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St Clare Manor Nursing and Rehabilitation

7435 Bishop Ott Drive, Baton Rouge, LA 70806 · For profit - Limited Liability company · 184 certified beds · (225) 216-3604 Medicare & Medicaid certified

Call the home — (225) 216-3604 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0609) — cited May 2024
Insights

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

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
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 (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (2/5)
  • its facility-reported quality-measure rating is low (2/5)
  • nursing-staff turnover (58%) 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.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Urgent care / clinic
7117 Florida Blvd · (225) 244-9839 · Call to confirm hours
Pharmacy
7411 Florida Blvd · (225) 928-8982 · Call to confirm hours
Grocery
1553 Wooddale Blvd · (504) 356-5340 · Call to confirm hours
Park
Saia Park0.4 mi
855 N Donmoor Ave · (225) 927-5092 · Typically dawn to dusk
Place of worship
7585 Bishop Ott Dr · (225) 927-5070

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 2 of 5
Long-stay residentspeople who live here 2 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 improved from 2 to 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
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 increased14.8%17.8%15.4%typical
Long-stay residents who lose too much weight4.4%5.2%5.4%better
Long-stay residents with a catheter left in their bladder1.8%1.2%0.9%worse
Long-stay residents with a urinary tract infection3.2%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 restrained0.0%0.2%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury2.0%3.5%3.3%better
Long-stay residents whose ability to walk worsened14.1%17.9%16.1%better
Long-stay residents on antianxiety or hypnotic medication13.1%23.2%18.9%better
Long-stay residents given the seasonal flu vaccine87.1%94.9%95.3%typical
Long-stay residents with pressure ulcers9.8%5.6%4.7%worse
Long-stay residents with worsening bladder/bowel control15.6%15.8%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table19.4%22.7%17.1%worse
Short-stay residents who newly got an antipsychotic medication0.9%3.1%1.4%better than state — see note marked double-dagger below the table
Short-stay residents given the seasonal flu vaccine16.3%76.3%79.4%worse
Short-stay residents rehospitalized after admission19.2%28.0%22.6%better
Short-stay residents with an outpatient ER visit14.6%14.8%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.002.561.67worse
Long-stay outpatient ER visits per 1,000 resident days2.612.741.80worse

* 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.

41.4% 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 29 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

41.4%U.S. median 51.5%
Got home and stayed home
10.5%U.S. median 10.7%
Went back to hospital
19.6%U.S. median 56.6%
Met the expected recovery
0.34U.S. median 0.31
Therapy hours / resident / day
0.14hours / resident / day
Physical therapy
0.12hours / resident / day
Occupational therapy
0.09hours / resident / day
Speech therapy

Met the expected recovery: 19.6% 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 56 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 0.34 therapist hours per resident per day in 2026Q1 — more than 58% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% 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 SNF41.4%CMS range 28.4–58.551.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.5%CMS range 7.0–15.410.7%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 discharge19.6%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 discharge8.9%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 discharge19.6%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 identified65.8%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 settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final 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 stay1.4%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 worsened4.1%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 hospitalization8.3%CMS range 4.8–15.37.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.501.02Oct 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

0.14
RN hours/ resident / day
1.19
LPN hours/ resident / day
2.27
Aide hours/ resident / day
3.60
Total nurse hours/ resident / day
0.11
RN hoursweekends
58.3%
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 184 beds and averages 134.7 residents a day — about 73% occupied, or roughly 49 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 3.60 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.14 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.27 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 3.07 hrs/resident/day on weekends vs 3.82 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.16 to 0.11 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 58% 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

4
deficiencies at the latest standard inspection (2026-05-06)
8
at the previous standard inspection (2025-05-29)

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.

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.

22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.

  • Potential for harm · Ecited before2026-05-06 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews, the facility failed to ensure drugs and biologicals used in the facility were stored in accordance with currently accepted professional principles by failing to ensure:Resident rooms were free of loose and unlabeled pills for 1 (Resident #145's room) of 6 resident rooms observed during medication administration; andMedication carts were free of loose and unlabeled pills for 2 (Med Cart 1 and Med Cart 2) of 3 medication carts reviewed.Findings: Review of the facility's Storage of Medications policy, dated November 2020, revealed the following, in part:Policy:The facility stores all drugs and biologicals in a safe, secure, and orderly manner.2. Drugs and biologicals are stored in the packaging, containers or other dispensing systems in which they are received. Only the issuing pharmacy is authorized to transfer medications between containers. 1.On 05/04/2026 at 10:12 a.m., an observation was made with S4LPN during medication administration of an unlabeled and oblong shaped white pill broken in half on the floor of Resident #145's room. On…

    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 · Dcited before2026-05-06 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    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 residents were offered a therapeutic diet when the health care provider ordered a nutritional supplement for 1 (#95) of 3 residents reviewed for nutrition. Findings: Resident #95Review of Resident #95's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses which included Malignant Neoplasm of Brain and Colostomy Status. Review of Resident #95's Quarterly MDS with an ARD of 03/11/2026, revealed a BIMS of 9, which indicated moderate cognitive impairment. Review of Resident #95's current Physician Orders revealed the following, in part:Start date 09/12/2025 -Mighty Shakes - with meals House supplement or equivalent with each meal Problem: I have the potential for weight loss/gain and altered nutrition related to my facility ordered diet.Interventions: Mighty Shakes with meals, house supplement or equivalent with each meal-date initiated-09/12/2025. On 05/05/2026 at 8:10 a.m., an observation was made 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-05-06 · tag F0806 — failed to honor food preferences — isolated
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and interviews the facility failed to provide food that accommodated the resident's food preference for 1 (#9) of 9 of residents reviewed for food accommodations/preference. Findings: Review of Resident #9's Clinical Record revealed he was readmitted to the facility on [DATE]. Review of Resident #9's Quarterly MDS with an ARD of 02/25/2026 revealed a BIMS of 14, which indicated he was cognitively intact. Review of the May 2026 Menu revealed the following:Entree- Red BeansStarch- RiceWith a substitute alternative available. Review of the dietary system with RD (Registered Dietician) the following:Resident #9 disliked red beans and rice Review of the lunch dietary ticket dated 05/04/2026 for Lunch revealed the following:Entree- Entree substituteStarch- starch substitute On 05/04/2026 at 12:30 p.m., an observation and interview was conducted with Resident #9. Red beans and rice noted on Resident #9's food tray. Resident #9 stated he did not like red beans and rice. On 05/05/2026…

    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 · Dcited before2026-05-06 · 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 observations, interviews and record reviews, the facility failed to communicate with hospice staff pertaining to residents current oxygen orders for 1 (#144) of 1 residents reviewed for oxygen therapy. Findings: Review of the Facility's Policy, Hospice Program, dated July 2017, revealed the following, in part:10. In general, it is the responsibility of the facility to meet the Resident's personal care and nursing needs in coordination with the hospice representative, and ensure that the level of care provided is appropriately based on the individual resident's needs. These include:d. Communicating with the hospice provider (and documenting such communication) to ensure that the needs of the resident are addressed and met 24 hours per day; and Review of Resident #144's clinical record revealed he was admitted to the facility on [DATE] and admitted to hospice services on 04/29/2026. Review of the hospice binder for Resident #144 revealed standing orders for oxygen 2-5 liters via nasal cannula as needed.…

    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 · D2025-05-29 · 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 the MDS (Minimum Data Set) assessment accurately reflected the resident's status for 1 (#95) of 24 sampled residents by failing to ensure resident was coded correctly for Active Diagnosis. Review of Resident #95's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses which included in part: Dementia, Psychotic Disturbance, Mood Disturbance, and Anxiety. Review of Resident #95's Quarterly MDS, with ARD of 04/30/2025, revealed no BIMS due to severe cognitive impairment. Further review revealed Section I Active Diagnosis, Section I2500 Wound Infection other than foot - checked Yes. On 05/29/2025 at 9:05 a.m., an interview was conducted with S10CNA. S10CNA confirmed she provided ADL (Activities of Daily Living) care to Resident #95. She stated Resident #95 did not have a wound. On 05/29/2025 AT 9:07 a.m., an interview was conducted with S8LPN. S8LPN stated Resident #95 did not have a wound. On 05/29/2025 at 9:10 a.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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-29 · 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 interviews and record reviews, the facility failed to ensure a resident with an identified mental health diagnosis was referred for a Preadmission Screening and Resident Review (PASRR) Level II evaluation as required for 2 (#7 and #72) of 5 (#7, #31, #41, #67, and #72) sampled residents reviewed for PASRR. Findings: Resident #7 Review of the Clinical Record revealed Resident #7 was admitted to the facility on [DATE] with diagnoses upon admit, which included Schizophrenia. Review of Resident #7's Level 1 PASRR dated 02/05/2025 revealed Section III: Mental Illness did not have Schizophrenia selected as a diagnosis. Resident #72 Review of the Clinical Record revealed Resident #72 was admitted to the facility on [DATE] with diagnoses upon admit, which included Delusional Disorder. Review of Resident #72's Level 1 PASRR dated 02/17/2023 revealed Section III: Mental Illness did not have Delusional Disorder selected as a diagnosis. On 05/28/2025 at 11:55 a.m., an interview was conducted with S6SS. She stated…

    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 · D2025-05-29 · 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 interviews and record review, the facility failed to develop and implement a comprehensive, person-centered care-plan to meet the psychosocial needs for 1 (#67) of 2 (#18 and #67) residents reviewed for mood/behavior. Findings: Review of Resident #67's Clinical Record revealed he was admitted to the facility on [DATE] with a diagnosis of PTSD. Review of Resident #67's Significant Change MDS with an ARD of 04/04/2025 revealed a BIMS of 15, which indicated he was cognitively intact. Review of Resident #67's most recent Care Plan revealed he was not care planned for triggers, behaviors, and interventions specific to his PTSD diagnosis. On 05/27/2025 at 10:50 a.m., an interview was conducted with Resident #67. He confirmed his diagnosis of PTSD, and stated he was triggered by acts of aggression due to the physical abuse he experienced during his childhood. On 05/29/2025 at 8:17 a.m., an interview was conducted with S11LPN. She stated she was aware of Resident #67's diagnosis of PTSD, but was unaware of his…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-29 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    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 all drugs and biologicals were stored in accordance with currently accepted professional principles. The facility failed to ensure a multi dose vial of insulin was dated upon opening. This deficient practice had the ability to affect any of the 129 residents who received medications in the facility. Findings: Review of the facility's policy titled, Medication Labeling and Storage with a revised date of February 2023, revealed the following, in part: Medication Labeling: 5. Multi-dose vials that have been opened or accessed are dated. An observation and interview was conducted on 05/27/2025 at 10:34 a.m., of refrigerator in Med Room A with S9LPN. Observed was an opened and undated multi-dose vial of Lispro Insulin for subcutaneous injection. S9LPN confirmed the insulin multi-dose vial was opened and undated, and stated it should have been dated upon opening. An interview was conducted on 05/28/2025 at 1:45 p.m., with S2DON and S1AA. S2DON and S1AA confirmed multi-dose insulin vials should be dated as…

    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 · D2025-05-29 · tag F0812 — failed to store, cook, and serve food safely — isolated
    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 record review and interviews the facility failed to store food in accordance with professional standards for food service safety by failing to: 1. Properly document temperatures daily for Refrigeration units and; 2. Properly maintain and document chemical sanitation checks for the dishwasher at least once per shift. This deficient practice had the ability to affect 131 residents who consumed food from the facility. Findings: Review of Facility policy titled Food Receiving and Storage with a revised date of November 2022, revealed the following, in part: Refrigerated/ Frozen Storage: 5. Functioning of the refrigeration and food temperatures are monitored daily and at designated intervals throughout the day by the food and nutrition services manager or designee and documented according to state specific requirements. 1. Review of the walk in Refrigerator Temperature Logs for May 2025 revealed no temperature checks documented for 5/24/2025 and 5/25/2025. 2. Review of the Dish Machine Log revealed no documented evidence the chemical solution was assessed and maintained at 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-29 · 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 (#63) 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: A review of Resident #63's Clinical Record revealed she was admitted to the facility on [DATE]. Further review revealed Resident #63 was a patient of a local hospice agency with Certification Period of 01/24/2025 through 04/23/2025; and recertification on 04/14/2025 for current plan of care. A review of Resident #63's Hospice Nurse Visit Notes, performed on 05/28/2025 revealed, in part, the most recent Hospice Nurse Visit Note present in the Hospice Binder was created on 03/12/2025. On 05/28/2025 at 8:10 a.m., an interview was conducted with S9LPN. S9LPN reviewed the hospice binder and confirmed the last Hospice Nurse…

    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
Show the remaining 12 citations
  • Potential for harm · Dcited before2025-05-29 · 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 maintain an infection prevention and control program designed to provide a safe, sanitary environment to help prevent the development and transmission of infection for 1 (#63) of 4 (#14, #18, #28, and #63) residents reviewed for infection control. The facility failed to ensure staff wore proper PPE (Personal Protective Equipment) while providing ADL (Activities of Daily Living) care to a resident who was on Enhanced Barrier Precautions (EBP). Findings: Review of the facility's policy titled Enhanced Barrier Precautions revised 12/2024, revealed the following, in part: 8. Examples of high-contact resident care activities requiring the use of gown and gloves for EBP's include: b. Bathing/Showering Review of Resident #63's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses that included, in part: Dementia and Colostomy Status. Review of Resident #63's current Physician Orders revealed the following, in part:…

    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 · D2025-05-29 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    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, sanitary environment. The facility failed to ensure Room B remained sanitary. Findings: Review of the facility's policy titled, Homelike Environment with a revised date of February 2021 revealed in part, the following: 2. The facility staff and management maximizes, to the extent possible, the characteristics of the facility that reflect a personalized, homelike setting. These characteristics include: a. clean, sanitary and orderly environment. An observation was made on 05/27/2025 at 1:50 p.m. of Room B. The observation revealed the following: several soiled linen towels on the floor behind the door, one soiled blue glove on the shower gurney, a dried yellow substance on the shower gurney, a brown bug on the floor close to the shower drain, used paper towel on the floor closer to the shower, 1/2 bar used solid bar of soap on the floor in the shower, and multiple spots of dry yellow substance on the shower chair. An interview was conducted on 05/27/2025 at 2:00 p.m. with S15IP. She observed Room B 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-20 · tag F0803 — failed to meet residents' dietary needs — isolated
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record reviews, the facility failed to ensure menus were followed to meet the nutritional needs of residents by failing to ensure the correct portion sizes ordered were provided for 1 (#2) of 3 (#2,#5,#R1) residents reviewed for dining. This had the potential to affect 126 residents who received meals from the facility's kitchen. Findings: Review of the facility's policy, titled Tray Identification, dated 04/2007, revealed, in part: 3. Nursing staff shall check each food tray for the correct diet before serving the residents. Review of Resident #2's clinical record revealed an admission date of 12/11/2024, with diagnoses which included, Mild Protein-Calorie Malnutrition and Hypokalemia. Review of Resident #2's physician's orders dated 12/11/2024 to 02/17/2025 revealed: 1. Double Portions Diet-Regular texture, thin consistency, no rice, no grits. On 02/17/2025 at 11:36 a.m., an observation was made of Resident #2's lunch tray, revealed: 1 serving of mashed potatoes with gravy 1 serving of creole tomatoes 1 serving of red beans no rice 1 square…

    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 · Dcited before2025-02-20 · tag F0806 — failed to honor food preferences — isolated
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    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 a resident received meals to accommodate intolerances for 1 (#5) of 3 (#2, #5, and #R1) residents reviewed for dietary services. Findings: Review of the facility's undated policy titled, Tray Identification revealed the following, in part: Policy Interpretation and Implementation: 2. The food service manager or supervisor will check trays for corrects diets before the food carts are transported to their designated areas. 3. Nursing staff shall check each food tray for the correct diet before serving the resdients. Review of Resident #5's Clinical Record revealed she was admitted to the facility on [DATE]. Review of Resident #5's Alert tab in her physical chart revealed the following: Allergies: Lactose Intolerance Review of Resident #5's current Care Plan revealed the following, in part: Focus: I am lactose intolerant Interventions: avoid allergen Review of Resident #5's Breakfast Meal Ticket dated 02/20/2025 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-02-20 · 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

    Based on observation, record reviews, and interviews, the facility failed to ensure a resident's Medication Administration Record (MAR) was accurately documented for 1 (#2) of 5 (#2, #3, #4, #5, and #R2) residents sampled for pharmaceutical services. This had the potential to affect 126 residents residing in the facility. Findings: Review of the facility's policy, titled Documentation of Medication Administration, dated 11/2022, revealed, in part: 1. A nurse or certified medication aide documents all medications administered to each resident on the resident's MAR. 2. Administration of medication is documented immediately after it is given. Review of Resident #2's clinical record revealed an admission date of 12/11/2024, with diagnoses which included, Pain in Left Shoulder, Lymphedema, and Malignant Neoplasm of Breast. Review of Resident #2's physician's orders dated 12/11/2024 to 02/17/2025 revealed, in part: 1. Fentanyl Transdermal Patch 12 micrograms/hour (mcg/hr). Apply 1 patch transdermal in the morning every 3 days related to pain. On 02/19/2025 at 8:47 a.m., an observation was…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-07-11 · 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 interviews and record review, the facility failed to maintain accurate medical records for 1 (#1) of 5 (#1, #2, #3, #4 and #5) residents reviewed. S9LPN inaccurately transcribed the diagnosis for a new medication in Resident #1's clinical record. Findings: Review of Resident #1's Clinical Record revealed resident was admitted to the facility on [DATE] with diagnoses, which included Dementia with Behavioral Disturbance, Psychotic Disturbance, and Anxiety. Review of Resident #1's telephone order sheet dated 05/23/2024 revealed: Start Ativan 0.5 mg tablet; take one by mouth twice a day with diagnosis Dementia with Behavioral Disturbance. Review of Resident #1's Progress Note dated 05/23/2024 created by S6PNP revealed, in part: Resident #1 seen today for anxiety, pain, and follow up. Plan/orders-Anxiety Ativan sent to pharmacy. Review of Resident #1's May and June 2024 Medication Administration Record revealed Ativan 0.5 mg tablet one tablet by mouth twice a day was administered for Dementia with Behavioral…

    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 before2024-07-11 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and interviews, the facility failed to maintain an infection control program designed to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infection. The facility failed to ensure staff changed a resident's PICC (Peripherally Inserted Central Catheter) line dressing consistent with accepted standards of practice for 1of 1 (#4) sampled resident reviewed with a PICC line. Findings: Review of the facility's policy titled, Peripheral and Midline IV (Intravenous) Dressing Changes , dated 2001, revealed the following, in part: Purpose: The purpose of this procedure is to prevent complications associated with intravenous therapy, including catheter-related infections associated with contaminated, loosened or soiled catheter-site dressings. General Guidelines: 4. Change the dressing if it becomes damp, loosened or visibly soiled and: a. at least every 7 days for transparent semi-permeable membrane dressing. Review of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-09 · 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 review and interviews, the facility failed to ensure an injury of unknown origin was reported immediately, but not later than 2 hours after the incident, to the facility Administrator and to the State Survey Agency within the specified timeframe for 1 (#1) of 3 (#1, #2, and #3) residents reviewed for accidents. Findings: Review of the facility's policy titled, Abuse, Neglect, Exploitation or Misappropriation-Reporting and Investigating, dated 09/2022, revealed the following, in part: Policy: All reports of resident abuse (including injuries of unknown origin) . are reported to local, state and federal agencies (as required by current regulations) . Policy Interpretation and Implementation: Reporting Allegations to the Administrator . 1. If resident abuse .or injury of unknown source is suspected, the suspicion must be reported immediately to the administrator and to other officials according to state law. 2. The administrator or the individual making the allegation immediately reports his or her…

    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 · E2024-04-03 · tag F0847 — pattern
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    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 residents understood the binding arbitration agreement signed on admission or were given the right to rescind the agreement within 30 calendar days for 3 (#89, #101, and #267) of 3 (#89, #101, and #267) residents reviewed for arbitration. Findings: Review of the facility's form titled admission Agreement on page 13 of 35 revealed an arbitration agreement was included in the admission Agreement. This agreement revealed in part, the following: Binding Arbitration Provision. -If the parties to this agreement do not wish to include the following arbitration provision please indicate so by marking an X through the provision. -The parties expressly waive any right to jury trial and expressly waive any right to file a court action for any controversies, claims, or causes of action related to the admission Agreement, or the breach thereof, or arising out of or related to the resident's stay, care, or rights at the facility. Further review revealed no…

    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 · E2024-04-03 · tag F0848 — pattern
    Provide a neutral and fair arbitration process and agree to arbitrator and venue.
    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 required components of an arbitration agreement were included for 3 (#89, #101, and #267) of 3 (#89, #101, and #267) residents reviewed for arbitration. Findings: Review of the facility's form titled admission Agreement on page 13 of 35 revealed an arbitration agreement was included in the admission Agreement. This agreement revealed in part, the following: Binding Arbitration Provision. -If the parties to this agreement do not wish to include the following arbitration provision please indicate so by marking an X through the provision. -The parties expressly waive any right to jury trial and expressly waive any right to file a court action for any controversies, claims, or causes of action related to the admission Agreement, or the breach thereof, or arising out of or related to the resident's stay, care, or rights at the facility. Further review revealed no documentation for the selection of a neutral arbitrator agreed upon by both parties 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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-04-03 · tag F0880 — failed to prevent and control infections — pattern
    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 observations, 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 infection. The facility failed to ensure: 1. S8CNA wore proper Personal Protective Equipment while providing care for Resident #89 who was on Enhanced Barrier Precautions. 2. Resident #72 had a Central Venous Catheter dressing intact. Findings: Review of facility's policy, titled Enhanced Barrier Precautions, reviewed on 04/02/2024, dated 08/2022, revealed the following, in part: Policy Statement: Enhanced barrier precautions are utilized to prevent the spread of multi-drug resistant organisms to residents. 1. Enhanced barrier precautions are used as an infection prevention and control intervention to reduce the spread of multi-drug resistant organisms to residents. 2. Enhanced barrier precautions employ targeted gown and glove use during high contact resident care activities when…

    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 · Ecited before2023-11-02 · tag F0692 — failed to prevent malnutrition and dehydration — pattern
    Provide enough food/fluids to maintain a resident's health.
    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 acceptable parameters of nutrition status by failing to implement recommendations from the Registered Dietician for 1 (#2) of 4 (#2, #3, #4, and #5) residents reviewed for nutrition. Findings: Review of the facility's policy titled Nutritional Management revealed in part: 5. e.) Nutritional recommendations may be made by the dietician based on the resident's preferences, goals, clinical condition or other factors and followed up with the physician/ practitioner for orders as per facility policy, if indicated. Review of Clinical Record for Resident #2 revealed he was readmitted to the facility on [DATE] with diagnoses of Hemiplegia following CVA Non Dominant Side, Altered Mental Status, Aphasia following CVA, and Dysphagia. Review of the current Care Plan for Resident #2 revealed the following, in part: Problem: Potential for altered nutrition and hydration. Goal: Resident will tolerate current diet as ordered with no signs or symptoms 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.

    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.

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.

Who owns this facility

Owner / managerTypeRoleShareSince
CLF INVESTMENTS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST12%since 07/01/2023
M5 OPERATIONS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST70%since 07/01/2023
MOODY, CHARLESIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST70%since 07/01/2023
LANDRY, DANICUSIndividualOPERATIONAL/MANAGERIAL CONTROLsince 07/01/2023

2 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.

$5.6M
Net patient revenuemost recent cost report
-0.4%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 66%Medicare 8%Other / private 27%

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

$287per resident / day
operating cost
$8,719per month
≈ monthly operating cost
$286per 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 195590. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-06, 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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