Sterling Place Healthcare & Rehabilitation Center
3888 North Blvd, Baton Rouge, LA 70806 · For profit - Limited Liability company · 144 certified beds · (225) 344-3551 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- 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
- it has an abuse, neglect, or exploitation citation (F0600), cited Jul 2024
- 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
- it has 1 actual-harm citation
- a high number of inspection citations overall (25) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its payroll-based staffing rating is low (2/5)
- about 19% of its spending goes to commonly-owned related companies
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 3 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 2 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 8.9% | 17.8% | 15.4% | better |
| Long-stay residents who lose too much weight | 2.0% | 5.2% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.2% | 1.2% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 1.3% | 2.1% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.0% | 2.3% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 2.3% | 3.5% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 8.2% | 17.9% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 12.5% | 23.2% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 94.9% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.0% | 5.6% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 16.0% | 15.8% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 11.9% | 22.7% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 3.1% | 1.4% | better than state‡ — see note marked double-dagger below the table |
| Short-stay residents given the seasonal flu vaccine | 100.0% | 76.3% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 29.5% | 28.0% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 6.7% | 14.8% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.81 | 2.56 | 1.67 | typical |
| Long-stay outpatient ER visits per 1,000 resident days | 1.89 | 2.74 | 1.80 | typical |
* 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.
Therapy staffing: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 12.1%CMS range 8.4–17.6 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 87.0% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — 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 stay | 8.7% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 8.7% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.13 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 144 beds and averages 126.3 residents a day — about 88% occupied, or roughly 18 beds typically open. It runs fairly full. 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 3.37 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.18 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.08 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 3.06 hrs/resident/day on weekends vs 3.50 on weekdays — 13% thinner on weekends. RN hours go from 0.19 to 0.15 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 42% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
25 citations, most serious first. The 11 most serious are shown; the remaining 14 are one tap away and print in full.
- Actual harm · G2023-09-06 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to provide services and assistance to maintain bladder continence for 1 (#1) of 2 (#1 and #5) continent residents reviewed. This deficient practice resulted in an actual harm for Resident #1, a continent resident, on 08/19/2023 at 5:53 a.m. when she attempted to go to the restroom and fell in her room. Resident #1 was admitted to the facility on [DATE] after a left knee replacement surgery which required one person assist with utilization of a walker for mobility. On 08/19/2023 at 4:27 a.m., Resident #1 began asking S5CNA for assistance to the restroom. S5CNA failed to assist Resident #1 to the restroom. On 08/19/2023 at 5:53 a.m., Resident #1 fell on the floor hitting her face after attempting to go to the restroom to prevent urination on herself. Resident #1 sustained a cut on her nose and was transferred to a local hospital and diagnosed with a Right Frontal Scalp Hematoma with Diffuse Ecchymosis noted around both eyes. Findings: Review of the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-06-11 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews and record reviews, the facility failed to report a serious bodily injury of unknown origin ,resulting in a fracture, to the State Survey Agency within the required 2 hour timeframe for 1 (#64) of 2 residents reviewed for accidents. Findings: Review of the facility's Abuse - Prevention and Prohibition Policy and Procedure, dated 03/25/2023, revealed, in part:Procedure:7. Reporting/Response: The facility employee or agent who becomes aware of injuries of unknown source shall immediately report the matter to the facility administrator. The administrator notifies the regional director and corporate nurse. The administrator shall immediately initiate a report in the State's Incident Management System and the facility's local enforcement agency, but not less than 2 hours after forming the suspicion of a crime if the alleged violation results in serious bodily injury. Review of Resident #64's Quarterly MDS Assessment with an ARD of 04/08/2026, revealed the resident had a BIMS of 10, which indicated he was moderately cognitively impaired. Further review revealed he was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-06-11 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interviews, and policy review, the facility failed to store food in accordance with professional standards for food service safety by failing to document temperatures on temperature logs. This had the potential to affect the 121 residents who were served by the kitchen.Findings:Review of the policy titled, Monitoring Temperatures of Cooked Foods with a revision date of 10/2018 revealed the following, in part:The temperature of potentially hazardous cooked foods will be monitored to ensure the foods are not in the danger zone (above 41F and below 135F).Procedures:3. Cooking and holding temperatures should be recorded on the Food Holding Temperature Log or other form .4. Storage temperatures should be recorded on the Food Holding Temperature Log or other form. Review of the policy titled, Food Storage Labeling with a revision date of 05/2023 revealed the following, in part:5. Storage temperatures are routinely monitored and documented using the appropriate temperature logs.6. Temperatures are recorded daily.Review of the document titled Temperature Log dated…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2025-06-23 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews and record review, the facility failed to store food in accordance with professional standards for food service safety. This had the potential to affect 127 residents who were served from the kitchen. Findings: Review of the facility's policy titled, Food Storage Labeling, with a revision date of 10/2018, revealed, in part: The facility will store and label all foods to ensure safety and quality. 7. Food is stored in containers that are sealable, leak proof, durable, and undamaged. Review of the facility's policy titled, Food Service Operation Standards for Purchasing, Cooking and Storage, with a revision date of 10/2018, revealed, in part: 5. Thawing a. The preferred method is to thaw under refrigeration at a temperature of 40 degrees F or below. i. Store raw foods on the lowest shelf to prevent them from dripping or splashing onto other foods. On 06/16/2025 at 12:27 p.m., an initial tour of the kitchen was conducted with S2CSA. Observations were made of the following items: 14 fried chicken patties, dated 06/15/2025, uncovered, in walk-in cooler…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-06-23 · tag F0656 — failed to write and follow a full care plan — patternDevelop 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 review and interviews the facility failed to implement a comprehensive person-centered care plan which met the needs of 2 (#9 and #124) of 2 (#9 and #124) residents reviewed for weight loss. The facility failed to ensure weekly weights were completed as ordered. Findings: Resident #9 A review of Resident #9's Clinical Record revealed the resident was admitted to the facility on [DATE] with diagnoses, which included, Hemiplegia and Hemiparesis following Cerebral Infarction Affecting Right Dominant Side, and Cognitive Communication Deficit. Review of Resident #9's most recent Care Plan revealed Resident #9 was at risk for weight loss with an intervention of weighing resident as appropriate implemented on 10/20/2024. Review of Resident #9's Current Physician Orders revealed the following: 01/10/2025 Weekly weights Review of Resident #9's May 2025 through June 2025 weekly weights revealed no weight was obtained the week of 05/20/2025. Resident #124 A review of Resident #124's Clinical Record 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.
- Potential for harm · E2025-06-23 · tag F0692 — failed to prevent malnutrition and dehydration — patternProvide 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 nutritional status by failing to monitor, modify, and implement interventions after weight loss for 1 (#124) of 3 (#12, #98, and #124) residents reviewed for nutrition. The facility failed to ensure 1. Resident #124 was assessed for food preferences; and 2. Resident #124 was weighed weekly, treating providers were notified of weight loss, and new interventions were implemented. Findings: Review of the facility Policy titled, Weight Evaluation, dated 09/25/2024 revealed the following: Purpose: To review, monitor and maintain the resident's weight. Procedure: 2. The DON or designee with review weights weekly, monthly and as needed. 5. High risk residents will be discussed in high risk meeting. a. Recommendation with interventions will be made and discussed with the physician or designee. 7. DON/Designee will address weight in his/her notes and will give a list of those residents to Registered Dietician to review…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-06-23 · tag F0883 — failed to offer flu and pneumonia vaccines — patternDevelop and implement policies and procedures for flu and pneumonia vaccinations.
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 2 (#44 and #56) of 5 (#42, #44, #56, #332, # and #381) resident's records had documentation indicating the resident either received or did not receive a pneumococcal immunization due to medical contraindication or refusal. Findings: Review of the facility's policy, titled, Vaccinations Influenza and Pneumococcal Immunizations Policy and Procedure, dated 09/18/2017, revealed, in part: Purpose: The facility will give the resident the opportunity to receive the pneumococcal vaccine, unless medically contraindicated, refused or was already immunized. Procedure: Pneumonia 2. Each resident is offered a pneumococcal immunization, unless the immunization is medically contraindicated or the resident has already been immunized. 3. The resident's medical record includes documentation that indicates: b. That the resident either received the pneumococcal immunization or did not receive the pneumococcal immunization Resident #44 Review of Resident #44's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-06-23 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to ensure a resident's call light was within reach for 1 (#9) of 2 (#9 and #61) residents reviewed for call lights. Findings: Review of the facility's policy, Resident Call Light System, dated 09/14/2022, revealed the following, in part: Purpose: To provide a communication system with audible or visual signals to allow residents to call for staff assistance . Procedure 6. When providing care to residents, be sure to positon the call light conveniently within reach for the resident to use. A review of Resident #9's clinical record revealed the resident was admitted to the facility on [DATE] with diagnoses which included, Hemiplegia and Hemiparesis following Cerebral Infarction Affecting Right Dominant Side and Cognitive Communication Deficit. A review of Resident #9's Quarterly MDS with an ARD of 04/25/2025 revealed the resident was dependent on staff for transfers. On 06/17/2025 at 02:10 p.m., an observation was conducted of Resident #9.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-06-23 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations and interviews, the facility failed to ensure resident's room were clean and maintained in a sanitary manner for 1 (#117) of 3 (#20, #95, and #117) sampled residents investigated for environment. The facility failed to ensure Resident #117's room were properly cleaned and free of urine odor. The deficient practice had potential to affect all incontinent Residents in facility. Findings: An observation was made on 06/17/2025 at 9:35 a.m. of Resident #117's room and a strong odor of urine was noted. An interview was conducted on 06/17/2025 at 1:06 p.m. with Resident #117. Resident #117 stated he did not like to complain and became quiet when asked if he liked the environment of his room. An observation was made on 06/17/2025 at 03:53 p.m. of Resident #117's room and a strong urine odor was noted while standing in the hallway. An interview was conducted on 06/17/2025 at 03:58 p.m. with S18CNA. She stated Resident #117 had incontinent episodes. S18CNA entered Resident #117's room and confirmed a strong odor of urine was present. An interview was conducted 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.
- Potential for harm · Dcited before2025-06-23 · tag F0644 — isolatedCoordinate 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
Based on record reviews and interviews, the facility failed to coordinate assessments with the resident's Pre-admission Screening and Resident Review (PASRR) Level II by failing to incorporate a PASRR Level II determination and recommendations into a resident's MDS (Minimum Data Set ) for 1 (#42) of 2 (#42 and #99) residents reviewed for PASRR. Review of Resident #42's Clinical Record revealed an admission date of 06/20/2023 and diagnoses, which included Schizoaffective Disorder - Bipolar Type, Psychotic Disorder with Hallucinations, and Unspecified Psychosis. Review of Resident #42's BHSF Form 142 revealed she was approved for admission by Level II PASRR effective 11/20/2024. Review of Resident #42's Significant Change MDS with an ARD (Assessment Reference Date) of 01/08/2025 revealed question A1500, Resident evaluated for PASRR, was answered as no. An interview was conducted with S8MDS on 06/17/2025 at 2:14 p.m. S8MDS reviewed Resident #42's Significant Change MDS with an ARD of 01/08/2025, and confirmed it was coded Resident #42 did not have a Level II PASRR. S8MDS confirmed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-06-23 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to ensure each resident who was unable to carry out activities of daily living (ADLs) received the necessary services to maintain good personal hygiene by failing to ensure each resident received scheduled baths for 1 (#73) of 2 (#9 and #73) residents reviewed for ADLs. Findings: Resident #73 was admitted to the facility on [DATE] with diagnoses that included Type 2 Diabetes Mellitus with Diabetic Chronic Kidney Disease, End Stage Renal Disease, and Dependence on Renal Dialysis. Review of Resident #73's admission MDS assessment, with an ADR of 04/07/2025, revealed Resident #73 had a BIMS of 12 which indicated moderate cognitive function. Review of Resident #73's Current Care Plan revealed the following, in part: Focus: The resident requires limited to extensive staff assistance for ADL care. Interventions: Resident prefers morning baths. Review of Resident #73's ADL documentation revealed she was scheduled to receive baths on Monday, Wednesday, 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.
Show the remaining 14 citations
- Potential for harm · D2025-06-23 · tag F0679 — failed to provide activities — isolatedProvide activities to meet all resident's needs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to provide an ongoing program to support residents in their choice of activities based on the comprehensive assessment for 1 (#12) of 2 (#12 and #41) residents reviewed for activities. This had the potential to affect any of the 125 residents' residing in the facility. Findings: Review of the Clinical Record for Resident #12 revealed he was admitted to the facility on [DATE] with diagnoses which included Unspecified Diastolic Heart Failure, Dementia, and Anxiety Disorder. Review of the Care Plan for Resident #12 revealed the following, in part: Problem: I will attend activities of my choice/preference Interventions: establish and record the resident's interest by talking with the resident, caregivers and family on admission. Review of the Clinical Record Notes revealed the following, in part: 06/11/2025- Activity Preferences: How important is it to listen to music you like: very important. Other preferred music genres: all kinds. How…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2024-07-31 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, and policy review, the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety. This had the potential to affect 126 residents who were served meals from the kitchen. Findings: Review of the facility's policy titled Storage Of Refrigerated Food revealed the following: Policy: The facility will ensure the quality and safety of refrigerated food through acceptable storage practices. Procedure: 4. All non-hazardous, opened foods are labeled with name of food and date stored 5. Foods are labeled with date to be discarded or the date stored. An observation was made on 07/29/2024 at 8:45 a.m. of the facility's walk-in refrigerator with S10AM. The following was observed: - 6 8 oz plastic containers of whole milk with expiration date of July 27, 2024 An observation was made on 07/29/2024 at 8:50 a.m. of the facility's refrigerator #2 with S10AM. The following was observed: - 1 plastic package of opened turkey with no discard date An observation was made on 07/29/2024 at 8:55 a.m. of the facility's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-07-31 · tag F0641 — patternEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews and record reviews, the facility failed to ensure resident MDS assessments accurately reflected the resident's status for 4 (#11, #68, #100, and #119) of 8 (#10, #11, #23, #68, #100, #109, and #119) residents reviewed for PASRR by failing to correctly code the residents PASRR evaluations. Findings: #11 Review of Resident #11's Clinical Record revealed an admission date of 06/20/2023 with diagnoses which included Dementia, Schizoaffective Disorder, Anxiety Disorder, and Major Depressive Disorder. Further review revealed an approved Level II PASRR. Review of Resident #11's Annual MDS with ARD of 06/19/2024 revealed question A1500, Resident evaluated for PASRR, was answered as no. #68 Review of Resident #68's Clinical Record revealed an admission date of on 06/20/2023 with diagnoses which included Generalized Anxiety Disorder, Depression, and Bipolar Disorder. Further review revealed an approved Level II PASRR. Review of Resident #68's Annual MDS with ARD of 06/19/2024 revealed question A1500, Resident evaluated for PASRR, was answered as no. #100 Review of Resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-07-31 · tag F0644 — patternCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to incorporate the recommendations from Preadmission Screening and Resident Review (PASRR) Level II Determinations and PASRR Evaluation Reports into resident's assessment, care planning, and transitions of care for 3 (#14, #100, and #109) of 8 (#10, #11, #14, #23, #68, #100, #109, and #119) residents reviewed for PASRR. Findings: Review of facility's Policy and Procedure, dated 10/31/2014, revealed the following, in part: Policy: The Facility is required to ensure that the Specialized Service Recommendations indicated on the PASRR/ Level 2 are implemented and documentation of the recommended services is recorded in the resident's clinical record. If the recommended services are refused, the facility should ensure the refusal of such services is documented in the residents' clinical record. Resident #14 Review of Resident #14's Clinical Record revealed an admission date of 12/21/2023 with diagnoses, which included, in part, the following: Generalized Epilepsy, Anxiety Disorder, Schizophrenia, Depression, Slurred Speech, and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-07-31 · tag F0677 — failed to help fully-dependent residents with daily care — patternProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure a resident who was unable to carry out ADLs received the necessary services to maintain good grooming and personal hygiene for 2 (#40 and #119) of 2 (#40 and #119) residents reviewed for ADL's. The facility failed to clean and trim fingernails for Residents #40 and #119. Findings: #40 Review of Resident #40's Medical Record revealed the resident was admitted to the facility on [DATE] with diagnoses which included Hemiplegia following Cerebral Vascular Accident Affecting Left Non-Dominant Side, Lack of Coordination, and Type 2 Diabetes Mellitus. Review of Resident #40's Annual MDS with an ARD of 06/19/2024 revealed Resident #40 had a BIMS of 8, which indicated moderate cognitive impairment. Further review revealed Resident #40 was dependent on staff for ADL's. Review of Resident #40's July Physician Orders revealed the following: 11/17/2023 Assess and trim fingernails and toenails monthly and as needed. On 07/29/2024 at 8:39 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.
- Potential for harm · Ecited before2024-07-31 · tag F0921 — failed to keep a safe, functional, sanitary building — patternMake 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 maintain a safe, functional, sanitary and comfortable environment for 5 of 5 (a, b, c, d, e) rooms observed for environmental concerns. The facility failed to ensure maintenance of: 1. The walls, door frame and facing, and ceiling tiles in Room a; 2. Water entering the interior of Room a; 3. Water entering from windows and from ceiling above electrical outlet in Room b; 4. Ceiling tiles and prevention of sagging, black discolorations for Room c; 5. The walls and flooring of Room d; 6. Sanitary conditions for cleaning station, eye wash station, and ceiling tiles of Room e Findings: Room a On 07/29/2024 at 8:45 a.m., an observation was made of Room a. One ceiling tile was hanging and not in place above the television. There was black, spotty staining noted at the top of all walls where the ceiling is joined in the room and around the door frame. The door facing had a green, fuzzy staining on it. There was one corner ceiling tile in the bathroom with stains/discoloration. On 07/30/2024 at 10:08 a.m., an observation was made…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-07-31 · tag F0925 — failed to control pests — patternMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations and interviews, the facility failed to maintain an effective pest control program by failing to ensure the facility was free of pests and insects. This deficient practice had the potential to affect 128 residents who currently reside in the facility. Findings: An observation was made on 07/29/2024 at 8:45 a.m. of a small roach crawling across floor in main kitchen food preparation area. An observation was made on 07/29/2024 at 8:48 a.m. of a dead roach, close to clean pans. Further observations revealed small, black, grains of rice size particles on the main kitchen floor. An interview was conducted with S10AM on 07/29/2024 at 8:50 a.m. She stated that kitchen staff were responsible for making Management aware of pest observations. S10AM verified insect sightings in kitchen areas had been reported to Administration. An observation was made on 07/29/2024 at 8:55 a.m. of dead insects and small, black particles on the floor in food storage room. An observation was made on 07/29/2029 at 8:49 a.m. of a small spider crawling inside main kitchen area. S10AM verified…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-07-31 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record reviews and interviews, the facility failed to protect the resident's right to be free from verbal abuse by a staff member for 1 (#98) of 4 (#68, #72, #98, and #99) residents reviewed for abuse. Findings: Review of the facility's policy titled, Abuse - Prevention and Prohibition Policy and Procedure, effective 03/25/2023, revealed, in part, the following: Purpose: Each resident has the right to be free from abuse, corporal punishment and involuntary seclusion. No one shall abuse a resident. The policy applies to covered individuals (the owner, operator, employees, managers, vendors, agency staff, agents or contractors) Policy: To provide a safe, abuse-free environment for all residents. If you suspect verbal, . abuse of a resident, . mistreatment of a resident . I. Types of Abuse: Abuse: is the willful infliction of injury, unreasonable confinement, intimidation or punishment resulting in physical harm, pain or anguish. Our policy presumes that abuse of any resident, ., causes physical harm, pain or mental anguish. Verbal Abuse: is the use of oral, written or…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-07-31 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interviews, the facility failed to ensure an allegation of abuse was reported immediately, but no later than 2 hours, after the allegation was made to the state survey agency for 1 (#98) of 4 (#68, #72, #98, and #99) residents reviewed for abuse. Findings: Review of the facility's policy titled, Abuse - Prevention and Prohibition Policy and Procedure, effective 03/25/2023, revealed, in part, the following: Purpose: Each resident has the right to be free from abuse, corporal punishment, and involuntary seclusion. No one shall abuse a resident. Policy: To provide a safe, abuse-free environment for all residents. If you suspect verbal, . abuse of a resident, . mistreatment of a resident, Contact the Administrator immediately. Employees should immediately report their knowledge related to abuse allegations to the Administrator. The Administrator shall immediately initiate a report to the state survey agency and the facility's local law enforcement agency; but not less than 2 hours after forming the suspicion of a crime if the alleged violation involves abuse (…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-06-11 · tag F0921 — failed to keep a safe, functional, sanitary building — patternMake 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 provide a safe, sanitary, and comfortable environment in 12 of 12 (a, b, c, d, e, f, g, h, i, j, k, and l) rooms observed for environmental concerns. Findings: On 06/07/2024 at 12:10 p.m., an environmental tour was conducted with S2MAIN. S2MAIN confirmed the following findings: Room a -There was an approximate 1 gap in the right hand top corner between the air conditioner unit and the wall mount harness; Room b -Wires were hanging from the bottom of the telephone jack face plate cover; Room l -A hole was in the ceiling tile above the toilet; Room c -The edge of the bead board/paneling above the air conditioner unit was peeling away from the wall; Room d -An approximate ½ gap was between the air conditioner unit and the wall mount harness with outside light visible; -The edge of the bead board/paneling above the air conditioner unit was peeling away from the wall; Room e -The bathroom vanity's laminate covering had peeled away from the right side. The bottom edge of the vanity's laminate covering was broken and rough; Room…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-10-25 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations of video footage, interviews, and record reviews, the facility failed to protect the residents' right to be free from physical abuse by S5CNA for 1 (#1) of 3 (#1, #2, and #3) residents reviewed for abuse. The facility implemented corrective actions which were completed prior to the State Agency's investigation, thus it was determined to be a Past Noncompliance Citation. Findings: Review of the facility's policy titled, Abuse - Prevention and Prohibition Policy and Procedure revealed the following, in part: Purpose: Each resident has the right to be free from abuse . No one shall abuse a resident. This policy applies to covered individuals ( .employees .) Policy: To provide a safe abuse fee environment for all residents. I. Types of abuse: Abuse is the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish. Our policy presumes that abuse of any resident, even a resident in a coma, causes physical harm, pain, or mental anguish. 3. Physical abuse may include hitting, shoving.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-08-16 · tag F0641 — patternEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to ensure resident assessments accurately reflected the resident's status for 4 (#2, #3, #4, #5) of 5 (#1, #2, #3, #4, and #5) residents reviewed for MDS. Findings: Review of Resident #2's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses, which included Dementia and Alzheimer's. Review of Resident #2's admission MDS with an ARD of 07/01/2023 revealed Dementia and Alzheimer's were not coded as active diagnoses in Section I. Review of Resident #3's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses, which included Anxiety Disorder. Review of Resident #3's admission MDS with an ARD of 06/22/2023 revealed Anxiety Disorder was not coded as an active diagnosis in Section I. Review of Resident #4's Clinical Record revealed she was admitted to the facility on [DATE] with diagnoses, which included Dementia. Review of Resident #4's admission MDS with an ARD of 06/26/2023 revealed Dementia was not…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-08-16 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations and interviews, the facility failed to ensure the residents had a safe, functional, sanitary, and comfortable environment for 3 (#3, #4, #5) of 5 (#1, #2, #3, #4, and #5) sampled residents. The facility failed to ensure: 1. Walls were free of holes 2. Baseboards were secured to the wall 3. Sheetrock was intact 4. Ceiling tiles were free of damage and secured Findings: Review of the Maintenance Log dated 06/25/2023 - 08/15/2023 revealed no documentation of Room a, Room b, or Room c requiring maintenance. On 08/15/2023 at 10:42 a.m., an interview was conducted with Resident #3's family member. She stated Room c had a large area on the wall near the head of the bed where paint was missing from the wall. She stated the wall had been missing paint for over a month. On 08/15/2023 at 10:53 a.m., an interview was conducted with Resident #5's family member. She stated Room a had missing ceiling tiles, missing baseboards, a very large area of missing sheetrock, and dark brown substance on the ceiling in his bathroom for over a month. On 08/15/2023 at 1:35 p.m., an…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-08-16 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, observation, and record review, the facility failed to protect the resident's right to be free from physical abuse by an employee for 1 (#1) of 5 (#1, #2, #3, #4, and #5) residents reviewed for abuse. The facility implemented corrective actions which were completed prior to the State Agency's investigation, thus it was determined to be a Past Noncompliance citation. Findings: A review of the facility's policy titled, Abuse-Prevention and Prohibition Policy and Procedure revealed the following, in part: Purpose: Each resident has the right to be free from abuse .No one shall abuse a resident .This policy applies to facility staff Policy: 3. Physical Abuse includes hitting, slapping . A review of the facility's Self-Reported Incident Report, dated 07/19/2023, revealed the following, in part: Victim: Resident #1 Accused: S6CNA Allegations: Physical abuse A review of the clinical record for Resident #1 revealed he was admitted to the facility on [DATE]. The resident had diagnoses which included…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to PLANTATION MANAGEMENT COMPANY — 16 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 1.8 | +2.2 vs chain |
| Health inspection | 4 of 5 | 2.6 | +1.4 vs chain |
| Staffing | 2 of 5 | 1.3 | +0.7 vs chain |
| Quality measures | 3 of 5 | 1.9 | +1.1 vs chain |
The other 15 homes this chain runs (chain average 1.8★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| QSST TRUST FOR GENE OLIVER QUIRK III | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 16% | since 01/01/2021 |
| QSST TRUST FOR MARSHALL TODD QUIRK | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 16% | since 01/01/2021 |
| QSST TRUST FOR SCOTT HOLDEN QUIRK | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 16% | since 01/01/2021 |
| QUIRK, CYNTHIA | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 36% | since 01/01/2021 |
| QUIRK, GENE | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 16% | since 01/01/2021 |
| QUIRK, SCOTT | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL | NO PERCENTAGE PROVIDED | since 02/01/1998 |
| DELATTE, KIMBERLY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 02/01/1998 |
CMS files one row per role, so the 8 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.
3 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 82% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $2.1M paid to related parties — landlords or management companies under common ownership — equal to about 19% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
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
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Louisiana Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 195473. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-06-11, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.