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Golden Age Healthcare and Rehabilitation Center

27090 Hwy 16, Denham Springs, LA 70726 · For profit - Limited Liability company · 175 certified beds · (225) 665-5544 Medicare & Medicaid certified

Call the home — (225) 665-5544 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Apr 20251 actual-harm citation CMS recorded as corrected before the inspection ended (past non-compliance)$8,044 in federal fines
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)
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Apr 2025
  • inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (26) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $8,044 in federal fines (most recent 2025-04-01)
  • its payroll-based staffing rating is low (1/5)
  • its facility-reported quality-measure rating is low (1/5)
  • about 28% 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.

1/5
CMS overall
1 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 1 of 5

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
35055 La Highway 16 · (225) 791-2400 · Call to confirm hours
Pharmacy
34972 Old LA-16 · (225) 791-4225 · Call to confirm hours
Grocery
19109 Pride Baywood Rd · (225) 654-7466 · Call to confirm hours
Park
21572 Carson Rd · (225) 273-6405 · 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 1 of 5
Long-stay residentspeople who live here 1 of 5
Short-stay residentsrehab / post-hospital 1 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 2 stars. From monthly CMS archive snapshots.

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

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 increased16.1%17.8%15.4%typical
Long-stay residents who lose too much weight5.0%5.2%5.4%typical
Long-stay residents with a catheter left in their bladder0.8%1.2%0.9%typical
Long-stay residents with a urinary tract infection4.4%2.1%2.0%worse
Long-stay residents with depressive symptoms0.0%2.3%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury3.9%3.5%3.3%worse
Long-stay residents whose ability to walk worsened25.9%17.9%16.1%worse
Long-stay residents on antianxiety or hypnotic medication18.2%23.2%18.9%typical
Long-stay residents given the seasonal flu vaccine97.7%94.9%95.3%typical
Long-stay residents with pressure ulcers7.0%5.6%4.7%worse
Long-stay residents with worsening bladder/bowel control17.4%15.8%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table24.2%22.7%17.1%worse
Short-stay residents who newly got an antipsychotic medication2.9%3.1%1.4%typical for the state — see note marked double-dagger below the table
Short-stay residents given the seasonal flu vaccine45.0%76.3%79.4%worse
Short-stay residents rehospitalized after admission40.2%28.0%22.6%worse
Short-stay residents with an outpatient ER visit18.2%14.8%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.962.561.67worse
Long-stay outpatient ER visits per 1,000 resident days2.072.741.80worse

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

50.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 52 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

50.6%U.S. median 51.5%
Got home and stayed home
10.3%U.S. median 10.7%
Went back to hospital
65.5%U.S. median 56.6%
Met the expected recovery
not reportedno hours filed
Therapy hours / resident / day

Met the expected recovery: 65.5% 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 29 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: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF50.6%CMS range 38.3–61.551.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.3%CMS range 6.6–14.610.7%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 discharge65.5%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 discharge48.3%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 discharge51.7%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 identified87.5%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay5.0%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 worsened7.5%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 hospitalization7.6%CMS range 4.0–13.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.311.02Oct 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

0.12
RN hours/ resident / day
1.26
LPN hours/ resident / day
1.93
Aide hours/ resident / day
3.31
Total nurse hours/ resident / day
0.09
RN hoursweekends
52.4%
Total nursing turnover
60.0%
RN turnover

How full it usually is: this home is certified for 175 beds and averages 170.8 residents a day — about 98% occupied, or roughly 4 beds typically open. It runs essentially full — expect a waiting list. 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 3.31 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.12 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.93 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 2.76 hrs/resident/day on weekends vs 3.53 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 0.14 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 52% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

6
deficiencies at the latest standard inspection (2026-03-18)
6
at the previous standard inspection (2025-02-19)

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.

26 citations, most serious first. The 11 most serious are shown; the remaining 15 are one tap away and print in full.

  • Actual harm · G2025-04-01 · 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 review, the facility failed to protect the resident's right to be free from sexual abuse and psychological harm for 1 (#2) of 3 (#1, #2, and #3) sampled residents reviewed for sexual 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. This deficient practice resulted in actual psychological harm on 02/11/2025, when Resident #2, a cognitively intact resident, stated a visitor of the facility showed her unwanted pictures of his penis and then later forced his penis into Resident #2's mouth. Resident #2 reported the incident to the facility on [DATE] and stated she did not report it sooner because she was embarrassed. Resident #2 experienced psychosocial harm describing the sexual abuse as horrible and becoming tearful when speaking of it. Findings: Review of the facility's policy dated 03/2023 and titled, Abuse-Prevention and Prohibition Policy and Procedure…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · Ecited before2026-03-18 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor 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 reviews, the facility failed to ensure a safe, clean, comfortable, and homelike environment was maintained for 2 of 2 (#5 and #58) residents reviewed for environment. Resident #5 Review of Resident #5's clinical record revealed she was admitted to the facility on [DATE] with diagnoses, which included Idiopathic Peripheral Autonomic Neuropathy, Chronic Ischemic Heart Disease, Morbid Severe Obesity due to Excess Calories, and Acute on Chronic Diastolic Congestive Heart Failure. Review of Resident #5's Quarterly MDS with an ARD of 03/04/2026 revealed a BIMS of 13, which indicated the resident was cognitively intact. An observation was made on 03/15/2026 at 1:26 p.m. of Resident #5's room. Behind her bed was a brown substance splattered on the wall. An interview was conducted on 03/15/2026 at 1:27 p.m. with Resident #5. She stated the brown substance had been on the wall for months. She stated she had asked staff to clean it, but no one ever had. An observation was made…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-03-18 · 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 observations, interviews, and record reviews, the facility failed to ensure services provided as outlined in the comprehensive care plan met professional standards of quality by failing to ensure nursing staff primed insulin pen needles prior to administering insulin for 3 (#12, #129, and #144) of 5 residents reviewed for insulin administration.Findings: Review of the facility's insulin pen needle product insert revealed the following: 2. Prepare the pen needle: Check that the pen needle is attached correctly and prime the pen according to the manufacturer's instructions for use. Select the insulin dose. Review of the Regular Insulin and Insulin Aspart insulin pen manufacturer's instructions for use revealed the following: Giving the airshot before each injection: Before each injection small amounts of air may collect in the cartridge during normal use. To avoid injecting air and to ensure proper dosing: E. Turn the dose selector to select 2 units. F. Hold your insulin pen with the needle pointing up.…

    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 · Ecited before2026-03-18 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to ensure residents who were unable to carry out activities of daily living received necessary services to maintain good hygiene for 3 (#7, #98, and #144) of 3 residents reviewed for ADLs. The facility failed to ensure: Resident #7 and #144 received their shower as scheduled; and Resident #98 was dressed in clean attire daily. Findings: 1. Resident #7 Review of Resident #7's Clinical Record revealed she was admitted to the facility on [DATE] and had a diagnosis, which included Radiculopathy, Lumbar Region. Review of Resident #7's Quarterly MDS with an ARD of 12/12/2025 revealed BIMS of 11, which indicated the resident was moderately cognitively impaired. Further review revealed Section GG0130. Self-Care: Partial/moderate assistance for shower/bathe self. Review of Resident #7's current Care Plan revealed the following: Focus: The resident requires staff assistance for ADL care. Interventions: Assist resident with bathing. Review of…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-03-18 · tag F0726 — failed to have competent, trained nursing staff — pattern
    Ensure 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 observations, interviews, and record reviews, the facility failed to ensure nursing staff had the specific competencies and skill sets necessary to care for resident's needs as identified through resident assessments and plans of care. The facility failed to ensure nursing staff had competencies and skill sets to:Accurately administer insulin via insulin pens for 3 (#12, #129, and #144) of 5 residents reviewed for insulin administration; andProperly clean a non-invasive mechanical ventilation mask and tubing for 1 (#10) of 2 residents reviewed for respiratory care.Findings: 1. Review of the facility's insulin pen needle product insert revealed the following: 2. Prepare the pen needle: Check that the pen needle is attached correctly and prime the pen according to the manufacturer's instructions for use. Select the insulin dose. Review of the Regular Insulin and Insulin Aspart insulin pen manufacturer's instructions for use revealed the following: Giving the airshot before each injection: Before each…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-18 · 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 observation, interviews, and record review, the facility failed to ensure respiratory care was provided consistent with professional standards of practice and the comprehensive care plan by failing to properly clean non-invasive mechanical ventilation equipment for 1 (#10) of 2 residents reviewed for respiratory care.Findings: Review of the facility's policy dated 11/04/2014 and titled, BiPAP and CPAP Machine Cleaning Policy and Procedure revealed the following, in part:Purpose: The keep BiPAP and CPAP machine and equipment clean.Policy: Resident's BiPAP and/or CPAP machine will be kept clean when in resident room.Procedure:4. Clean the tubing daily with warm water and soap. Rinse thoroughly and air dry.5. Clean the mask daily with warm water and soap, rinse thoroughly and air dry. Resident #10Review of Resident #10's Clinical Record revealed she was admitted to the facility on [DATE] and had diagnoses, which included Acute and Chronic Respiratory Failure, Chronic Obstructive Pulmonary Disease, 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-03-18 · 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 implement and maintain an 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. The facility failed to ensure staff:1. Properly utilized Enhanced Barrier Precaution (EBP) Personal Protective Equipment (PPE) during direct care for 2 (#6 and #45) of 3 residents observed who required EBP; and2. Performed appropriate Standard PPE glove precautions during incontinence care for 1 of 1 (#45) residents observed for urinary catheter care.Review of the facility's policy titled Enhanced Barrier Precautions Policy and Procedure dated 04/01/2024 revealed in part, the following:EBP refers to an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employs targeted gown and glove use during high contact resident care activities.1. EBP are indicated for…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-08-27 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to ensure each resident was treated with respect and dignity in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for 1 (#5) of 5 (#1, #2, #3, #4, and #5) residents reviewed for dignity. The facility failed to ensure staff treated Resident #5 with respect and dignity.Review of Resident #5's Medical Record revealed the resident was admitted to the facility on [DATE] with diagnosis of Unspecified Dementia. Review of Resident #5's most recent MDS (Minimum Data Set) with an ARD (Assessment Reference Date) of 07/25/2025 revealed Resident #5 had a BIMS (Brief Interview for Mental Status) of 11, which indicated the resident had moderately impaired cognition. Further review revealed Resident #5 required substantial assistance for ADLs.Review of the most current Care Plan for Resident #5 revealed the following:Problem: Resident #5 required assistance with ADLs. Interventions: Assist with ADLsOn 08/26/2025 at…

    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 before2025-02-19 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, and record review, the facility failed to maintain a sanitary environment for 1 (#163) of 3 (#56, #59, and #163) residents reviewed for environment in the final sample. Findings: Review of Resident #163's Clinical Record revealed an admission date of 05/02/2024. Review of Resident #163's MDS (Minimum Data Set) with an ARD (Assessment Reference Date) of 12/31/2024 revealed he was frequently incontinent of bowel. On 02/17/2025 at 10:09 a.m., observation of Resident #163's room revealed 8 quarter sized spots of dried brown liquid stool on the floor between his bed and the bathroom door. Observation further revealed a dried brown smear on the fitted sheet on Resident #163's bed. On 02/17/2025 at 10:11 a.m., an interview was conducted with Resident #163. He stated he an episode of stool incontinence on Saturday, 02/15/2025, evening while getting to the restroom. He stated staff did not clean all of the liquid stool from the floor and left his fitted sheet soiled. On 02/17/2025 at 10:23 a.m., an observation was made of S7CNA entering Resident #163's room.…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-02-19 · 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 the MDS assessment accurately reflected the resident's status for 1 (#23) of 3 (#23, #75, and #135) residents reviewed for hospice. The facility failed to ensure Resident #23 was coded correctly for hospice. Findings: Review of Resident #23's Clinical Record revealed she was admitted to the facility on [DATE] with diagnoses which included Adult Failure to Thrive. Review of Resident #23's Physician Orders revealed in part, the following: Admit to Hospice, active 05/31/2024. Review of quarterly MDS assessment with ARD of 07/30/2024 revealed in Section O0110.K1. Hospice care: While a resident: No. Review of quarterly MDS assessment with ARD of 10/02/2024 revealed in Section O0110.K1. Hospice care: While a resident: No. An interview was conducted on 02/18/2025 at 2:15 p.m. with S4MDS. She reviewed Resident #23's MDS assessments dated 07/30/2024 and 10/02/2024. She confirmed both quarterly MDS assessments were not coded correctly for Hospice 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-19 · 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 reviews and interviews, the facility failed to coordinate assessments with the resident's Pre-admission Screening and Resident Review (PASRR) Level II by failing to incorporate a PASRR Level II determination and recommendations into a resident's care plan for 1 (#167) of 4 (#23, #50, #108, and #167) residents reviewed for PASRR. Findings: Review of Resident #167's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses, which included Generalized Anxiety Disorder, Schizophrenia, and Paranoid Schizophrenia. Further review revealed he was approved for admission by Level II Authority for a temporary period effective 12/07/2024 through 12/06/2025. Review of Resident #167's Level II Evaluation Summary & Determination Notice revealed the following, in part: OBH approving 365 days for nursing facility placement and the following to occur: Behavioral Health IOP, Crisis Planning, and Assessment for Dementia. On 02/19/2025 at 8:55 a.m., review of Resident #167's current Care Plan…

    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
Show the remaining 15 citations
  • Potential for harm · Dcited before2025-02-19 · 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 interviews and record review the facility failed to ensure each resident who was unable to carry out activities of daily living (ADLs) received the necessary services to maintain good personal hygiene by failing to ensure each resident received scheduled showers for 1 (#56) of 4 (#56, #57, # 63, and #110) residents reviewed for ADLs. Findings: Review of facility's policy titled, Bath, Shower Policy and Procedure, dated 09/14/2014 revealed the following in part: Policy: Showers are to be given as scheduled and/or as needed. Resident #56 Review of Resident #56's Clinical Record revealed she was admitted to the facility on [DATE] and had diagnoses which included Orthopedic Surgery, Seizures, Morbid Obesity, and Unsteadiness on feet. Review of Resident #56's Quarterly MDS with ARD of 01/01/2025 revealed a BIMS of 15, which indicated she was cognitively intact. Further review of the MDS revealed she used a wheelchair for mobility and required supervision or touching assistance with showering. Review of…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-19 · tag F0694 — isolated
    Provide for the safe, appropriate administration of IV fluids 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 observation, interviews and record review the facility failed to administer parenteral fluids consistent with professional standards of practice for 1(#57) of 1(#57) residents reviewed for IV (Intravenous) fluid therapy. The facility failed to monitor, flush, and replace the saline lock IV access site according to professional standards. Findings: Review of the undated facility Policy Titled, Intravenous Therapy Flush and Dressing Protocol revealed, in part: Peripheral Device: 1. Follow SASH protocol daily and as needed. Flush device with 3ML Normal Saline and 2ML Heparin 100 units/ML 2. Change dressing every three days and as needed according to policy. 3. IV site to be monitored for complications. 4. IV site to be rotated every three days and as needed as appropriate. Review of Resident #57's Medical Record revealed the resident was admitted to the facility on [DATE] with a diagnoses which included Pneumonia and Dehydration. Review of Resident #57's MDS (Minimum Data Set) ARD (Assessment Reference…

    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 before2025-02-19 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews, the facility failed to store food under sanitary conditions by failing to ensure food was properly labeled and stored in unit refrigerators. This deficient practice had the potential to affect 81 residents who were able to store and consume food in the facility's unit refrigerator. Findings: Review of the facility's policy titled Use and Storage of Food from Outside the Facility dated 12/11/2017 revealed the following, in part: Procedure: 1. The resident may maintain food brought in by family or visitors .in the facility refrigerator as long as it is maintained/stored in a sanitary conditions: a. storage conditions: i. Sealed container, with resident's name and date. On 02/17/2025 at 11:15 a.m., a tour was made of NS1 with S3LPN. An observation was made of the resident's unit refrigerator which contained the following items: 1 brown paper bag with a wrapped breakfast sandwich with no date or name; 1 plastic container with a lid containing an unknown food with no date; 1 plastic container with a lid containing an unknown food with no date 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-09 · 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 interviews and record reviews, the facility failed to ensure nursing staff communicated a resident's significant change in condition to the physician when a nurse identified a deformity in a resident's leg for 1 of 1 (#3) residents reviewed for an injury of unknown origin. Findings: Review of the facility policy titled, Change in Condition Policy and Procedure with a revision date of 08/27/2018 revealed the following, in part: Procedure: 3. The resident's primary physician or designated alternative will be contacted promptly of a significant change in the resident's status. Review of Resident #3's clinical record revealed the Resident was admitted to the facility on [DATE] and had diagnoses, which included Restless Leg Syndrome, Pain Unspecified, Thrombocytopenia Unspecified, and Age-Related Osteoporosis without Current Pathological Fracture. Review of Resident #3's Quarterly MDS with an ARD of 07/10/2024 revealed a BIMS of 6 which indicated severe cognitive impairment. On 10/08/2024 at 9:27 a.m., an…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-09 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review, the facility failed to implement a resident's comprehensive person-centered care plan by failing to implement Physician's Orders for 2 (#6 and #7) of 6 (#1, #2, #3, #6, #7, and #8) residents reviewed for comprehensive care plans. The facility failed to ensure the following Physician Orders were implemented: 1. Resident #6's wheelchair alarm and visual cue to wheelchair brakes; and 2. Resident #7's TED hose. Findings: 1. Resident #6 Review of Resident #6's Clinical Record revealed an admission date of 08/03/2017 and diagnoses, which included Acquired Absence of Right Leg Below Knee, Acquired Absence of Left Leg Below Knee, History of Falling, and Generalized Muscle Weakness. Review of Resident #6's Current Physician Orders dated October 2024 revealed the following, in part: Start date: 09/25/2024 - Chair alarm to wheelchair Start date: 06/03/2024 - Visual cue to wheelchair brakes Review of Resident #6's Quarterly MDS with an ARD of 09/11/2024 revealed, in part, a BIMS summary score of 13, which indicated she was cognitively…

    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 · D2024-10-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review, the facility failed to ensure the resident's environment remained as free of accident hazards as possible by failing to implement an intervention after a fall for 1 (#6) of 3 (#1, #3, and #6) residents reviewed for accidents. Findings: Review of the facility's policy titled, Incident and Accident Policy and Procedure dated 05/08/2018 revealed the following, in part: Purpose: To assure that any resident who is involved in an incident or accident is evaluated and received treatment as warranted and that we monitor the resident's status with appropriate intervention applied to prevent further incidents. Procedure: 4. Investigative Action: c. The Director of Nursing or designee ensures that the resident is assessed for intervention to prevent future incidents. 7. Instructions for further follow-up by Director of Nursing or designee: a.This discussion should include intervention and update of plan of care. b. The Director of Nursing or designee should review incidents and accidents in high risk meeting to follow up and evaluate 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-06-26 · 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 interviews and record reviews, the facility failed to ensure a resident received the necessary services to maintain personal hygiene for 1(#3) of 3(#1, #2, and #3) residents reviewed for Activities of Daily Living. Findings: Review of the facility's policy titled, Bath, Shower Policy and Procedure, dated 09/04/2014 revealed the following, in part: Policy: Showers are to be given as scheduled and/or as needed. Review of Resident #3's Clinical Record revealed she was admitted to the facility on [DATE]. Review of Resident #3's admission MDS with an ARD of 05/22/2024 revealed Resident #3 required substantial/maximum assistance with bathing. Review of Resident #3's Care Plan revealed the following, in part: Onset: 05/29/2024 Problem: Require staff assistance with ADLs Interventions: I prefer morning showers and assist me with bathing, I require assistance with ambulation. On 06/26/2024 at 1:22 p.m., an interview was conducted with S7CNA. She stated the bath aides were only responsible for providing showers…

    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 before2024-06-26 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations, and interviews, the facility failed to maintain an infection control program designed to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infection. The facility failed to ensure staff practiced proper hand hygiene and cleaning techniques during incontinence care for 1 (#1) of 2 (#1 and #2) residents reviewed for incontinent care. Finding: Review of the facility's policy labeled, Hand Hygiene with no revision date, revealed the following: Policy: Hand Hygiene shall be performed: 3. Before and after direct resident contact for which hand hygiene is indicated by acceptable professional practice. 8. Before and after assisting a resident with personal care 14. Before and after assisting a resident with toileting 18. After contact with a resident's mucous membranes and body fluids or excretions 19. After handling soiled or used linens 22. After removing gloves 23. If hands will be moving from a contaminated body…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-03-06 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 677 Based on observations, interviews, and record reviews, the facility failed to ensure residents, who were unable to carry out ADLs, received the necessary services to maintain personal hygiene for 1 (#44) of 4 (#44, #63, #78 and #93) residents reviewed for ADLs. Findings: Review of Resident #44's Clinical Record revealed she was admitted to the facility on [DATE] with diagnoses which included Hemiplegia unspecified affecting Left Side, Muscle Weakness, and Difficulty Walking. Review of Resident #44's admission MDS with an ARD of 12/15/2023 revealed she had a BIMS of 15 indicating she was cognitively intact. Further review revealed she required maximal assistance to complete the activity of a shower/bath. Review of the facility's January and February 2024 Shower Logs revealed Resident #44 did not receive baths on the following scheduled days: Bath Day Roster: January 2024 01/02/2024 - No bath given 01/04/2024 - No bath given 01/07/2024 - No bath given 01/09/2024 - No bath given 01/14/2024 - No bath given…

    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 · Ecited before2024-03-06 · 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, record review and interviews, the facility failed serve food in accordance with professional standards for food service safety. The facility failed to ensure milk was held at a safe temperature for consumption of 41 degrees Fahrenheit or below prior to being served to residents. This had the potential to effect all 169 residents who were served meals from the kitchen. Findings: Review of the facility's policy and procedure titled Food Storage Labeling revealed, in part, the following: Procedures: 3. The First In, First Out (FIFO) method of food storage is used to rotate all food in all storage areas. 5. Storage temperatures are routinely monitored and documented using the appropriate temperature logs. On 03/04/2024 at 11:53 a.m. an interview and observation was made of S8KC performing temperature checks of milk from a plastic container on the serving line. A recording of two milk temperatures were measured to be 43.8 degrees Fahrenheit and 43.6 degrees Fahrenheit. He stated the temperature of the milk should be between 38 degrees Fahrenheit and 42 degrees…

    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 · E2024-03-06 · tag F0842 — failed to keep accurate, complete medical records — pattern
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interview, the facility failed to maintain accurate records in accordance with accepted professional standards and practices for 2 (#63 and #93) of 4 (#44, #63, #78, and #93) sampled residents reviewed for ADL Care. Findings: Resident #63 Review of Resident #63's clinical record revealed she was admitted to the facility on [DATE], with diagnoses, which included Generalized Muscle Weakness and Reduced Mobility. Review of Resident #63's Task Care Plan revealed she was to receive baths every Tuesday, Thursday, and Saturday. Review of Resident #63's Bath Day Roster revealed no documented showers from 01/14/2024 through 02/07/2024. On 03/05/2024 at 2:06 p.m. an interview was conducted with S18CNA. She stated she was the floor Certified Nursing Assistant assigned to Resident #63. She stated it was the floor certified nursing assistant responsibility to document baths or showers when given. She stated Resident #63 was assigned shower days on Tuesday, Thursday and Saturday. She reviewed 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 · D2024-03-06 · tag F0585 — failed to handle grievances — isolated
    Honor 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 record reviews and interviews, the facility failed to document and make prompt efforts to resolve grievances for 1 (#44) of 3 (#43, #44, and #151) residents reviewed for grievances. Findings: Review of the facility's policy titled, Grievance Policy and Procedure revealed the following, in part: Policy: The resident, family member, visitor, volunteer individual or employee has the right to voice grievances to the facility or other agency or entity that hears grievances without discrimination or reprisal. Such grievances include those with respect to care and treatment which has been furnished as well as that which has not been furnished, the behavior of staff and of other residents, and other concerns regarding their long term care facility stay. Policy Interpretation and Implementation: The grievance official is responsible for overseeing the grievance process, receiving and tracking grievances through to their conclusions, leading any necessary investigations by the facility; maintain 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
  • Potential for harm · Dcited before2024-03-06 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to ensure the MDS assessment accurately reflected the resident's status for 2 (#8 and #149) residents out of a total of 34 sampled residents by failing to ensure: 1. Resident #8 was coded correctly for the use of a chair alarm; and 2. Resident #149 was coded correctly for dialysis services. Findings: Resident #8 Review of Resident #8's Clinical Record revealed she was admitted to the facility on [DATE] with diagnoses, which included Dementia and Cognitive Communication Deficit. Review of Resident #8's Quarterly MDS with an ARD of 02/07/2024 revealed a BIMS of 3, which indicated she was severely cognitively impaired. Further review revealed the following: Section P-Restraints Chair alarm: 0. Not used Review of Resident #8's Physician Orders dated January 2024-March 2024 revealed the following: 01/29/2024-Chair alarm placed in wheelchair On 03/05/2024 at 2:23 p.m., an observation was made of Resident #8. She was sitting in her wheelchair in her room. 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-03-06 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to implement a person-centered plan of care by failing to follow Physician's Orders for 1 (#43) of 3 (#36, #43, and #149) residents reviewed for nutrition. The facility failed to ensure Resident #43 received ice cream with lunch and dinner as ordered. Findings: Review of the facility's policy titled, Nourishments and Supplements revealed the following, in part: Policy: The food and nutrition service department shall adequately supply bulk nourishments/snacks, prescribed supplements, and individual snacks to meet the nutritional needs of the residents. Procedures: 1. The nutrition director maintains an updated list of prescribed supplements, individual snacks . 2. Daily, the nutrition staff will prepare and distribute prescribed supplements. Review of Resident #43's Clinical Record revealed she admitted to the facility on [DATE]. Review of Resident #43's Yearly MDS with an ARD of 12/27/2023 revealed she had a BIMS of 15, which indicated 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-06 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and policy review, the facility failed to ensure medications were stored properly in accordance with current accepted professional principles during medication administration for 1 (Cart A) of 3 (Cart A, Cart B, and Cart C) Medications Carts observed during medication administration. The facility failed to ensure: 1. Medications were not left unattended on top of Cart A; and 2. Cart A was locked while unattended. Findings: Review of the facility's policy titled, Med Pass Guidelines revealed the following, in part: 13. Do not leave medications on top of cart. An observation was made of Cart A during medication administration on 03/05/2024 at 7:19 a.m. with S15LPN. S15LPN prepared Resident #146's morning medications from blister packs and medication bottles. There was a resident seated in the hallway near the medication cart. S15LPN entered Resident #146's room with her medications in a medication cup. S15LPN left the following medication blister packs and bottles on top of the medication cart: Potassium Chloride 20 MEQ, Bethanechol 10 mg, Nebivolol…

    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

“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

$8,044 in federal fines across 1 penalty.

  • $8,044 — penalty dated 2025-04-01

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to PLANTATION MANAGEMENT COMPANY — 16 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 1 of 51.8-0.8 vs chain
Health inspection 3 of 52.6+0.4 vs chain
Staffing 1 of 51.3-0.3 vs chain
Quality measures 1 of 51.9-0.9 vs chain
The other 15 homes this chain runs (chain average 1.8★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
QSST TRUST FOR GENE OLIVER QUIRK IIIOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST16%since 01/01/2021
QSST TRUST FOR MARSHALL TODD QUIRKOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST16%since 01/01/2021
QSST TRUST FOR SCOTT HOLDEN QUIRKOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST16%since 01/01/2021
QUIRK, CYNTHIAIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTORNO PERCENTAGE PROVIDEDsince 12/07/2009
QUIRK, GENEIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTORNO PERCENTAGE PROVIDEDsince 12/07/2009
D'ARENSBOURG, JORDANIndividualW-2 MANAGING EMPLOYEEsince 03/01/2017
DELATTE, KIMBERLYIndividualCORPORATE DIRECTORsince 12/07/2009
QUIRK, SCOTTIndividualCORPORATE DIRECTORsince 12/07/2009

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.

3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$18.5M
Net patient revenuemost recent cost report
+14.8%
Operating marginrevenue minus expenses
$4.4M
Related-party expense28% of expenses
Who pays — share of resident-days
Medicaid 77%Medicare 5%Other / private 18%

About 77% 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 $4.4M paid to related parties — landlords or management companies under common ownership — equal to about 28% 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

$253per resident / day
operating cost
$7,681per month
≈ monthly operating cost
$296per 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 195524. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-18, 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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