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Heritage Manor Of Mandeville

2202 Lonesome Road, Mandeville, LA 70448 · For profit - Limited Liability company · 145 certified beds · (985) 626-4798 Medicare & Medicaid certified

Call the home — (985) 626-4798 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0609) — cited Mar 20241 immediate-jeopardy citation CMS recorded as corrected before the inspection ended (past non-compliance)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (27) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (2/5)
  • its facility-reported quality-measure rating is low (1/5)
  • nursing-staff turnover (66%) runs well above the national median (45%)

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) 2 of 5
Quality measuresSelf-reported by the facility 1 of 5

Location & what’s nearby

Hospital
AVALA2.5 mi
 
Urgent care / clinic
1041 Carroll St · (985) 789-8222 · Call to confirm hours
Pharmacy
2803 Highway 59 · (985) 626-0234 · Call to confirm hours
Grocery
Rouses1.5 mi
4100 Highway 59
Park
220 Williamsburg Dr · (985) 624-8777 · 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 1 of 5
Long-stay residentspeople who live here 2 of 5
Short-stay residentsrehab / post-hospital 1 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 2 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 rating2★
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 increased10.4%17.8%15.4%better
Long-stay residents who lose too much weight3.3%5.2%5.4%better
Long-stay residents with a catheter left in their bladder1.4%1.2%0.9%worse
Long-stay residents with a urinary tract infection3.8%2.1%2.0%worse
Long-stay residents with depressive symptoms0.9%2.3%6.5%better than state — see note marked double-dagger 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 injury5.8%3.5%3.3%worse
Long-stay residents whose ability to walk worsened12.8%17.9%16.1%better
Long-stay residents on antianxiety or hypnotic medication30.3%23.2%18.9%worse
Long-stay residents given the seasonal flu vaccine99.0%94.9%95.3%typical
Long-stay residents with pressure ulcers6.0%5.6%4.7%worse
Long-stay residents with worsening bladder/bowel control37.8%15.8%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table12.7%22.7%17.1%better
Short-stay residents who newly got an antipsychotic medication3.7%3.1%1.4%worse than state — see note marked double-dagger below the table
Short-stay residents given the seasonal flu vaccine93.9%76.3%79.4%better
Short-stay residents rehospitalized after admission25.3%28.0%22.6%worse
Short-stay residents with an outpatient ER visit19.5%14.8%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.292.561.67worse
Long-stay outpatient ER visits per 1,000 resident days3.462.741.80worse

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.

38.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 80 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

38.5%U.S. median 51.5%
Got home and stayed home
11.6%U.S. median 10.7%
Went back to hospital
45.1%U.S. median 56.6%
Met the expected recovery
0.25U.S. median 0.31
Therapy hours / resident / day
0.09hours / resident / day
Physical therapy
0.09hours / resident / day
Occupational therapy
0.07hours / resident / day
Speech therapy

Met the expected recovery: 45.1% 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 51 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: this home’s payroll records show 0.25 therapist hours per resident per day in 2026Q1 — more than 33% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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.

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 SNF38.5%CMS range 32.0–46.751.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.6%CMS range 8.5–16.410.7%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 discharge45.1%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 discharge47.1%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 discharge51.0%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 identified97.3%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 setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this 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 worsened0.0%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 hospitalization6.7%CMS range 3.4–11.67.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.121.02Oct 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

0.38
RN hours/ resident / day
1.08
LPN hours/ resident / day
2.52
Aide hours/ resident / day
3.98
Total nurse hours/ resident / day
0.18
RN hoursweekends
65.5%
Total nursing turnover
50.0%
RN turnover

How full it usually is: this home is certified for 145 beds and averages 114.4 residents a day — about 79% occupied, or roughly 31 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 3.98 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.38 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.52 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.08 hrs/resident/day on weekends vs 4.34 on weekdays — 29% thinner on weekends — a notable drop. RN hours go from 0.46 to 0.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 66% is well above 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

5
deficiencies at the latest standard inspection (2025-09-24)
11
at the previous standard inspection (2024-10-09)

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

Inspection deficiencies

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

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.

27 citations, most serious first. The 11 most serious are shown; the remaining 16 are one tap away and print in full.

  • Immediate jeopardy · J2023-08-16 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews, the facility failed to ensure a cognitively impaired resident, who exhibited exit-seeking behaviors, was adequately supervised to prevent unsafe wandering and elopement for 1 (#1) of 4 (#1, #3, #4, and #6) residents reviewed. This deficient practice resulted in an immediate jeopardy situation for Resident #1, who had severe cognitive impairment and a history of exit seeking behavior, on 06/28/2023 at 8:22 p.m. after Resident #1 was observed on video surveillance entering another resident's room and did not exit the room. Resident #1 had eloped from the facility premises, and was found wandering across a four-lane roadway yelling for help. A concerned citizen contacted the facility and asked if they were missing a resident. While the facility was searching for Resident #1, Law enforcement arrived at the facility with the resident on 6/28/2023 at approximately 8:58 p.m. The facility implemented corrective actions which were completed prior to the State Agency'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.

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Potential for harm · Dcited before2025-09-24 · 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 reviews, the facility failed to ensure the MDS assessment accurately reflected the resident's status for 1 (#5) resident out of a total of 23 sampled residents. The facility failed to ensure Resident #5 was coded accurately for fall with major injury. Review of Resident #5's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses, which included Alzheimer's Disease, Muscle Weakness, Lack of Coordination, Abnormalities of Gait and Mobility.Review of Resident #5's Annual Minimum Data Set (MDS) dated [DATE] revealed Section J1900: Number of Falls Since Admission/Entry or Reentry or Prior Assessment (OBRA or Scheduled PPS), Section C: Major Injury - bone fractures, joint dislocations, close head injuries with altered consciousness, subdural hematoma was coded as 2. Two or more. Review of Resident #5's fall log and fall investigations from January 2025 to current revealed no falls resulting in major injury. An interview was conducted on 09/24/2025 at 1:26 p.m.…

    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 · D2025-09-24 · 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 observation, interviews, and record review, the facility failed to ensure the services provided met professional standards of quality by failing to ensure nursing staff primed insulin pen needles prior to administering insulin for 1 (#8) of 2 (#8 and #81) residents reviewed for insulin administration.Review of the Novolog insulin pen manufacturer's insert revealed the following, in part:Before each injection small amounts of air may collect in the cartridge during normal use. To avoid injecting air and to ensure proper dosing: Turn the dose selector to select 2 units.Review of Resident #8's Clinical Record revealed he was admitted to the facility on [DATE] with a diagnosis of Type 2 Diabetes Mellitus. Review of Resident #8's current Physician Orders revealed the following, in part:Order date: 07/09/2025; Novolog Flex Pen 100 unit/mL, inject per sliding scale, subcutaneously before meals and at bedtime. Resident #8's Novolog Insulin sliding scale order was 10 units of insulin for a blood glucose level 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-09-24 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews and interviews, the facility failed to ensure adequate monitoring for side effects with the use of psychotropic medication was completed for 1 (#65) of 5 (#3, #9, #14, #65 and #98) residents reviewed for unnecessary medications.Review of Resident 65's current Physician Orders revealed orders the following: 8/25/25- Escitalopram Oxalate Tablet 20mg give 1 tablet via PEG-Tube one time a day09/20/2025-Buspirone HCL Tablet 7.5 mg give 1 tablet via PEG-Tube three times a day09/20/2025-Clonazeepam Tablet 0.5mg give 1 tablet via PEG-Tube two times a day09/22/2025-Depakote Sprinkles Capsule Delayed Release Sprinkle 125mg give 1 capsule via PEG-Tube two times a dayReview of Resident #65's current medication administration record revealed Resident #65 had received the above medications as ordered for 09/01/2025- 09/23/2025. Further review revealed there was no documentation for monitoring psychotropic medication side effects for Resident #65. On 09/23/2025 at 9:12 a.m., an interview was conducted with S8LPN. She stated Resident #65 took psychotropic medications. She…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-09-24 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, and record review, the facility failed to ensure medications were properly stored in 1 (Med Cart 2) of 3 (Med Cart 2, Med Cart 3, and Med Cart 4) medication carts observed for medication storage.Review of the Humalog medication insert revealed in part, the following:Storage information:Opened: Total of 28 days.An observation was made on 09/22/2025 at 8:45 a.m. of Med Cart 2 with S3LPN. Observed 1 opened Humalog insulin pen for Resident #81, with a written opened date of 08/09/2025.An interview was conducted on 09/22/2025 at 8:46 a.m. with S3LPN. She confirmed the open date on Resident #81's Humalog insulin pen read 08/09/2025. She stated opened insulin pens should be discarded after 28 days. She confirmed Resident #81's Humalog insulin pen should have been discarded and was available for resident use.An interview was conducted on 09/22/2025 at 12:02 p.m. with S2DON. She stated nurses are responsible for ensuring all insulin pens in their medication carts are discarded 28 days after the open date. She stated Resident #81's Humalog insulin pen 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-09-24 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to ensure adequate monitoring for side effects with the use of psychotropic medication was completed for 1 (#65) of 5 (#3, #9, #14, #65 and #98) residents reviewed for unnecessary medications. Review of Resident #47's clinical record revealed resident was admitted to the facility on [DATE].Review of Resident #47's Plan of Care Task revealed the following:Start Date- 01/06/2025- Assist Resident with inserting hearing aids in the morning and removing at night to put on charger. Further review revealed Resident #47 was assisted with placement of hearing aids on 09/01/2025, 09/08/2025, 09/12/2025, 09/17/2025, 09/21/2025, 09/22/2025 and 09/23/2025. On 09/24//2025 at 12:32 p.m., an interview was conducted with S3LPN. She stated Resident #47 was hard of hearing and did not wear hearing aids. She verified on 09/08/2025, 09/12/2025, 09/17/2025 and 09/22/2025 she documented she assisted Resident #47 with her hearing aids, and she did not. She confirmed she should…

    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 · E2024-10-09 · tag F0640 — pattern
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to ensure Minimum Data Set (MDS) assessments were completed and transmitted timely for 2 (#27 and #101) of a total of 31 sampled residents reviewed for Resident Assessment. Findings: Resident #27 Review of Resident #27's Clinical Record revealed he was admitted to the facility on [DATE]. On 10/07/2024, review of Resident #27's Quarterly MDS with an ARD of 09/03/2024 revealed the MDS assessment was incomplete and had a status of: In progress. On 10/08/2024, review of Resident #27's Quarterly MDS with an ARD of 09/03/2024 revealed a completion date of 10/08/2024, signed by S6MDS. Resident #101 Review of Resident #101's Clinical Record revealed he was admitted to the facility on [DATE]. Further review revealed Resident #101 was discharged to the hospital on [DATE] and returned to the facility on [DATE]. On 10/07/2024, review of Resident #101's Discharge MDS with an ARD of 09/07/2024 revealed it was incomplete and had a status of: In progress. On 10/08/2024,…

    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 before2024-10-09 · tag F0641 — pattern
    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 reviews, the facility failed to ensure resident's MDS assessments accurately reflected the resident's status for 5 (#17, #22, #26, #99, and #114) out of 31 residents reviewed in the final sample. The facility failed to ensure: 1. Resident #17 and Resident #22 were accurately coded for PASRR (Pre-admission Screening and Resident Review); 2. Resident #26 was not coded for anticoagulant use; 3. Resident #99 was coded correctly for Diabetic foot ulcers; and 4. Resident #114 was coded correctly for discharge. Findings: 1. Resident #17 Review of Resident #17's Clinical Record revealed she was admitted to the facility on [DATE] with diagnoses which included Anxiety Disorder, Unspecified Psychosis, and Major Depressive Disorder, Single Episode Mild. Review of Resident #17's 142 Form titled Louisiana Department of Health and Hospitals Medicaid Program Notice of Medical Certification dated 10/25/2023, revealed an approval for admission by the state Level II Authority for a temporary period…

    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 · D2024-10-09 · 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 record reviews and interviews, the facility failed to ensure a resident identified with a qualified mental disorder was referred to the appropriate state-designated authority for Level II PASARR (Preadmission Screening and Resident Review) evaluation and determination for 1 (#48) of 5 (#17, #22, #30, #48 and #59) residents reviewed for PASARR. Findings: A review of Resident #48's medical record revealed she was admitted to the facility on [DATE]. Further review revealed Resident #48 received a new diagnosis of Psychotic Disorder with Delusions due to Known Physiological Condition on 06/07/2024. A review of Resident #48's Level 1 Pre-admission Screening and Resident Review dated 06/04/2024 revealed Resident #48's new diagnosis of Psychotic Disorder with Delusions due to Known Physiological Condition was not included. Further review revealed no documented evidence a review had been submitted for a Level II evaluation and determination. On 10/08/2024 at 2:15 p.m., an interview was conducted with S4DON. She…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-09 · 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 the resident's plan of care was revised when code status was changed from full code to Do Not Resuscitate (DNR) for 1 (#18) of 31 sampled residents reviewed for care plans. Findings: Review of Resident #18's clinical record revealed the resident was admitted to the facility on [DATE]. Review of Resident #18's care plan revealed the following, in part: Problem: Full code (09/22/2024). Intervention: Respect resident and family wishes. Review and update code status with resident and family as needed. Review of current physician orders for Resident #18 revealed the following, in part: Do Not Resuscitate (DNR). Order date-09/24/2024. An interview was conducted on 10/09/2024 at 8:15 a.m. with S5MDS. S5MDS stated the MDS (Minimum Data Set) nurses were responsible for revising resident care plans when there are changes in resident care. S5MDS stated the staff who completed the LaPOST (Louisiana Physician Orders for Scope of Treatment) document and had…

    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 before2024-10-09 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews, the facility failed to ensure drugs and biologicals used in the facility were labeled in accordance with accepted principles for 1 (Cart A) of 3 (Cart A, Cart B and Cart C) medication carts and 1(Medication Room A) of 1 medication room observed. The facility failed to ensure expired medications were not available for administration to residents. Findings: The following observations were made and verified by S8LPN on 10/08/2024 at 10:15 a.m. of Medication Room A: Two boxes of 5% Lidocaine Patches with an expiration date of July 2024. One box of 5% Lidocaine Patches with an expiration date of August 2024. The following observations were made and verified by S8LPN on 10/08/2024 at 11:00 p.m. of Medication Cart A: One box of 5% Lidocaine Patches with an expiration date of July 2024. On 10/08/2024 at 11:00 a.m. an interview was conducted with SS8LPN. SS8LPN stated she was responsible for checking the medication carts and the medication storage room monthly for expired medication. SS8LPN confirmed the above expired medications should have been…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
Show the remaining 16 citations
  • Potential for harm · D2024-10-09 · tag F0801 — isolated
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interviews and record review, the facility failed to employ staff with appropriate competencies and skill sets to carry out the functions of the food and nutrition service by failing to have a certified dietary manager on staff. Findings: On 10/07/2024 at 8:15 a.m., an interview was conducted with S12DM. S12DM stated she did not have a current food service management and safety certification. On 10/07/2024 at 3:30 p.m., an interview was conducted with S3ADM. S3ADM stated he or any other staff in the facility did not have a certificate or degree for food service or dietary management.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-09 · tag F0812 — failed to store, cook, and serve food safely — isolated
    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, interviews and record reviews, the facility failed to ensure food was stored, prepared, distributed and served in accordance with professional standards for food service safety. The facility failed to: 1. Maintain documentation of daily temperature and chemical sanitation checks for the dishwasher; and 2. Maintain documentation of freezer and refrigerator temperatures checks. This deficient practice had the potential to affect 109 residents who were served meals from the facility's kitchen. Findings: Review of the Daily Department Temperature & Chemical Monitoring Log revealed the following: 10/01/2024- No opening and midday temperature checks documented for the Walk-in Refrigerator, Other Refrigerator 1-3 or the Walk-in Freezer. No daily wash/rinse cycle temperatures and chemical sanitation checks documented for the dish machine. 10/03/2024- No daily wash/rinse cycle temperatures and chemical sanitation checks documented for the dish machine. 10/04/2024- No opening and midday temperature checks documented for the Walk-in Refrigerator, Other Refrigerator 1-3…

    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 · Dcited before2024-10-09 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to ensure a resident's Medication Administration Record (MAR) was accurately documented for 1 (#69) of 1 (#69) sampled residents reviewed for compression stockings. Findings: Review of Resident #69's Clinical Record revealed Resident #69 was admitted to the facility on [DATE] with a diagnosis of Hypertension and Edema. Review of Resident #69's current Physician Orders revealed the following, in part: Apply compression stockings in the morning and remove at bedtime. Start date: 07/01/2024. Review of Resident #69's MAR dated October 2024 revealed S7LPN documented Resident #69 was wearing compression stockings on 10/08/2024 and 10/09/2024. On 10/08/2024 at 9:54 a.m., an observation was made of Resident #69. No compression stockings were observed to her bilateral lower extremities. On 10/08/2024 at 11:05 a.m., an observation was made of Resident #69. No compression stockings were observed to her bilateral lower extremities. On 10/08/2024 at 1:25 p.m., 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-09 · tag F0867 — failed to act on quality-improvement findings — isolated
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    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 implement appropriate plans of action to correct identified quality deficiencies for 2 (#27 and #101) of a total of 31 sampled residents reviewed for Resident Assessment. Findings: Review of the facility's Correction Action Plan dated 07/01/2024 revealed the following, in part: 1. Problem identified: Multiple MDSs are not being completed timely. Projected Completion Date: 10/01/2024. 2. Plan of action: Immediate action: approval to hire another assessment nurse for office; reviewed open MDS with Case Manager, educated on competing MDSs timely; Opened MDSs that are overdue to be completed. Audit of: opened MDSs that are overdue to be completed. In-service Provided: completing documentation per policy. Other: discussed the impact on the MDS office since starting central admission with ID team. 3. Monitoring (who, what, when): DON/CM/designee will monitor for timely completion of MDS'. DON/CM will continue to obtain education on completing MDS' correctly…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-09 · tag F0880 — failed to prevent and control infections — isolated
    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, interviews, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary environment to help prevent the development and transmission of infection for 1 (#57) of 6 (#57, #62, #65, #102, #108, and #315) residents reviewed for infection control. The facility failed to ensure staff wore proper Personal Protective Equipment (PPE) while providing peri-care to a resident who was on Enhanced Barrier Precautions (EBP). Findings: Review of the facility's policy titled Enhanced Barrier Precautions revised on 03/2024, revealed the following, in part: For residents for whom EBP are indicated, EBP is employed when performing the following high-contact resident care activities: Changing briefs or assisting with toileting Review of Resident #57's Clinical Record revealed she was admitted to the facility on [DATE]. Review of Resident #57's current Physician Orders revealed the following, in part: Start date 09/14/2024: Enhanced Barrier…

    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 · D2024-10-09 · 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

    Based on observation and interview, the facility failed to provide a safe, functional, and sanitary environment for residents and staff. The facility failed to ensure the walk-in cooler was free from pooling water. The facility had 109 residents who received meals out of the kitchen. Findings: On 10/07/2024 08:15 a.m., an initial tour of the kitchen was conducted with S12DM. An observation was made of a large amount of cloudy water pooled in the corner of the walk in cooler with a large saturated towel, in attempt to soak up the water. At this time, an interview was conducted with S12DM. S12DM stated she was aware of the pooling water and she had notified maintenance last week. S12DM confirmed the pooled water was unsanitary, unsafe and should not be on the floor of the cooler. On 10/07/2024 at 03:35 p.m., an interview was conducted with S13MD. S13MD stated he was notified last week of the pooling water in the walk in cooler. He stated last week he attempted to reseal the weather strip but it was unsuccessful. On 10/08/2024 at 12:57 p.m., an interview was conducted with S2AADM.…

    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 · Fcited before2024-03-07 · tag F0812 — failed to store, cook, and serve food safely — widespread
    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, interviews, and record review, the facility failed to store, prepare, and distribute foods under sanitary conditions. The facility failed to ensure: 1. Food was properly labeled and dated; and 2. Food was not expired. There were a total of 103 facility residents who were provided meals and beverages from the facility's kitchen. Findings: Review of Facility's Policy titled Storage of Refrigerated Food revealed the following, in part: Procedure: 5. All non-hazardous opened foods are labeled with name of food, date stored. 11. Food shall be stored base on use-by expiration date and facility recommended food storage chart. 1. On 03/06/2024 at 9:15 a.m., a tour of the facility's kitchen was conducted with S6DM. The following observations were made in the facility's refrigerator: -2 turkey and cheese sandwiches not labeled or dated; and -3 ham and cheese sandwiches not labeled or dated. An interview was conducted on 03/06/2024 at 9:20 a.m. with S6DM. She verified the above observations and confirmed the facility failed to store food properly. She confirmed she would…

    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 · E2024-03-07 · tag F0609 — failed to report abuse allegations — pattern
    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 record review and interviews, the facility failed to ensure alleged violations of physical abuse were reported immediately, but not later than 2 hours after the allegation was made to the administrator and to other officials in accordance with State law for 2 (Resident #2 and #3) of 4 (Resident #1, #2, #3 and #4) residents reviewed for abuse. Findings: Review of the facility's policy titled, Abuse/Crime Reporting revealed the following, in part Policy dated 07/2011: The law stipulates that staff members who witness suspicious activity that could result in serious bodily injury shall report that suspicion immediately but not later than two (2) hours after forming the suspicion. The staff must report the suspicion of an incident to the facility Administrator within the appropriate time frames. Resident #2 Review of Resident #2's Clinical Record revealed she was admitted to the facility on [DATE]. Review of the Incident Report submitted to the state survey agency dated 02/14/2024 at 2:48 p.m., for 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-07 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews, the facility failed to ensure food was palatable to residents in taste and consistency for 4 (#R6, #R7, #R8, and #R9) of 8 (#1, #2,#3,#4,#R6, #R7, #R8, and #R9) residents reviewed for food. There were 103 residents that were served food from the kitchen. Findings: Review of Grievance Report dated 02/14/2024 revealed Resident #R7 complained the lunch was terrible and that he couldn't eat it. An observation of a regular diet test tray, on 03/06/2024 at 12:10 p.m., revealed the meal did not look or smell appetizing. The tray contained a thin light brown slab of meat with a small amount of clear sauce on top, a small bowl with brown lima beans in a clear liquid on a plate, and a bowl of clear cabbage in brown liquid. Two surveyors tasted the food and found the meat was tough to cut and dry with no taste and the cabbage and lima beans were bland with little no flavor. An interview was conducted on 03/06/2024 at 12:30 p.m. with Resident #R6. He stated he was not happy with his lunch because the meat didn't taste good. Observation was made 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 before2024-03-07 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations, and interviews, the facility failed to maintain an infection control program designed to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infection. The facility failed to ensure staff practiced proper hand hygiene and cleaning techniques during incontinence care for 2 (#2 and #3) of 8 ( #2, #3, #4, R1, R2, R3, R4, and R5) residents reviewed for incontinent care. Finding: Review of the facility's policy labeled, Hand Hygiene with a revision date of 01/2024 revealed the following: Procedure: Indications for Hand Washing 2. Hand hygiene should be performed between all contacts with residents or when entering and exiting a resident's room. 4. Before and after applying gloves. 5. When hands are visibly soiled. 9. Wearing gloves does not replace the need to perform hand hygiene. Resident #3 Review of Resident #3's Clinical Record revealed she was admitted to the facility on [DATE]. On 03/07/2024 at 11:14 a.m.,…

    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 · Dcited before2024-03-07 · 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 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 respiratory treatments were documented for 1 (#1) of 2 (#1 and #4) residents reviewed for respiratory treatments. Findings: Review of the facility's Policy titled, Drug Administration and Documentation revealed the following, in part: Chart each resident's medications on the MAR immediately after it is administered. PRN medications will be documented on the MAR and the reason for giving as well as the result/response for each dose given will be noted in the clinical record. Review of Resident #1's Clinical Record revealed she was originally admitted to the facility on [DATE] and had diagnoses which included Cough, Chronic Obstructive Pulmonary Disease, and Dependence on Supplemental Oxygen. Review of Resident #1's current Physician Orders revealed the following: Start date: 07/10/2023 -…

    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 before2024-03-07 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interview, the facility failed to maintain accurate records in accordance with accepted professional standards and practices for 1 (#4) of 4 (#1, #2, #3 and #4) sampled residents reviewed for hydration. Findings: Review of the Facility's Policy Titled, Physician Orders revealed the following: Verbal or telephone orders are considered to be in writing when dictated or given by the attending physician and later signed or initialed by him/her. Telephone orders are to be received/transcribed by a nurse. Facility nursing staff shall enter physician orders into the electronic medical record. Review of Resident #4's Clinical Record revealed resident was originally admitted to the facility on [DATE] with a diagnosis of Dysphasia Following Cerebral Infarction. Review of written physician verbal orders on 2/15/2024 for Resident #4 revealed an upgrade to regular/thin liquids. Signed by S3LPN. An interview was conducted on 03/07/2024 at 9:43 a.m. with S3LPN. She stated Resident #4 had an order…

    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 before2024-02-22 · 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 reviews and interview, the facility failed to maintain accurate records in accordance with accepted professional standards and practices for 3 (#1, #2 and #3) of 3 (#1, #2 and #3) sampled residents reviewed for ADL Care. Findings: Review of the Facility's Policy Titles, Activities for Daily Living revealed the following: Policy: An Activities of Daily Living flow sheet will be utilized by the facilities and documented on a daily basis by the CNA to reflect actual care rendered the resident. Procedure: 7. CNAs will document completion of resident assignment every shift . 9. CNAs will initial indicating completion of assignments for the specific date and shift at the end of the ADLs or enter electronically. Resident #1 Review of Resident #1's clinical record revealed resident was originally admitted to the facility on [DATE]. Review of Resident #1's Shower Logs revealed no documentation for a bath/shower given from 12/22/2023 through 12/31/2024, 01/01/2024 and 01/02/2024. On 02/20/2024 at 1:28…

    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 before2024-02-22 · 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 interviews and record reviews, 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 respiratory treatments were transcribed and administered as ordered for 1 (#3) of 2 (#1 and #3) residents reviewed for respiratory treatments. Findings: Review of the facility's Policy titled, Physician Orders revealed the following, in part: Policy: It is the policy of this facility that all physician's orders will be implemented timely and carried out in a professional manner. Review of Resident #3's Clinical Record revealed he was originally admitted to the facility on [DATE] and had diagnoses which included Cough, Chronic Obstructive Pulmonary Disease, Acute Pulmonary Edema, and Acute Respiratory Failure. Review of Resident #3's MDS with an ARD of 01/11/2024 revealed he had a BIMS of 14, which indicated Resident #3 was cognitively intact. Review of the facility's Hospital/Emergency Transfer…

    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 · D2024-02-22 · tag F0825 — isolated
    Provide or get specialized rehabilitative services as required for a resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to provide Physical Therapy services according to a resident's comprehensive plan of care for 1 (#1) of 3 ( #1, #2, and #3) sampled residents reviewed for rehabilitation services. Findings: Review of Resident #1's Medical Record revealed she was admitted to the facility on [DATE] with diagnoses, which included Muscle Wasting and Atrophy- Right and Left Lower Leg, Unsteadiness on Feet, Muscle Weakness, and Lack of Coordination. Review of Resident #1's Hospital Records dated 12/18/2023 to 12/21/2023 revealed the following: Physical Therapy Evaluation Rehab Prognosis: Resident would benefit from acute Physical Therapy Services to address these deficits and reach maximum level of function. Plan: During this Hospitalization, Resident to be seen 6x week to address the identified rehab impairments. Goals: PT, Ongoing. Discharge Recommendations: Moderate Intensity Therapy Review of Resident #1's December 2023 Physician Orders revealed the following: Start date:…

    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 · D2023-11-01 · 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 record review and interviews, the facility failed to develop a plan of care for 2 (#86 and #108) of 23 sampled residents reviewed for care plans. The facility failed to ensure residents' diagnosis of Pneumonia was reflected in the plan of care. Findings: Resident #86 Review of Resident #86's clinical record revealed she was re-admitted to the facility on [DATE]. Further review revealed Resident #86 was admitted to the hospital on [DATE] and returned to the facility on [DATE] with a new diagnosis of Pneumonia. Review of Resident #86's current care plan revealed no documentation related to interventions or a new diagnosis of Pneumonia. Resident #108 Review of Resident #108's clinical record revealed she was admitted to the facility on [DATE]. Further review revealed Resident #108 was admitted to the hospital on [DATE] and returned to the facility on [DATE] with a new diagnosis of Pneumonia. Review of Resident #108's care plan dated 07/07/2023 revealed no documentation related to interventions or a new…

    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.

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.

Who owns this facility

Owner / managerTypeRoleSince
Ownership Data Not Available

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

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.

$10.8M
Net patient revenuemost recent cost report
+1.0%
Operating marginrevenue minus expenses
$900K
Related-party expense8% of expenses
Who pays — share of resident-days
Medicaid 56%Medicare 6%Other / private 38%

This home reported $900K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

$287per resident / day
operating cost
$8,711per month
≈ monthly operating cost
$290per 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 195279. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-09-24, 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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