Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
THE SPRINGS OF AVALON
WEST MEMPHIS, AR · 85 certified beds · Last Life Safety survey February 27, 2025
CMS Certification Number 045217 · first certified November 1993
Ownership
Operated by THE SPRINGS ARKANSAS · For profit - Limited Liability company
- Ownership changed January 1, 2021 (change of ownership)from WM CRITTENDEN OPERATIONS LLC
Position within AR
11 citations — more than 87% of the 221 certified nursing homes in AR. Compared within AR rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 2 citations; the earlier surveys in the window averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Well past the typical window (March 2026 to July 2026), and past the point by which nine in ten AR facilities have been surveyed. This facility’s last Life Safety survey was February 2025. Facilities in AR are typically surveyed 12–17 months after the last one (median 15), measured over 307 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Emergency preparedness
1 of the 11 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 11 Life Safety citations above. The Physical Environment Index
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-0880 Provide and implement an infection prevention and control program.
- F-0584 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.
- F-0924 Put firmly secured handrails on each side of hallways.
How that compares
Compared with the median facility in AR, and nationally. Surveyors differ markedly between states, so the AR figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 11 |
| Median facility in AR | 5 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| October 28, 2022 | 2 |
| February 2, 2024 | 7 |
| February 27, 2025 | 2 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 2 | 2024-02-02 |
| K-0341 | Install a fire alarm system that can be heard throughout the facility. | 1 | 2024-02-02 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2024-02-02 |
| K-0293 | Have properly located and lighted "Exit" signs. | 1 | 2024-02-02 |
| K-0712 | Have simulated fire drills held at unexpected times. | 1 | 2024-02-02 |
| K-0300 | Meet other general requirements that are deficient. | 1 | 2022-10-28 |
| K-0347 | Properly provide smoke detection systems in areas open to corridors. | 1 | 2025-02-27 |
| E-0041 | Implement emergency and standby power systems. | 1 | 2024-02-02 |
What the citations cover
- Smoke Deficiencies 4
- Egress Deficiencies 3
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Miscellaneous Deficiencies 1
- Other 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 4 |
| Egress Deficiencies | 3 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Miscellaneous Deficiencies | 1 |
| Emergency Preparedness Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
February 27, 2025 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0347 | Properly provide smoke detection systems in areas open to corridors. | Deficient, Provider has date of correction (March 27, 2025) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (March 27, 2025) |
February 2, 2024 — 7 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0041 | Implement emergency and standby power systems. | Deficient, Provider has date of correction (March 1, 2024) |
| K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Deficient, Provider has date of correction (March 1, 2024) |
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has date of correction (March 1, 2024) |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Deficient, Provider has date of correction (March 1, 2024) |
| K-0341 | Install a fire alarm system that can be heard throughout the facility. | Deficient, Provider has date of correction (March 1, 2024) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (March 1, 2024) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (March 1, 2024) |
October 28, 2022 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0300 | Meet other general requirements that are deficient. | Deficient, Provider has date of correction (November 24, 2022) |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Deficient, Provider has date of correction (November 24, 2022) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.