Heritage Manor Of Baton Rouge II

Location & what’s nearby

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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

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.

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.

49.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 36 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.21 therapist hours per resident per day in 2026Q1 — more than 25% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% 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.

Staffing

How full it usually is: this home is certified for 144 beds and averages 117.5 residents a day — about 82% occupied, or roughly 26 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 3.56 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.15 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.32 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 3.16 hrs/resident/day on weekends vs 3.72 on weekdays — 15% thinner on weekends. RN hours go from 0.16 to 0.12 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 61% 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

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.

32 citations, most serious first. The 16 most serious are shown; the remaining 16 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-02-21 · 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 record reviews and interviews, the facility failed to ensure an allegation of neglect was reported immediately, but not later than 2 hours after the incident occurred to the State Survey Agency and local law enforcement in accordance with State law for 1 (#3) of 4 ( #1, #2, #3, and #R1) residents reviewed for abuse. The provider failed to report Resident #3's elopement from the facility on 02/08/2025 to local law enforcement and the state agency. This deficient practice resulted in an Immediate Jeopardy situation on 02/08/2025 when Resident #3, a resident that resided on the locked unit of the facility due to wandering behaviors, was noted missing from the facility by staff. Resident #3 was admitted to the facility with a known protective order and open EPS case against family members. On 02/08/2025 around 7:07 p.m., staff allowed 2 unknown family members to remove Resident #3 from the facility's locked unit and bring her outside unsupervised. CNA staff went to check on the resident and realized she had…

  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
• Immediate jeopardy · Jcited before2025-02-21 · 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 record reviews and interviews, the provider failed to develop and implement a Comprehensive Person-Centered Care Plan to meet the needs of 1 (#3) of 7 (#1, #2, #3, #R1, #R2, #R3, and #R4) sampled residents. The facility failed to ensure staff were aware of Resident #3's active protective order and an open Elderly Protective Service (EPS) case against 3 family members. This deficient practice resulted in an Immediate Jeopardy situation on 02/08/2025 when Resident #3, a resident that resided on the locked unit of the facility due to wandering behaviors, was noted missing from the facility by staff. Resident #3 was admitted to the facility with a known protective order and open EPS case against family members. On 02/08/2025 around 7:07 p.m., staff allowed 2 unknown family members to remove Resident #3 from the facility's locked unit and bring her outside unsupervised. CNA staff went to check on the resident and realized she had been removed from the facility. Resident #3 was located 2 days later with a…

  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
• Immediate jeopardy · J2025-02-21 · 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 reviews and interviews, the facility failed to ensure residents received adequate supervision to prevent elopement from the facility for 1 (#3) of 4 (#3, #R2, #R3, and #R4) sampled residents reviewed for elopement. This deficient practice resulted in an Immediate Jeopardy situation on 02/08/2025 when Resident #3, a resident that resided on the locked unit of the facility due to wandering behaviors, was noted missing from the facility by staff. Resident #3 was admitted to the facility with a known protective order and open Elderly Protective Services (EPS) case against family members. On 02/08/2025 around 7:07 p.m., staff allowed 2 unknown family members to remove Resident #3 from the facility's locked unit and bring her outside unsupervised. CNA staff went to check on the resident and realized she had been removed from the facility. Resident #3 was located 2 days later with a family member. S1ADM was notified of the Immediate Jeopardy on 02/20/2025 at 6:26 p.m. The Immediate Jeopardy was removed…

  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
• Immediate jeopardy · J2025-02-21 · tag F0835 — failed to run the facility competently — isolated
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  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 be administered in a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being for each resident residing in the facility. The facility failed to have an effective system in place to ensure: 1. Administrative Staff communicated resident care needs to direct care staff to prevent elopement for 1 (#3) of 7 (#1, #2, #3, #R1, #R2, #R3, and #R4) sampled residents; and 2. Administrative staff reported an elopement to the state agency and local police in accordance with state law for 1 (#3) of 4 (#1, #2, #3, and #R1) residents reviewed for abuse. This deficient practice resulted in an Immediate Jeopardy situation on 02/08/2025 when Resident #3, a resident that resided on the locked unit of the facility due to wandering behaviors, was noted missing from the facility by staff. Resident #3 was admitted to the facility with a known protective order and open…

  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
• Immediate jeopardy · Jcited before2023-10-18 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect 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 sexual abuse by Resident #1 for 2 (#2 and #3) of 3 (#2, #3, and #4) residents reviewed for abuse. This deficient practice resulted in an immediate jeopardy situation on 10/11/2023 at 5:07 a.m. when Resident #1, a resident with a history of sexually inappropriate behaviors, touched Resident #2, a severely cognitively impaired resident, on the vagina in the facility's dining room. At 5:07 a.m., S5CNA observed Resident #1 touching Resident #2 inappropriately. At that time, S5CNA, alerted S6LPN of the incident. S6LPN failed to report the incident to administration and failed to implement adequate interventions after the incident. There was a likelihood for Resident #1 to sexually abuse female residents until the following morning of 10/12/2023, when Administration was made aware of the sexual abuse and placed Resident #1 on one to one supervision. The facility implemented corrective actions…

  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 · Past Non-Compliance
• Immediate jeopardy · Jcited before2023-10-18 · 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 reviews, the facility failed to ensure an allegation of sexual abuse was reported to the facility administrator immediately, but not later than 2 hours after the allegation was made for 1 (#2) of 3 (#2, #3, and #4) residents reviewed for abuse. S6LPN failed to notify administration of an allegation Resident #1 sexually abused Resident #2. This deficient practice resulted in an immediate jeopardy situation on 10/11/2023 at 5:07 a.m. when Resident #1, a resident with a history of sexually inappropriate behaviors, touched Resident #2, a severely cognitively impaired resident, on the vagina in the facility's dining room. At 5:07 a.m., S5CNA observed Resident #1 touching Resident #2 inappropriately. At that time, S5CNA, alerted S6LPN of the incident. S6LPN failed to report the incident to administration and failed to implement adequate interventions after the incident. There was a likelihood for Resident #1 to sexually abuse female residents until the following morning of 10/12/2023,…

  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 · Past Non-Compliance
• Potential for harm · E2026-03-05 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  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 reviews, the facility failed to ensure that residents who were unable to carry out activities of daily living (ADLs) received assistance with incontinent care for 2 (#7 and #85) of 4 residents reviewed for ADLs. Review of the facility's policy titled Toileting Resident, with a revision date of 01/24, revealed the following, in part: PurposeResidents are toileted safely on a routine basis in a timely manner according to their individual plan of care. Resident #7Review of Resident #7's Clinical Record revealed she was admitted to the facility on [DATE] with diagnoses which included Dementia and Generalized Muscle Weakness. Review of Resident #7's Significant Change MDS with an ARD of 01/20/2026 revealed she had a BIMS of 12, which indicated she was moderately cognitively impaired. Further reviewed revealed she required partial/moderate assistance with toileting. Review of Resident #7's current Care Plan revealed the following, in part:Focus: Resident #7 has 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-03-05 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review, the facility failed to ensure controlled drugs were accurately reconciled for 2 of 2 (Medication Cart A and Medication Cart B) medication carts observed for controlled drug reconciliation. Review of the facility's policy titled, Drug-Controlled Substances with a revision date of 09/2025 revealed the following:Controlled medications are to be signed out on Individual Resident Narcotics Record(Form NS-618) at the time they are to be administered. An observation of Medication Cart A on 03/03/2026 at 10:30 a.m. with S3LPN revealed Resident #46's Alprazolam 0.5 mg medication packet contained 55 tablets. Review of the Individual Resident Narcotics Record showed on 03/03/2026 at 7:00 a.m., S3LPN documented administration of one tablet with a remaining balance of 54 tablets. On 03/03/2026 at 10:31 a.m., an interview was conducted with S3LPN. S3LPN confirmed Resident #46's narcotic record showed 54 tablets remaining while the medication packet contained 55 tablets. S3LPN stated she signed out the medication during morning medication pass…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-05 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  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 physical restraints were not imposed for the purpose of staff convenience and were used to treat a resident's medical symptoms for 1 (#113) of 2 residents reviewed for restraints. Review of the facility's policy titled Restraints and Safety Devices, with a revision date of 10/22, revealed the following, in part:It is the philosophy of this facility that a resident has the right to be free from any physical or chemical restraints not required to treat the residents' medical symptoms. Physical Restraint DefinitionAny manual method or physical or mechanical device, material or equipment attached or adjacent to the resident's body that the individual cannot easily remove, restricts freedom of movement or normal access to one's body. Review of Resident #113's Clinical Record revealed she was admitted to the facility on [DATE] with diagnoses which included Dementia and Frequent Falls. Review of Resident #113's Annual MDS with an ARD…

  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 · D2026-03-05 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  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, observations, and interviews, the facility failed to ensure a resident who was fed by enteral means received the appropriate treatment and services to prevent complications of enteral feeding for 1 (#91) of 2 residents reviewed for enteral feedings. The facility failed to ensure the enteral feeding bag was appropriately labeled.Findings: Review of the facility's policy titled, Tube Feeding, and dated 12/2015 revealed the following: Procedures for administering tube feedings are in place and address:e. Labeling of the container. Review of the clinical record for Resident #91 revealed he was admitted to the facility on [DATE] with diagnoses which included Cerebral Infarction due to Thrombosis of Left Middle Cerebral Artery, Hemiplegia and Hemiparesis following Cerebral Infarction, Aphasia following Cerebral Infarction, Dysphagia, Oropharyngeal Phase, Encounter for attention to Gastrostomy, unspecified, Cerebral Infarction. Review of the current Physician Orders for Resident #91, revealed,…

  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 · E2025-12-09 · tag F0842 — failed to keep accurate, complete medical records — pattern
  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 interviews and record reviews, the facility failed to maintain accurate records in accordance with professional standards of practice by failing to ensure medication administration was accurately documented on the MAR for 3 of 3 (#1, #2, and #3) residents in the sample. This deficient practice had the potential to affect a current census of 119 residents. Findings: Resident #1Review of Resident #1's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses, which included, in part, Primary Generalized Osteoarthritis and was currently receiving treatment for multiple wounds. Further review revealed he was admitted to a local Hospice agency on 03/14/2024 and in a current Certification Period of 11/04/2025 through 01/02/2025. Review of Resident #1's Physician Orders, dated 09/01/2025 through 12/09/2025, revealed, in part, an order written on 08/21/2025 for Oxycodone/Acetaminophen Tab 10-325mg. Give 1 tablet by mouth every 6 hours as needed for pain related to Primary Generalized…

  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 before2025-03-19 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review, the facility failed to ensure staff wore proper Personal Protective Equipment (PPE) while providing perineal care to a resident who was on Enhanced Barrier Precautions (EBP) for 1 (#3) of 3 (#1, #2, and #3) residents reviewed for infection control. Findings: Review of the facility's policy titled, Enhanced Barrier Precautions revised on 03/2024, revealed the following, in part: Enhanced Barrier Precautions are indicated for residents with any of the following: Chronic wounds include .pressure ulcers . For residents whom EBP are indicated, EPB is employed when performing the following high-contact resident care activities: Changings briefs or assisting with toileting. Review of Resident #3's Clinical Record revealed she was admitted to the facility on [DATE] with a diagnoses including Pressure Ulcer of Sacral Region. Review of Resident #3's current Physician Orders revealed the following, in part: Start date 08/01/2024: Enhanced Barrier Precautions related to a…

  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 · E2025-02-21 · tag F0641 — pattern
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews and interviews, the facility failed to ensure the Minimum Data Set (MDS) assessments accurately reflected the resident's status for 3 (#3, #R2, and #R3) of 7 (#1, #2, #3, #R1, #R2, #R3, and #R4) sampled residents by failing to ensure Residents #3, #R2, and #R3 were coded correctly for wander/elopement alarms. Findings: Resident #3 Review of Resident #3's Clinical Record revealed an admission date of 01/31/2025, with diagnoses which included Dementia. Review of Resident #3's admission MDS with an Assessment Reference Date (ARD) of 02/06/2025, Section P revealed: Physical Restrains, Line P200- Alarms section E: Wander/Elopement alarm was coded No which indicated not used. Review of Resident #3's facility task revealed a wander guard task was initiated on 02/04/2025. Documentation revealed staff checked yes for functioning and placement of wander guard daily from 02/04/2025 to 02/08/2025. Unable to make an observation of Resident #3 due to her being discharged from the facility. Resident #R2 Review of Resident #R2's Clinical Record revealed an admission date 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-02-21 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, and interviews the facility failed to ensure a safe, functional, sanitary and comfortable environment. The facility failed to ensure: 1.) Resident air conditioners (AC) were sanitary in Room B and Room E; 2.) Ceiling Tiles were maintained in clean and functional manner on Hall A and Room B; 3.) Floor tiles were maintained in a safe and functional manner in Room C ; and 4.) Bath D was maintained in a sanitary manner for staff and the public. Findings: Review of Facility's Policy Titled Resident Environment dated 09/2015 revealed, the following, in part: It is the policy of this facility to provide a safe, clean, comfortable and homelike environment. 1.) An observation was conducted on 02/18/2025 at 11:58 a.m. of Room B. The AC unit vent had copious amount of small specks of a black substance throughout the return vent. An observation was conducted on 02/18/2025 at 12:00 p.m. of Room E which had dry brown and red liquid on the AC Unit. 2.) An observation was conducted on 02/18/2025 at 2:00 p.m. of Hall A. There was a ceiling tile at the front of Hall A which had…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-12-11 · tag F0644 — pattern
  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 reviews and interviews, the facility failed to coordinate assessments with the resident's Pre-admission Screening and Resident Review (PASARR) Level II by failing to incorporate PASARR Level II determinations and recommendations into each resident's assessment and care plan for 4 (#2, #10, #27 and #100) of 5 (#2, #10, #27, #29 and #100) residents reviewed for PASARR. Findings: Review of the facility's policy titled, Social Services Program, with a revision date of 11/2017 revealed the following, in part: Policy: The facility must provide medically-related social services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Purpose: To assure that sufficient and appropriate social services are provided to meet the resident's needs. Procedure s: The individual responsible for the provision of the social service program shall: 1. Identify the medically-related social service needs of the resident and assure the needs are met by appropriate…

  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 · E2024-12-11 · tag F0699 — pattern
  Provide care or services that was trauma informed and/or culturally competent.
  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 received trauma-informed care and services in accordance with professional standards of practice for 1 of 1 (#100) residents reviewed with a diagnosis of Post-Traumatic Stress Disorder (PTSD). Findings: Review of Resident #100's Clinical Record revealed she was admitted to the facility on [DATE] with diagnoses which included PTSD. Review of Resident #100's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 03/13/2024 revealed Section I: Active Diagnoses, Psychiatric/Mood Disorder I6100-PTSD was not checked. Review of Resident #100's most recent Care Plan revealed Resident #100 was not care planned for PTSD. Review of Resident #100's Social History assessment dated [DATE] trauma section revealed the following questions and answers: Has resident experienced a traumatic event in the past? No. Does resident experience trauma-related symptoms? No. Review of Resident #100's Social assessment dated [DATE] trauma…

  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

“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.

Fines & penalties

$56,628 in federal fines across 3 penalties.

• $27,586 — penalty dated 2025-02-21
• $14,521 — penalty dated 2023-10-18
• $14,521 — penalty dated 2023-10-18

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 THE BEEBE FAMILY — 48 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 →

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

CMS files one row per role, so the 42 rows in the source record cover these 29 parties — each is shown once here with every role it holds. Nothing is omitted.

22 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 73% 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 $851K 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

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