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Resthaven Living Center

1301 Harrison Street, Bogalusa, LA 70427 · For profit - Partnership · 145 certified beds · (985) 732-3909 Medicare & Medicaid certified

Call the home — (985) 732-3909 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Aug 2023Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Aug 2023
  • a high number of inspection citations overall (25) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (1/5)
  • about 17% 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.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
521 Ontario Street
Pharmacy
401 Ontario Ave · (985) 732-7677 · Call to confirm hours
Grocery
101 Derbigney St · (985) 732-3841 · Call to confirm hours
Park
705 Willis Ave · (985) 732-6200 · Typically dawn to dusk
Place of worship

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 3 of 5
Short-stay residentsrehab / post-hospital 4 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 fell from 3 to 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.

Overall rating2★
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 increased13.2%17.8%15.4%better
Long-stay residents who lose too much weight4.0%5.2%5.4%better
Long-stay residents with a catheter left in their bladder0.0%1.2%0.9%better
Long-stay residents with a urinary tract infection1.1%2.1%2.0%better
Long-stay residents with depressive symptoms9.4%2.3%6.5%worse than state — see note marked double-dagger 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 injury4.5%3.5%3.3%worse
Long-stay residents whose ability to walk worsened11.9%17.9%16.1%better
Long-stay residents on antianxiety or hypnotic medication25.1%23.2%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%94.9%95.3%typical
Long-stay residents with pressure ulcers6.7%5.6%4.7%worse
Long-stay residents with worsening bladder/bowel control10.0%15.8%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table10.6%22.7%17.1%better
Short-stay residents who newly got an antipsychotic medication0.5%3.1%1.4%better than state — see note marked double-dagger below the table
Short-stay residents given the seasonal flu vaccine100.0%76.3%79.4%better
Short-stay residents rehospitalized after admission24.7%28.0%22.6%typical
Short-stay residents with an outpatient ER visit14.6%14.8%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.372.561.67worse
Long-stay outpatient ER visits per 1,000 resident days3.142.741.80worse

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.

62.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 82 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

62.0%U.S. median 51.5%
Got home and stayed home
11.4%U.S. median 10.7%
Went back to hospital
58.2%U.S. median 56.6%
Met the expected recovery
0.73U.S. median 0.31
Therapy hours / resident / day
0.34hours / resident / day
Physical therapy
0.32hours / resident / day
Occupational therapy
0.07hours / resident / day
Speech therapy

Met the expected recovery: 58.2% 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 55 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 0.73 therapist hours per resident per day in 2026Q1 — more than 93% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 1% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 SNF62.0%CMS range 51.1–69.951.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.4%CMS range 8.2–14.810.7%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 discharge58.2%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 discharge52.7%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 discharge54.5%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 identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay2.7%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.6%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 hospitalization5.9%CMS range 3.4–11.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.391.02Oct 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

0.18
RN hours/ resident / day
1.33
LPN hours/ resident / day
1.82
Aide hours/ resident / day
3.34
Total nurse hours/ resident / day
0.12
RN hoursweekends
48.9%
Total nursing turnover
50.0%
RN turnover

How full it usually is: this home is certified for 145 beds and averages 79.5 residents a day — about 55% occupied, or roughly 66 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.34 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 1.82 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 2.77 hrs/resident/day on weekends vs 3.57 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 0.21 to 0.12 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 49% 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

8
deficiencies at the latest standard inspection (2026-01-14)
8
at the previous standard inspection (2024-12-11)

Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

25 citations, most serious first. The 10 most serious are shown; the remaining 15 are one tap away and print in full.

  • Potential for harm · D2026-04-08 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to inform the resident's responsible party (RP) of a resident's change in condition for 1 (#1) of 3 sampled residents. The facility failed to notify Resident #1's RP when Resident #1 was transferred to the hospital. Review of the facility's policy titled Change in a Resident's Condition or Status with a revision date of May 2017, revealed the following, in part:Policy StatementOur facility shall promptly notify the resident representative of changes in the resident's medical/mental condition and/or status. Policy Interpretation and Implementation4. Unless otherwise instructed by the resident, a nurse will notify the resident's representative when:b. There is a significant change in the resident's physical, mental, or psychosocial status; e. It is necessary to transfer the resident to a hospital. Review of Resident #1's clinical record revealed she was admitted to the facility on [DATE] with diagnoses which included, Cerebral Infarct and Cognitive…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-01-14 · tag F0759 — failed to keep medication error rate low — pattern
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review, the facility failed to ensure the medication error rate was less than 5% by failing to give medications as ordered for 2 (#67 and #85) of 5 residents observed during medication administration. A total of 25 opportunities were observed with 3 medication errors, which resulted in a medication error rate of 12.00%. Findings: Review of the facility's policy titled, Administering Medications with revision date April 2019 revealed the following, in part:Policy StatementMedications are administered in a safe and timely manner, and as prescribed.Policy Interpretation and Implementation3. Medications are administered in accordance with prescriber orders, including any required time frame. 9. The individual administering the medication checks the label THREE (3) times to verify the right resident, right medication, right dosage, right time and right method (route) of administration before giving the medication Resident #67On 01/13/2026 at 10:37 a.m., an observation was made of S4LPN during medication pass for Resident #67. S4LPN prepared…

    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 · Ecited before2026-01-14 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews, the facility failed to store, prepare, and distribute foods under sanitary conditions. The facility failed to ensure:1. The ice machine was maintained in safe operating and sanitary condition; and2. Pots and pans were sanitized.This deficient practice had the potential to affect all 81 residents who ate from the kitchen. Findings: 1. On 01/11/2026 at 8:30 a.m., an observation was made of the ice machine in the kitchen with a low level of ice mixed with pink sludge. Further observation revealed pink sludge in the right front corner. On 01/11/2026 at 8:34 a.m., an interview was conducted with S3DM. She stated the ice machine was serviced and cleaned on 01/09/2026. She observed and confirmed the pink sludge in the ice machine and confirmed this was not sanitary. 2. On 01/11/2026 at 8:45 a.m., an observation was made of S8CK washing pots in the 3 compartment sink. She stated pots and pan were washed and sanitized in the 3 compartment sink. She showed her method while stating she washed, sanitized, and rinsed. Further observation was made 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-01-14 · tag F0814 — failed to dispose of garbage properly — pattern
    Dispose of garbage and refuse properly.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interviews, the facility failed to ensure refuse containers were in good condition and waste was properly contained. This deficient practice had the potential to affect 82 residents residing in the facility. Findings: On 01/11/2026 at 9:15 a.m., an observation was made of a large open bulk grease disposal container outside, next to the facility wall, behind the kitchen with the lid open. A further observation was made of a large amount of black grease on top of the container and on the surrounding concrete area with leaves mixed in. On 01/11/2026 at 9:16 a.m., an interview was conducted with S3DM. She stated the bulk grease disposal container was in poor condition. She confirmed the lid was open and had grease on top and on the surrounding concreate area since September 2025. She confirmed this was unsanitary. On 01/11/2026 at 10:00 a.m., an interview was conducted with S1ADM. He stated he was aware of the bulk grease disposal container located behind the kitchen. He stated the lid had been left open and when it rained the grease spilled over onto 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 · E2026-01-14 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews the facility failed to ensure a safe, sanitary and comfortable environment. The facility failed to ensure the residents' Shower Room A was comfortable and sanitary. Findings: On 01/13/2026 at 3:00 p.m., an observation was made of Shower Room A. The observation revealed a black, fuzzy substance on the tile below the shower head where the wall tile met the floor. On 01/13/2026 at 3:03 p.m., an interview was conducted with S6CNA. She confirmed the above observation. She stated Shower Room A was not a comfortable and sanitary environment. She stated the black fuzzy substance had been present for a long time and was an ongoing problem. She stated S7MNT and S1ADM were both aware of Shower Room A's condition. On 01/13/2026 at 3:30 p.m., an interview was conducted with S7MNT. He stated he was aware Shower Room A used by residents had a black fuzzy substance on the tile below the shower head where the wall met the floor. He stated the substance had been present for months. He confirmed Shower Room A was not maintained in a comfortable and sanitary manner.…

    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 · D2026-01-14 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably 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 2 (#2 and #51) of 22 residents reviewed for accommodation of needs. Review of the facility's policy, Resident Call Light System, revised 06/2023, revealed the following, in part:Purpose: The purpose of this procedure is to respond to the resident's requests and needs. General Guideline: 4. Ensure that the call light is easily reachable by the resident. Resident #2Review of Resident #2's Clinical Record revealed she was admitted to the facility on [DATE] with diagnoses which included Bilateral Primary Osteoarthritis of Hip, Mild Neurocognitive Disorder with Behavioral Disturbance, Wedge Compression Fracture of T9-T10 Vertebra, Intellectual Disabilities, Schizophrenia, and Cerebral Infarction. Review of Resident #2's MDS with an ARD of 12/03/2025, revealed a BIMS score of 11, which indicated she was moderately cognitively impaired. Review of Resident #2's current Care Plan 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-14 · tag F0641 — isolated
    Ensure 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 review, the facility failed to ensure resident assessments accurately reflected the resident's status. The facility failed to ensure staff accurately coded the correct discharge location for 1 (#92) of 3 residents reviewed for closed records.Review of Resident #92's Discharge Minimum Data Set (MDS) Assessment with an Assessment Reference Date (ARD) of 12/10/2025 revealed Resident #92 was discharged to a Short-Term General Hospital. Review of Resident #92's Nurse's Notes revealed the following, in part:12/10/2025 at 11:20 a.m. Resident #92 left facility via wheelchair accompanied by his own transportation. On 01/14/2026 at 5:00 p.m., an interview was conducted with S9MDS. S9MDS confirmed Resident #92 left the facility against medical advice. She reviewed Resident #92's Discharge MDS with an ARD of 12/10/2025 and confirmed it indicated he discharged to a Short-Term General Hospital. S9MDS confirmed Resident #92's discharge status was not coded accurately and should have been coded as discharged to home/community. On 01/14/2026 at 5:20 p.m., an interview…

    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 · D2026-01-14 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to ensure a resident with an identified mental health diagnosis was referred for a Preadmission Screening Resident Review (PASRR) Level II evaluation with accurate mental health diagnoses for 1 (#67) of 2 sampled residents' records reviewed for PASRR.Review of Resident #67's Clinical Record revealed Resident #67 was initially admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses of Bipolar Disorder, Depression, and Anxiety Disorder. Review of Resident #67's PASRR Level 1 Form dated 07/30/2025 revealed mental health diagnoses which included Major Depression and Anxiety Disorder. Further review revealed Bipolar Disorder diagnosis was not listed. An interview was conducted on 01/14/2026 at 5:25 p.m. with S10LPNADM. S10LPNADM stated she completed Resident #67's PASRR Level 1 Form, dated 07/30/2025. S10LPNADM stated she reviewed Resident #67's clinical records from the referring Hospice Agency, and the clinical records did not include the…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-14 · 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 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 for 1 (#95) of 3 residents reviewed for infection control. The facility failed to ensure staff wore proper PPE while providing direct care to Resident #95, who was on Enhanced Barrier Precautions.Findings: Review of the facility's policy titled Implementation of Standard and Transmission-Based Precautions with a revision date of 03/2024, revealed the following, in part:3. Enhanced Barrier Precautions - Expand the use of PPE and refers to the use of gown and gloves during high-contact resident care activities that provide opportunities for transfer of MDRO to staff hands and clothing. I. Examples of EBP residents:-Indwelling Medical Devices- Include central linesII. EBP are indicated during:-Device care or use: central lineb. PPE:-Gowns and glove.-PPE for EBP is only…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-12-11 · tag F0801 — pattern
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interviews and record review, the facility failed to employ staff with appropriate competencies and skills sets to carry out the functions of the food and nutrition service by failing to have a certified dietary manager on staff. This deficient practice had the potential to affect the 84 residents who consumed food from the kitchen. Findings: On 12/09/2024 at 9:06 a.m., an interview was conducted with S3DA. S3DA stated the Dietary manager was fired 2-3 weeks ago and he has been acting manager until the facility was hired a new dietary manager. He stated he did not have certification in food service or dietary management. On 12/09/2024 at 11:22 a.m., an interview was conducted with S1ADM. S1ADM further confirm him nor did any other staff in the facility have a certificate in food service or dietary management.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
Show the remaining 15 citations
  • Potential for harm · Ecited before2024-12-11 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observations, and interviews, the facility failed to store food in accordance with professional standards for food service safety. This had the potential to effect 84 residents who were served meals from the kitchen. Findings: On 12/08/2024 at 8:40 a.m., observations were conducted of the kitchen food preparation area, the following items were found to be expired: 1-14oz opened container of cayenne pepper with open date of 10/25/2022 and manufacture expiration date of 5/27/2024. 1-6oz opened container of Italian seasoning with open date of 01/30/2024 and manufacture expiration date of 09/22/2024. 1-12oz opened container of crushed red pepper with open date of 10/25/2022 and manufacture expiration date of 02/05/2024. 1-6oz opened container of sage rub with open date of 10/20/2023 and manufacture expiration date of 10/11/2024. Review of the facility's policy, titled Food Receiving and Storage, revealed: Foods shall be received and stored in a manner that complies with safe food handling practices. Revised 2014. On 12/08/2024 at 8:55 a.m., an interview 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-12-11 · 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 review, the facility failed to ensure resident assessments accurately reflected the resident's status for 1 (#19) of 19 sampled residents reviewed for MDS. Findings: Review of Resident #19's Clinical Record revealed he was admitted to the facility on [DATE]. Further review revealed Resident #19 was diagnosed with Glaucoma. Review of Resident #19's quarterly MDS with an ARD of 11/06/2024 revealed in part, the following: B0600: Speech Clarity: Clear Speech checked B1000: Vision: Adequate checked Review of Resident #19's therapy progress notes revealed treatment diagnoses of Dysarthria and Anarthria with Low Vision Precautions in place. An interview was conducted on 12/10/2024 at 9:45 a.m. with Resident #19. Resident #19 had slurred speech throughout the interview, and was difficult to understand. An interview was conducted on 12/11/2024 at 12:40 p.m. with S10PT. S10PT stated Resident #19 did not have adequate vision, had slurred speech, and was difficult to understand. An interview…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-11 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and interviews, the facility failed to provide residents necessary respiratory care and services in accordance with accepted professional standards of practice for 1 (#3) of 1 (#3) resident reviewed for respiratory services. The facility failed to change Resident #3's oxygen tubing and humidifier bottle out weekly. Findings: Review of Resident #3's Clinical Record revealed she was admitted to the facility on [DATE] with diagnoses, which included Chronic Obstructive Pulmonary Disease and Mild Intermittent Asthma. Review of Resident #3's current Physician Orders revealed the following, in part: Oxygen: change oxygen tubing and water bottle every night shift every Sunday and as needed for contamination. On 12/09/2024 at 8:25 a.m., an observation was made of Resident #3's oxygen tubing and humidifier bottle. Both the oxygen tubing and humidifier bottle were labeled 12/01/2024. On 12/09/2024 at 8:43 a.m., an interview was conducted with S5LPN. She stated she was assigned to…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-12-11 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to ensure a resident's Medication Administration Record (MAR) was accurately documented for 2 (#3 and #290) of 19 residents reviewed in the final sample. Findings: Resident #3 Review of Resident #3's Clinical Record revealed she was admitted to the facility on [DATE] with diagnoses, which included Chronic Obstructive Pulmonary Disease and Mild Intermittent Asthma. Review of Resident #3's current Physician Orders revealed the following, in part: Oxygen: change oxygen tubing and water bottle every night shift every Sunday and as needed for contamination. Review of Resident #3's December 2024 Medication Administration Record (MAR) revealed S7LPN documented Resident #3's oxygen tubing and humidifier bottle were changed on Sunday, 12/08/2024. On 12/09/2024 at 8:25 a.m., an observation was made of Resident #3's oxygen tubing and humidifier bottle. Both the oxygen tubing and humidifier bottle were labeled 12/01/2024. On 12/09/2024 at 8:43 a.m., an observation…

    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 before2024-12-11 · 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 observations, 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 (#23) of 5 (#2, #23, #55, #57, and #85) residents reviewed for infection control. The facility failed to ensure staff wore proper Personal Protective Equipment (PPE) while providing direct care for a resident who was on Enhanced Barrier Precautions (EBP). Findings: Review of the facility's policy titled Categories of Transmission Based Precautions revised on 09/2022, revealed the following, in part: 5. Appropriate notification is placed on the room entrance door so that personnel are aware of the need for and the type of precautions. a. The signage informs the staff of instructions for the use of PPE. Review of Resident #23's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses, which included Paraplegia, Neuromuscular Dysfunction 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-04-23 · tag F0658 — failed to meet professional standards of care — pattern
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to ensure services were provided to meet quality professional standards for 2 (#1 and #3) of 3 (#1, #2, and #3) residents reviewed for falls. The facility failed to ensure staff documented neurological assessments after unwitnessed falls. Findings: Review of the facility's policy titled Falls-Clinical Protocol revealed the following: 2. In addition, the nurse shall asses and document/report the following as needed: e. Neurological status; Resident #1 Review of Resident #1's clinical record revealed he was admitted to the facility on [DATE] and had diagnoses, which included Repeated Falls, Cerebrovascular Disease, Cerebral Infarction due to Unspecified Occlusion or Stenosis of Right Middle Cerebral Artery, Unspecified Osteoarthritis, Hemiplegia and Hemiparesis Following Cerebral Infarction Affecting Right Dominant Side, and Other Lack of Coordination. Review of the facility's Fall Investigation Reports for Resident #1 revealed he had unwitnessed falls 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-04-23 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    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 residents' drug regimens were free from unnecessary psychotropic medications for 1 (#3) of 3 (#1, #2, and #3) residents reviewed for unnecessary psychotropic medications. The facility failed to ensure PRN orders for psychotropic drugs were limited to 14 days and indicated the duration for the PRN order for Resident #3. Findings: Review of the facility's policy titled Tapering Medications and Gradual Dose Reduction, reviewed on 04/22/2024, dated 04/2007 revealed the following, in part: Policy Interpretation and Implementation: 10. Residents who use antipsychotic drugs shall receive gradual reductions. Review of Resident #3's clinical record revealed he was re-admitted to the facility on [DATE] and had diagnoses, which included Dementia, Schizophrenia, Major Depressive Disorder, and Anxiety. Review of Resident #3's active Physician Orders revealed the following: Start Date: 12/29/2023-Lorazepam 1mg by mouth every 4 hours prn for anxiety. Start…

    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 before2024-04-23 · 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 review, the facility failed to ensure resident assessments accurately reflected the resident's status for 1 (#4) of 4 (#1, #2, #3, and #4) residents reviewed for MDS. Findings: Review of Resident #4's Clinical Record revealed he was admitted to the facility on [DATE]. Further review revealed Resident #4 was diagnosed with Major Depressive Disorder on 03/02/2024. Review of Resident #4's quarterly MDS with an ARD of 03/14/2024 revealed Major Depressive Disorder was not coded as an active diagnosis in Section I. An interview was conducted on 04/18/2024 at 1:11 p.m. with S2MDS. She stated she was responsible for residents' MDS assessments. She stated when the MDS assessment was performed, all diagnoses should have been coded accurately for every resident. She reviewed the quarterly MDS for Resident #4 and confirmed the MDS was not coded accurately for active diagnoses in Section I. An interview was conducted on 04/18/2024 at 1:20 p.m. with S1DON. She confirmed if a resident had 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-23 · 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 reviews, the facility failed to maintain accurate records in accordance with accepted professional standards and practices for 1 (#3) of 4 (#1, #2, #3, and #4) residents reviewed. The facility failed to ensure S10LPN documented administered narcotic medications on Resident #3's Medication Administration Record. Findings: Resident #3 Review of Resident #3's Clinical Record revealed she was re-admitted to the facility on [DATE] and had diagnoses, which included Polyosteoarthritis, Lack of Coordination, Muscle Wasting, Dementia, and Difficulty in Walking. Review of Resident #3's Narcotic drug log for Morphine revealed Morphine 0.25mL was removed from stock on 04/04/2024, by S10LPN. Review of Resident #3's Medication Administration Record revealed no documentation Morphine 20mg/mL was administered on 04/04/2024. On 04/23/2024 at 11:24 a.m., a phone interview was conducted with S10LPN. She confirmed she was Resident #3's nurse on 04/04/2024. S10LPN stated Resident #3 complained of pain…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-23 · 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 review, the facility failed to designate a member of the facility's interdisciplinary team to be responsible for working with hospice representatives to coordinate care as evidence by the facility failing to ensure hospice binders were up to date for 1(#3) of 1(#3) resident reviewed for hospice care. Findings: Review of the facility's policy titled Hospice Program, reviewed on 04/22/2024, dated 07/2017 revealed the following, in part: Policy Interpretation and Implementation: 12. Our facility has designated, Name and Title, to coordinate care provided to the resident by our facility staff and the hospice staff. He or she is responsible for following: d. Obtaining the following information from hospice: (1) the most recent hospice plan of care specific to each resident Review of Resident #3's Clinical record revealed she was re-admitted to the facility on [DATE] and admitted to hospice services on 01/02/2024. Review of the Hospice Binder for Resident #3 revealed no plan of care…

    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 · D2023-11-29 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure a resident who was unable to carry out Activities of Daily Living (ADLs) received the necessary services to maintain good grooming and personal hygiene for 1 (#12) of 3 (#12, #53, and #76) residents reviewed for ADLs. Findings: Review of the facility's policy titled, Care of Fingernails/ Toenails revealed the following: Purpose: The purpose of this procedure are to clean the nail bed, to keep nails trimmed, and to prevent infections. General Guidelines: 1. Nail care includes daily cleaning and regular trimming. Review of the clinical record for Resident #12 revealed he was admitted to the facility on [DATE] and had diagnoses which included Rheumatoid Arthritis, Unspecified Osteoarthritis, Systemic Disorders of Connective Tissue, and Weakness. Review of Resident #12's Quarterly MDS with an ARD of 09/19/2023 revealed he had a BIMS of 12, which indicated he had moderate cognitive impairment. Further review revealed he required…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-18 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to protect the resident's right to be free from physical abuse by an employee for 3(#1, #2, #3) 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 and Neglect-Clinical Protocol revealed the following, in part: The facility will ensure that each resident has the right to be free from, among other things, physical or mental abuse and corporal punishment. The facility will provide a safe resident environment and protect residents from abuse. Staff to Resident Abuse of any Types: o The facility assumes the responsibility upon admission of ensuring safety and well-being of the resident. o Staff are expected to be in control of their behavior and behave professionally. Definitions Verbal Abuse- 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • No harm found · C2024-12-11 · tag F0577 — widespread
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interviews, the facility failed to ensure the results of the most recent annual survey and complaint surveys were available for resident review. Findings: On 12/08/2024 at 9:17 a.m., an observation was made of the facility's binder titled State Survey Binder located at the nurse's station. Review of the documents included in the state survey binder revealed the annual recertification along with a complaint survey results dated 12/08/2022. Further review revealed no documented evidence of the survey results from the annual recertification survey dated 11/29/2023 or the complaint survey dated 04/23/2024 and 05/31/2024 having been available for resident review. On 12/08/2024 at 9:20 a.m., an interview was conducted with S6CNA. She confirmed all survey results were kept in the State Survey Binder. She reviewed the facility binder State Survey Binder, and confirmed the only survey results located in the binder were dated 12/08/2022. On 12/08/2024 at 9:29 a.m., an interview was conducted with S2DON. She confirmed all survey results were kept in the…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2024-12-11 · tag F0732 — widespread
    Post nurse staffing information every day.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interviews, the facility failed to ensure current nurse staffing data was posted daily. This deficient practice had the potential to affect any of the 85 residents residing in the facility. Findings: On 12/09/2024 at 8:45 a.m., an observation was made of the form titled Daily Staffing Report posted on the bulletin board by the nurses' station revealed it was dated 12/08/2024. On 12/09/2024 8:50 a.m., an interview was conducted with S1ADM. He reviewed and confirmed the Daily Staffing Report posted on the bulletin board by the nurses' station was dated 12/08/2024. He confirmed it was not current and should have been. On 12/09/2024 at 9:02 a.m., an interview was conducted with S2DON. She reviewed and confirmed the Daily Staffing Report posted on the bulletin board by the nurses' station was dated 12/08/2024. She confirmed the current Daily Staffing Report had not been posted and should have been.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2023-11-29 · tag F0851 — pattern
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interviews and record review, the facility failed to electronically submit accurate payroll information for direct care staffing as required. Findings: Review of the PBJ Staffing Data Report for Fiscal Year Quarter 3 2023 (April 1-June 30) revealed: One Star Staffing Rating was triggered. Review of the facility's CMS Submission Report PBJ Final File Validation Reports for Fiscal Quarter 3 revealed, in part, Total Employee Link Records were not submitted. On 11/28/2023 at 2:50 p.m. an interview was conducted with S1CHRD. He stated he was responsible for entering in all payroll information through the PBJ system for Fiscal Quarter 3. He stated the facility was not communicating to him when agency staff turned over to full time employee status. He confirmed the new employee information should have been manually entered into the system and it was not.

    Administration Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to PRIORITY MANAGEMENT — 38 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 2 of 52.9-0.9 vs chain
Health inspection 3 of 53.2-0.2 vs chain
Staffing 1 of 51.6-0.6 vs chain
Quality measures 3 of 53.4-0.4 vs chain
The other 37 homes this chain runs (chain average 2.9★, per CMS)
1 of 5Alpine Skilled Nursing and RehabilitationRuston, LA 1 of 5Bridgeport Medical LodgeBridgeport, TX 1 of 5Camelot Rehabilitation At Magnolia ParkLafayette, LA 1 of 5Colonial Oaks Skilled Nursing and RehabilitationBossier City, LA 1 of 5Hilltop Park Rehabilitation And Care CenterWeatherford, TX 1 of 5Pilgrim Manor Skilled Nursing and RehabilitationBossier City, LA 1 of 5Shreveport Manor Skilled Nursing & RehabilitationShreveport, LA 1 of 5St Joseph Skilled Nursing and RehabilitationMonroe, LA 1 of 5The Bradford Skilled Nursing And RehabilitationShreveport, LA 1 of 5The Guest House Skilled Nursing and RehabilitationShreveport, LA 2 of 5Booker T. Washington Skilled Nursing and RehabilitShreveport, LA 2 of 5Decatur Medical LodgeDecatur, TX 2 of 5Ridgmar Medical LodgeFort Worth, TX 3 of 5Broadmoor Medical LodgeRockwall, TX 3 of 5Camelot Of BroussardBroussard, LA 3 of 5Chateau St. James Rehab And RetirementLutcher, LA 3 of 5Louisiana Extended Care Hospital Of LafayetteLafayette, LA 3 of 5Mabank Nursing CenterMabank, TX 3 of 5Royse City Medical LodgeRoyse City, TX 3 of 5The Homestead of DenisonDenison, TX 3 of 5The Woodlands Healthcare CenterLeesville, LA 3 of 5Timber Springs Rehab and RetirementSpringhill, LA 4 of 5Belterra Health & RehabMcKinney, TX 4 of 5College Park Rehabilitation And Care CenterWeatherford, TX 4 of 5Jo Ellen Smith Convalescent CenterNew Orleans, LA 4 of 5Mansfield Medical LodgeMansfield, TX 4 of 5The Parks at Garland Healthcare and RehabGarland, TX 4 of 5Victoria Gardens Of AllenAllen, TX 4 of 5Victoria Gardens of FriscoFrisco, TX 4 of 5Vista Ridge Nursing & Rehabilitation CenterLewisville, TX 4 of 5Windmill Village Rehabilitation & Care CenterLubbock, TX 5 of 5Camelot BrooksideJennings, LA 5 of 5Chateau D'Ville Rehab and RetirementDonaldsonville, LA 5 of 5Chateau Terrebonne Health Care CenterHouma, LA 5 of 5Grapevine Medical LodgeGrapevine, TX 5 of 5Spring Lake Skilled Nursing And RehabilitationShreveport, LA 5 of 5Springtown Park Rehabilitation And Care CenterSpringtown, TX

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 / managerTypeRoleSince
BAUDER, WILLIAMIndividualDIRECT OWNERSHIP INTERESTsince 02/01/2017
BOULWARE, DOUGLASIndividualDIRECT OWNERSHIP INTERESTsince 02/01/2017
BOULWARE, STEVENIndividualDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 01/01/2023
PRIORITY MANAGEMENT GROUP, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2017
PROGRESSIVE REHAB SOLUTIONS, LLCOrganizationADP OF THE SNFsince 02/01/2017
LOGSDON, KRISTENIndividualADP OF THE SNFsince 08/22/2022
MAGEE, CLAYTONIndividualADP OF THE SNFsince 04/16/2025
TABARI, HOSSEINIndividualADP OF THE SNFsince 04/17/2025

CMS files one row per role, so the 10 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

$11.9M
Net patient revenuemost recent cost report
-2.2%
Operating marginrevenue minus expenses
$2.1M
Related-party expense17% of expenses
Who pays — share of resident-days
Medicaid 64%Medicare 21%Other / private 15%

This home reported $2.1M paid to related parties — landlords or management companies under common ownership — equal to about 17% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

$364per resident / day
operating cost
$11,072per month
≈ monthly operating cost
$356per 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 195624. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-14, 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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