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The Care Center Of Dequincy

602 North Division, Dequincy, LA 70633 · For profit - Limited Liability company · 80 certified beds · (337) 786-2466 Medicare & Medicaid certified

Call the home — (337) 786-2466 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Jan 20251 actual-harm citation$110,240 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)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Jan 2025
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $110,240 in federal fines (most recent 2025-01-29)
  • its facility-reported quality-measure 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.

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

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
140 W 4th St · (337) 786-5007 · Call to confirm hours
Pharmacy
300 W 4th St · (337) 786-5863 · Call to confirm hours
Grocery
300 W 4th St · (337) 786-5859 · Call to confirm hours
Park
405 Cole St · 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 2 of 5
Long-stay residentspeople who live here 1 of 5
Short-stay residentsrehab / post-hospital 2 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 3 stars. From monthly CMS archive snapshots.

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

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased15.4%17.8%15.4%typical
Long-stay residents who lose too much weight3.7%5.2%5.4%better
Long-stay residents with a catheter left in their bladder0.9%1.2%0.9%typical
Long-stay residents with a urinary tract infection3.5%2.1%2.0%worse
Long-stay residents with depressive symptoms0.5%2.3%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury3.8%3.5%3.3%worse
Long-stay residents whose ability to walk worsened15.2%17.9%16.1%typical
Long-stay residents on antianxiety or hypnotic medication29.6%23.2%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%94.9%95.3%typical
Long-stay residents with pressure ulcers9.5%5.6%4.7%worse
Long-stay residents with worsening bladder/bowel control14.9%15.8%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table19.5%22.7%17.1%worse
Short-stay residents who newly got an antipsychotic medication0.0%3.1%1.4%better than state — see note marked double-dagger below the table
Short-stay residents given the seasonal flu vaccine83.3%76.3%79.4%typical
Short-stay residents rehospitalized after admission18.7%28.0%22.6%better
Short-stay residents with an outpatient ER visit25.1%14.8%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.982.561.67worse
Long-stay outpatient ER visits per 1,000 resident days2.572.741.80worse

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

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

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

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

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

0.18U.S. median 0.31
Therapy hours / resident / day
0.07hours / resident / day
Physical therapy
0.05hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.18 therapist hours per resident per day in 2026Q1 — more than 18% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 22% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot 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 SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot 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 dischargenot 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 dischargenot 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 identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care 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 — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%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 worsened13.6%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot 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 SNFs1.081.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.14
RN hours/ resident / day
1.11
LPN hours/ resident / day
2.39
Aide hours/ resident / day
3.64
Total nurse hours/ resident / day
0.15
RN hoursweekends
41.8%
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 80 beds and averages 59.1 residents a day — about 74% occupied, or roughly 21 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 3.64 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 2.39 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.30 hrs/resident/day on weekends vs 3.78 on weekdays — 13% thinner on weekends. RN hours go from 0.14 to 0.15 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 42% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

3
deficiencies at the latest standard inspection (2026-02-11)
10
at the previous standard inspection (2025-01-29)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

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

  • Actual harm · G2025-01-29 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to protect the residents' right to be free from physical abuse for 2 (#3 and #8) of 2 (#3 and #8) sampled residents investigated for abuse. The facility failed to protect: 1. Resident #8 from physical abuse by Resident #3 2. Resident #3 from physical abuse by Resident #63 This deficient practice resulted in physical harm for Resident #8 on 11/17/2024 at 4:22 p.m. when Resident #3 hit him multiple times. On 11/17/2024 at 4:22 p.m. when Resident #3 hit him multiple times, Resident #8 sustained skin tears to his left forearm and left lower leg. Findings: Review of the facility's undated policy titled Abuse Prevention and Investigation revealed, in part, the following: It is the policy of this facility to provide protections .that prohibit and prevent abuse. Abuse is the willful infliction of injury .with resulting physical harm, pain or mental anguish. Instances of abuse of all residents, irrespective of any mental or physical condition, cause physical…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-02-11 · 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 record review and interviews, the facility failed to ensure a resident who was unable to carry out Activities of Daily Living (ADLs) received the necessary services to maintain good grooming and personal hygiene for 1 (#41) out 1 resident investigated for ADLs. Findings: Review of the facility's policy titled, Bathing a Resident, with a reported annual review date of November 2025 read in part: policy: residents will be assisted with bathing as needed. Resident baths will be scheduled per resident preference as possible or at least 3 times weekly. Review of Resident #41's clinical record revealed she was admitted to the facility on [DATE] with diagnoses that included, but not limited to, chronic diastolic (congestive) heart failure, anxiety disorder, unspecified, morbid (severe) obesity due to excess calories, bipolar disorder, unspecified and muscle weakness (generalized). Review of Resident #41's Annual MDS (Minimum Data Set) with an ARD (Assessment Reference Date) of 12/18/2025 revealed a BIMS (Brief…

    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 · E2026-02-11 · tag F0755 — failed to provide safe pharmacy services — pattern
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    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 provider failed to administer medications as ordered by the physician for 1 (#42) out of 5 residents investigated for medication regimen review.Findings: On 02/10/2026, a review of Resident #42's electronic medical record revealed he admitted to the facility on [DATE] with diagnoses including hypertensive heart disease. Review of Resident #42's medications orders revealed the following: Norvasc oral tabs (Tablet) 5 mg (milligram). Give 1 tablet by mouth at bedtime related to hypertensive heart disease. Hold for B/P (Blood pressure) < (less than) 100/60. Metoprolol Tartrate 25 mg. Give 1 tab by mouth two times a day. Hold for B/P <100/60 or pulse <60. Review of Resident #42's electronic Medication Administration Record (EMAR) for January 2026 and February 2026 revealed his Norvasc 5 mg tablet scheduled for 2100 (9:00 p.m.) was not given and documented by S5LPN as a 4 which indicated vitals outside of parameters for administration on the following dates, with his blood…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-11 · tag F0640 — isolated
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to electronically transmit a completed Minimum Data Set (MDS) Quarterly Assessment to the CMS (Center for Medicare and Medicaid Services) system within 14 days after completion for 1 ( #56) out of 1 resident investigated for resident assessment submission activities. Findings:On 02/10/2026 a review of Resident #56's electronic Quarterly MDS assessment, with an Assessment Reference Date (ARD) of 01/02/2026, revealed Section Z0500B - date assessment complete was 01/16/2026. On 02/10/2026 a review of the facility's CMS Submission Report from 02/05/2026 revealed in part: Resident #56.Assessment Date 01/02/2026. Record submitted late: the submission date is more than 14 days after Z0500B on this assessment.On 02/10/2026 at 4:15 p.m., an interview and record review was conducted with S1DON (Director of Nursing). She confirmed Resident #56's Quarterly MDS with ARD of 01/02/2026, was completed on 01/16/2026 and was not transmitted within the required timeframe of 14 days after completion.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2025-01-29 · tag F0867 — failed to act on quality-improvement findings — widespread
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of the facility's Quality Assurance and Performance Improvement (QAPI) Program and interview, the facility failed to take actions aimed at performance improvement and after implementing those actions, measure its success and track performance. This was evidenced by lack of evidence of: 1. Measuring or tracking success of actions implemented; and 2. collection and analysis of data; This deficient practice had the potential to affect a census of 61 residents. Findings: On 01/29/2025, a review of the facility's undated policy titled, Quality Assurance and Performance Improvement (QAPI) Program, with a review date of 01/2025, revealed the following in part: Each facility must develop, implement, and maintain an effective, comprehensive, data driven QAPI program that focuses on indicators of the outcomes of care and quality of life. 2. c. Develop and implement appropriate plans of action to correct identified quality deficiencies. On 01/29/2025 at 2:30 p.m., a review of the QAPI program and an interview was conducted with S2DON (Director of Nursing). There was no…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-01-29 · tag F0609 — failed to report abuse allegations — pattern
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to ensure alleged violations of abuse were reported immediately, but not later than 2 hours after the allegation was made to the State Survey Agency for 2 (Resident #3, Resident #8 ) of 2 (Resident #3, Resident #8) residents reviewed for Abuse. Findings: Review of the facility's policy titled Abuse Prevention and Investigation revealed, in part, the following: It is the policy of this facility to provide protections .that prohibit and prevent abuse. Abuse is the willful infliction of injury .with resulting physical harm, pain or mental anguish. Instances of abuse of all residents, irrespective of any mental or physical condition, cause physical harm, pain or mental anguish. Physical abuse includes hitting, slapping, punching . The facility will report all alleged violations to the Administrator, state agency .immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse. The Administrator…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-01-29 · tag F0610 — failed to investigate and act on abuse reports — pattern
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews, the facility failed to initiate an investigation of an alleged violation of abuse for 1 (Resident #8) of 2 (Resident #3, Resident #8) sampled residents. Findings: Review of the facility's undated policy titled Abuse Prevention and Investigation revealed, in part, the following: It is the policy of this facility to provide protections .that prohibit and prevent abuse. Abuse is the willful infliction of injury .with resulting physical harm, pain or mental anguish. Instances of abuse of all residents, irrespective of any mental or physical condition, cause physical harm, pain or mental anguish. Physical abuse includes hitting, slapping, punching . An immediate investigation is warranted when suspicion of abuse or reports of abuse occur. Investigations include identifying and interviewing all involved persons, determining if abuse occurred, determining the extent and cause of the abuse, and providing complete and thorough documentation of the investigation. Review of the facility's Incidents by Incident Type record for the last 120 days revealed,…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-01-29 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure all drugs and biologicals were stored in accordance with currently accepted professional principles. The facility failed to ensure schedule IV controlled medications were stored in a locked, permanently affixed compartment and/or a single unit package drug distribution system for 1 (Room A) of 1 medication storage room reviewed. Findings: On 01/27/2025, a review of the facility's policy titled, Medications - Controlled Substances with a last review date of 01/2025, read in part, It is the policy of this facility to promote safe, high quality patient care, compliant with state and federal regulations regarding monitoring the use or controlled substances. The facility will have safeguards in place in order to prevent loss, diversion or accidental exposer. The policy also indicated how controlled medications are to be stored: Patient-specific controlled substances (e.g. narcotic/epidural infusions, tablets, etc.) are stored under double lock until administered to the patient. On 01/27/2025 at 12:54 p.m., an observation…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-01-29 · tag F0805 — failed to prepare food in a form residents can eat — pattern
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview, the facility failed to ensure that the recipes for pureed foods were followed by the S6DC (Dietary Cook) failing to follow the recipes when preparing pureed foods. This deficient practice had the potential to affect the six residents in the facility who received a pureed diet. Findings: On 01/28/2025, a review of the facility's policy titled, Use of Recipes with no revision date, read in part, .Policy: Recipes are to be used when preparing menu items. Procedure: #3) Cooks are expected to use and follow the recipes provided. On 01/27/2025 at 10:20 a.m., an observation was conducted of S6DC as she prepared pureed white beans with ham. S6DC placed an undetermined amount of white beans with ham using a large scoop with no marked measurements. S3DM (Dietary Manager) stopped S6DC from beginning the puree process and poured the white beans with ham back in the original large pot. S3DM then measured out 7 servings of white beans with ham using a 6oz (ounce) spoodle into the blender. S6DC then began the puree process adding 4 scoops 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-29 · 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 record reviews, observations, and interviews, the facility failed to ensure the resident was treated with respect and dignity as evidenced by the facility failing to keep a resident's urine collection bag covered and private for 1 (Resident #113) out of 1 resident (#113) investigated for dignity. Findings: Review of Resident #113's electronic medical record revealed he was admitted to the facility on [DATE] with diagnoses that included in part, acute kidney failure and retention of urine. Review of Resident #113's most recent admission Minimum Data Set (MDS) dated [DATE], revealed in part, Section H: Bladder and Bowel checked for indwelling catheter. Review of Resident #113's comprehensive care plan revealed in part, the resident has (foley) catheter with an intervention that read in part, catheter: the resident has 16 FR (French), 10 CC (cubic centimeter) foley. Position catheter bag and tubing below the level of the bladder and away from entrance room door. On 01/27/2025 at 9:30 a.m., an observation…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-29 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to ensure the resident's Minimum Data Set (MDS) assessment accurately reflected the discharge status for 1 (Resident # 60) out of 31 sampled residents. Findings: Review of Resident #60's discharge transfer summary on 11/29/2024 revealed he was transferred to another nursing home. Review of Resident #60's Discharge MDS assessment, with an ARD (Assessment Reference Date) of 11/29/2024 revealed: Section A .Discharge assessment, return not anticipated, planned A2105. Discharge Status. Code 04. Short-Term General Hospital. On 01/29/2025 at 12:21 p.m., an interview and record review was conducted with S4MDS. She confirmed Resident #60 was discharged from the facility on 11/29/2024 to another nursing home. She reviewed the Discharge MDS, and confirmed the discharge status indicated he was discharged to a short term general hospital, which was coded inaccurately.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 11 citations
  • Potential for harm · Dcited before2025-01-29 · 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

    Based on observations, interview, and record review, the facility failed to provide necessary care and services that is in accordance with professional standards of practice for 2 (Resident #34, Resident #58) out of 5 (Resident #11, Resident #17, Resident #19, Resident # 34, Resident #58) residents reviewed for respiratory care, with the potential to effect 23 residents receiving oxygen therapy. Findings: The facility did not provide a policy for storing of oxygen/nebulizer equipment by survey exit. Resident #34 Review of Resident #34's EMR (Electronic Medical Record) revealed the resident was admitted to facility on 01/02/2024 with diagnosis not limited to Dyspnea, COPD (Chronic Obstructive Pulmonary Disease) and CHF (Congestive Heart Failure). Review of the physician's orders for Resident #34 revealed an order dated 09/03/2024 - apply O2 (oxygen) 2-4 liters (L) via N/C (nasal cannula) PRN (as needed) to keep oxygen saturation above 90% (percent). On 01/27/2025 at 9:53 a.m., an observation of Resident #34's O2 concentrator was done. The oxygen storage bag with a date of 01/27/2025…

    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 · D2025-01-29 · tag F0849 — isolated
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to obtain the most recent recertification of terminal illness and most recent POC (plan of care) for 1 (Resident #26) out of 1 resident (#26) sampled residents reviewed for hospice. Review of Resident #26's EHR (Electronic Health Record) revealed he was admitted to the facility on [DATE] with diagnoses which included, but were not limited to, senile degeneration of brain, personal history of colon polyps and vascular dementia. Review of Resident #26's Quarterly MDS (Minimum Data Set) dated 01/07/2025 revealed in part, Section O: Special Treatments, Procedures, and Programs checked for Hospice Care. Review of Resident #26's physician's orders revealed an order entry with a start date of 10/07/2024 read in part, Admit to contracted hospice under the care of physician with Terminal dx (diagnosis) of senile degeneration of brain. Review of Resident #26's hospice documents in the contracted hospice binder revealed, in part, the most recent certification 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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-01-24 · tag F0759 — failed to keep medication error rate low — pattern
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and interviews, the facility failed to ensure its medication error rate was not 5 percent or greater, as evidenced by a calculated medication error rate of 72 percent. Findings: Review of a facility document titled, Medications - Administering, read in part: Policy Statement - medications shall administered in a safe and timely manner, and as prescribed. 3. Medications must be administered in accordance with the orders, including any required time frame. 4. Medications must administered within one hour of their prescribed time, unless otherwise specified (for example, before and after meal orders. Resident #10 Resident #10 was admitted to the facility on [DATE] with diagnoses in part: Epilepsy, Hemiplegia, Unspecified Psychosis, Alcohol Abuse, Major Depressive Disorder and Hypertension. Review of Resident #10's January 2024 physician's orders revealed in part: Escitalopram 10 mg (milligrams) orally (po) daily Bupropion HCL XL 300 mg po daily Divalproex Sod ER 500 mg po twice…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-01-24 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews, the facility failed to ensure medications were stored properly for routine medications, medication refrigerator temperature logs were up to date, disposal of expired medications and schedule II-V medications being maintained in separately locked, permanently affixed compartments. The deficiency had the potential to affect a census of 65. Findings: Review of the facility's policy titled, Medication - Controlled Substances read in part: 2. Storage and Security: b. areas without automated dispensing systems utilize a substantially-constructed storage unit with two locks and a paper system for 24 hour recording of controlled substance use. Review of the facility's policy titled, Medications - Storage read in part: Policy statement: the facility shall store all drugs and biologicals in a safe secure and orderly manner. 4. The facility shall not use discontinued, outdated or deteriorated drugs or biologicals. All such shall be returned to the dispensing pharmacy or destroyed. 7. Compartments (including, but not limited to drawers, cabinets, rooms,…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-24 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews, the facility failed to maintain privacy and confidentiality of residents' medical records observed during a medication pass. The facility had a total census of 65 residents. Findings: On 01/23/2024 at 8:40 a.m., while walking down Hall B, a medication cart was observed against the wall with a computer on top of the cart. Upon getting to medication cart, the electronic medical record was open with a list of resident's names visible. On 01/23/2024 at 8:45 a.m., an interview was conducted with S3LPN (Licensed Practical Nurse). S3LPN confirmed the computer was not locked by privacy screen and a list of resident names was visible on the computer. She stated the nurse should have initiated the privacy screen before walking away from the computer. On 01/23/2024 at 9:10 a.m., an interview was conducted with S6LPN. She confirmed she forgot to use the privacy screen when she walked away from her computer earlier to give a resident medication. She stated the computer should be placed on privacy screen before walking away. On 01/24/2024 at 10:45 a.m.,…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-01-24 · 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 record review and interview, the facility failed to ensure the Minimum Data Set (MDS) assessment accurately reflected the status of 1 (#1) out of 33 sampled residents, by failing to ensure that the resident's fall status was coded. Findings: Resident #1 was admitted to the facility on [DATE] with diagnoses that included, in part: Parkinson's Disease, Abnormal Posture, Acute Diastolic Congestive Heart Failure, Unspecified Dementia with Other Behavioral Disturbances and History of Falling. A review of Resident #1's clinical record revealed a progress note written on 10/10/2023 that read in part . Resident found lying on the floor. A review of Resident #1's Quarterly Minimum Data Set (MDS) dated [DATE], read in part: Section J1800: Falls since admit/reentry/prior assessment: any falls - No. In section J1900A: Falls since admit/reentry/prior assessment: no injury was left blank. On 01/24/2024 at 11:16 a.m., a review of Resident #1's clinical record and interview was conducted with S4LPNMDS (Licensed…

    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 before2024-01-24 · 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 reviews, the facility failed to ensure residents who need respiratory care were provided care consistent with professional standards for 1 (#20) of 1 residents investigated for respiratory care out of a total of 33 sampled residents, by failing to ensure that the resident's oxygen tubing was labeled stored in a sanitary manner when not in use. Findings: A review of the facility's policy titled Oxygen Administration read in part: Purpose. The purpose of this procedure is to provide guidelines for oxygen administration and storage of oxygen cylinders. 18. Tubing, cannulas and mask should be dated and replaced weekly unless otherwise ordered. Resident #20 was admitted to the facility on [DATE] with diagnoses including: Shortness of breath, Chronic Obstructive Pulmonary Disease and Asthma. A review of the physician's orders revealed an order written on 07/08/2022 for O2 (oxygen) per (delivered by) NC (nasal cannula) at 2 l/min (liters per minute) prn (as needed) SOB…

    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 · E2023-10-23 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — pattern
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to provide appropriate, treatment and care to prevent urinary tract infections for residents who had indwelling urinary catheters for 2 (#6, #7) out of 7 sampled residents as evidenced by: 1. Failing to follow the physician orders for changing the suprapubic catheter q (every) month for Resident #6 and; 2. Failing to ensure a split gauze dressing was applied to the resident's suprapubic catheter; failing to ensure the catheter drainage bag was not on the floor; and failing to replace a soiled catheter stabilization device for Resident #7. Findings: Review of the facility's policy titled Indwelling Urinary Catheters read in part .8. Monthly changing of indwelling urinary catheters is often the accepted standard in a long term care setting .11. Bag contact with the floor must be avoided. Resident #6 Review of the resident's electronic clinical record revealed the resident was admitted to the facility on [DATE]. The resident's diagnoses…

    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 before2023-10-23 · 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 records reviewed, interviews, and observations, the facility failed to ensure the resident's care plan and physician's orders were followed for 1 (#1) of 7 sampled residents. This was evidenced when facility failed to follow the physician's orders for fall mat to the right side of the bed, between the bed and the bathroom for Resident #1. Findings: Review of the resident's electronic clinical record revealed the resident was admitted to the facility on [DATE]. The resident's diagnoses included Cognitive Communication Deficit, Dysphagia, ESRD (End Stage Renal Disease), Major Depressive Disorder, Sepsis, Heart Failure, Atelectasis, and Type 2 DM (Diabetes Mellitus). Review of the resident's care plan revealed the resident was at risk for falls due to history of falling on 05/12/2023, 10/04/2023, and 10/15/2023. The care plan included an intervention for fall mat to right side of bed between bed and bathroom. Review of the resident's physician's orders revealed in part: Fall mat to the right side of bed…

    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 before2023-08-15 · 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 record reviews and interviews, the facility failed to implement a comprehensive person-centered care plan by failing to notify the physician of refusal of treatment for 1 (#1) resident of 5 (#1, #2, #3, #4, #5) sampled residents. Findings: A review of the facility's policy for a Change in a Resident's Condition or Status revealed the following, in part: Protocol for notifying attending Physician of Changes in resident's medical/mental condition. f) Refusal of treatment or medications (i.e., two or more consecutive times). Resident #1 admitted to the facility on [DATE] with diagnoses that included the following, in part: Alcoholic Cirrhosis of Liver without Ascites, Homelessness, Chronic Viral Hepatitis C, Nicotine Dependence Cigarettes, Cocaine Use in Remission, Alcohol Abuse with Alcohol-induced Anxiety Disorder, Alcoholic Hepatic Failure without Coma. Review of Resident #1's MDS (Minimum Data Set) Quarterly assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 04, 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-15 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews and interviews, the facility failed to provide adequate supervision of residents while smoking which resulted in elopement of 1 (#1) out of 5 (#1, #2, #3, #4,#5) sampled residents investigated for elopement. The deficient practice had the potential to affect 33 residents who smoked out of a total census of 64 residents. Findings: A review of the facility's Smoking Policy revealed, in part: This facility provides a safe and healthy environment for residents, visitors, and employees, including safety as related to smoking. Safety protections apply to smoking and non-smoking residents. 1) Residents who smoke will be assessed for safety awareness and for willingness and ability to follow the facility's safety rules for smoking upon admission, and thereafter as needed but at least quarterly. 5) Any resident who is deemed safe to smoke, with or without supervision, will be allowed to smoke in designated smoking areas (weather permitting), at designated times, and in accordance…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

$110,240 in federal fines across 1 penalty.

  • $110,240 — penalty dated 2025-01-29

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 RIGHTCARE HEALTH SERVICES — 13 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 3 of 52.9+0.1 vs chain
Health inspection 3 of 53.3-0.3 vs chain
Staffing 3 of 52.5+0.5 vs chain
Quality measures 2 of 51.9+0.1 vs chain
The other 12 homes this chain runs (chain average 2.9★, 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
MANAGEMENT GROUP THREE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST50%since 07/01/2009
DAVIS, JOEL GIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST9%since 12/10/2003
DAVIS, JOHNIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST12%since 12/10/2003
DAVIS, MICHAELIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST9%since 12/10/2003
DAVIS, THOMASIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST17%since 12/10/2003
ABINGTON FAMILY HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST6%since 04/01/2023
B & J LIMITED PARTNERSHIPOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST6%since 07/01/2009
CALVIN H JONES ESTATEOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST6%since 08/11/2025
REVOCABLE TRUST OF ROY BUSH BRIDGES AND JUDY KAYE WINN BRIDGESOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST6%since 01/01/2022
THE VERNICE C WRIGHT IRREVOCABLE TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST6%since 09/01/2018
ABINGTON, LEONARDIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST6%since 07/01/2009
RIGHTCARE HEALTH SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/25/2025
SANDERS, JACKIndividualOPERATIONAL/MANAGERIAL CONTROL; INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 05/01/2024

CMS files one row per role, so the 15 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

$5.9M
Net patient revenuemost recent cost report
+12.4%
Operating marginrevenue minus expenses
$384K
Related-party expense7% of expenses
Who pays — share of resident-days
Medicaid 86%Medicare 7%Other / private 7%

About 86% 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 $384K 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

$230per resident / day
operating cost
$6,995per month
≈ monthly operating cost
$263per 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 195527. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-02-11, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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