River Oaks Nursing & Rehabilitation Center LLC
3612 Baker Blvd, Baker, LA 70714 · For profit - Corporation · 132 certified beds · (225) 778-0573 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- CMS has flagged it for abuse
- it has an abuse, neglect, or exploitation citation (F0600), cited Nov 2025
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- inspectors recorded 2 serious findings as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (25) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $17,388 in federal fines (most recent 2025-11-12)
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (2/5)
- about 23% of its spending goes to commonly-owned related companies
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 3 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 18.7% | 17.8% | 15.4% | worse |
| Long-stay residents who lose too much weight | 5.6% | 5.2% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 0.2% | 1.2% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.0% | 2.1% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.7% | 2.3% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 0.8% | 3.5% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 14.5% | 17.9% | 16.1% | typical |
| Long-stay residents on antianxiety or hypnotic medication | 29.0% | 23.2% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 94.9% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 1.5% | 5.6% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 3.5% | 15.8% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 19.5% | 22.7% | 17.1% | worse |
| Short-stay residents given the seasonal flu vaccine | 69.0% | 76.3% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 9.0% | 28.0% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 11.2% | 14.8% | 12.0% | typical |
| Long-stay hospitalizations per 1,000 resident days | 1.54 | 2.56 | 1.67 | typical |
| Long-stay outpatient ER visits per 1,000 resident days | 1.12 | 2.74 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
Therapy staffing: this home’s payroll records show 0.14 therapist hours per resident per day in 2026Q1 — more than 11% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 8% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.5%CMS range 6.8–15.6 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.83 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 132 beds and averages 130.2 residents a day — about 99% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.67 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.17 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.58 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.69 hrs/resident/day on weekends vs 3.66 on weekdays — about the same on weekends as weekdays. RN hours go from 0.17 to 0.15 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 46% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
25 citations, most serious first. The 12 most serious are shown; the remaining 13 are one tap away and print in full.
- Actual harm · Gcited before2025-11-12 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to protect the residents' right to be free from physical abuse by another resident for 1 (#2) of 6 residents reviewed for abuse. The facility failed to ensure Resident #2 was free from physical abuse by Resident #1. This deficient practice resulted in actual physical harm on 10/28/2025 for Resident #2 when Resident #1 hit Resident #2 in the face with a chair. Resident #2 obtained an Acute right orbital floor and anterior orbital rim fractures with no signs of entrapment, acute fracture of the anterior and posterolateral wall of the right maxillary sinus, and a comminuted fracture of the nasal bone with recommended surgical repair. The facility implemented corrective actions which were completed prior to the State Agency's investigation, thus it was determined to be a Past Noncompliance citation.Findings: Review of the facility's policy titled Abuse/Neglect Policy with a revised date of 04/03/2025, revealed the following, in part:Policy:…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Actual harm · Gcited before2025-03-05 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to protect the residents' right to be free from physical abuse by another resident for 2 (#3 and #6) of 6 (#1, #2, #3, #4, #5, and #6) residents reviewed for abuse. The facility failed to ensure: 1. Resident #3 was free from physical abuse by Resident #4; and 2. Resident #6 was free from physical abuse by Resident #5. This deficient practice resulted in an actual physical harm on 02/23/2025 when Resident #4, a severely cognitively impaired resident, pushed Resident #3, a severely cognitively impaired resident, onto the floor in the hallway causing Resident #3 to sustain a left eyebrow laceration. Resident #3 was sent to the local emergency room (ER) where he received 9 sutures to his left eyebrow. The facility implemented corrective actions which were completed prior to the State Agency's investigation, thus it was determined to be a Past Noncompliance citation. Findings: Review of the facility's policy titled Abuse/Neglect Policy Statement dated…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-03-26 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary environment to help prevent the development and transmission of infection for 2 (#1 and #2) of 3 residents observed for incontinence care. The facility failed to ensure staff performed proper hand hygiene and glove changes during incontinence care.Findings: Review of the facility's policy titled, Incontinent Care: Bladder revealed the following, in part:Policy: Perineal management is the cleansing of the perineal area that includes the genitalia and rectal areas.Perform handwashing or use alcohol gel.8. Put on disposable gloves.10. For male perineal care: e. Turn to sidelying position and wash, rinse, and dry the anal area.11. Remove and discard gloves.12. Perform handwashing or use alcohol gel. 13. Change the gown and bed linens if needed. Resident #1Review of Resident #1's clinical record revealed he was admitted to the facility on [DATE].…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-07-17 · tag F0644 — patternCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to ensure a resident with an identified mental health diagnosis was referred for a Preadmission Screening and Resident Review (PASRR) Level II evaluation as required for 2 (#7 and #9) of 4 (#5, #7, #9, and #19) sampled residents reviewed for PASRR Level II.Resident #7 Review of the Clinical Record revealed Resident #7 was admitted to the facility on [DATE]. Further review revealed he was diagnosed with Undifferentiated Schizophrenia on 01/09/2023. Review of Resident #7’s Form 142 dated 09/22/2014 revealed he did not meet the criteria for PASRR Level II services. On 07/16/2025 at 10:58 a.m., an interview was conducted with S3SSD. She stated she was responsible for submitting Resident Review Forms to OBH. She reviewed Resident #7’s Form 142 dated 09/22/2014 and confirmed it was the most recent on file. She then reviewed Resident #7’s diagnoses, which included Undifferentiated Schizophrenia with an onset date of 01/09/2023. S3SSD confirmed a Resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-07-17 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, and record reviews, the facility failed to store, prepare and distribute food in accordance with professional standards for food service safety as evidenced by failing to:1. Ensure opened foods were sealed properly; and2. Ensured expired food items were disposed.This deficient practice had the potential to affect all 130 residents served from the kitchen. Findings: Review of the undated facility policy titled Food Safety and Sanitation Policy and Procedure revealed the following, in part:Food Storage1. Food that is stored is protected from contamination and growth of any pathogenic organisms.10. Foods with expiration dates are used prior to the use by date on the package Review of the provider's policy dated 2021 and titled Food Storage Safety revealed the following, in part:Food storage from top to bottom when items are stored in the same refrigerator or freezer - Cooked foods are stored over Raw Poultry. On 07/14/2025 at 10:30 a.m., an initial tour of the kitchen was conducted with S4DM. The following observations were made and confirmed: Freezer…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-07-17 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to protect a resident's right to be free from physical abuse by another resident for 2 (#22 and #101) of 3 (#9, #22, and #101) residents reviewed for abuse. Findings: Review of the facility's manual with a revision date of 04/03/2025 and titled Abuse-Neglect Prevention Manual, revealed the following, in part:iii. Physical abuse includes hitting, slapping. Resident #22Review of Resident #22's Clinical record revealed the resident was admitted to the facility on [DATE]. Review of Resident #22's Quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 06/03/2025, revealed a Brief Interview for Mental Status (BIMS) score of 14, which indicated intact cognition. On 07/14/2025 at 1:26 p.m., an interview was conducted with Resident #22. Resident #22 stated he got into an altercation with Resident #101 about two weeks ago. He stated he was unable to recall the exact date. Resident #22 stated he was going to his seat in the dining room, and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-07-17 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to ensure an incident involving abuse was reported to the facility administrator and State Agency in accordance with the mandated reporting guidelines for 2 (#22 and #101) of 3 (#9, #22, and #101) residents sampled for abuse. Findings: Review of the facility's manual with a revision date of 04/03/2025 and titled Abuse-Neglect Prevention Manual revealed the following, in part:iii. Physical abuse includes hitting, slapping, pinching.5. Investigation and Protection: in the event that any evidence involving.abuse.the issue will be reported immediately to the administrator or his designee of the facility, who will immediately notify corporate office and the appropriate state officials per state guidelines.1. Any person who has knowledge of any act or suspected act of abuse. will notify his/her supervisor immediately.Internal Reporting a. Employees must always report any abuse or suspicion of abuse immediately to the Administrator or his designee of the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-07-17 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to ensure the MDS assessment accurately reflected the resident's status for 1 (#3) resident out of a total of 28 sampled residents by failing to ensure Resident #3 was accurately coded for PASRR (Pre-admission Screening and Resident Review). Findings: Review of Resident #3's clinical record revealed he was admitted to the facility on [DATE] with diagnoses which included Recurrent Depressive Disorders, Bipolar Disorder, and Post-Traumatic Stress Disorder. Review of Resident #3's Form 142 titled Louisiana Department of Health and Hospitals Medicaid Program Notice of Medical Certification dated 05/22/2024, revealed an approval for admission by the state Level II Authority for a temporary period effective 05/22/2024 through 05/21/2025. Review of Resident #3's Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 04/29/2025 revealed Section A1500: Preadmission Screening and Resident Review (PASRR) was coded 0-No. Section A1510: Serious…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-01-02 · tag F0583 — failed to protect personal privacy — isolatedKeep residents' personal and medical records private and confidential.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to ensure resident privacy and confidentiality was maintained for 1 (#1) of 10 (#1, #2, #3, #4, #5, #6, #7, #8, #9, #R10) sampled residents. The facility failed to ensure S5A did not take and keep an unauthorized photograph of Resident #1. This deficient practice had the potential to affect all 130 residents on the current census. Findings: Review of the facility's policy titled, Resident's Rights dated 12/01/1991, revealed the following, in part: A facility must protect and promote the rights of each resident, including each of the following rights: (e) Privacy and Confidentiality Review of Resident #1's Clinical Record revealed the resident was admitted on [DATE] with diagnoses, in part: Alzheimer's Disease, Dementia, Moderate with Other Behavioral Disturbances, Aphasia, Cognitive Communication Deficit, Attention and Concentration Deficit Following Other Cerebrovascular Disease, and Recurrent Depressive Disorder. Review of Resident #1's Quarterly MDS…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-08-21 · tag F0761 — failed to label and store drugs safely — patternEnsure 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to ensure all drugs and biologicals were stored in accordance with currently accepted professional principles by failing to: 1. Ensure medications were in locked compartments permitting only authorized personnel to have access for 1 (#33) of 8 (#1, #5, #15, #33, #46, #47, #73, and #106) residents observed during the initial pool; and 2. Ensure Schedule III-IV medications were stored in a permanently affixed compartment and/or a single unit package drug distribution system for 1 (Room A) of 1 Medication Storage Room reviewed. Findings: Review of the facility's undated Policy titled, Medication Storage in the Facility revealed the following: Policy Statement: Medication and biologicals are stored safely, securely, and properly following manufacturer's recommendations or those of the supplier. The medication supply is accessible only to licensed nursing or medical personnel and pharmacy personnel. Procedure: 2. Only licensed nurses, the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-21 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure that each resident was treated with respect and dignity in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for 2 (#43 and #120) of 28 residents reviewed in the final sample. The facility failed to ensure residents were assisted with meals in a dignified manner as evidenced by staff standing over and sitting on Residents #43 and #120's beds while assisting them to eat. Findings: Review of the facility's undated policy titled, Feeding A Resident revealed the following, in part: Procedure: 5. Sit in a chair to feed the resident. Resident #43 Review of Resident #43's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses of Senile Degeneration of Brain and Dementia. On 08/20/2024 at 7:35 a.m., an observation was made of Resident #43 in bed. S11CNA was observed feeding Resident #43 while standing next to his bed. S11CNA then sat on Resident #43's bed and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-08-21 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to ensure allegations of verbal abuse were reported immediately but no later than 2 hours after the allegation was made to the State Survey Agency for 1 (#33) of 8 (#1, #5, #15, #33, #46, #47, #73, and #106) residents interviewed during the initial pool and reviewed for abuse. Findings: Review of the facility's document titled Abuse/Neglect Policy Statement dated March 2016 revealed in part, the following: Definitions: Abuse - the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish. Alleged Violation - the terminology used when a verbal allegation of resident abuse has been made either by a resident, family member, visitor, or employee . Verbal Abuse - the use of oral, written or gestured language that willfully includes disparaging and derogatory terms to residents or their families, or within their hearing distance, regardless of their age, ability to comprehend or…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 13 citations
- Potential for harm · Dcited before2024-08-21 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to ensure a resident's assessment accurately reflected the Discharge Status for 1 (#130) of 28 residents reviewed in the final sample. Findings: Review of Resident #130's Clinical Record revealed she was admitted to the facility on [DATE]. Review of Resident #130's Discharge MDS, with an ARD of 07/09/2024, indicated, in part, the following; Section A: Planned/Unplanned discharge: 1. Planned. discharge date : [DATE]. Discharge Status: 4. Short Term General Hospital. Assessment Reference Date: 07/09/2024. Review of Resident #130's Physician Orders revealed, in part, an order written on 07/09/2024 to discharge to a private facility. Review of Resident #130's Nurses Notes revealed, in part, a note written on 07/09/2024 at 5:50 p.m. by S8LPN indicating Resident #130's son has arrived to transport this resident to a group home . On 08/20/2024 at 4:00 p.m., an interview was conducted with S7SSD. She stated Resident #130 discharged from the facility to a group…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-21 · tag F0660 — isolatedPlan the resident's discharge to meet the resident's goals and needs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to develop and implement an effective discharge planning process which focused on the resident's discharge goals for 1 (#71) of 1 residents reviewed for choices. The facility failed to update the discharge plan to accurately reflect the discharge wishes of the resident. Findings: Review of the facility's undated policy titled Discharge Planning revealed the following: Policy: It is the policy of this facility that discharge planning and evaluating services be provided by the Department of Social Services for each resident. Discharge planning involves the resident, the family and/or representative, interdisciplinary staff, and other resources as needed. Review of Resident #71's clinical record revealed he was admitted to the facility on [DATE]. Review of Resident #71's quarterly MDS with an ARD of 07/03/2024 revealed he had a BIMS of 12, which indicated he had moderate cognitive impairment. Review of Resident #71's facility facesheet revealed he was his…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-21 · tag F0807 — failed to offer suitable drinks — isolatedEnsure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations and interviews, the facility failed to provide drinks consistent with resident preferences. The facility failed to ensure staff passed ice and water to 2 (#10 and #112) of 33 residents reviewed in the initial pool. Findings: Review of the facility's undated policy titled, Hydration Management revealed the following, in part: Procedure: 1. A pitcher of ice water will be available to all residents in their rooms . Efforts will be made to keep water pitchers within the resident's reach . 2. Water pitchers will be filled with ice not less than three times per 24 hours. Resident #10 Review of Resident #10's Clinical Record revealed he was admitted to the facility on [DATE]. Review of Resident #10's admission MDS with ARD of 06/26/2024 revealed Resident #10 had a BIMS of 14, which indicated he was cognitively intact. Review of Resident #10's current Physician Orders revealed the following, in part: Start date: 08/01/2024- Low Concentrated Sweets/Controlled Carbohydrate Diet,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-21 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to maintain accurate records in accordance with accepted professional standards and practices. The facility failed to ensure Physician Orders for monitoring of behaviors and side effects for a psychotropic medication were obtained and documented for 1 (#124) of 28 residents reviewed in the final sample. Findings: Review of Resident #124's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses of Major Depressive Disorder, Other Specified Depressive Episodes and Severe Vascular Dementia with Other Behavioral Disturbance. Review of Resident #124's current Physician Orders revealed the following, in part: Revision Date: 08/01/2024 Sertraline HCl Tab 100 mg give 1 tablet by mouth one time a day. Further review revealed no orders pertaining to monitoring for behaviors or side effects of psychotropic medications. Review of Resident #124's MAR dated June 2024-August 2024 revealed the following, in part: Start date: 04/24/2024…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-09-13 · tag F0578 — failed to honor advance directives / code status — patternHonor 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews the facility failed to ensure a resident's right to request, refuse and/or discontinue treatment, and to formulate an advanced directive was properly reflected in the resident's record as evidenced by: 1. Failure to ensure all records regarding code status consistently reflected the residents wishes for 1 (#8) of 3 (#8, #71 and #78) residents reviewed for advanced directives in the final sample; and 2. Failure to ensure a completed advanced directive was placed on the chart for 2 (#71 and #78) of 3 (#8, #71 and #78) residents reviewed for advanced directives in the final sample. This deficient practice had the potential to affect 121 residents currently residing in the facility. Findings: A review of the facility's Advanced Directive Policy revealed, in part, the following: Purpose: To outline the mechanism whereby requests not to administer cardiac resuscitation can be brought to the attention of those who might be required to respond. Authority: Each patient/resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-09-13 · tag F0580 — failed to tell family and doctor about changes — patternImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure notifications of changes in resident conditions were made. The facility failed to ensure: 1. S11LPN reported a yeast skin condition on a resident's underarms and trunk to the wound care nurse to initiate treatment for 1 (#45) of 2 (#45 and #98) residents reviewed for skin conditions; and 2. Clinical staff reported to the NP Resident #45's urinalysis specimen was not collected per physician's orders for 1 of 1 (#45) residents reviewed for urinary tracts infections. Findings: 1. Review of Resident #45's Clinical Record revealed the resident was admitted to the facility on [DATE] with diagnoses which included Cystitis, Major Depressive Disorder, and Morbid Obesity Review of Resident #45's most recent MDS with an ARD of 09/08/2023, revealed Resident #45 had a BIMS of 12, which indicated she had mild cognitive impairment. Further review revealed the resident required extensive assistance for ADL's and was always incontinent of bowel…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-09-13 · tag F0641 — patternEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to ensure resident assessments accurately reflected the resident's status for 4 (#8, #72, #96, and #109) of 5 (#8, #72, #96, and #109) residents reviewed for MDS. Findings: Review of Resident #8's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses, which included Chronic Obstructive Pulmonary Disease. Review of Resident #8's annual MDS with an ARD of 07/13/2023 revealed Chronic Obstructive Pulmonary Disease was not coded as an active diagnosis in Section I. Review of Resident #72's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses, which included Traumatic Brain Injury and Aphasia. Review of Resident #72's annual MDS with an ARD of 05/17/2023 revealed Traumatic Brain Injury and Aphasia were not coded as active diagnoses in Section I. Review of Resident #96's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses, which included Viral Chronic Hepatitis C. Review of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-09-13 · tag F0759 — failed to keep medication error rate low — patternEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews and record reviews, the facility failed to ensure the medication error rate was less than 5% by having a medication error rate of 12% during the medication administration observation. A total of 33 opportunities were observed, which included 4 medication errors with Resident #10 and Resident #79. This failed practice had the potential to affect any of the 121 residents currently residing in the facility. Findings: A review of the facility's policy, General Guidelines, revealed the following, in part: Policy: Medications are administered as prescribed, in accordance with good nursing principles and practices and only by person legally authorized to do so. 2. Medications are administered in accordance with written orders of a physician. 19. Prior to administration, the medication and dosage schedule on the resident's MAR is compared with the medication label. If the label and MAR are different and the container is not flagged indicating a change in directions or there is any other reason to question the dosage or directions, the physician's orders are…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-09-13 · tag F0761 — failed to label and store drugs safely — patternEnsure 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.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, and policy review, the facility failed to ensure medications were stored and labeled properly in accordance with current accepted professional principles by having expired medications available for use in 1 of 1 (Medication Storage Room). Findings: A review of the facility's policy, Medication: Stock, revealed the following, in part: Policy: Stock medications are any over the counter medication, which can be administered to any resident having a medical doctor order. b. Monthly inspections of these supplies are made by the pharmacist to assure that supply levels are correctly maintained and that expiration dates are closely monitored. A review of the facility's policy, Medication Storage in the Facility, revealed the following, in part: Policy: Medications and biologicals are stored safely, securely, and properly following manufacture's recommendations or those of the supplier. Procedure: 13. Outdated, contaminated, or deteriorated medications and those in containers that are cracked, soiled or without secure closures are immediately removed from…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-09-13 · tag F0814 — failed to dispose of garbage properly — patternDispose of garbage and refuse properly.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on an observation, interviews, and record review, the facility failed to ensure garbage and refuse was disposed of properly. Findings: Review of the facility's policy, Infectious Material Disposal revealed the following, in part: Policy: All infectious material will be disposed of as follows: Procedure: 1. All disposables such as dressings, contaminated briefs, contaminated gloves, etc. shall be placed in a red plastic bag and taken immediately to the infectious waste container. 4. Infectious waste will be picked up by a licensed medical waste disposal provider as needed. An observation of the outdoor garbage bins was conducted on 09/11/2023 at 9:00 a.m. with S6HC. She confirmed the following observations around the garbage bins: - 1 soiled adult brief - 32 rubber gloves - 13 silverware utensils - 4 sugar packets - 3 paper straw papers - 4 Styrofoam cups - 1 plastic cup - 3 cracker wrappers - 1 Styrofoam food container An interview was conducted on 09/11/2023 at 9:00 a.m. with S6HC. She confirmed garbage should not be on the ground at any time. She stated maintenance was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-09-13 · tag F0849 — patternArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to coordinate hospice care services to ensure a system was in place to update hospice binders with completed Advanced Directives for 2 of 2 (#8 and #78) residents reviewed for hospice care. Findings: Cross Reference F578. Resident #8 Review of Resident #8's Clinical Record revealed he was admitted to the facility on [DATE]. Review of Resident #8's most recent Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 07/13/2023, indicated the resident had a Brief Interview for Mental Status (BIMS) of 8, which indicated moderate cognitive impairment. Review of Resident #8's Louisiana Physician Orders for Scope of Treatment (LAPOST) advanced directive in the paper chart revealed, in part, the following: A. DNR/Do Not Attempt Resuscitation (Allow Natural Death): Selected. Print Physician's Name: Blank. Physician Signature (Mandatory): Blank, Physician Phone Number: Blank. Date (Mandatory): Blank. PHCR Signature (Mandatory): Signature by Resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-09-13 · tag F0867 — failed to act on quality-improvement findings — patternSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to implement an effective Quality Assurance system to correct identified quality deficiencies for 3 of 3 (#8, #71 and #78) residents reviewed for advance directives. This deficient practice had the potential to affect 121 residents currently residing in the facility. Findings: Cross Reference F578 and F849. Review of the facility's policy Quality Assurance and Performance Improvement (QAPI) Guidelines revealed, in part, the following: Policy: To establish procedures within the facility for the QAPI by incorporating the Five Elements including: 1. Design and Scope: a. A QAPI program must be ongoing and comprehensive, dealing with the full range of services offered by the facility, including the full range of departments. When fully implemented, the program should address all systems of care and management practices, which include clinical care, quality of life, and resident choice. It aims for safety and high quality with all clinical interventions while…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-13 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation and interview, the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good grooming, and personal hygiene for 1 (# 97) of 3 (#22, #71, and # 97) residents reviewed for nail care. Findings: Review of the facility's policy titled Nail Management revealed, in part: Policy: Nail management is the regular care of the toenails and fingernails to promote cleanliness, and skin integrity of tissues, to prevent infection, and injury form scratching by fingernails or pressure of shoes on toenails. It includes cleansing, trimming, smoothing, and cuticle care and is usually done during the bath. Essential Points: Nails that are ingrown, thickened, or infected should be cared for by a podiatrist or physician. Review of Resident #97's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses, which included; Dementia, Alzheimer's Disease, Hemiplegia and Hemiparesis following Cerebral…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$17,388 in federal fines across 2 penalties.
- $9,110 — penalty dated 2025-11-12
- $8,278 — penalty dated 2025-03-05
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to CENTRAL MANAGEMENT COMPANY — 21 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 3 of 5 | 2.6 | +0.4 vs chain |
| Health inspection | 2 of 5 | 2.8 | -0.8 vs chain |
| Staffing | 3 of 5 | 3.0 | ≈ chain avg |
| Quality measures | 5 of 5 | 2.4 | +2.6 vs chain |
The other 20 homes this chain runs (chain average 2.6★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| KISATCHIE HEALTH, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | 55% | since 01/01/2022 |
| KISATCHIE INDUSTRIES LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | 45% | since 01/01/2022 |
| TEDDY R & SUSAN R BURNUM PRICE INV TR FBO JACQUELINE E PRICE ET AL | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | 45% | since 01/01/2022 |
| PRICE, TEDDY | Individual | INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/01/2022 |
| HANCOCK WHITNEY BANK | Organization | 5% OR GREATER MORTGAGE INTEREST | — | since 12/30/2021 |
| CENTRAL MANAGEMENT COMPANY, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/01/2022 |
| BOLWAHNN, SHEILA | Individual | ADP OF THE SNF | — | since 12/01/2008 |
| CANTRELL, JEFFREY LEE | Individual | ADP OF THE SNF | — | since 10/01/2013 |
| NAPUIN, BROCK | Individual | ADP OF THE SNF | — | since 03/17/2025 |
| ROGERS, DAWN | Individual | ADP OF THE SNF | — | since 03/01/1993 |
| SHELTON, JAMES | Individual | ADP OF THE SNF | — | since 01/01/2022 |
CMS files one row per role, so the 17 rows in the source record cover these 11 parties — each is shown once here with every role it holds. Nothing is omitted.
5 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
About 76% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $2.3M paid to related parties — landlords or management companies under common ownership — equal to about 23% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in LA
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Louisiana Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 195561. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-17, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.