Luling Living Center

Based on interviews and record review, the facility failed to ensure medications were administered as ordered by the physician for 1 (Resident #47) of 2 sampled residents reviewed, in accordance with professional standards of nursing practice. Findings:In accordance with the Louisiana Nurse Practice Act (La. R.S. 37:913), nursing practice includes executing medical regimens prescribed by a licensed physician or authorized prescriber; therefore, medications must be administered as ordered. Review of the facility's policy titled Physician Orders Policy and Procedure, revised 09/12/2025, revealed Licensed Practical Nurses are required to follow physician orders as prescribed. Review of Resident #47's physician orders dated January 2026 through March 2026 revealed, in part, the following:An order dated 01/19/2026 for Simethicone 80 mg tablet (used to relieve symptoms caused by excess gas in the digestive tract), administer 1 tablet by mouth twice daily at 8:00AM and 5:00PM for 14 days;An order dated 02/10/2026 for Pataday ophthalmic solution 0.2% (used to treat allergic conjunctivitis),…

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

Based on observations, interviews, and record reviews, the facility failed to provide pressure ulcer treatments as ordered by the physician for 3 (Resident #7, Resident #16, Resident #44) of 3 sampled residents investigated for pressure ulcers. Findings:Review of the facility's Wound Care Protocol, dated 2026, revealed, in part, residents with wounds will have wound care provided to them as ordered by the physician. Resident #7 Review of Resident #7's March 2026 Physician's Orders revealed, in part, cleanse sacral pressure ulcer with wound cleanser, pat dry, loosely fill cavity with gauze soaked in Dakin's solution (an antiseptic used to clean infected skin and tissues, treat wounds, and manage odors), apply Santyl ointment (a prescription medicine used to remove dead tissue from chronic skin ulcers to promote healing), followed by calcium alginate (a highly absorptive fiber commonly used in specialized wound dressings), cover with silicone foam border or equivalent dressing, change dressing daily and as needed. Review of Resident #7's Care Plan Report revised on 03/11/2026…

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

Based on interviews and record reviews, the facility failed to ensure a resident received dental services as required for 1 (Resident #47) of 1 sampled residents investigated for dental services. Findings:Review of the facility's Dental Services policy and procedure, last revised 08/2006, revealed, in part, social services personnel will be responsible for assisting the resident in making dental appointments and transportation arrangements as necessary. Review of Resident #47's physician's progress noted dated 01/29/2026 revealed, in part, Resident #47 was seen by the facility's contracted dental company with a chief complaint of a lower left broken tooth. Further review revealed the contracted dental company's plan to address Resident #47's broken tooth was a #18 Distolingual (DL) Silver Modified Atraumatic Restorative Technique (SMART) filling (a minimally invasive filling technique that was to be used to completed a filling to the back and tongue area of Resident #47's permanent lower left second molar). Review of Resident #47's medical records revealed Resident #47's dentist…

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

Based on interviews and record review, the facility failed to maintain complete and accurate medical records for 6 residents (Residents #2, #7, #16, #27, #44, #47) of 6 sampled residents reviewed for accurate documentation. Findings:Review of the facility's Medical Records policy and procedure, last revised 09/02/2025, revealed, in part, the facility should maintain medical records on each resident that are complete and accurately documented. Review of the facility's Charting and Documentation policy and procedure revealed, in part, all observations, medications administered, and services performed must be documented in the resident's clinical record. Resident #2 Review of Resident #2's March 2026 physician orders revealed, in part: Mirtazapine 15 milligrams (medication used to treat major depressive disorder); Seroquel 25 milligrams (medication used to treat insomnia); Artificial Tears ophthalmic solution (used to treat dry eyes); and, Systane ophthalmic solution (used to treat dry eyes) were ordered to be administered on 03/19/2026 at 9:00PM. Review Resident #2's March 2026…

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

Based on observations, interviews, and record review the provider failed to ensure staff administered a resident's hydration through an enteral tube (a tube inserted directly into the stomach) per a Physician's Order for 1 (Resident #4) of 1 sampled residents investigated for enteral tube hydration. Findings:Review of Resident #4's 03/17/2026 Physician's Order revealed, in part, to administer Resident #4 Diabetisource ( a type of enteral feeding [a liquid nutritional supplement delivered directly into the stomach through an enteral tube]) at a rate of 45 milliliters an hour with a flush of 200 milliliters (ml) of water every hour. Observation on 03/23/2026 at 9:15AM revealed Resident #4's enteral feeding pump was set to administer Resident #4 Diabetisource at 45 ml an hour continuously with a water flush at 150 ml every 4 hours. Observation on 03/24/2026 at 10:24AM revealed Resident #4's enteral feeding pump was set to administer Resident #4 Diabetisource at 45 ml an hour continuously with a water flush at 150 ml every 4 hours. In an interview on 03/24/2026 at 5:35PM, S8Licensed…

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

Based on interviews and record reviews, the facility failed to coordinate hospice care and obtain required information from the resident's hospice agency.This deficient practice was identified for 1 (Resident #23) of 1 sampled residents investigated for hospice services. Findings:Review of Resident #23's electronic medical record revealed Resident #23 had an initial admission date of 08/18/2025, and was admitted for hospice services on 02/24/2026. Review of the facility's Hospice Program policy and procedure revised, August 2006 revealed, in part, when a resident participated in the hospice program, a coordinated plan of care between the facility, hospice agency, and resident/family will be developed and would include directives for managing pain and other uncomfortable symptoms. Further review revealed on the day of admission, the facility's nurse must obtain admission orders and a binder from the hospice nurse. On 03/23/2026 at 8:55AM this surveyor requested Resident #23's hospice binder from S1Director of Nurse. On 03/24/2026 at 9:00AM this surveyor requested Resident #23'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.

Based on observations, interviews, and record reviews, the facility failed to ensure:1. A resident's indwelling catheter tubing and bag were changed as needed (Resident #1); 2. Residents with an indwelling urinary catheter received catheter care as ordered (Resident #1, Resident #2); and,3. A resident's urinary catheter order was completed (Resident #2).This deficient practice was identified for 2 (Resident #1, Resident #2) of 2 (Resident #1, Resident #2) sampled residents investigated for urinary catheter care and Urinary Tract Infections (UTI). Findings: Review of the facility's Indwelling Catheter policy and procedure, revised on 09/23/2024, revealed, in part, catheter care shall be provided every shift for residents with an indwelling catheter. Review of the facility's undated Floor Nurse/Licensed Practical Nurse (LPN) Job Description, revealed, in part, the LPN shall initiate the orders of physician's and carry out any treatment and procedures outlined in the patient's plan. Resident #1Review of Resident #1's August 2025 physician's orders revealed, in part, an order for a…

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

Based on observation, interviews and record reviews, the facility failed to ensure a resident's medical record was accurately documented for 2 (Resident #1, Resident #2) of 3 (Resident #1, Resident #2, Resident #3) sampled residents investigated for accurate medical record documentation. Findings:Review of the facility's undated Floor Nurse/Licensed Practical Nurse (LPN) job description revealed, in part, the LPN must accurately document the care they provide for a patient. Resident #1Review of Resident #1's August 2025 physician's orders revealed, in part, an order for suprapubic catheter (a tube inserted directly into the bladder through an incision in the lower abdomen) care to be performed every shift. Review of Resident #1's August 2025 electronic Medication Administration Record (eMAR) revealed, in part, S7LPN documented on 08/25/2025 Resident #1's catheter care was completed. In an interview on 08/25/2025 at 1:52PM, S7LPN indicated she was the nurse assigned to Resident #1. S7LPN further indicated she did not perform Resident #1's catheter care during her shift as ordered.…

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

Based on record reviews and interviews, the facility failed to ensure direct care staff were provided effective communication training for 5 (S10Certified Nursing Assistant [CNA], S13CNA, S14CNA, S15CNA, S16CNA) of 5 (S10CNA, S13CNA, S14CNA, S15CNA, S16CNA) sampled direct care staff investigated for training requirements. Findings:Review of S10CNA's personnel record revealed, in part, S10CNA had a date of hire of 04/01/2025. Further review revealed S10CNA did not receive effective communication training as required. Review of S13CNA's personnel record revealed, in part, S13CNA had a date of hire of 02/25/2025. Further review revealed S13CNA did not receive effective communication training as required. Review of S14CNA's personnel record revealed, in part, S14CNA had a date of hire of 03/03/2025. Further review revealed S14CNA did not receive effective communication training as required. Review of S15CNA's personnel record revealed, in part, S15CNA had a date of hire of 07/15/2025. Further review revealed S15CNA did not receive effective communication training as required. Review 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.

Based on record reviews and interviews, the facility failed to ensure direct care staff were provided Quality Assurance and Performance Improvement (QAPI) training for 5 (S10Certified Nursing Assistant [CNA], S13CNA, S14CNA, S15CNA, S16CNA) of 5 (S10CNA, S13CNA, S14CNA, S15CNA, S16CNA) sampled direct care staff investigated for training requirements. Findings:Review of S10CNA's personnel record revealed, in part, S10CNA had a date of hire of 04/01/2025. Further review revealed S10CNA did not receive QAPI training as required. Review of S13CNA's personnel record revealed, in part, S13CNA had a date of hire of 02/25/2025. Further review revealed S13CNA did not receive QAPI training as required. Review of S14CNA's personnel record revealed, in part, S14CNA had a date of hire of 03/03/2025. Further review revealed S14CNA did not receive QAPI training as required. Review of S15CNA's personnel record revealed, in part, S15CNA had a date of hire of 07/15/2025. Further review revealed S15CNA did not receive QAPI training as required. Review of S16CNA's personnel record revealed, in part,…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure the facility assessment included active involvement from direct care staff, residents, and residents' representatives in its development and the current number of residents in the facility at the time of the assessment. Findings:Review of the facility's facility assessment dated [DATE] revealed, in part, direct care staff, including a Registered Nurse (RN), Licensed Practical Nurse (LPN) and a Certified Nursing Assistant (CNA), a resident and resident representatives were not included in the development of the facility's assessment. Further review revealed the average daily census was not documented. In an interview on 08/27/2025 at 1:20PM, S1Administrator confirmed the facility assessment was not developed with direct care staff, including a RN, a LPN, and a CNA, a resident and resident representatives. S1Administrator further indicated he could offer no further explanation as to why an accurate census was not included in the facility'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.

Based on observations, interviews, and record reviews, the facility failed to ensure staff wore proper personal protective equipment (PPE) and completed hand hygiene while performing incontinence and/or wound care for residents on Enhanced Barrier Precautions (EBP) for 2 (Resident #1, Resident #3) of 2 (Resident #1, Resident #3) sampled residents observed for incontinence and/or wound care. Findings: Review of the facility's undated Enhanced Barrier Protection policy and procedure, revealed, in part, EBP consisted of, at a minimum, gloves and gown. Further review revealed EBP was indicated for residents with indwelling devices. Review of the facility's Handwashing/Hand Hygiene policy and procedure, revised 12/2009, revealed, in part, all personnel shall follow the handwashing/hand hygiene procedures to help prevent the spread of infections to other personnel, residents, and visitors. Further review revealed, employees must wash their hands with soap and water or sanitize using alcohol based hand sanitizer after handling soiled or used linens, dressings, catheters, and urinals, after…

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.