St. Helena Parish Nursing Home

Location & what’s nearby

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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

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.

Staffing

How full it usually is: this home is certified for 72 beds and averages 59.7 residents a day — about 83% occupied, or roughly 12 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the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026.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 4.98 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.30 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.44 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.91 hrs/resident/day on weekends vs 5.42 on weekdays — 28% thinner on weekends — a notable drop. RN hours go from 0.35 to 0.17 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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

Inspection trend

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

Inspection deficiencies

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

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

32 citations, most serious first. The 16 most serious are shown; the remaining 16 are one tap away and print in full.

• Immediate jeopardy · Lcited before2025-08-28 · tag F0600 — failed to protect residents from abuse and neglect — widespread
  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, observations, and record reviews, the facility failed to protect the residents' right to be free from sexual abuse, psychosocial abuse, and neglect for 1 (#1) of 6 (#1, #2, #3, #R4, #R5, and #R6) sampled residents reviewed for abuse. The facility failed to protect Resident #1 from being sexually and psychosocially abused by Resident #2. This deficient practice resulted in an Immediate Jeopardy (IJ) situation on 08/01/2025 at 7:59 p.m., when Resident #2, a cognitively intact resident with a history of sexually inappropriate behaviors and a convicted sex offender, put his hand between Resident #1's upper thighs and touched her vaginal area. Resident #1 had a BIMS of 2, which indicated she was severely cognitively impaired. From 7:59 p.m. to 8:43 p.m., Resident #2 was observed in video footage to sexually abuse Resident #1 intermittently while Resident #1 attempted to stop the abuse. At 8:13 p.m., S9CNA witnessed the sexual abuse and failed to separate the residents. At 8:43 p.m., S7LPN 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · L2024-02-29 · tag F0835 — failed to run the facility competently — widespread
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  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 be administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident residing in the facility. The facility failed to ensure: 1. Residents received adequate supervision for 1 (#18) of 3 (#18, #23, and #46) residents care planned for hourly rounding to prevent falls; 2. A functional call light system was in place for 1 (#18) of 23 resident's reviewed in the initial pool. This deficient practice resulted in an immediate jeopardy situation for Resident #18, on 02/27/2024 at 12:00 a.m. when staff failed to perform hourly rounding on Resident #18. The facility's video footage revealed no staff entered Resident #18's room from 12:00 a.m. until 3:17 a.m. then did not enter again until 4:24 a.m. Resident #18 was found on the floor of her room by staff on 02/27/2024 at 4:24 a.m. after Resident #18's roommate verbally called out for staff to come help Resident #18. Resident #18 was…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · L2024-02-29 · tag F0919 — failed to provide a working call system — widespread
  Make sure that a working call system is available in each resident's bathroom and bathing area.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to maintain an adequately equipped call system by failing to ensure: 1. CNA staff had sufficient functioning devices to respond to resident call lights for 1 (#18) of 23 resident's reviewed in the initial pool for call lights. 2. A staff member was assigned to monitor the scroll board for unanswered call lights from 8:00 p.m. to 8:00 a.m. This deficient practice had the potential to affect any of the 54 residents residing in the facility who utilized the call light system. This deficient practice resulted in an immediate jeopardy situation for Resident #18, a resident who required staff assistance with toileting and transfers, on 02/27/2024 at 3:39 a.m., when CNA staff did not have pager's to receive notification that Resident #18 pushed her call light and required assistance. Resident #18 was left unassisted by staff from 3:39 a.m. to 4:24 a.m., when the resident's roommate verbally called for help and staff entered the resident'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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · K2024-02-29 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  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 residents received adequate supervision by failing to ensure 1 (#18) of 3 (#18, #23, and #46) residents care planned for hourly rounding received adequate supervision to prevent falls. This deficient practice resulted in an immediate jeopardy situation for Resident #18, on 02/27/2024 at 12:00 a.m. when staff failed to perform hourly rounding on Resident #18. The facility's video footage revealed no staff entered Resident #18's room from 12:00 a.m. until 3:17 a.m. then did not enter again until 4:24 a.m. Resident #18 was found on the floor of her room by staff on 02/27/2024 at 4:24 a.m. after Resident #18's roommate verbally called out for staff to come help Resident #18. Resident #18 was transferred to the emergency room and diagnosed with a Right Humerus Fracture. Nursing and CNA staff interviews revealed staff did not know Resident #18 should have been rounded on hourly to decrease falls. S1ADM was notified of the Immediate Jeopardy on 02/29/2024 at 1:53 p.m. The Immediate Jeopardy was removed on…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Hcited before2025-05-01 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  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 observation, record reviews and interviews, the facility failed to ensure each resident had the right to be free from physical abuse for 2 (#1 and #2) of 4 (#1, #2, #3, and #R1) residents reviewed for abuse. The facility failed to ensure: 1. Resident #1 was free from physical abuse by S5CNA, and 2. Resident #2 was free from physical abuse by Resident #R1. This deficient practice resulted in actual physical harm on 04/20/2025 at 4:54 a.m., when S5CNA punched Resident #1, a cognitively intact resident, twice on the left side of the face and the left upper lip resulting in Resident #1 being sent to the local emergency room. The resident was diagnosed with a 2.5 cm laceration of left face which required 4 stiches and a contusion of left orbital area. After returning to the facility, Resident #1 continued to have pain when eating and drinking. Findings: Review of the facility's policy titled, dated 01/14/1999, titled Adult, Disabled Person, or Elderly Abuse Recognition and Reporting, revealed, in part:…

  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
• Actual harm · G2024-02-29 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
  Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
  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 given the appropriate treatment and services to maintain his or her ability to carry out activities of daily living for 1 (#18) of 6 (#17, #18, #19, #28, #51 and #109) residents reviewed for ADLs. This deficient practice had the potential to affect any of the 50 residents residing in the facility who required staff assistance with ADLs. This deficient practice resulted in an actual harm for Resident #18, a resident who required staff assistance with toileting and transfers, on 02/27/2024 at 3:39 a.m., when Resident #18 pushed her call light and required assistance with toileting. CNA staff did not provide ADL care to Resident #18 in a timely manner which lead to her getting out of bed unassisted and falling. Staff found Resident #18 on the floor at 4:24 a.m. Resident #18 was transferred to the emergency room and diagnosed with a Right Humerus Fracture. Resident #18 required increased assistance with ADL's, a Hoyer lift 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-05-06 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to electronically submit payroll based staffing information for direct care staff as required. The deficient practice had the potential to affect the 57 residents residing in the facility.Review of the facility's Payroll Based Journal (PBJ) Staffing Data Report for Fiscal Year Quarter 1 2026 (October 1, 2025 through December 31, 2025) revealed, in part, the facility failed to submit staffing data for the quarter. On 05/04/2026 at 10:00 a.m., an interview was conducted with S1ADM. A request was made for the provider's PBJ Final Validation report for Quarter 1 of fiscal year 2026 (10/01/2025 through 12/31/2025). On 05/05/2026 at 10:45 a.m., an interview was conducted with S1ADM. S1ADM stated he was responsible for entering the facility's PBJ data each quarter. S1ADM confirmed he did not have documentation the facility submitted PBJ data for Quarter 1 of fiscal year 2026 (October 1, 2025 through December 31, 2025) and should have. As of 05/05/2026 at 4:15 p.m., the provider failed to submit its PBJ Validation report for Quarter…

  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 · Dcited before2026-05-06 · tag F0658 — failed to meet professional standards of care — isolated
  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 interviews and record review, the facility failed to ensure services provided by the facility met professional standards by failing to ensure nursing staff did not borrow medications from one resident to administer to another resident for 1 (#11) of 17 residents reviewed in the final sample.Review of Resident #11's Clinical Record revealed he was admitted to the facility on [DATE] and had diagnoses, which included Rash and Other Nonspecific Skin Eruption. Review of Resident #11's Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 01/16/2026 revealed that the resident had a Brief Interview for Mental Status (BIMS) of 15, indicating the resident was cognitively intact. Review of Resident #11's current Physician Orders revealed the following, in part: Order date: 01/10/2025 - Vistaril Oral Capsule 25 mg (Hydroxyzine Pamoate) Give 25 mg by mouth four times a day related to Rash and Other Nonspecific Skin Eruption. Review of Resident #11's MAR dated May 2026 revealed Vistaril was…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-06 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to ensure all medical records regarding the resident's code status contained accurate documentation for 1 (#18) of 24 residents reviewed for advanced directives in the initial screening process.Findings:Review of Resident #18's clinical record revealed she was admitted to the facility on [DATE].Review of Resident #18's Physician's Orders in the Electronic Health Record revealed the following:Order date: [DATE] - Code Status: DNR.Review of Resident #18's Physical Chart revealed a LaPost, dated [DATE], with CPR checked and signed by Resident #18, which indicated she did want to be resuscitated if found with no pulse or respirations.On [DATE] at 3:15 p.m., an interview was conducted with S5LPN. She stated all residents had a LaPost which determined their end of life wishes. S5LPN stated physical copies of all residents' LaPost forms were kept in a red binder and also in their individual physical charts. Upon review of the red binder with S5LPN, 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 · Ecited before2026-02-19 · tag F0644 — pattern
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to:Ensure a resident with an identified mental health diagnosis was referred for a Preadmission Screening Resident Review (PASRR) Level II evaluation as required for 2 (#1 and #3) of 3 sampled residents' records reviewed for PASRR.Ensure a resident with a new psychiatric diagnosis and/or admitted to inpatient psychiatric facility was referred for a Preadmission Screening Resident Review (PASRR) Level II evaluation as required for 2 (#1 and #3) of 3 sampled residents' records reviewed for PASRR.1. Resident #1 Review of Clinical Record revealed Resident #1 was admitted on [DATE] with diagnoses as follows: Traumatic Subdural Hemorrhage, Anxiety Disorder, Irritability and Anger, and Major Depressive Disorder. Review of Resident #1's PASRR Level I Form dated 09/12/2024 revealed no mental health diagnoses. Review of Resident #1's MAR for the month of January 2026 revealed the resident was prescribed Seroquel and Sertraline for Major Depressive Disorder. Review…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-10-01 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  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 send a copy of the transfer notice to a representative of the Office of the State Long-Term Care Ombudsman for 1 (#4) of 4 (#1, #3, #4, #5) residents reviewed for admission, transfer and discharge requirements.Review of Resident #4's Medical record revealed he was admitted to the facility on [DATE] and was transferred from the facility to a local hospital emergency room on [DATE]. Further review revealed Resident #4 returned to the facility on [DATE]. Review of the facility's Ombudsman Emergency Transfer Log for August 2025 revealed no documentation of Resident #4's transfer to a hospital emergency room on [DATE].Review of the facility's Census Change Sheet for August 2025 revealed no documentation of Resident #4's transfer to the hospital emergency room on [DATE].On 10/01/2025 at 7:48 a.m., an interview was conducted with S1ADM. He stated S3BOM was responsible for updating the Emergency Transfer Log that provides written notice to the Ombudsman 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-10-01 · 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 — 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's discharge assessment was completed and transmitted for 1 (#3) of 5 (#1, #2, #3, #4, and #5) residents reviewed for Resident Assessment.Review of Resident #3's Clinical Record revealed he admitted to the facility on [DATE] and was discharged to a local hospital on [DATE]. Review of Resident #3's Minimum Data Set (MDS) Assessments revealed no discharge MDS was opened and/or completed. On 10/01/2025 at 1:52 p.m., an interview was conducted with S5MDS. She stated she was one of the facility's MDS nurses. She confirmed Resident #3 had discharged from the facility on 08/11/2025 and a discharge MDS had not been opened, completed, nor transmitted, and should have been.On 10/01/2025 at 1:56 p.m., an interview was conducted with S6ADON. She stated an MDS assessment should be completed upon a resident's discharge from the facility. She confirmed Resident #3 discharged from the facility on 08/11/2025 and there was no discharge assessment…

  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 · E2025-08-28 · tag F0580 — failed to tell family and doctor about changes — pattern
  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 observation, record reviews and interviews, the facility failed to ensure notifications of changes in residents' conditions were made for 2 (#1 and #2) of 4 (#1, #2, #3, and #R6) residents reviewed for behavioral services. The facility failed to ensure:1. S12NP was notified Resident #2 had an increase in inappropriate sexual behaviors; and 2. S12NP was notified Resident #2 sexually and psychosocially abused Resident #1.1.Review of Resident #2's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses, which included Bipolar Disorder and Depression. Further review revealed Resident #2 was a convicted sex offender. Review of Resident #2's Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 07/23/2025 revealed a Brief Interview for Mental Status (BIMS) of 14, which indicated Resident #2 was cognitively intact. Review of Resident #2's Nurse's Notes revealed the following, in part:03/04/2025 at 2:34 p.m. - Resident #2 constantly pulls off all of his clothing…

  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 · Ecited before2025-08-28 · tag F0644 — pattern
  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 PASRR Level II determinations and recommendations into a resident's transitions of care for 1 (#2) of 3 (#2, #3, and #R6) residents reviewed for sexual behaviors.Review of Resident #2's clinical record revealed he was admitted to the facility on [DATE] with diagnoses including, Bipolar Disorder and Depression. Review of Resident #2's Form 142 revealed he was approved for admission by Level II authority for a temporary period of 03/04/2025 - 03/03/2026. Review of Resident #2's PASRR Level II Evaluation Summary and Determination Notice dated 03/11/2025 revealed the Level II authority had approved 365 days for nursing facility placement and the following to occur: 1. Psychiatric Evaluation for assessment and medication management. 2. Referral for Dementia Testing/Evaluation by a Neurologist or Neuropsychologist. 3. Community…

  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 before2025-08-28 · tag F0656 — failed to write and follow a full care plan — pattern
  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 provider failed to develop and implement a comprehensive person centered care plan for each resident as evidenced by failing to:1. Develop a comprehensive person centered care plan for 2 of 2 (#2 and #3) residents who were registered sex offenders; and 2. Implement a care plan intervention for 1 (#2) of 3 (#2, #3, and #R6) residents reviewed for sexual behaviors. Review of the facility's policy dated 12/27/2019 and titled, Plan of Care revealed the following, in part:Policy StatementIt is the policy of the facility to promote seamless interdisciplinary care for our residents by utilizing the interdisciplinary plan of care based on assessment, planning, treatment, service and intervention. It is utilized to plan for and manage resident care as evidenced by documentation from admission through discharge for each resident. Procedure:Developing the Comprehensive Care Plan: 3. Each discipline will check and/or add interventions/approaches to include but not limited to:b.…

  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 · E2025-08-28 · tag F0944 — pattern
  Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews and interview, the facility failed to ensure staff was provided Quality Assurance and Performance Improvement (QAPI) training for 5 (S7LPN, S8LPN, S9CNA, S10CNA, and S11CNA) of 5 (S7LPN, S8LPN, S9CNA, S10CNA, and S11CNA) personnel files reviewed. Review of S7LPN's personnel file revealed a hire date of 07/26/2024. Further review of S7LPN's personnel file revealed no documented evidence, and the facility presented no documented evidence, S7LPN received QAPI training as required. Review of S8LPN's personnel file revealed a hire date of 12/01/2023. Further review of S8LPN's personnel file revealed no documented evidence, and the facility presented no documented evidence, S8LPN received QAPI training as required. Review of S9CNA's personnel file revealed a hire date of 04/16/2025. Further review of S9CNA's personnel file revealed no documented evidence, and the facility presented no documented evidence, S9CNA received QAPI training as required. Review of S10CNA's personnel file revealed a hire date of 03/29/2022. Further review of S10CNA's personnel file 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.

  Administration Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$319,733 in federal fines across 3 penalties. 2 Medicare payment denials on record.

• $214,871 — penalty dated 2025-08-28
• $77,838 — penalty dated 2025-04-09
• $27,024 — penalty dated 2024-02-29
• Medicare payment denial — starting 2025-10-02 for 1 days
• Medicare payment denial — starting 2025-05-29 for 6 days

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.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

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

Follow the money — this home’s finances

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

About 90% 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.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in LA