-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-08-13

F · Potential for more than minimal harm 2022-07-15

F885 · Infection Control Deficiencies

Health

Report COVID19 data to residents and families.

Corrected 2022-08-12

E · Potential for more than minimal harm 2022-07-15

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-08-14

E · Potential for more than minimal harm 2022-07-15

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-10-02

E · Potential for more than minimal harm 2022-07-15

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2022-08-11

D · Potential for more than minimal harm 2022-07-15

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2022-08-14

D · Potential for more than minimal harm 2022-07-15

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-08-13

D · Potential for more than minimal harm 2022-07-15

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2022-08-12

Penalties and ownership

What sits behind the stars

$6,293 2023-12-11

Fine

Fine · fine $6,293

Fine

$3,145 2023-10-17

Fine

Fine · fine $3,145

Fine

Ownership

Belew, Barbara

5% Or Greater Indirect Ownership Interest · Individual

50% 6 facilities 2009-09-01
Belew, LLC

5% Or Greater Direct Ownership Interest · Organization

50% 6 facilities 2009-08-15
Dilks, LLC

5% Or Greater Direct Ownership Interest · Organization

50% 6 facilities 2009-08-15
Dilks, Melisha

5% Or Greater Indirect Ownership Interest · Individual

50% 6 facilities 2009-09-01
Belew, Barbara

Operational/Managerial Control · Individual

0% 6 facilities 2009-09-01
Belew, LLC

Operational/Managerial Control · Organization

0% 6 facilities 2009-09-01
Dilks, LLC

Operational/Managerial Control · Organization

0% 6 facilities 2009-09-01
Dilks, Melisha

Operational/Managerial Control · Individual

0% 6 facilities 2009-09-01

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Dewitt Nursing Home

De Witt, AR

1-star overall rating with 1-star inspections with 13 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

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Staffing
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Fines
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Fines
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