St. Agnes Healthcare and Rehab Center
606 Latiolais Road, Breaux Bridge, LA 70517 · For profit - Corporation · 128 certified beds · (337) 332-4808 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a middle-of-the-pack inspection score (3/5)
- 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 a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- a high number of inspection citations overall (23) — 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)
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 | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 4 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 | 4 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
| Short-stay residentsrehab / post-hospital | 5 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 4 to 3 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
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 | 29.4% | 17.8% | 15.4% | worse |
| Long-stay residents who lose too much weight | 6.1% | 5.2% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.0% | 1.2% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.3% | 2.1% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.6% | 2.3% | 6.5% | better than state‡ — see note marked double-dagger 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 | 0.5% | 3.5% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 28.3% | 17.9% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 26.6% | 23.2% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 98.0% | 94.9% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.2% | 5.6% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 4.1% | 15.8% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 28.0% | 22.7% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 5.4% | 3.1% | 1.4% | worse than state‡ — see note marked double-dagger below the table |
| Short-stay residents given the seasonal flu vaccine | 81.8% | 76.3% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 19.8% | 28.0% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 6.3% | 14.8% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 2.11 | 2.56 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.61 | 2.74 | 1.80 | better |
‡ 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: this home’s payroll records show 0.20 therapist hours per resident per day in 2026Q1 — more than 21% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 6% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| 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 | 9.6%CMS range 6.4–15.6 | 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 | 95.2% | 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 | 0.0% | 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 | 0.0% | 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 | 1.31 | 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 128 beds and averages 95.8 residents a day — about 75% occupied, or roughly 32 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.92 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.14 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.70 is at or above 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 3.15 hrs/resident/day on weekends vs 4.23 on weekdays — 26% thinner on weekends — a notable drop. RN hours go from 0.17 to 0.09 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 54% is about the same as the national median of 45%. 1 administrator has left in the past year.
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.
23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.
- Potential for harm · E2026-05-06 · tag F0585 — failed to handle grievances — patternHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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 identify and correct situations that could possibly result in actual or suspected abuse by failing to immediately report a complaint made by a resident to the Administrator or designee for 1 (#92) resident out of 30 sampled residents. Findings: Review of the facility's policy titled, Grievance, with a last revised date of 11/24/2025, read in part: Grievance or complaint is filed, if staff has received the complaint, he/she is to notify administrator or his designed as soon as possible.Prevention- identify and correct situations that could possibly result in abuse. Encourage staff to report actual or suspected abuse without fear of retribution.Identification- C) any staff person receiving a complaint of abuse, neglect, or an injury of unknown origin whether it is from the resident, a family member of staff, should listen to the complaint, writing down the date, and time complaint is being received time, and any details given. Review of Resident #92'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 · E2026-05-06 · tag F0685 — patternAssist a resident in gaining access to vision and hearing 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 interview and record review, the facility failed to ensure a resident received an assistive device to maintain and/or improve hearing for 1 (Resident #6) out of 1 resident investigated for communication-sensory.Findings:Review of Resident #6's admission Record revealed she was admitted to the facility on [DATE] with diagnoses that included, in part, major depressive disorder, cognitive communication deficit, and anxiety disorder.Review of Resident #6's Quarterly MDS (Minimum Data Set) with an ARD of 02/26/2026, under Section C, revealed she had a BIMS score of 15 which indicated her cognition was intact. Further review of the MDS revealed, under Section B, that Resident #6 had minimal difficulty hearing and no hearing aid or other appliance was used.Review of Resident #6's Progress notes revealed a note dated 02/26/2026 written by S5SSD which stated the following: No hearing aids noted for assist device. Is slightly HOH however was able to hear when spoken to in a louder tone. Is on wait list for free…
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 before2026-05-06 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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, interview, and record review, the facility failed to store food in accordance with professional standards for food service and failed to ensure sanitary conditions were maintained in the kitchen by failing to:Appropriately store, label and date frozen food items, and Ensure kitchen staff used good hygienic practices while preparing and serving food to residents.This had the potential to affect 93 residents who consumed foods from the facility's kitchen.Findings:1.On 05/05/2026, a review of the facility's policy titled, Food Storage with a last reviewed date of 11/24/2025, read in part . 14. Frozen Foods .c. All foods should be covered, labeled and dated .All foods will be checked to assure that foods will be consumed by their use by dates or discarded . On 05/04/2026 at 8:53 a.m., an observation of the facility's freezer with S2DMT revealed the following:- 1/2 a plastic bag of frozen meat patties which was tied at the opening. The bag had a small hole in the plastic bag, was not labeled with the contents, and did not have a used by dated.- 4 mid-sized plastic…
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 before2026-05-06 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 interview, the facility failed to ensure the resident's plan of care was implemented as ordered for 2 (Resident #3, Resident #7) out of a total sample of 30 residents by failing to:follow physician's order for assessing Resident #3's dialysis site; andfollow physician's order for monitoring of right hand splint; administering enteral feed; and administering enteral flush for Resident #7.Findings:1.Review of Resident #3's electronic medical record revealed she was admitted to the facility on [DATE] with diagnoses which included, but were not limited to, end stage renal disease, atherosclerotic heart disease, and diabetes mellitus.Review of Resident #3's February 2026 physician's order and Hall TAR (Treatment Administration Record) revealed the following order dated 09/27/2022: Dialysis Access Site-observe daily for bleeding or signs of infection. Notify dialysis center/MD (medical doctor) if noted every shift. The resident's Hall TAR failed to include nurses' initials or evidence that…
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 · D2026-05-06 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 interview, the facility failed to ensure that a resident's care plan was accurately updated to reflect the resident's current code status for 1 (Resident #3) out of 30 sampled residents. This deficient practice had the potential to affect a total census of 95 residents.Findings: Review of Resident #3's electronic medical record revealed she was admitted to the facility on [DATE] with diagnoses which included, but were not limited to, end stage renal disease, atherosclerotic heart disease, and diabetes mellitus.Review of Resident #3's electronic medical record revealed she was a DNR (Do Not Resuscitate).Review of Resident #3's electronic medical record revealed a Louisiana Physician Orders For Scope of Treatment (LaPOST) that read in part:.A. Do Not Attempt Resuscitation (DNR).F. Summary of Goals: Discussed with: Personal Health Care Representative. The basis for these orders is: Patient's Personal Health Care Representative (Qualified Patient without capacity), signed by physician 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 · Fcited before2025-03-26 · 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 observation, interview, and policy review, the facility failed to prepare, distribute, and serve food in accordance with professional standards for food service safety by failing to ensure: 1. food was dated after opening; and 2. food was properly sealed and stored. The facility had a census of 95 residents. Findings: On 03/24/2025, a review of the facility's policy titled, Correct Food Storage with a revised date of 12/30/2024, read in part, all foods shall be stored in a manner to ensure First-in - ''First- Out use and all items shall be labeled, dated and sealed. On 03/24/2025 at 9:01 AM, an observation was made of the dry storage area with S1DM (Dietary Manager). S1DM confirmed the following observations: -1 partially used bottle of imitation vanilla with no opened date; -1 partially used bottle of imitation banana with no opened date; -1 opened unsealed bag of corn flakes with no opened date; -1 opened and unsealed box of quick oats opened with no opened date; -1 opened and unsealed bag of grits with no opened date. On 03/24/2025 at 9:07 AM, an interview was conducted…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-03-26 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews and infection policy review, the facility failed to maintain an effective infection prevention and control program designed to provide a safe, sanitary, and comfortable environment, and to help prevent the development and transmission of communicable diseases and infections as evidenced by failing to: 1. Appropriately handle and transfer soiled laundry; 2. perform proper hand hygiene; 3. appropriately remove PPE (Personal protective equipment); and 4. sanitize dirty scissors before re-using. Findings: 1. On 03/24/2025, a review of the facility's policy titled Laundry, with a last reviewed date of 12/30/2024, read in part: Policy: The facility launders linens and clothing in accordance with current CDC (Centers for Disease Control) guidelines to prevent transmission of pathogens .Policy Explanation and Compliance Guidelines: 1. Aligning with principles of standard precautions, staff shall consider all previously worn clothing and used linen as potentially contaminated .4. Soiled laundry shall be handled as little as possible, with minimum agitation…
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 · D2025-03-26 · tag F0561 — failed to honor residents' choices — isolatedHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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 assess 1(#12) out of 1 sampled residents for self-administration of medication in a final sample of 35 residents. Findings: On 03/24/2025, a review of the facility's policy titled, Resident Self-Administration of Medications with a las review date of 12/30/2024 revealed in part, Policy: It is the policy of this facility to support each resident's right to self-administer medication. A resident may only self-administer medications after the facility's interdisciplinary team had determined which medications may be self-administer safely. Policy Explanation and Compliance Guidelines: .4. The results of the interdisciplinary team assessment are recorded on the Medication Self-Administration Assessment Form, which is placed in the resident's medical record . Resident #12 was admitted to the facility on [DATE] with diagnoses that included essential hypertension and dermatitis. Review of Resident #12's quarterly MDS (Minimum Data Set) 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 · Dcited before2025-03-26 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, policy review and interviews, the facility failed to report to the administrator of the facility a resident report of sexual abuse for 1(#85) of 1 resident sampled for abuse. This had the potential to affect the 95 residents that reside in the facility. Findings: A review of the facility's policy titled Abuse and Neglect with a last reviewed date of 12/30/2024 read in part, Identification- A) Any staff member receiving a complaint of abuse, neglect, or an injury of unknown origin whether it is from the resident, a family member or staff, should listen to the complaint, writing down the date, and time complaint is being received, and any details given D) Administrator or his designee should be notified as soon as possible. Resident #85 was admitted to the facility on [DATE] with a diagnoses which included, but were not limited to cerebral infarction, unspecified psychosis, and hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side. 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 · Dcited before2025-03-26 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 interview, the facility failed to follow the care plan for Resident #80 as evidenced by failing to offer the resident a visit with the in house dental consultant for 1 (#80) out of 35 sampled residents. Findings: Resident #80. On 03/24/2025 at 10:11 AM, an interview was conducted with the resident. The resident stated that he had some broken and missing teeth and he wanted to see a dentist. The resident stated that no one discussed dental services with him. Review of the resident's clinical record revealed the resident was admitted to the facility on [DATE]. Review of the resident's admission MDS (Minimum Data Set) assessment dated [DATE] revealed the resident was coded to have obvious or likely cavity or broken natural teeth and inflamed or bleeding gums or loose natural teeth. Review of the resident's care plan revealed that it addressed the resident having carious teeth and gum inflammation. An intervention included to offer the resident a visit with the in house dental consultant…
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 13 citations
- Potential for harm · D2025-03-26 · tag F0658 — failed to meet professional standards of care — isolatedEnsure 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 review and interview, the facility failed to ensure that services were provided to meet professional standards of quality as evidenced by S13TN (Treatment Nurse) leaving medication at the bedside for 1 (#12) out of 1 resident, who was not assessed for self-administration of his medication, out of a total sample of 35 residents. This deficient practice had the potential to affect the 95 residents in the nursing home. Findings: Resident #12 was admitted to the facility on [DATE] with diagnoses that included essential hypertension and dermatitis. Review of Resident #12's quarterly MDS (Minimum Data Set) dated 02/24/2025 revealed the resident had a BIMS (Brief Interview of Mental Status) score of 15, which means cognitively intact. On 03/24/25 at 1:28 PM, Resident #12 was observed sitting in his wheelchair in his room. A clear medication cup with a white powdery substance was observed on the resident's bedside dresser. Resident #12 stated that it was a powder that he used to apply to his abdominal…
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 · D2025-03-26 · tag F0732 — isolatedPost nurse staffing information every day.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to ensure that staffing data posted daily included resident census and total number of hours worked. Findings: On 03/25/2025 at 12:35 PM, an observation of staffing data posted revealed the following: Staffing for: 03/25/2025 6-2 (6:00 AM to 2:00 PM): 2 RN (Registered Nurse) @ 16 HRS (hours), 5 LPN (Licensed Practical Nurse) @ 40 HRS, 23 CNA (Certified Nursing Assistant) @ 184 HRS. Further review revealed the census and total number of hours worked were missing. During an interview with S2WC (Ward Clerk) on 03/25/2025 at 1:30 PM, she stated she was responsible for completing and posting the staffing sheet. S2WC confirmed that the census number and total number of hours worked were left blank, and stated she had never included that information when she posted the staffing. On 03/26/2025 at 8:00 AM an observation of staffing data posted revealed the following: Staffing for: 03/26/2025 6-2: 2 RN @ 16 HRS, 5 LPN @ 40 HRS, and 24 CNA @ 192 HRS. Further review revealed the census and total number of hours worked were missing.…
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 · D2025-03-26 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation, record review and interview, the facility failed to ensure all drugs and biologicals were stored in locked compartments as evidenced by the nurse leaving the medication cart unlocked and unattended during the medication pass on Hall B. Findings: Review of the facility's policy and procedure titled, Medication Administration last reviewed on 12/30/2024 read in part, .Medication cart locked if left unattended in resident care area . On 03/25/2025 at 7:55 AM during the medication pass, S10LPN (Licensed Practical Nurse) was observed locking the medication cart on Hall B. During this observation, a nurse walked up to the medication cart and pulled on the bottom compartment of the cart and it opened. The bottom compartment had medications stored in it. S10LPN stated that she was not aware that the bottom compartment did not lock. S10LPN confirmed the bottom compartment had medications stored in it and that the compartment should have been locked when she left the medication cart unattended.
- Potential for harm · Dcited before2024-07-16 · tag F0726 — failed to have competent, trained nursing staff — isolatedEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews and record reviews, the facility failed to ensure that certified nursing aides (CNAs) who transported residents in the facility's van were trained and competent on the proper and safe procedure for securing the resident's wheelchair in the van according to the manufacturer's instructions. This deficient practice was evidenced by 1 (S2TransportationCNA) of 2 transportation CNAs observed improperly securing Resident R1 in the facility's transportation van. Findings: On 07/16/2024 at 10:00 a.m., S1ADM (Administrator) was asked to provide the manufacturer's instruction manual for securing a resident in the facility's transportation van. He stated the facility's van was purchased in 2016, and a conversion was put into the van by a third party company. That company demonstrated to staff how to properly secure residents in the van once, when the conversion was put into the van in 2016. He stated the previous transportation drivers trained the new transportation drivers how to secure residents' wheelchairs in the van, and he was not sure if the new drivers…
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 before2024-05-02 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure that all alleged violations of abuse were reported immediately to the administrative staff for 2 (#1 and #2) out of 3 (#1, #2, and #3) sampled residents. Findings: Review of the facility's Abuse and Neglect policy and procedure that was updated 01/2024 per S2AsstAdm (Assistant Administrator) read in part: Policy: It is the policy of this facility to provide an environment for our residents that is free of abuse, neglect, extortion, self-neglect or misappropriation of funds . 4. Identification-Any staff person receiving a complaint of abuse, neglect, or an injury of unknown origin whether it is from the resident, a family member or staff, should listen to the complaint, writing down the date, and time complaint was received, time, and any details given .The charge nurse then notifies the administrator or his designee immediately even if this is a weekend or at midnight . 1. Resident #1. Review of the resident's clinical record revealed the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-03-06 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to provide a safe, clean, and homelike environment as evidenced by failing to complete maintenance rounds to identify and repair the following: 1. Resident # 21's Chest of Drawer was broken 2. Resident # 63's bathroom toilet paper dispenser was broken 3. Resident # 19's bathroom toilet was loose 4. Resident # 250's headboard was loose and not working properly 5. Residents # 9, # 57, and # 93's hot water faucet produced only cold water Findings: Review of the facility's policy and procedure titled, Safe and Homelike Environment, read in part: In accordance with residents' rights, the facility will provide a safe, clean, comfortable and homelike environment, allowing the resident to use his or her personal belongings to the extent possible. This includes ensuring that the resident can receive care and services safely and that the physical layout of the facility maximized resident independence and does not pose a safety risk .3 Maintenance…
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 · E2024-03-06 · tag F0645 — patternPASARR screening for Mental disorders or Intellectual Disabilities
What the surveyor found here — the official record, unedited, may be distressing
Based on record review and interview, the facility failed to refer residents who had a qualifying diagnosed mental disorder to the appropriate state-designated authority for Level II PASARR (Preadmission Screening and Resident Review) evaluation and determination for 1 (Resident #70) of 1 resident sampled for PASARR. The deficient practice had the potential to affect a total census of 99. Findings: Review of Resident #70's record revealed an admission date of 03/01/2023 with diagnoses that included; in part, Unspecified Psychosis. Review of Resident #70's records revealed no evidence that a Level II PASARR had been re-submitted to the appropriate state-designated authority that indicated he had the qualifying diagnosis of Unspecified Psychosis. On 03/05/24 at 10:26 a.m., an interview was conducted with S4SSD (Social Services Director). S4SSD confirmed the residents admission date as well as the date of the qualifying diagnosis. S4SSD confirmed the PASARR should have been resubmitted for re-review and had not been.
- Potential for harm · Dcited before2024-03-06 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to ensure an alleged violation of abuse was reported immediately, but not later than 2 hours after the allegation was made to the State Survey Agency for 1 (#21) out of 2 (#21 and #94) residents investigated for abuse. Findings: Review of the facility's policy, Abuse and Neglect, revealed in part, the following, Policy: It is the policy of this facility to provide an environment for our residents that is free of abuse, neglect, exportation, self neglect or misappropriation of funds . Physical abuse is the hitting, slapping, pinching, burning, jerking, or shoving of a resident. Physical contact is abusive whenever touching a resident is not helpful . H) Reporting all alleged violations and all substantiated incidents to the states agency as per state policy. Report will be made to all applicable agencies in the time manner as applicable. Resident #21: Review of Resident #21's record revealed she was admitted to the facility on [DATE] with diagnoses which…
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 · D2024-03-06 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
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 records reviewed, the facility failed to identify and provide resident centered care and services in order to attain the highest practicable well-being for 1 (# 200) resident out of a finalized sample of 44 residents. This deficient practice was evidenced when the facility's staff failed to accommodate Resident # 200's smoking preference while he was on Contact isolation precautions. Findings: Review of Resident # 200's electronic health record revealed he was admitted to the facility on [DATE] with the following pertinent diagnoses: Major Depressive Disorder, Anxiety Disorder, and Tobacco Use. Review of Resident # 200's Safe Smoking assessment completed on 02/16/2024 by S11MDS (Minimum Data Set Coordinator) revealed the resident was able to make decisions regarding tasks of daily life. Further review revealed he had adequate eyesight and was determined to be a safe smoker. Review of Resident # 200's Activity Admit assessment completed on 02/19/2024 by S12RAD (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 · D2024-03-06 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide 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 observations and interviews the facility failed to properly store respiratory equipment for 1 resident (#57) out of 3 residents (#91, #10, and #57) investigated for respiratory care. Findings: Review of the facility's policy titled Policy: Nebulizer Mask, O2 (Oxygen) Tubings read in part, Policy: Equipment will be changed a minimum of monthly and prn (as needed), placed in a plastic bag with date changed. A. Respiratory Equipment: Place in plastic bag, (a zip lock bag is acceptable) with date changed . Resident #57 A review of Resident #57's clinical record revealed he was admitted on [DATE] with diagnoses that included Malignant Neoplasm of Upper Lobe, Left Bronchus or Lung, Type 2 Diabetes Mellitus with Diabetic Polyneuropathy, Hypertension, COPD (Chronic Obstructive Pulmonary Disease) and Centrilobular Emphysema. A review of Resident #57's Quarterly MDS (Minimum Data Set) with an ARD (Assessment Reference Date) of 12/05/2023 revealed a BIMS (Brief Interview for Mental Status) of 15, indicating 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 · D2024-03-06 · tag F0727 — failed to provide required RN coverage — isolatedHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to ensure a Registered Nurse (RN) provided services for 8 consecutive hours a day, 7 days a week for 4 of 14 days reviewed for RN hours. Findings: Review of the facility's staffing documents from 02/18/2024 through 03/02/2024 revealed the RN did not work 8 consecutive hours on the following dates: On 02/18/2024 (Sunday) the RN worked 7.9 hours On 02/24/2024 (Saturday) the RN worked 6.7 hours On 02/25/2024 (Sunday) the RN worked 7.5 hours, and On 03/02/2024 (Saturday) the RN worked 7.6 hours. On 03/05/2024 at 11:40 a.m., an interview and review of the facility's staffing documents from 02/18/2024 through 03/02/2024 was conducted with S6AP (Accounts Payable). She stated that the weekend RN Supervisors were scheduled to work 8 hours, but 30 minutes were subtracted for lunch. S6AP confirmed the RNs did not work 8 consecutive hours on 02/18/2024, 02/24/2024, 02/25/2024, and 03/02/2024. On 03/05/2024 at 11:50 a.m., an interview was conducted with S7RN. She stated that she worked on 02/18/2024 as the weekend RN Supervisor. She…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-10-25 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately 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 review and interview, the facility's staff failed to notify the resident's representative of a change in the resident's condition by failing to: 1. Immediately inform the resident's (#1) representative that the resident was admitted inpatient to the hospital for urinary tract infection; and failing to; 2. Immediately inform the resident's (#3) representative of the residents return to the facility from the hospital for 1 ( #3) out of 4 sampled residents. This deficient practice has the potential to affect all the residents residing in the nursing facility. The total census was 100. Findings: Review of the facility's policy, Notification of Changes revealed in part: The facility will inform the resident and consult with the resident's physician. Appropriate, when changes occur, if known. The facility shall also notify the resident's legal representative or interested family member. Notification of changes shall include: 3. A need to alter treatment significantly (A need to discontinue an existing…
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 F0726 — failed to have competent, trained nursing staff — isolatedEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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 an observation, record reviews and interviews, the facility failed to ensure nursing staff demonstrated competencies to provide care, assure residents' safety, and maintain the residents' highest practicable physical well-being. The facility failed to assure the facility failed to assure that each resident received an accurate assessment by failing to: 1. Complete an accurate weekly skin assessment/body audit for 1 (Resident #1) of 4 (#1, #2, #3, #4) residents sampled for weekly body audits, and 2. Complete a readmit assessment for Resident #3 after returning to the facility from the hospital on [DATE]. Findings: Review of facility document Policy Skin Assessment read in part: 1. Skin assessment/body audits are done weekly, and as needed. Review of facility document Skin Condition read in part: using the diagrams provided indicate all body marks such as bruises, discoloration, abrasions, pressure ulcers, or questionable markings. Indicate size, depth, color and drainage. Review of facility document…
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.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| ESTATE OF THERESE SEGURA | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | 25% | since 07/21/2025 |
| DEGATUR, WARREN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | 10% | since 01/01/2009 |
| DURAND, ALANE | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | 5% | since 01/01/2009 |
| HARDY, PAUL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | 25% | since 03/01/1984 |
| MILLS, FRED | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | 10% | since 01/01/2009 |
| RAYMOND, CAROL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | 7% | since 01/01/2025 |
| RAYMOND, JOHN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | 7% | since 01/01/2025 |
| RAYMOND, RENEE | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | 7% | since 01/01/2025 |
| HAYES, RICKY | Individual | CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL | — | since 01/01/1995 |
| GROS, TERRY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 09/08/2025 |
CMS files one row per role, so the 21 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.
1 organizational owner 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 80% 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 $856K paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in LA
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 195313. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-06, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.