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Capitol House Nursing and Rehab Center

11546 Florida Blvd, Baton Rouge, LA 70815 · For profit - Corporation · 132 certified beds · (225) 275-0474 Medicare & Medicaid certified

Call the home — (225) 275-0474 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0609) — cited Jun 2024
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
Worth asking about
  • 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
  • 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
  • its payroll-based staffing rating is low (1/5)
  • its facility-reported quality-measure rating is low (1/5)
  • nursing-staff turnover (67%) runs well above the national median (45%)

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.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 1 of 5

Location & what’s nearby

Urgent care / clinic
(225) 275-7770 · Call to confirm hours
Pharmacy
11430 Florida Blvd · (225) 275-3076 · Call to confirm hours
Grocery
11435 Florida Blvd · (225) 275-8225 · Call to confirm hours
Park
11600 Tams Dr · (225) 272-9200 · Typically dawn to dusk

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 1 of 5
Long-stay residentspeople who live here 1 of 5
Short-stay residentsrehab / post-hospital 1 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 1 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.

Overall rating1★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased22.8%17.8%15.4%worse
Long-stay residents who lose too much weight2.4%5.2%5.4%better
Long-stay residents with a catheter left in their bladder9.1%1.2%0.9%worse
Long-stay residents with a urinary tract infection7.0%2.1%2.0%worse
Long-stay residents with depressive symptoms0.0%2.3%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained5.7%0.2%0.1%worse than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury0.9%3.5%3.3%better
Long-stay residents whose ability to walk worsened34.4%17.9%16.1%worse
Long-stay residents on antianxiety or hypnotic medication16.3%23.2%18.9%better
Long-stay residents given the seasonal flu vaccine93.9%94.9%95.3%typical
Long-stay residents with pressure ulcers19.5%5.6%4.7%worse
Long-stay residents with worsening bladder/bowel control7.1%15.8%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table22.3%22.7%17.1%worse
Short-stay residents who newly got an antipsychotic medication1.7%3.1%1.4%better than state — see note marked double-dagger below the table
Short-stay residents given the seasonal flu vaccine42.1%76.3%79.4%worse
Short-stay residents rehospitalized after admission30.1%28.0%22.6%worse
Short-stay residents with an outpatient ER visit12.7%14.8%12.0%typical
Long-stay hospitalizations per 1,000 resident days2.362.561.67worse
Long-stay outpatient ER visits per 1,000 resident days1.482.741.80better

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

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.

10.2%U.S. median 10.7%
Went back to hospital
37.5%U.S. median 56.6%
Met the expected recovery
0.25U.S. median 0.31
Therapy hours / resident / day
0.10hours / resident / day
Physical therapy
0.09hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 37.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 24 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.25 therapist hours per resident per day in 2026Q1 — more than 34% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot 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 SNF10.2%CMS range 6.8–15.310.7%Oct 2022–Sep 2024no 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 discharge37.5%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge70.8%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge29.2%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified86.8%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this 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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay5.7%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.8%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.9%CMS range 5.3–11.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.541.02Oct 2022–Sep 2024CMS 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

0.09
RN hours/ resident / day
1.44
LPN hours/ resident / day
2.38
Aide hours/ resident / day
3.91
Total nurse hours/ resident / day
0.09
RN hoursweekends
67.2%
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 132 beds and averages 97.6 residents a day — about 74% occupied, or roughly 34 beds typically open. It usually has some room. 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 3.91 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.09 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.38 is below 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 3.57 hrs/resident/day on weekends vs 4.04 on weekdays — 12% thinner on weekends. RN hours go from 0.09 to 0.09 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 67% is well above 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

9
deficiencies at the latest standard inspection (2025-06-11)
4
at the previous standard inspection (2024-06-13)

Deficiencies are more than at the previous inspection — worsening. 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.

ABCDEFGHIJKL

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 10 most serious are shown; the remaining 15 are one tap away and print in full.

  • Potential for harm · Ecited before2025-06-11 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure 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 and interviews, the facility failed to store and prepare food under sanitary conditions by failing to ensure: 1. Ceiling vents in the kitchen were clean, free of rust and debris; 2. Ceiling tiles (6) in the kitchen and (2) in the adjacent Dining areas were free from water stains. The deficiency had the potential to affect 64 residents who were served meals from the kitchen. Findings: On 06/09/2025 at 8:13 a.m., the initial tour of the facility's kitchen was conducted with S4DM. The following observations were made in the presence of S4DM during the initial tour: Main Kitchen/cooking Area: Rusty orange and dirty brown large ceiling vent coverings above serving steam table; Rust stains and flakey black debris noted on large ceiling vent covering in dishwashing room; Ceiling tiles (6), ranging from baseball to softball size, contained stains in main kitchen. On 06/09/2025 at 8:40 a.m., an interview was conducted with S4DM. She verified the ceiling vent coverings were dirty, rusty, and needed cleaning in the main kitchen, dining, and dishwasher room areas. She…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-11 · tag F0628 — isolated
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    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 notify the State's Long-Term Care Ombudsman of discharges in writing for 1 (Resident #97) of 1 (Resident #97) sampled residents reviewed for transfer and discharge requirements. Findings: Review of the facility's policy titled Transfer and Discharge (including AMA) revealed in part: Policy: It is the policy of the facility to permit each resident to remain in the facility, and not transfer or discharge the resident from the facility except in limited circumstances. This policy applies to all residents regardless of their payment source. Definitions: Transfer and Discharge includes movement of a resident to a bed outside of the certified facility whether that bed is in the same physical place or not. Transfer and discharge does not refer to movement of a resident to a bed within the same facility. 5. The facility will maintain evidence that the notice was sent to the Ombudsman. Review of Resident #97's Electronic Medical Record (EMR) revealed, in…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-11 · tag F0640 — isolated
    Encode each resident’s assessment data and transmit these data to the State within 7 days of 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 a resident's discharge assessment was completed and transmitted for 1 (#82) of 2 (#82 and #88) residents reviewed for Resident Assessment. Findings: Review of the facility's policy titled, MDS (Minimum Data Set) 3.0 Completion and dated 05/2023 revealed the following, in part: Policy: Residents are assessed, using a comprehensive assessment process, in order to identify care needs and to develop and interdisciplinary care plan. Policy Explanation and Compliance Guidelines: 2. Types of Omnibus Budget Reconciliation Act Assessments i. Death Tracking i. Complete when a resident expires in the facility no later than discharge (death) date plus seven calendar days. 7. Transmission Requirements: a. All assessments shall be transmitted to the designated CMS (Centers for Medicare and Medicaid Services) system within 14 days of completion. Review of Resident #82's Clinical Record revealed she was admitted to the facility on [DATE] and was pronounced…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-11 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    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 develop and implement a comprehensive person-centered care plan which met the needs of 2 (#26 and #84) of 24 residents reviewed in the final sample. The facility failed to: 1. Ensure Resident #26 was care planned for his preference of a daily bath; and 2. Ensure Resident #84's soft mitt or splint was in place on right hand at all times This deficient practice had the potential to affect a current census of 97 residents. Findings: Review of the facility's policy titled Care Planning Special Needs, with a revision date of 09/2020 revealed the following: Policy: To address special needs, this facility will provide the necessary care and treatment, including medical and nursing care, consistent with professional standards of practice and in accordance with physician orders, the comprehensive person-centered care plan, and the resident's goals and preferences. This policy pertains to the following needs: .respiratory care, prostheses .…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-11 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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 a resident with a Pressure Ulcer and at high risk for Pressure Ulcer development received care consistent with professional standards of practice and based on the comprehensive assessment by failing to ensure an air mattress was properly implemented for 1 (#54) of 3 (#45, #54, #150) residents reviewed with Pressure Ulcers. Findings: Review of the facility's policy titled, Pressure Injury Prevention and Management with a revision date of 07/2024 revealed the following, in part: Policy: This facility is committed to the prevention of avoidable pressure injuries, to provide treatment and services to heal the pressure ulcer/injury, and the development of additional pressure ulcers/injuries. Policy Explanation and Compliance Guidelines: Evidence-based interventions for prevention will be implemented for all residents who are assessed at risk or who have a pressure injury present. Basic or routine care interventions could include, but…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-11 · tag F0694 — isolated
    Provide for the safe, appropriate administration of IV fluids for a resident when 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 observation, interviews, and record review the facility failed to administer parenteral fluids consistent with professional standards of practice for 1 of 1 (#300) resident reviewed for IV (Intravenous) therapy. The facility failed to monitor and flush a vascular device according to professional standards. The deficient practice had the potential to affect all residents who may require IV antibiotic or fluid therapy. Findings: Review of the facility's Policy dated 09/2024 titled, Intravenous Therapy-LTC revealed, in part: Policy: The facility will adhere to accepted standards of practice regarding infusion practices. Compliance Guidelines: 11. IV sites are checked per facility protocol . 13. IV documentation is recorded in the nurses' notes and/or Medication Administration Record (MAR). Intermittent Medication Infusion: 1. Review and verify practitioner's order for infusion solution or medication . 13. Attach 10ml (milliliter) syringe and confirm patency of vascular access device as per protocol. Review…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-11 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard 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 for 1 (#26) of 3 (#10, #19, and #26) residents reviewed for Activities of Daily Living (ADL). The facility failed to ensure nursing staff accurately documented Resident #26's baths. Findings: Review of Resident #26's Clinical Record revealed he was admitted to the facility on [DATE]. Review of Resident #26's Quarterly MDS with an ARD of 04/28/2025 revealed he was dependent on staff assistance for bathing. Review of the C.N.A. (Certified Nursing Assistant) Assignment Sheet dated June 2025 revealed Resident #26 should receive a bath Monday through Saturday. Review of Resident #26's ADL (Activities of Daily Living) Flowsheet dated 06/01/2025 to 06/11/2025 revealed no documentation a bath was given on 06/03/2025, 06/05/2025 or 06/07/2025. Review of Resident #26's Nurses' Notes dated June 2025 revealed no documented evidence of refusals of baths. On 06/10/2025 at…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-11 · tag F0849 — isolated
    Arrange 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 interviews and record reviews, the facility failed to meet Hospice requirements by failing to maintain a system to ensure a hospice resident's Clinical Binder contained documentation of Hospice Nurse Visit notes for 1 (#81) of 1 resident reviewed for hospice care. This deficient practice had the potential to affect any of the residents receiving hospice services in the facility. Findings: Review of the facility's policy titled Hospice Services Facility Agreement, with a revision date of 10/2020 revealed the following: Policy: It is the policy of this facility to provide and/or arrange for hospice services in order to protect a resident's right to a dignified existence, self-determination, and communication with, and access to, persons and services inside and outside the facility. A review of Resident #81's Clinical Record revealed she was admitted to the facility on [DATE]. Further review revealed Resident #81 was a patient of a local hospice agency with a Certification Period of 04/03/2025 through…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-11 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe and sanitary environment to help prevent the development and transmission of communicable infection by failing to ensure staff performed appropriate infection control practices during and after incontinence care for 1 (#61) of 3 (#19, #37, and #61) residents observed for incontinence care. Findings: Review of the facility's policy titled, Catheter Care revealed the following, in part: Policy: It is the policy of this facility to ensure residents with indwelling catheters receive appropriate catheter care. Compliance Guidelines: Female Wipe from front to back with a clean cloth moistened with water and perineal cleaner (soap). Review of the facility's policy titled, Hand Hygiene revealed the following, in part: Policy: All staff will perform proper hand hygiene procedures to prevent the spread of infection to other personnel, patients, residents, and visitors. Additional considerations: The use of gloves does not replace hand…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-12-26 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    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.
    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 and interviews, the facility failed to ensure maintenance services were provided to maintain a safe, clean, comfortable, and homelike environment for 4 of 4 (#R1, #R2, #R3 and #R4) residents' rooms observed for environmental concerns. The facility failed to ensure A/C (air conditioning) window units were clean, free of debris, and received regular maintenance Findings: Resident #R1 Review of Resident #R1's Clinical Record revealed she was admitted to the facility on [DATE] with a BIMs of 15, which indicated cognitively intact. An observation was made on 12/23/2024 at 10:30 a.m. of Resident #R1's room A/C window unit. The right and left adjustable louvers of the A/C window unit were covered throughout with a buildup of black substances, spotted flat black stains and a blue glove stuffed into a crevice of one of the louvers. Further observation of the A/C window unit revealed the front panel grill had a buildup of gray dust. An interview was conducted on 12/23/2024 at 10:30 a.m. with 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
Show the remaining 15 citations
  • Potential for harm · Ecited before2024-06-13 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure 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 observation, interviews, and record review, the facility failed to store food in accordance with professional standards for food service safety. This had the potential to affect 78 residents who were served meals from the kitchen. Findings: Review of the facility's policy titled, Food Safety Requirements, dated 08/2022, revealed in part: Food will be stored, prepared, distributed, and served in accordance with professional standards for food service safety. 3. Facility staff shall inspect all food, food products, and beverages upon receipt and ensure proper storage a. Refrigerated storage-foods that require refrigeration shall be refrigerated immediately upon receipt. On 06/10/2024 at 9:00 a.m., an initial tour of the kitchen was conducted with S7DM. The following items were found opened on a shelf instead of in the refrigerator: 1. Soy Sauce, 1 gallon bottle, half empty. Manufacture's label read Refrigerate After Opening. 2. Lemon Juice, 1 quart bottle, half empty. Manufacture's label read Refrigerate After Opening. On 06/10/2024 at 9:02 a.m., an interview was conducted…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-13 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor 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 observation, interviews, and record review, the facility failed to ensure 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 1 (#82) of 2 (#59 and #82) sampled residents reviewed for dignity. The facility failed to ensure staff communicated with the resident, and explained the care to be provided. Findings: Review of Resident #82's Clinical Record revealed he was admitted on [DATE] with diagnoses, which included Cerebral Infarction, Tracheostomy, and Need for Assistance with Personal Care. Review of Resident #82's admission assessment MDS with an ARD of 05/21/2024 revealed the provider assessed the resident as having a BIMS of 0, indicating the resident was severely cognitively impaired. Further review revealed he was totally dependent on staff for bed mobility, transfers, dressing, toileting, and personal hygiene. On 06/10/2024 at 10:20 a.m., an observation was conducted of Resident #82. S9CNA…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-13 · tag F0641 — isolated
    Ensure 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 a resident's assessment accurately reflected the discharge status for 1(#97) of 5 (#52, #64, #82, #97 and #450) residents reviewed for hospitalizations. Findings: Review of Resident #97's MDS Discharge assessment dated [DATE] revealed the resident was discharged to a general hospital. Review of Nursing Notes for Resident #97 revealed the following, in part: 05/09/2024 at 4:58 p.m., Resident #97's son in facility loading up all resident belongings. Resident #97 was given her signed copy of medication with all narcotics. Resident #97 was also given paperwork from the social worker. Resident #97 was rolled to private transportation and assisted by son into car. On 06/12/2024 at 2:38 p.m., an interview was conducted with S5MDS. She reviewed Resident #97's MDS Discharge Assessment and confirmed it indicated Resident #97 was discharged to a general hospital. She reviewed Resident #97's medical record and confirmed the resident was discharged home.…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-13 · tag F0644 — isolated
    Coordinate 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 record review and interviews, the facility failed to ensure a resident with an identified mental health diagnosis was referred for a Preadmission Screening Resident Review (PASRR) Level II evaluation as required for 1(#4) of 3(#4, #77, and #90) sampled residents records reviewed for PASRR. Findings: Review of the Clinical Record revealed Resident #4 was admitted to the facility on [DATE] with diagnoses which included Schizophrenia. Further review revealed additional medical diagnoses of Anxiety disorder (11/12/2019), Schizoaffective Disorder (10/11/2017), and Unspecified Psychosis (06/06/2014). Further review of the clinical record revealed no documentation of a Level II PASRR evaluation. On 06/12/2024 at 1:30 p.m., an interview was conducted with S8SSD. She stated when a resident acquired a new mental health diagnosis she submitted a request to the state agency for a PASRR Level II referral. She reviewed the PASRR Level I on file for Resident #4 dated 01/15/2013. She confirmed Resident #4 had acquired…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-13 · tag F0609 — failed to report abuse allegations — isolated
    Timely 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 review, the facility failed to ensure alleged violations involving neglect were reported immediately to the Administrator and within 24(twenty four) hours after the allegations were made to the state agency for 1of 1 (#70) residents reviewed for neglect. Findings: A review of the facility's policy titled, Reporting Alleged Violations revealed, in part, the following: Policy: The purpose of this policy is to assure that all alleged violations are reported immediately to the facility administrator and other officials. Compliance Guidelines: 2. If the alleged violation involves abuse or results in serious bodily injury, it must be reported immediately but no later than 2 hours after the allegation is made. 4. The alleged violations must be reported to the administrator of the facility and to other officials (including to the State Agency and Adult Protective Services where state law provides jurisdiction in long term care facilities) in accordance with state law through established…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-06-13 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    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 observation, record review and interview the provider failed to ensure the care plan was implemented for 1 ( #70) of 4 (#67, #70, #77, and #299) residents sampled for Pressure Ulcers were turned and repositioned every 2 hours per Physician Orders. Findings: Review of Resident #70's face sheet/clinical record revealed the resident was admitted to the facility on [DATE]. Resident #70's diagnosis included, in part: Unspecified Open Wound of Lower Back and Pelvis. Review of Resident #70's Physician Orders from April 2024 to current revealed the following, in part, 04/23/2024 Every 2 hour turns. Review of Resident #70's current Care Plan revealed; Problem Onset: 12/04/2023- I have a stage 4 to my Right Shoulder. I receive wound care as ordered by my Physician. Intervention: Every 2 hours turn and reposition as needed. On 06/13/2024 at 8:30 a.m., an observation was made with S1ADM of the facility's video surveillance of Resident #70's room on 05/16/2024 from 7:30 p.m. until 05/17/2024 at 4:00 a.m. S10LPN…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-07-27 · tag F0576 — pattern
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews, the facility failed to ensure residents received mail on Saturdays. This had the potential to affect 97 Residents residing in the facility. Findings: Review of the facility's policy titled, Resident Right to Privacy in Communication revealed the following: Policy: It is the policy of this facility to support and facilitate a resident's right to privacy in communications with individuals and entities within and external to the facility. Definitions: Promptly means delivery of mail or other materials to the resident within 24 hours of delivery by the postal service Policy Explanation and Compliance Guidelines: 2. The social service designee, or another designated staff member, will ensure each resident receives any mail addressed to that particular resident promptly. On 07/24/2023 at 1:20 p.m., during the Resident Council Meeting Resident's #20, #55, and #59 voiced concerns of not receiving mail on Saturdays. Resident #59 stated the residents did not receive mail on Saturdays because S8AD did not work on the weekends. On 07/24/2023 at 1:30 p.m.,…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-07-27 · tag F0656 — failed to write and follow a full care plan — pattern
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    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 implement a person-centered plan of care by failing to administer Oxygen as ordered for 1 (#248) of 2 (#61 and #248) residents reviewed with Oxygen. Findings: Review of Resident #248's clinical record revealed she was admitted to the facility on [DATE] and had diagnoses which included Cerebral Infarction, Type 2 Diabetes Mellitus, Chronic Systolic Heart Failure, Unspecified Atrial Fibrillation, and Cardiomyopathy. Review of Resident #248's Physician Orders dated July 2023 revealed the following, in part: (Start date: 06/29/2023) Oxygen continuous at 2L per nasal cannula Review of Resident #248's admission MDS with an ARD of 07/10/2023 revealed she had a BIMS of 15, which indicated she was cognitively intact. Review of Resident #248's Current Care Plan revealed the following, in part: Problem: I require Oxygen therapy Approaches: Administer my Oxygen as ordered Review of Resident #248's MAR dated June 2023 through July 2023 revealed 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-07-27 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and record review, the facility failed to develop procedures to ensure 4 (#19, #67, #87 and #149) of 5 (#19, #61, #67, #87 and #149) resident's records had documentation indicating: 1. Residents or resident representatives received education regarding the benefits and potential side effects of Pneumococcal and Influenza immunization; and 2. Resident's either received the Pneumococcal and Influenza immunization or did not receive the Pneumococcal and Influenza immunization due to medical contraindication or refusal. Findings: Review of the facility's Pneumococcal Vaccine policy revealed the following, in part: 12. The resident's medical record shall include documentation that indicates at a minimum, the following: a. The resident or resident's representative was provided education regarding the benefits and potential side effects of pneumococcal immunization. b. The resident received the pneumococcal immunization or did not receive due to medical contraindication or refusal. Review of the facility's Influenza Vaccination policy revealed the following, in part: 5.…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-07-27 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately 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 observation, interviews, and record review the facility failed to ensure direct care staff consulted with the physician when there was a need to alter treatment for 1 (#22) of 4 (#22, #54. #55 and #148) sampled residents reviewed. The facility failed to ensure CNA staff promptly notified the nurse when she identified Resident #22 had a change in her skin condition. Findings: Review of the policy titled Notification of Changes revealed the following, in part: Policy The purpose of this policy is to ensure the facility promptly informs the resident, consults the resident's Physician, and notifies, consistent with his or her authority, resident's representative when there is a change requiring notification. Definitions: Need to alter treatments significantly- commence a new form of treatment to deal with the problem. Compliance Guidelines: The facility must inform the resident, consult with the resident's physician when there is a change requiring such notification. Circumstances requiring notification…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-07-27 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    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 services were provided by the facility to meet quality professional standards for 2 (#54 and #55) of 22 residents reviewed in the final sample for medication administration. The facility failed to ensure: 1. Resident #54 received his sliding scale insulin 30 minutes prior to lunch and 2. Staff observed Resident #55 consume his medications prior to exiting his room. Findings: Review of the Louisiana Administrative Code, Title 46, Professional and Occupational Standard, Part. XLVII, Nurses: Practical Nurses and Registered Nurses (As amended through December, 2009) Subpart, I. Practical Nurse, under subchapter E. Curriculum Requirements revealed in part: 3. Development of those qualities and personal characteristics needed to practice practical nursing safely, effectively and with compassion, including increased and ongoing development of self-awareness, sound judgement, [NAME], ethical thing and behaviors, problem solving 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-07-27 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide 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 observations, interviews and record review, the facility failed to ensure 1 (#79) of 1 (#79) residents reviewed for activities of daily living, received the necessary services to maintain personal hygiene for nail care. Findings: Review of the facility's policy titled Activities of Daily Living revealed, in part: Care and services will be provided for the following activities of daily living: 1. Bathing, dressing, grooming and oral care. Policy explanation and compliance guidelines: 3. A resident who is unable to carry out activities of daily living will receive the necessary services to maintain good nutrition, grooming, personal and oral hygiene. Review of the facility's policy titled Providing Nail Care revealed, in part: Policy explanation and compliance guidelines: 1. Assessments of resident nails will be conducted on admission and readmission to determine the resident's nail condition, needs, and preferences for nail care, if possible. 3. Routine cleaning and inspection of nails will be provided…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-07-27 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    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 environment remained free of accident hazards for 1 (#33) of 3 (#23, #33, and #67) residents reviewed for Accidents. The facility failed to ensure the Geri chair was locked when Resident (#33) was transferred with a mechanical lift as identified in the plan of care. There were 43 total residents identified on the facility's census that required mechanical lift transfers. Findings: Review of the facility's Policy titled Safe Patient Handling and Transfers revealed, in part: Policy: it is the policy of this facility to ensure that patients/residents are handled and transferred safely to prevent or minimize risks for injury and provide and promote a safe, secure and comfortable experience for the patient/resident while keeping the employees safe in accordance with current standards and guidelines. Procedure: Educate direct care personnel on all transfer equipment, safe body mechanics for lift/transfer techniques. A. Education shall be…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-07-27 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    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 a resident with an indwelling catheter received appropriate treatment and services to prevent urinary tract infections. The facility failed to ensure 1 (#51) of 2 (#51, #66) residents reviewed for indwelling urinary catheters did not have the urinary drainage bag and tubing on the floor. Findings: Review of the facility's policy titled, Indwelling Catheter Use and Removal revealed the following, in part: Policy: It is the policy of this facility to ensure that indwelling urinary catheters that are inserted or remain in place are justified or removed according to regulations and current standards of practice. Compliance Guidelines: 4. If an indwelling catheter is in use, the facility will provide appropriate care for the catheter in accordance with current professional standards of practice and resident care policies that include but are not limited to: d. Insertion, ongoing care and catheter removal protocols that adhere to…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-07-27 · tag F0814 — failed to dispose of garbage properly — isolated
    Dispose of garbage and refuse properly.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews, the facility failed to ensure garbage and waste were properly contained in the outdoor trash compactor. Findings: On 07/24/2023 at 9:10 a.m., an observation was made of the dumpster area outside the facility with S5DM. The following was observed: There were approximately 2 pairs of disposable gloves, 3 straw wrappers and other unidentifiable paper items scattered on the ground all around the outdoor trash compactor. Six bags of trash noted on the ground beside and partially underneath the outdoor trash compactor. Three of the six bags were torn open with the trash exposed. On 07/24/2023 at 9:11 a.m., an interview was conducted with S5DM. She confirmed the above observations and stated the trash should not be on the ground. She stated S9MS was responsible for cleaning around the outdoor trash compactor. On 07/24/2023 at 9:20 a.m., an observation was made of the dumpster area outside the facility with S9MS. He confirmed the above observations and stated the trash should not be on the ground. He stated he was responsible for ensuring the dumpster…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to THE CARPENTER HEALTH NETWORK — 4 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 →

RatingThis homeChain avg
Overall 1 of 52.5-1.5 vs chain
Health inspection 3 of 53.3-0.3 vs chain
Staffing 1 of 51.5-0.5 vs chain
Quality measures 1 of 52.0-1.0 vs chain
The other 3 homes this chain runs (chain average 2.5★, 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 / managerTypeRoleShareSince
PCM REHAB ENTERPRISES LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST92%since 07/18/2025
JCAP MANAGEMENT LLCOrganizationDIRECT OWNERSHIP INTERESTsince 01/01/2017
ZUELKE, ANNETTEIndividualDIRECT OWNERSHIP INTEREST; INDIRECT OWNERSHIP INTERESTsince 12/31/2009
PCM HOLDINGS I, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST92%since 07/18/2025
PCM INTERMEDIATE HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 07/18/2025
PTM 2018 FAMILY TRUSTOrganizationINDIRECT OWNERSHIP INTERESTsince 07/18/2025
MITCHELL, PATRICKIndividualINDIRECT OWNERSHIP INTEREST; CORPORATE OFFICERsince 05/01/2019
MONTGOMERY, LATERECAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/04/2021
NNADI, JOHNIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/01/2024
HOLLEMAN, EMILYIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 09/12/2025
MITCHELL, KELLYIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 09/12/2025
GATOR 25 LLCOrganizationADP OF THE SNFsince 12/30/2025
ST. JOSEPH HOLDINGS LLCOrganizationADP OF THE SNFsince 02/10/2026

CMS files one row per role, so the 17 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted.

7 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.

$11.3M
Net patient revenuemost recent cost report
-1.9%
Operating marginrevenue minus expenses
$1.1M
Related-party expense9% of expenses
Who pays — share of resident-days
Medicaid 65%Medicare 9%Other / private 27%

This home reported $1.1M paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. 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

$339per resident / day
operating cost
$10,306per month
≈ monthly operating cost
$333per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). 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

Paying with Medicaid

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.

Typical monthly cost in Louisiana
$7,604/mo
Nursing home (semi-private)
$8,076/mo
Nursing home (private)
$5,163/mo
Assisted living

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 195476. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-11, 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.

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