Lacombe Nursing Centre

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.

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.

49.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 34 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.29 therapist hours per resident per day in 2026Q1 — more than 46% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% 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.

Staffing

How full it usually is: this home is certified for 98 beds and averages 76.0 residents a day — about 78% occupied, or roughly 22 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 3.39 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.40 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.99 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.93 hrs/resident/day on weekends vs 3.57 on weekdays — 18% thinner on weekends. RN hours go from 0.45 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 43% 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

Deficiencies are more than at the previous inspection — worsening. 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.

27 citations, most serious first. The 10 most serious are shown; the remaining 17 are one tap away and print in full.

• Potential for harm · E2026-06-24 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record reviews, the facility failed to provide maintenance services necessary to maintain a sanitary, orderly, and comfortable interior by failing to ensure:Halls A, B, and C ceiling tiles were maintained in good repair; andRoom BB was maintained safely, sanitarily, and in good repair.Findings: 1. On 06/22/2026 at 9:00 a.m., a tour of the facility was conducted with the following observations made: Hall A - There were multiple ceiling tiles with a brown and yellow discolored substance. The entrance of Hall A air conditioning vent located in close proximity to the nurses' station was observed to have active condensation with multiple black spots with yellow, brown, grey and black discoloration to the ceiling tile. The air conditioning vent cover was covered in a black substance. Hall B - There were numerous ceiling tiles with a brown and yellow discolored substance ranging in various sizes. The common/day room area of Hall B had multiple ceiling tiles with a brown, yellow and grey-black discoloration. Hall C - There were multiple ceiling tiles…

  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 plan of correction
• Potential for harm · Ecited before2025-07-30 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews, the facility failed to store and prepare food under sanitary conditions by failing to ensure the food was properly stored and labeled in the facility's kitchen. This deficient practice had the potential to affect all of the 69 facility residents who were served from the facility's kitchen. Review of facility's undated policy titled, How to Store Under Sanitary Conditions revealed in part:1. For dry storage-All items must be in a container with a lid or in a labeled zip lock bag. All items must be labeled with what it is, the date it was opened and the initial of the person who placed it in there. On 07/28/2025 at 8:27 a.m., an observation was made of the kitchen food preparation area with S5CK. The observation revealed and S5CK confirmed the following items were found to be open and undated.1 - 20 ounce package of whole wheat sliced bread; and1 - 24 ounce package of dinner rolls.On 07/28/2025 at 8:32 a.m., an observation was made of the dry storage area with S5CK. The observation revealed and S5CK confirmed the following items were found to be…

  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 · E2025-07-30 · tag F0842 — failed to keep accurate, complete medical records — pattern
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to maintain complete and accurate records in accordance with accepted professional standards and practices for 4 (#3, #6, #19, and #32) of 19 sampled residents reviewed for accurate documentation. The facility failed to ensure the following: 1. Resident #3's medication administration and wound care treatment administration were accurately documented; 2. Resident #6's Percutaneous Endoscopic Gastrostomy (PEG) site care was accurately documented; 3. Resident #19's medication administration and wound care treatment administration was accurately documented; and4. Resident #32's suprapubic catheter care was accurately documented. 1.Resident #3Review of Resident #3’s clinical record revealed he was admitted to the facility on [DATE] with diagnoses, which included Diabetes Mellitus II (DM), Acquired Absence of Left Great Toe, Non-Pressure Chronic Ulcer of Right Ankle, Acquired Absence of Other Left Toe, Cerebral Infarction Due to Embolism of Cerebral Artery,…

  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 · D2025-07-30 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  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 all medical records regarding the resident's code status consistently reflected the resident's wishes for 2 (#4 and #66) of 25 residents reviewed in the initial screening for advanced directives. Review of the facility’s undated policy titled, “LaPOST”, revealed the following, in part:Procedure6. Place the original LaPOST form in a prominent and appropriate place in the medical record. Do not document code status in the electronic record. Resident #4Review of Resident #4’s clinical record revealed he was admitted to the facility on [DATE]. Review of Resident #4's current Physician Orders revealed the following, in part:Order date: [DATE]-Full Code Status. Review of Resident #4's hard, physical chart revealed a Louisiana Physician Orders for Scope of Treatment (LaPOST) dated [DATE]. The LaPOST revealed Resident #4’s Health Care Representative checked DNR/Do Not Attempt Resuscitation. Resident #66 Review of Resident #66’s clinical 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-30 · 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, video observation, and record review, the facility failed to protect the resident's right to be free from physical abuse for 1 (#4) of 24 sampled residents reviewed for abuse. The facility failed to ensure Resident #4 was free from physical abuse by Resident #50.Review of the facility's policy dated 2025 and titled, Policy for Prohibition of Abuse revealed in part, the following:Each resident has the right to be free from abuse.Resident #4Review of Resident #4's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses which included Parkinson's Disease, Depression, and Mild Intellectual Disabilities.Review of Resident #4's Quarterly MDS with an ARD of 06/05/2025 revealed a BIMS of 11, which indicated he was moderately cognitively impaired.Review of Resident #4's July 2025 Progress Notes revealed in part, the following:On 07/13/2025 S9RN wrote, Resident #4 wheeled himself into nurse's station and stated to S9RN, Resident #50 just punched me in my face. S9RN asked…

  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 · D2025-07-30 · tag F0609 — failed to report abuse allegations — isolated
  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 interviews and record reviews, the facility failed to ensure allegations of physical abuse were reported to the State Agency in the required timeframe for 1 (#4) of 24 sampled residents reviewed for abuse.Review of the facility's policy dated 02/2025 and titled, Policy for Prohibition of Abuse revealed in part, the following:Reporting:1. Report incidents to the state agency as required.Internal Reporting Timelines:Abuse: Immediately.Resident #4Review of Resident #4's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses which included Parkinson's Disease, Depression, and Mild Intellectual Disabilities.Review of Resident #4's Quarterly MDS with an ARD of 06/05/2025 revealed a BIMS of 11, which indicated he was moderately cognitively impaired.Review of Resident #4's July 2025 Progress Notes revealed in part, the following:On 07/13/2025 S9RN wrote, Resident #4 wheeled himself into nurse's station and stated to S9RN, Resident #50 just punched me in my face. Once S9RN completed…

  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 · Dcited before2025-07-30 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to ensure a resident with an identified mental health diagnosis was referred for a Preadmission Screening and Resident Review (PASRR) Level II evaluation as required for 1 (#2) of 3 (#2, #9, and #47) residents reviewed for PASRR.Review of Resident #2's clinical record revealed he was admitted to the facility on [DATE] with diagnoses which included Major Depressive Disorder. Further review revealed he was diagnosed with Adjustment Disorder on 10/26/2019 and Schizophrenia on 12/23/2019. Review of Resident #2's Level 1 PASRR dated 09/24/2019 revealed Section III: Mental Illness, did not have Adjustment Disorder or Schizophrenia selected as a diagnosis. On 07/30/2025 at 9:30 a.m., an interview was conducted with S7SSD. She stated she was responsible for resubmitting resident review forms to the Office of Behavioral Health (OBH) if a new mental health diagnosis was acquired. She reviewed Resident #2's Level 1 PASSR dated 09/24/2019 and confirmed a 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-30 · 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 observations, interviews, and record review, the facility failed to provide necessary care and services for the provision of respiratory care in accordance with professional standards of practice. The facility failed to ensure a resident's oxygen was administered at the physician ordered rate for 1 of 1 (#10) residents reviewed for respiratory care.Review of Resident #10's Clinical Record revealed she was admitted to the facility on [DATE] with diagnoses which included Senile Degeneration of the Brain.Review of Resident #10's current Physician Orders revealed the following, in part:Start date 05/12/2025 - Oxygen at 3L per nasal cannula continuous every shift.An observation was made on 07/28/2025 at 12:02 p.m. of Resident #10 in her room wearing oxygen per nasal cannula at 2.5L.An observation was made on 07/29/2025 at 9:00 a.m. of Resident #10 in her wearing oxygen per nasal cannula at 2.5L.An interview was conducted on 07/29/2025 at 9:02 a.m. with S8LPN. S8LPN confirmed Resident #10 had an order 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 · Dcited before2025-01-29 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to ensure the MDS assessment accurately reflected the resident's status for 1 (#3) of 3 (#1, #2, and #3) sampled residents. The facility failed to ensure Resident #3 was coded correctly for falls. Findings: Review of Resident #3's Clinical Record revealed she was admitted to the facility on [DATE] with diagnoses which included Age Related Osteoporosis and Unspecified Disorder of Adult Personality and Behavior. Further review revealed Resident #3 had a diagnosis of Displaced Intertrochanteric Fracture of Right Femur on 12/16/2024. Review of Resident #3's Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/23/2024 revealed Section J1700: Fall History was blank. An interview was conducted on 01/29/2025 at 1:10 p.m. with S3RN. She stated she was responsible for completing resident MDS assessments. She reviewed Resident #3's Incident Report dated 12/11/2024. She stated Resident #3 was admitted to the hospital and returned 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-29 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to ensure a resident's plan of care was revised by failing to update fall interventions after each fall for 1 (#3) of 3 (#1, #2, and #3) residents reviewed for falls. Findings: Review of the facility's policy titled, Fall Policy and Procedure, and dated 01/10/2017, revealed in part, the following: 6. The fall care plan shall be updated after a fall and is to include any interventions. Treatment/Management: 1. Based on the assessment, the staff will identify pertinent interventions to try to prevent subsequent falls and to mitigate risks of serious injuries associated with falls. Review of Resident #3's Clinical Record revealed she was admitted to the facility on [DATE], with diagnoses which included Age Related Osteoporosis. Review of the facility's Incident Report dated 12/08/2024 revealed, in part the following: Resident #3 had an unwitnessed fall in the day room. Review of Resident #3's Nurse's Note dated 12/08/2024 revealed, in part, the following:…

  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

“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

No federal fines in the current CMS record.

Part of a chain

This home belongs to INSPIRED HEALTHCARE MANAGEMENT — 6 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 →

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

CMS files one row per role, so the 15 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

2 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.

This home reported $1.2M paid to related parties — landlords or management companies under common ownership — equal to about 17% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

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