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Pelican Pointe Healthcare And Rehabilitation

405 Milton Road, Maurice, LA 70555 · Non profit - Other · 120 certified beds · (337) 893-4449 Medicare & Medicaid certified

Call the home — (337) 893-4449 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0609, F0610) — most recent Jan 2024
Insights

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

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • 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 citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (2/5)
  • nursing-staff turnover (62%) 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.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
207 Milton Rd · (337) 898-9449 · Call to confirm hours
Pharmacy
106 Milton Rd · (337) 898-1015 · Call to confirm hours
Grocery
9512 Maurice Ave · (337) 898-3355 · Call to confirm hours
Park
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 4 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 4 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 3 to 5 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 rating5★
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 increased8.5%17.8%15.4%better
Long-stay residents who lose too much weight5.0%5.2%5.4%typical
Long-stay residents with a catheter left in their bladder0.0%1.2%0.9%better
Long-stay residents with a urinary tract infection0.8%2.1%2.0%better
Long-stay residents with depressive symptoms0.0%2.3%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury4.9%3.5%3.3%worse
Long-stay residents whose ability to walk worsened13.3%17.9%16.1%better
Long-stay residents on antianxiety or hypnotic medication28.1%23.2%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%94.9%95.3%typical
Long-stay residents with pressure ulcers1.2%5.6%4.7%better
Long-stay residents with worsening bladder/bowel control10.5%15.8%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table18.3%22.7%17.1%typical
Short-stay residents who newly got an antipsychotic medication0.4%3.1%1.4%better than state — see note marked double-dagger below the table
Short-stay residents given the seasonal flu vaccine95.3%76.3%79.4%better
Short-stay residents rehospitalized after admission21.3%28.0%22.6%typical
Short-stay residents with an outpatient ER visit11.0%14.8%12.0%typical
Long-stay hospitalizations per 1,000 resident days1.972.561.67worse
Long-stay outpatient ER visits per 1,000 resident days1.222.741.80better

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

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

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

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

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

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

59.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 154 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

59.0%U.S. median 51.5%
Got home and stayed home
10.0%U.S. median 10.7%
Went back to hospital
63.6%U.S. median 56.6%
Met the expected recovery
0.22U.S. median 0.31
Therapy hours / resident / day
0.10hours / resident / day
Physical therapy
0.06hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 63.6% 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 99 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 0.22 therapist hours per resident per day in 2026Q1 — more than 27% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% 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 SNF59.0%CMS range 51.5–66.551.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.0%CMS range 6.9–12.910.7%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 discharge63.6%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 discharge55.6%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge71.7%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care 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 stay0.8%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 worsened1.7%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization8.5%CMS range 5.8–12.67.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.981.02Oct 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

0.26
RN hours/ resident / day
1.19
LPN hours/ resident / day
2.30
Aide hours/ resident / day
3.74
Total nurse hours/ resident / day
0.08
RN hoursweekends
61.7%
Total nursing turnover
42.9%
RN turnover

How full it usually is: this home is certified for 120 beds and averages 115.1 residents a day — about 96% occupied, or roughly 5 beds typically open. It runs essentially full — expect a waiting list. 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 3.74 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.26 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.30 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.18 hrs/resident/day on weekends vs 3.97 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.33 to 0.08 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 62% 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

2
deficiencies at the latest standard inspection (2025-10-01)
10
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.

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

  • Potential for harm · D2025-10-01 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, interviews, and review of the facility's policies and procedures, the facility failed to ensure staff implemented the facility's policy for advanced directives for 1 (#95) of 1 (#95) resident investigated for advance directives. Findings:On 09/29/2025, a review of the facility's policy titled Advance Directives Policy and Procedure with a last reviewed date of 02/14/2025, read in part, Policy: The facility will adhere to state and federal regulations regarding advance directives.1. Resident and/or responsible party will be notified upon admission of resident's right to accept or refuse medical or surgical treatment and, at the resident's option, formulate an advance directive. A. The facility will complete LaPOST with residents if applicable.3. The resident's advance directives will be recorded in the resident clinical record. 4. An order for the code status will be obtained on admission or with change of code status and updated in the resident electronic record.Review of Resident #95'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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-10-01 · tag F0726 — failed to have competent, trained nursing staff — isolated
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record reviews, the facility failed to ensure that nurses possessed competencies and skill sets necessary to provide nursing services to meet the residents' needs safely as evidenced by S2LPN (Licensed Practical Nurse) failing to administer medications according to the facility's policies and procedures and rights of medication administration. Findings:A review of the facility's policy titled, Medications - Administration Policy and Procedure with a last review date of 06/27/2025, reads in part, Purpose: To administer medications to residents as prescribed by physicians. Policy: To administer medications in a safe and effective manner. Procedure: . 3. Review Medication Administration Rights - Right resident, right drug, right dose, right route, and right time applied for each medications being administered. A triple check of these rights is recommended at three steps in the process of preparation of a medication for administration: b. Prior to removing the medication from…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-09 · tag F0585 — failed to handle grievances — isolated
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure that all grievances were thoroughly investigated to include the pertinent findings or conclusions regarding the resident's concerns for 1 (#41) out of 39 sampled residents. Findings: Review of the facility's Grievance Policy and Procedure dated 05/23/2024 read in part: Purpose: To ensure each resident has the right to voice grievances with respect to treatment or care, that is, or fails to be furnished without discrimination or reprisal for voicing the grievances. To ensure each resident grievance will be followed up by prompt efforts to resolve grievance that the resident may have, including those with respect to the behavior of other residents. Policy: All grievances will be investigated thoroughly and appropriate corrective action taken . Resident #41. Review of the resident's electronic clinical record revealed the resident was admitted to the facility on [DATE]. The resident's diagnoses included Cerebral Infarction, Hemiplegia and…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-09 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to accurately code the resident's Minimum Data Set (MDS) for anticoagulant use for 1 (Resident #9) out of 2 (Resident #9 and #38) residents reviewed for resident assessment discrepancy for anticoagulants. Findings: Review of Resident #9's electronic revealed she was admitted to the facility on [DATE]. Review of the resident's admission MDS dated [DATE] Section N - Medications revealed the box for taking Anticoagulants was selected. Review of Resident #9's August 2024 physician orders failed to reveal an order for an anticoagulant. On 10/09/2024 at 1:34 p.m., an interview was conducted with S12MDS. She confirmed that the resident had not received any anticoagulant medication and that she had made an error in coding the resident for anticoagulant use.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-09 · 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 observation, record review, and interview, the facility failed to develop a comprehensive person-centered care plan that included orders for an AFO (Ankle Foot Orthosis) brace for 1 (#41) out of 2 (#41, #64) residents investigated for positioning and mobility out of a total sample of 39 residents. Findings: Resident #41. Review of the resident's electronic clinical record revealed the resident was admitted to the facility on [DATE]. The resident's diagnoses included Cerebral Infarction and Hemiplegia and Hemiparesis of Right Dominant Side. Review of Resident #41's quarterly MDS (Minimum Data Set) dated 09/03/2024 revealed the resident was coded for impairment on one side. On 10/08/2024 at 8:20 a.m., Resident #41 was observed sitting up in a wheelchair in her room. During this observation, an AFO brace was observed in place to resident's right lower leg. S9CNA (Certified Nursing Assistant) stated she applied the brace to the resident's right lower leg. Review of Resident #41's physician's orders revealed…

    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 observations, interviews and record review the facility failed to revise the care plan to include an appropriate fall intervention after a resident fell for 1 (#89) of 3 (#9, #75 and #89) residents investigated for accidents. Findings: On 10/09/2024, a review of the facility's policy titled Care Plan Policy and Procedure, with a last review date of 03/19/2024, revealed in part: Purpose: To provide a comprehensive person-centered plan of care addressing resident's needs, strengths, goals, and approaches; Policy: Each resident's care plan will remain current and inform staff of resident's needs, strengths, goals and approaches; Procedure: The Resident's care plan will be updated quarterly and as needed. Review of Resident #89's medical record revealed he was admitted to the facility on [DATE]. Resident #89 had diagnoses that included in part . Other Specified Disorders of Muscle, Difficulty in Walking, Unspecified Lack of Coordination, Myopathy, and Cerebrovascular Disease. Review of Resident #89's Admit…

    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 F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure that a resident received services consistent with accepted professional standards and the resident's comprehensive person-centered care plan by the nursing staff failing to document that a resident's dialysis site was assessed and monitored daily for 1 (#107) out of 1 (#107) resident investigated for dialysis. Findings: On 10/09/2024, a review of the facility's policy titled, Dialysis Residents Care Policy and Procedure, with an unknown last reviewed date, revealed in part .Procedure .5. Assess and monitor dialysis site for bleeding or abnormalities as ordered by physician. Review of Resident #107's electronic health record revealed she was admitted to the facility on [DATE] with diagnoses which included, but were not limited to, Chronic Kidney Disease, End Stage Renal Disease and Dependence on Renal Dialysis. Review of Resident #107's care plan read in part .I receive dialysis 3x/wk (three times per week) r/t (related to) CKD4/ESRD (Chronic…

    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 before2024-10-09 · tag F0726 — failed to have competent, trained nursing staff — isolated
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility's nursing staff failed to demonstrate appropriate competency and skills as evidenced by failing to assess and report bruises for 1 (#41) out of 3 (#12, #41, #56) residents investigated for skin conditions out of a total sample of 39 residents. Findings: Resident #41. On 10/07/2024 at 11:24 a.m., the resident was observed sitting up in a wheelchair in her room. The resident's right forearm was observed to have a large purple colored bruise. The resident stated the bruise was caused by the CNAs (Certified Nursing Assistants) as a result of them pulling on her arm while in the shower. Review of Resident #41's electronic clinical record revealed the resident was admitted to the facility on [DATE]. The resident's diagnoses included Cerebral Infarction and Hemiplegia and Hemiparesis of Right Dominant Side. Review of Resident #41's quarterly MDS (Minimum Data Set) dated 09/03/2024 revealed the resident's BIMS (Brief Interview Mental Status) score was 15,…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-09 · tag F0810 — isolated
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    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 provide an assistive device at meal times for 1 (#13) of 5 residents who used assistive devices at mealtimes. Findings: On 10/9/2024, a review of the facility's policy titled Adaptive Eating Devices Policy and Procedure, with a last review date of 04/24/2024, read in part, Policy: Adaptive eating devices are available for those who need them. Procedure: 3. Adaptive devices are noted on each individual's meal identification (ID) card/ticket and medical record. 4. The food service department is responsible for ensuring that each individual receives the appropriate feeding devices for each meal. Review of Resident #13's clinical record revealed an admit date of 03/29/2022 with diagnoses which included: Aphasia, Cognitive Communication Deficit, Unspecified Protein-Calorie Malnutrition, Dysphagia, Hemiplegia and Hemiparesis Following Cerebral Infarction, and Parkinson's Disease. Review of Resident #13's Quarterly MDS with an ARD of 06/26/2024 revealed he had a BIMS (Brief Interview for Mental Status) score of 6,…

    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 · D2024-10-09 · 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 — the official record, unedited, may be distressing

    Based on observation and interview, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety by failing to ensure refrigerated food items that were opened were cleaned and labeled with the date they were opened before storing. This deficient practice had the potential to affect the 115 residents who consumed food prepared in the kitchen. Findings: On 10/07/2024 at 8:28 a.m., an observation of the walk in cooler in the kitchen and an interview was conducted with S3DM (Dietary Manager). The following items were opened, used, and were not labeled with a date: A container of sweet and sour sauce with sticky residue drippings on the outside, a container of Italian dressing, a container of sour cream, two plastic bottles of nectar thick liquid, and a container of ham base. S3DM confirmed the above findings and stated all opened food items should have been cleaned and labeled with an open date, but had not been.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
Show the remaining 11 citations
  • Potential for harm · D2024-10-09 · 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 observations, record review and interviews, the facility failed to ensure that staff and resident wore the appropriate PPE (personal protective equipment) for a resident on contact transmission based precautions (TBP) for 1 (#9) of 1 (#9) resident in the facility on TBP. This deficient practice had the potential to affect 115 residents who resided in the facility. Findings: On 10/08/2024, a review of the facility's policy titled Isolation Policy and Procedure, with a revision date of 04/08/2024, revealed in part . contact Isolation. a. these infections are transmitted via contact or indirect contact with the resident or the resident's environment example: MDRO (Multi Drug Resistant Organism) with the presence of acute diarrhea, draining wounds, or other sites of secretion's or excretions that are unable to be covered or contained. b. gown and gloves are to be utilized for all interactions that may involve contact with the resident or potentially contaminated areas in resident's environment. 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-09 · tag F0909 — failed to maintain a comfortable temperature — isolated
    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
    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 reviews and interviews, the facility failed to conduct regular inspections of beds for proper mattress fit for the bed's frame for 1 (Resident #9) out of 3 (Resident #9, #75 and #89) residents investigated for accidents. Findings: Review of the EHR (Electronic Health Record) for Resident #9 revealed she was admitted to the facility on [DATE] with diagnoses that included Insomnia, Atrial fibrillation, History of falling, Displaced intertrochanteric fracture of right femur (healing), Muscle weakness and Fatigue. Further review revealed that the resident was receiving physical therapy to improve her functional status. Review of the resident's admission MDS (Minimum Data Set) dated 08/28/2024 revealed she had a BIMS (Brief Interview for Mental Status) of 9, indicating moderate cognitive impairment. The resident's function abilities included no impairment to upper extremities and impairment to one side of lower extremities. She utilized a wheelchair for mobility. Resident #9 required…

    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 · F2024-06-18 · tag F0849 — widespread
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    What the surveyor found here — 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 coordinate hospice care services for 4 (#1, #2, #3, and #R1) out of 4 (#1, #2, #3, and #R1) residents reviewed for hospice care. The facility failed to: 1. allow Residents #1, #2, #R1 and or their RP (Responsible Party) the choice of hospice provider. 2. obtain the initial certification and or most recent recertification of terminal illness and most recent hospice POC (plan of care) for Residents #1, #2, #3, and #R1, and 3. immediately notify the hospice agency when there was an incident of alleged abuse towards Resident #R1. Findings: On [DATE], a review of the facility's policy titled Hospice Care Policy and Procedure with a revision date of [DATE], read in part, Purpose to assure all disciplines are working together to provide quality care to the resident. Procedure 3. Hospice will maintain all documentation in the clinical record . On [DATE], a review of the facility's agreement with the contracted hospice agency dated [DATE], read in part, . 3.6…

    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 · D2024-01-23 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, review of the facility's policy and procedure, and interviews the facility's staff failed to immediately report an incident of alleged abuse to the Administrator/ DON (Director of Nursing) for 2 (#1 and #2) of 4 (#1, #2, #3, and #4) residents reviewed for abuse. Findings: Review of the facility's policy, Abuse and Neglect Policy and Procedure revealed, in part, the following: 2. Training . Staff should immediately report their knowledge related to abuse allegation to the Administrator or DON . Resident #1: Review of Resident #1's record revealed he was admitted to the facility on [DATE] with diagnoses which included, but were not limited to, Chronic Obstructive Pulmonary Disease, Anxiety Disorder, Anemia, and, Heart Failure. Review of Resident #1's Quarterly Minimum Data Set (MDS) dated [DATE], revealed the resident had a Brief Interview for Mental Status (BIMS) of 11indicating her cognition was moderately impaired. Resident #2: Review of Resident #2's record revealed he was admitted to…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-23 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, review of the facility's policy, and interviews the facility's staff failed to ensure an allegation of abuse was thoroughly investigated for 2 (#1 and #2) out of 4 (#1, #2, #3, and #4) residents reviewed for abuse. Findings: Review of the facility's policy titled, Abuse and Neglect Policy and Procedure read in part, 5. Investigation: Administrator or designee will complete a thorough investigation. Interview employees who were working in resident's room during the time in question. Review of the investigation submitted for Statewide Incident Management System (SIMS) Incident ID: 160518 revealed, in part, Resident #1 was a victim involved in an allegation of physical abuse occurred on 01/07/2024. Further review revealed, S3CNA (Certified Nursing Assistant) was working with the Resident at the time of the alleged abuse and she was never interviewed by S1DON (Director of Nursing) as part of the investigation. On 01/22/2024 at 10:21 a.m., a phone interview was conducted with S3CNA. S3CNA stated she observed Resident #2 push the bedside table towards Resident #1…

    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 · D2023-11-07 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each 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 observations, interview, and record review, the facility failed to provide reasonable accommodations of the resident's needs by failing to ensure the call light in the resident's room was in reach for 1 (#1) resident out of 3 sampled residents. Findings: Review of the facility's policy titled Following the Plan of Care read in part . Staff must follow the plan of care. This includes orders, treatments, and activities. Resident #1 was admitted to the facility on [DATE] with diagnoses in part: Hemiplegia and Hemiparesis following Cerebral Infarction affecting Right Dominant Side, Type 2 Diabetes, and Repeated Falls. Review of Resident #1's plan of care read in part: I have had an acute ischemic CVA with resulting hemiparesis with an intervention to place call light within reach. Further review of Resident #1's plan of care revealed in part: I am at risk for falls r/t (related to) impaired mobility and cognition, generalized weakness, right hemiparesis, hx (history) of repeated falls. Requires recurrent…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-07 · tag F0726 — failed to have competent, trained nursing staff — isolated
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure that nursing staff possess competencies and skill sets necessary to provide nursing services to meet the residents' needs safely by failing to ensure neurological checks were initiated and/or completed after unwitnessed falls for 2 (#1, #2) residents out of 3 sampled residents. Findings: Review of the facility's policy titled Incident and Accident Policy and Procedure read in part .8. Unwitnessed fall: .d. Obtain and document neurological observation Record vital signs and neurologic observations every 15 minute times four, then every thirty minutes times four, the every hour times five, then every shift for the remainder of the 72- hour Neurological Observation. Resident #1 was admitted to the facility on [DATE] with diagnoses in part: Hemiplegia and Hemiparesis Following Cerebral Infarction Affecting Right Dominant Side, Repeated Falls, and Unspecified convulsions. Review of Resident #1's plan of care revealed the following in part: I am at…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-07 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    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 pharmaceutical services to meet the needs of each resident as evidence by failing to ensure there were specific indicators and parameters for Acetaminophen (Tylenol) for 1 (#3) resident out of 3 (#1, #2, #3) sampled residents. Findings: Review of facility's policy titled Medication Administration-General Guidelines read in part .4. Documentation .e. When PRN medications are administered, the following documentation is provided: .ii. Complaints or symptoms for which the medication was given. Resident #3 was admitted to the facility on [DATE] with diagnoses in part .History of falling, Polyarthritis, Pain, Mild cognitive impairment, Other speech and language deficits following other cerebrovascular disease, Unspecified lack of coordination, Other malaise, Muscle wasting and atrophy, Pain in left knee, Muscle weakness (generalized). Review of Resident #3's October 2023 physician orders revealed an order dated 07/18/2022 for Acetaminophen (Tylenol)…

    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 · D2023-10-04 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observations and interviews, the facility failed to maintain privacy and confidentiality of residents' medical records. The facility had a total census of 64 residents. Findings: Review of facility document titled Medication Administration-General Guidelines read in part .2. Administration p. in addition, privacy is maintained at all times for all resident information by closing Medication Administration book/covering the Medication Administration Record (MAR) sheet or computer screen when not in use. On 10/03/2023 at 1:20 p.m., an observation was conducted on Hall A revealed that the nurses' station a desktop computer was unattended. Further observation revealed that Resident #18's private medical information was visible on the desk top screen. On 10/03/2023 at 1:27 p.m., an interview was conducted with S6LPN (Licensed Practical Nurse). He confirmed that he should have initiated the privacy screen before he left off of Hall A to protect Resident #18's medical information.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-10-04 · 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 records reviewed, interviews, and observations, the facility failed to ensure the resident's care plan and physician's orders were followed for 1 (#59) of 40 sampled residents. This was evidenced when: 1. facility staff failed to apply left wrist splint while out of bed. 2. facility staff failed to apply right hand splint per physician order. Findings: Review of Resident #59's electronic clinical record revealed an admit date of 02/15/2022 with diagnoses that included Hemiplegia following cerebral infarction affecting right dominant side, and Muscle weakness. The resident resided on Hall A. Review of Resident #59's physician orders dated October 2023 revealed the following orders: Splint to left wrist when out of bed Apply right hand splint daily at noon for two hours. Review of the resident's care plan dated 05/03/2022 read in part, right hand splint to be worn as ordered . apply my splint to left wrist when out of bed as ordered. Review of Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview…

    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 · D2023-10-04 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide a homelike environment for 1 (#52) out of 2 residents (#46 and #52) investigated for environment by failing to ensure that the resident's wheelchair and wheelchair pad were cleaned. This deficient practice had the potential to affect all residents in the facility who used a wheelchair. Findings: A review of the facility's policy titled Homelike Environment Policy and Procedure, read in part: It is our policy to provide a . homelike environment for our residents . Resident #52 was admitted to the facility on [DATE] with diagnoses including Alzheimer's Disease and Anxiety Disorder. The resident had a BIMS (Basic Interview of mental Status) of 99, indicating the resident's cognition was severely impaired. On 10/02/2023 at 10:50 a.m., an observation was conducted of Resident #52 in her room. The resident was sitting on a pad in her wheelchair with the right side of the pad and wheelchair exposed. Old food was noted sticking to the pad…

    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

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to ELDER OUTREACH NURSING & REHABILITATION — 5 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 4 of 53.2+0.8 vs chain
Health inspection 4 of 53.6+0.4 vs chain
Staffing 2 of 51.8+0.2 vs chain
Quality measures 4 of 52.4+1.6 vs chain
The other 4 homes this chain runs (chain average 3.2★, per CMS)

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

Who owns this facility

Owner / managerTypeRoleSince
COLE, TODDIndividualW-2 MANAGING EMPLOYEE; CORPORATE DIRECTORsince 09/16/2015
GATTE, CORYIndividualCORPORATE DIRECTORsince 11/29/2017
PRESAS, KATIIndividualCORPORATE DIRECTORsince 12/15/2021
SITTIG, JUDEIndividualCORPORATE DIRECTORsince 02/17/2010
WALSH, DOUGLASIndividualCORPORATE DIRECTORsince 01/01/2010

CMS files one row per role, so the 6 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

$12.4M
Net patient revenuemost recent cost report
+14.4%
Operating marginrevenue minus expenses
$480K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 66%Medicare 10%Other / private 24%

This home reported $480K 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

$255per resident / day
operating cost
$7,744per month
≈ monthly operating cost
$298per 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 195342. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-10-01, 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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