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Lady of the Oaks Retirement Manor

1005 Eraste Landry Road, Lafayette, LA 70506 · For profit - Limited Liability company · 137 certified beds · (337) 232-6370 Medicare & Medicaid certified

Call the home — (337) 232-6370 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Feb 2025
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)
  • no federal fines or payment denials on record
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Feb 2025
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (1/5)
  • about 26% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
Pharmacy
302 Dulles Dr Ste P-7 · (337) 326-5710 · Call to confirm hours
Grocery
2939 Cameron St · (337) 258-7413 · Call to confirm hours
Park
700 Cajundome Blvd · (337) 266-8623 · 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 3 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 3 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 improved from 1 to 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 increased7.9%17.8%15.4%better
Long-stay residents who lose too much weight12.2%5.2%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%1.2%0.9%better
Long-stay residents with a urinary tract infection1.1%2.1%2.0%better
Long-stay residents with depressive symptoms0.0%2.3%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury2.6%3.5%3.3%better
Long-stay residents whose ability to walk worsened8.9%17.9%16.1%better
Long-stay residents on antianxiety or hypnotic medication28.6%23.2%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%94.9%95.3%typical
Long-stay residents with pressure ulcers5.2%5.6%4.7%typical
Long-stay residents with worsening bladder/bowel control17.0%15.8%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table20.0%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 vaccine96.2%76.3%79.4%better
Short-stay residents rehospitalized after admission35.8%28.0%22.6%worse
Short-stay residents with an outpatient ER visit5.3%14.8%12.0%better
Long-stay hospitalizations per 1,000 resident days2.562.561.67worse
Long-stay outpatient ER visits per 1,000 resident days1.532.741.80better

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

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

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

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

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

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

52.9% 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 29 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

52.9%U.S. median 51.5%
Got home and stayed home
11.5%U.S. median 10.7%
Went back to hospital
14.3%U.S. median 56.6%
Met the expected recovery
not reportedno hours filed
Therapy hours / resident / day

Met the expected recovery: 14.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 35 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

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

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF52.9%CMS range 35.6–66.851.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.5%CMS range 7.5–18.610.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge14.3%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge28.6%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge17.1%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were 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 — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF 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 worsened9.5%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization8.5%CMS range 4.3–13.67.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.221.02Oct 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

0.22
RN hours/ resident / day
1.22
LPN hours/ resident / day
2.08
Aide hours/ resident / day
3.52
Total nurse hours/ resident / day
0.12
RN hoursweekends
52.9%
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 137 beds and averages 102.2 residents a day — about 75% occupied, or roughly 35 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 3.52 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.22 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.08 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 3.02 hrs/resident/day on weekends vs 3.72 on weekdays — 19% thinner on weekends. RN hours go from 0.26 to 0.12 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 53% 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

8
deficiencies at the latest standard inspection (2026-05-19)
4
at the previous standard inspection (2025-06-03)

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.

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.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

  • Potential for harm · Ecited before2026-05-19 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record reviews, the facility failed to ensure 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 4 (#3, #86, #91, #104) of 4 (#3, #86, #91, and #104) residents reviewed for ADLs. Findings: On 05/19/2026, a review of the facility's policy titled AM Care Policy and Procedure with a last reviewed date of 09/05/2025, read in part: Policy: AM care will be provided to all residents daily and as needed. Procedure.7. Shave resident if applicable.12. Assist resident with combing and brushing hair. Resident #3 Review of Resident #3's Electronic Health Record (EHR) revealed the resident was admitted to the facility on [DATE], with diagnoses that included, but were not limited to, other intervertebral disc degeneration, obstructive and reflux uropathy, and venous insufficiency (chronic) (peripheral). Review of Resident #3's Significant Change Minimum Data Set (MDS) assessment with an…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2026-05-19 · 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, interview, and record review, the facility failed to store food in accordance with professional standards for food service as evidenced by:1. S8DA failing to cover exposed facial hair while serving food to residents,2. Food items in the facility's kitchen cooler and freezer were unlabeled, opened, and undated;3. lack of cleanliness of the facility's kitchen;4. Failing to ensure kitchen equipment was in good repair; and5. Failing to ensure foods on the food service line were at appropriate temperatures.This deficient practice had the potential to affect the 102 residents who consumed foods from the kitchen.Findings:1. Review of the facility's policy titled, Employee Sanitation Practices with a last reviewed date of 09/05/2025, revealed in part .3. Proper Work Attire .b. The food service employee observes the following dress standards: i. Wears a clean hat or other hat restraint. Employees will facial hair wear a bear restraint .On 05/17/2026 at 8:25 a.m., S8DA was observed serving the breakfast meal to residents with his mustache and facial hair exposed. 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2026-05-19 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    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 maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development of communicable diseases and infection. This was evidenced by:A dirty trash can on Resident #115's bed.Staff failing to perform appropriate hand hygiene during medication administration; andStaff failing to follow enhanced barrier precautions (EBP) for Resident #33 and Resident #78.Findings: 1. On 05/17/2026 at 10:49 a.m., an observation was made of Resident #115's room. The resident was not in her room. There was a yellow wet floor sign at the entrance to the room. Resident #115's bed was made and a black trash can with a white plastic bag liner was observed on the resident's bed. On 05/17/2026 at 10:49 a.m., an observation of Resident #115's room was conducted with S20HK and S21CNA. They both confirmed the above observation and stated the trash can should not be on the resident's bed. S20HK stated she had placed the trash can on the resident's bed 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-05-19 · tag F0585 — failed to handle grievances — isolated
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to file a grievance for a complaint of missing clothes for 1 (Resident #96) of 1 resident reviewed for grievances. Findings: A review of the facility's training, Safeguarding Resident Rights In Nursing Facilities provided to all staff during the orientation process revealed in part, If a resident reports a concern, the organization must promptly attend to and resolve the matter. Examples of complaints can include: loss of personal property. Notify your supervisor about complaints. A review of the facility's policy, Grievance Policy and Procedure with a review date of 09/05/2025 revealed in part, Procedure: take immediate action, Documentation: 1. Document grievances made by a resident. A review of Resident #96's electronic health record (EHR) revealed an admission date of 04/07/2020 with diagnoses that included, but were not limited to, type 2 diabetes mellitus with diabetic nephropathy, peripheral vascular disease, and chronic obstructive pulmonary…

    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 · D2026-05-19 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure residents who had a qualifying diagnosed mental disorder were referred to the appropriate state-designated authority for Level II PASARR (Preadmission Screening and Resident Review) evaluation and determination for 1 (Resident #29) out of 42 sampled residents. Findings: Review of Resident #29's clinical record revealed an admission date of 02/18/2017. The resident's diagnoses included bipolar disorder and major depressive disorder.Review of the resident's PASARR level I evaluation dated 06/22/2020 revealed, . The psychiatric progress note {02/03/2020}, the current diagnostic impression is major depressive disorder . A level II decision is not required . Further review revealed the resident's diagnosis of bipolar disorder was not on the form. Review of the resident's clinical record revealed there was no evidence a PASARR level II was completed with the resident's qualifying diagnosis of bipolar disorder. On 05/18/2026 at 11:02 a.m., an interview was conducted with S5SSD. S5SSD stated that a level II PASARR was not…

    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 before2026-05-19 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record reviews, the facility failed to implement the plan of care per the physician's orders for 1 (#18) of 42 sampled residents, by failing to change Resident #18's left arm dressing, and elevate the resident's swollen left arm while she was in bed. Findings:On 05/19/2026, a review of the facility's policy titled, Care Plan Policy and Procedure, with a last reviewed date of 09/05/2025, read in part: Purpose: The comprehensive plan of care is an interdisciplinary tool used to communicate and address care issues that are relevant to the resident's individual needs. Policy: A comprehensive plan of care will be used to communicate and address care issues that are relevant to the resident's individual needs.A review of Resident #18's Electronic Health Record (EHR) revealed she was admitted to the facility on [DATE], with diagnoses that included, but were not limited, to end stage renal disease; chronic diastolic (congestive) heart failure; laceration without foreign body of left…

    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 · D2026-05-19 · 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 observations, interviews, and record review, the facility failed to ensure services provided met nursing professional standards for medication administration by failing to ensure medications were not left at the bedside for 2 (#40 and #61) out of 42 sampled residents. Findings:Resident #40. Review of Resident #40's EHR (electronic health record) revealed she was admitted to the facility on [DATE] with diagnoses that included, but were not limited to, radiculopathy, lumbar region, chronic obstructive pulmonary disease, Type 2 diabetes mellitus without complications, paroxysmal atrial fibrillation, anxiety disorder, and cardiomyopathy, unspecified. Review of Resident #40's most recent Quarterly Minimum Data Set (MDS) dated [DATE], revealed the resident's Brief Interview for Mental Status (BIMS) score was 14, indicating the resident's cognition was intact. Review of Resident #40's MAR (Medication Administration Record) for May 2026 revealed S14LPN administered the resident's 8 a.m. (morning) medications 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 · D2026-05-19 · tag F0732 — isolated
    Post nurse staffing information every day.
    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 staffing information was complete, accurate, and posted daily. The facility's census was 105.Findings: On 05/17/2026 at 8:43 a.m., an observation was made of the staffing information posted on the bulletin board that was dated Wednesday, 05/13/2026. Daily Nursing Assignment log was dated 05/17/2026, however the posted information was not complete or accurate and failed to include a census number and the hours of services to be provided. Staff member S27CNA was listed on the day shift Daily Nursing Assignment log dated 05/17/2026 but was unaccounted for on the hall. On 05/17/2026 at 8:45 a.m., an interview was conducted with S9RNS, who revealed that she was not aware that S27CNA was not present at the facility. On 05/17/2026 at 8:57 a.m., S9RNS informed the surveyor that S27CNA called in but it was not reported to her. S9RNS further stated that an overall accurate daily staffing posting had not been posted and she had not seen one. On 05/17/2026 at 8:59 a.m., S10WC confirmed the daily staffing had not…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-06-03 · 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 records reviewed, observations, and interviews, the facility failed to ensure the resident's care plan and physician's orders were followed for 3 (#11, #91, and #102) of 34 sampled residents. This was evidenced when: 1. Facility staff failed to administer Resident #11, and Resident #102 their therapeutic diets as prescribed by the physician. 2. Facility failed to maintain right and left ear cushions to nasal cannula for Resident #91 3. Facility staff failed to ensure Resident #102 was assisted in meal set up per her comprehensive care plan, and failed to administer oxygen according to physician orders. Findings: Review of Resident #11's electronic clinical record revealed an admit date of 02/28/2022 with diagnoses that included encephalopathy, dementia, Alzheimer's disease, and dysphagia, oropharyngeal phase. Review of Resident #11's physician orders dated June 2025 revealed the following order: No added salt (NAS) pureed texture, nectar/mildly thick consistency. Review of the resident's care plan…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-06-03 · 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 interview, the facility failed to store food in accordance with professional standards for food service, and ensure sanitary conditions were maintained in the kitchen as evidenced by: 1. opened food items in the walk-in cooler not labeled with the date and time, name of food; and 2. expired food in the walk-in cooler and walk-in deep freezer. This facility had a census of 106 residents. Findings: On 06/01/2025, a review of the facility's policy titled, Storage of Refrigerated Food, with a last revision date of July 2012, revealed in part . Policy Statement: The facility ensures the quality and safety of refrigerated foods through accepted storage practices. Procedure: .4. All non-hazardous, opened foods are labeled name of food and date stored. 5. All hazardous foods are labeled with name of food and date to be discarded or date stored . On 06/01/2025, a review of the facility's policy titled, Storage of Frozen Food, with a last revision date of July 2012, revealed in part . Policy Statement: The facility ensures the quality and safety of frozen foods…

    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
Show the remaining 11 citations
  • Potential for harm · Dcited before2025-06-03 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to ensure that residents who were unable to carry out activities of daily living (ADLs) received assistance with incontinent care for 2 (#61 and #72) of 8(#3, #31, #43, #57, #61, #72, #82, and #92) residents investigated for ADL care. Findings: Resident #61 On 06/03/2025, a review of the facility's policy titled Incontinence Care Policy and Procedure effective 11/17/2015, read in part: Purpose .4. To prevent infection. Policy: Incontinence care will be performed as needed .11. Replace incontinence pad or apply disposable diaper as necessary. Review of Resident #61's Electronic Health Record revealed she was admitted to the facility on [DATE] with diagnoses which included, but were not limited to atherosclerosis of coronary artery bypass graft without angina pectoris, type 2 diabetes, and overactive bladder. Further review revealed a diagnosis of urinary tract infection with an onset date of 05/31/2025. Review of Resident #61's quarterly…

    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 before2025-06-03 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations, and interviews, the facility failed to provide a safe homelike environment for 1 (#100) out of 6 (#21, #24, #38, #61, #92, and #100) residents sampled for environment. Findings: A review of Resident #100's clinical record revealed she was admitted to the facility on [DATE] with diagnoses which included, but were not limited to, muscle weakness and Chronic Obstructive Pulmonary Disease. A review of Resident #100's admission MDS (Minimum Data Set) dated 03/07/2025 revealed a BIMS (Brief Interview for Mental Status) of 5, indicating her cognition was impaired. On 06/01/2025 at 9:06 A.M. an observation was conducted of Resident #100. A black wire was hanging down from the ceiling and over the resident's bed. The connector was exposed and near the resident while she was lying down in bed. Resident #100 stated the black wire has been like this since she moved into this room a few weeks ago. On 06/02/2025 at 2:36 P.M., a second observation was conducted of Resident #100's…

    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
  • Potential for harm · D2025-02-18 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to protect the residents' rights to be free from neglect by failing to provide incontinence care for a dependent resident for 1 (#3) resident out of 3 (#1, #2, #3) sampled residents. Findings: Review of the facility's policy titled Abuse- Prevention and Prohibition Policy and Procedure with a last reviewed date of 03/25/2023 read in part 6. Neglect means failure of the facility, its employees or service providers to provide adequate medical care or goods and services to a resident to avoid, physical harm, pain, mental anguish, or emotional distress. Review of Resident #3's medical record revealed she was admitted to the facility on [DATE] with diagnoses including hemiplegia and hemiparesis following cerebral infraction affecting left non dominant side and aphasia following cerebral infarction. Review of Resident #3's quarterly MDS (Minimum Data Set) assessment dated [DATE] revealed the resident had a BIMS (Brief Interview for Mental Status) score of 15,…

    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 · D2024-04-11 · 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 resident's Minimum Data Set (MDS) was completed accurately for 1 (#77) out of 33 sampled residents. Findings: Review of Resident #77's electronic health record revealed she was admitted to the facility on [DATE] with diagnoses that included but not limited to, Cerebral Infarction, Hemiplegia affecting left non dominant site, Restlessness and agitation, Generalized Anxiety Disorder, Other lack of Coordination, Cognitive communication deficit, Muscle Weakness. Review of Resident #77's electronic health record revealed on 02/18/2023, a physician order to Maintain bed alarm q (every) shift. Review of Resident #77's Quarterly MDS assessment with an ARD (Assessment Reference Date) of 01/17/2024 revealed in Section P - Restraints- Bed alarm was coded as 0 that indicated Resident #77 had no bed alarm in use. On 04/11/2024 at 10:45 a.m., an interview and record review was conducted with S8MDS (Minimum Data Set) Lead Coordinator She reviewed 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-11 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record reviews, the facility failed to develop and/or implement a person centered care plan by failing to: 1. Ensure staff repositioned Resident #47 every 2 hours. 2. Develop a plan of care for the use of hand rolls for Resident #72. 3. Ensure Resident #77's bed alarm was in proper working condition. This deficient practice had the potential to affect all the residents who reside in the nursing home. Findings: 1. Resident#47 was admitted to the facility on [DATE] with a diagnoses including Muscle Weakness, Unspecified osteoarthritis, Pain, Other malaise, Dementia, unspecified severity, without behavior/psychosis/mood/anxiety. Review of the resident's care plan with a start date of 08/29/2021 revealed that she was high risk for skin breakdown r/t (related to) DM2 (Diabetes Mellitus II), Occasional Incontinence. Interventions included in part . Place me on the turn q (every) 2hr (hours) turn program. Further review of the resident's care plan revealed she required staff…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-11 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations and interview, the facility failed to ensure that a resident's enteral feeding was properly changed for 1 (#61) resident out of 1 (#61) sampled resident reviewed for tube feeding. Findings: Review of Resident #61's electronic health record revealed she was admitted to the facility on [DATE] with diagnoses which included, but were not limited to, Traumatic Subdural Hematoma, Alzheimer's Disease, Abnormal Weight Loss, Aphasia, Dysphagia, Other Epilepsy, Gastro-Esophageal Reflux Disease, and Gastrostomy status. Review of Resident #61's April 2024 physician's orders revealed an order dated 02/01/2024 that read in part, . Isosource 1.5 at 45 ml/hr (milliliter per hour) continuously . On 04/08/2024 at 9:35 a.m., an observation of Resident #61's tube feeding bag and administration set revealed the formula bag label listed a date of 04/07, and a time of 8:00 a.m. On 04/08/2024 at 12:35 p.m., a second observation of Resident #61's tube feeding bag and administration set revealed the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-11 · tag F0726 — failed to have competent, trained nursing staff — isolated
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews the facility failed assure the nursing staff were competent to ensure 1 (#3) of 33 sampled residents that was allergic to morphine did not receive this medication. Record review of Resident #3's face sheet (document that gives a resident's information at a quick glance) revealed she was admit to the facility on [DATE]. She was on Hospice care with diagnosis of End Stage Parkinson's disease. Her face sheet further revealed she was allergic to the medication, Morphine. Record review of Resident #3's care plan read in part, I am at risk for complications r/t (related to) my allergy. I am allergic to MORPHINE. I have no complications at this time r/t my allergy. My clinical record will be labeled to alert everyone to my allergies. Record review of Resident #3's physician orders revealed she was admitted to Hospice on 02/06/2024. On 03/04/2024, Morphine Sulfate 100 milligrams per 5 milliliter concentration to give 0.25 milliliters orally every 4 hours as needed for shortness 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-11 · tag F0727 — failed to provide required RN coverage — isolated
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to ensure a Registered Nurse (RN) provided services for 8 consecutive hours a day, on a weekend for 2 days on the dates of 10/21/2023 and 10/22/2023. Findings: Review of the facility's PBJ (Payroll Based Journal) Data time sheet for the dates of 10/21/2023 and 10/22/2023 revealed that there were no staffing hours for the RN. There was no evidence the RN worked 8 consecutive hours on those dates. On 04/11/2024 at 1:40 p.m., an interview was conducted with S1DON (Director of Nursing). She reviewed the PBJ Data time sheets and confirmed that there were no staffing hours for the RN for the dates of 10/21/2023 and 10/22/2023. S1DON stated that she could not provide evidence that an RN worked on the dates of 10/21/2023 and 10/22/2023.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-11 · 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 — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to coordinate care as evidenced by failing to obtain pertinent information from the hospice agency for 1 (#152) out of 2 (#3, #152) residents investigated for hospice. Findings: Resident #152. Review of the resident's electronic clinical record revealed the resident was admitted to the facility on [DATE]. The resident's diagnoses included Cerebral Infarction and Pneumonitis due to Inhalation of Food and Vomit. Review of the resident's clinical record revealed that there was no evidence of a hospice election form, no hospice plan of care and no evidence of the physician's certification of the resident's terminal illness. On 04/11/2024 at 9:15 a.m., S2ADON (Assistant Director of Nursing) reviewed the resident's clinical record and confirmed that there was no evidence of a hospice election form, no hospice plan of care and no physician's certification of the resident's terminal illness available in the clinical record.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-11 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview, the facility failed to maintain cleanliness of medication carts for 1 (MC#1) of 4 (MC1, MC2, MC3, MC4) medication carts observed. Findings: On 04/09/2024 at 9:59 a.m., an observation of MC1 (Medication Cart) with S7LPN (Licensed Practical Nurse) revealed the left 2 lower drawers of the medication cart contained bottles of medication in plastic bags. In the second to last drawer, there were 4 bottles of medication in plastic bags. The bags were stuck to the bottom of the drawer and around the bottles. The bottom of the drawer was covered with a reddish gold sticky substance. When the bottles and plastic bags were picked up, the thick, sticky liquid stuck to the surveyor's fingers. In the bottom drawer, there were 3 bottles of medication in plastic bags. The plastic bags were stuck to the bottles of medication and the bottom of the drawer was covered with a thick reddish sticky substance. S1DON was called to MC1 and she confirmed that the left two lower drawers of the medication cart were not clean and sanitary and needed to be cleaned.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2023-09-26 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to maintain an infection prevention and control program designed to help prevent the spread of Coronavirus Disease-2019 (COVID-19) as evidenced by staff not putting on the required Personal Protective Equipment (PPE) before entering isolation rooms. This deficient practice had the potential to affect a census of 100 residents. Findings: Review of the facility's policy titled Isolation Policy and Procedure read in part .4. Droplet Precautions: b. Gloves, gown, mask, and goggles are to be utilized for all interactions that may involve contact with the resident. Resident #3 was admitted to the facility on [DATE] with diagnoses including Urinary Tract Infection and Other Abnormalities of Breathing. Resident #3 was placed in droplet isolation due to COVID- 19 on 09/24/2023, and was scheduled to be removed from isolation on 10/05/2023. Resident #4 was admitted to the facility on [DATE] with diagnoses including Burn of Second Degree of Right Foot…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction

“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

No federal fines in the current CMS record.

Part of a chain

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

RatingThis homeChain avg
Overall 2 of 51.8+0.2 vs chain
Health inspection 3 of 52.6+0.4 vs chain
Staffing 1 of 51.3-0.3 vs chain
Quality measures 3 of 51.9+1.1 vs chain
The other 15 homes this chain runs (chain average 1.8★, per CMS)

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

Who owns this facility

Owner / managerTypeRoleShareSince
IRRV PROPERTY TR FOR THE QUIRK CHILDRENOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST45%since 06/15/2011
QUIRK, CYNTHIAIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST28%since 05/01/2011
QUIRK, GENEIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL28%since 05/01/2011
QUIRK, SCOTTIndividualCORPORATE DIRECTORsince 05/01/2011
PLANTATION MANAGEMENT COMPANY, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 06/05/2011
DELATTE, KIMBERLYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/15/2011

CMS files one row per role, so the 7 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

$8.5M
Net patient revenuemost recent cost report
-11.1%
Operating marginrevenue minus expenses
$2.4M
Related-party expense26% of expenses
Who pays — share of resident-days
Medicaid 69%Medicare 6%Other / private 25%

This home reported $2.4M paid to related parties — landlords or management companies under common ownership — equal to about 26% 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

$257per resident / day
operating cost
$7,819per month
≈ monthly operating cost
$231per 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 195633. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-19, 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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