Chateau Terrebonne Health Care Center

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to ensure a resident's medication administration was accurately documented for 3 (Resident #9, Resident #88, Resident #98) of 3 sampled residents investigated for accurate medication administration documentation. Findings:Review of the facility's Charting and Documentation policy and procedure, revised on 07/2017, revealed, in part, documentation in the medical record would be complete and accurate. Review of the facility's Administrating Medications policy and procedure, revised on 04/2019, revealed, in part, the individual that administered medication should sign on the resident's Electronic Medical Administration Record (eMAR) after giving each medication and before administering the next ones. On 05/06/2026 at 11:00AM, S2Director of Nursing (DON) was presented with a request for all February 2026 and March 2026 medication administration records for Resident #9, Resident #88, and Resident #98. Resident #9Review of Resident #9's medical record…

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.

Based on interviews and record review, the facility failed to ensure unnecessary medications were reduced and failed to ensure physician-accepted gradual dose reduction (GDR) recommendations made by the consultant pharmacist were implemented for 1 (Resident #7) of 5 sampled residents reviewed for unnecessary medications. Findings:Review of the facility's Administering Medications policy and procedure, revised 04/2019, revealed medications are to be administered in accordance with physician orders. Review of the Pharmaceutical Consultant Report - Psychoactive GDR form dated 01/07/2026 revealed the consultant pharmacist recommended a dose reduction for duloxetine (medication used to treat major depressive disorder) 30 milligrams (mg) at bedtime. Review of Resident #7's physician orders revealed a physician's order dated 01/19/2026 to discontinue duloxetine 30mg at bedtime. Review of Resident #7's active physician orders dated 05/01/2026 revealed duloxetine 30mg at bedtime remained an active order. Review of Resident #7's Medication Administration Record (MAR) dated 05/01/2026 through…

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.

Based on observations, interview, and record review, the facility failed to ensure the resident's environment was clean and sanitary for 1 (Resident #95) of 32 sampled residents reviewed for environmental concerns during initial pool observations. Findings:Review of the facility's Quality of Life Homelike Environment Policy, with a revision date of May 2017, revealed, in part, the facility would ensure a homelike environment which would include a clean, sanitary and orderly environment. Observation on 05/03/2026 at 10:51AM revealed, in part, the base of Resident #95's tube feeding pole was covered with an unidentified dry white and tan substance. Observation on 05/04/2026 at 10:30AM revealed, in part, ten to fifteen spots of an unidentified dried sticky tan substance to the base of Resident #95's tube feeding pole varying in size. Observation on 05/05/2026 at 2:32PM revealed, in part, ten to fifteen spots of an unidentified dried sticky tan substance to the base of Resident #95's tube feeding pole varying in size. In an interview on 05/05/2026 at 3:03PM, S2Director of Nursing (DON)…

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.

Based on interviews and record reviews, the facility failed to complete a care plan conference for 1 (Resident #119) of 1 (Resident #119) sampled residents investigated for care planning. Findings: Review of the facility's Resident Participation in Assessment and Care Plan policy, revised December 2016, revealed, in part, a comprehensive care plan was developed within 7 days of completion of the resident assessment and a 7 day advance notice of the care planning conference was provided to the resident and his or her representative. Review of Resident #119's record revealed no documented evidence, and the facility did not present any documented evidence, evidence a care plan conference had been completed after the completion of the MDS on 04/04/2025. In an interview on 05/18/2025 at 11:59AM, Resident #119 indicated he had not participated in a care plan conference. In an interview on 05/19/2025 at 11:29AM, S8Minimum Data Set Nurse (MDS Nurse) indicated Resident #119 had a MDS assessment completed on 04/04/2025 and should have had a care plan conference. S8MDS nurse indicated Resident…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record reviews, the facility failed to assess a resident for self-administration of medications for 1 (Resident #143) of 1 (Resident #143) sampled residents reviewed for accident hazards. Findings: Review of the facility's Self-Administration of Medications policy and procedure revised on 12/2016 revealed, in part, the interdisciplinary team would assess each resident's cognitive and physical abilities to determine whether self-administration of medications was safe and clinically appropriate for the resident. Further review revealed any medications found at the bedside that were not authorized for self-administration were turned over to the nurse in charge for return to the family or responsible party. Review of Resident #143's clinical record revealed Resident #143 was admitted to the facility on [DATE]. Review of Resident #143's Quarterly Minimum Data Set with an Assessment Reference Date of 03/18/2025 revealed, in part, Resident #143 had a Brief Interview of Mental…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to provide the resident or responsible party (RP) with written notice which specified the duration of the bed-hold policy at the time of transfer to the hospital for 2 (Resident #16, Resident #86) of 2 (Resident #16, Resident #86) sampled residents investigated for hospitalizations. Findings: Review of the facility's Bed Hold and Returns policy, revised on 04/16/2024, revealed, in part, when a resident was transferred to the hospital, or goes out on therapeutic leave, a copy of this form (Notice of Hospital Transfer/Therapeutic Leave) was sent with the resident, and the resident representative will be notified specifying the duration of the bed-hold according to state plan, and the facilities policy regarding bed-hold periods. In cases of emergency transfer, notice at the time of transfer means that the family or resident representative are provided with written notification within 24 hours of the transfer. Resident #16 Review of Resident #16's record…

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.

Based on interviews, and record reviews, the facility failed to complete quarterly safe smoking assessments for 1 (Resident #11) of 1 (Resident #11) sampled residents investigated for smoking. Findings: Review of the facility's policy and procedure titled, Smoking Policy-Resident, dated 2001 and revised on 03/08/2023, revealed once the resident was determined to be a smoker, his/her ability to smoke safely would be evaluated upon admission, with subsequent Minimum Data Set (MDS) assessment and as needed. Review of Resident #11's annual MDS with an assessment reference date (ARD) of 09/16/2024 revealed Resident #11 used tobacco. Review of the facility's list of smoker's documentation revealed, in part, Resident #11 was determined to be a smoker. Review of Resident #11's medical record revealed the last Safe Smoking Assessment document was completed on 09/16/2024 with Resident #11's Annual MDS. Further review revealed a Quarterly MDS with an ARD of 12/15/2024 and a Quarterly MDS with an ARD of 03/13/2025 was completed. In an interview on 05/19/2025 at 10:36AM, S7 MDS Coordinator…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, observations, and interviews, the facility failed to assess residents for self-administration of drugs for 2 (Resident #9 and Resident #61) of 29 (Resident #2, Resident #9, Resident #22, Resident #25, Resident #26, Resident #29, Resident #30, Resident #36, Resident #43, Resident #54, Resident #55, Resident #61, Resident #73, Resident #77, Resident #84, Resident #90, Resident #96, Resident #109, Resident #113, Resident #121, Resident #122, Resident #127, Resident #135, Resident #138, Resident #139, Resident #140, Resident #197, Resident #297, and Resident #397) sampled residents. Findings: Review of the facility's Self-Administration of Medications policy, revised December 2016, revealed, in part, residents had the right to self-administer medications if the interdisciplinary team had determined that it was clinically appropriate and safe for the resident to do so. Resident #9 Review of Resident #9's record revealed Resident #9 was admitted to the facility on [DATE] with diagnoses of, in…

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.

Based on record reviews, observation, and interviews, the facility failed to ensure a resident's tracheostomy care was completed in a sanitary manner for 1 (Resident #90) of 1 (Resident #90) sampled residents investigated for mechanical ventilation and tracheostomy care. Findings: Review of Resident #90's Minimum Data Set with an Assessment Reference Date of 04/21/2024 revealed, in part, Resident #90 had diagnoses of cardiorespiratory conditions and chronic respiratory failure with hypoxia. Further review revealed Resident #90 received tracheostomy care and invasive mechanical ventilation. Review of Resident #90's May 2024 physician's orders revealed, in part, an order for Resident #90 to receive tracheostomy care twice per day. Further review revealed an order to change Resident #90's disposable inner cannula once per day. Review of Resident #90's care plan for ventilator dependence revealed, in part, interventions for Resident #90 to receive tracheostomy care twice in a 24-hour period and Resident #90's inner cannula to be changed once in a 24-hour period or more as necessary.…

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.