Colonial Oaks Living Center
4312 Ithaca Street, Metairie, LA 70006 · For profit - Limited Liability company · 110 certified beds · (504) 887-6414 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- 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
- a high number of inspection citations overall (25) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its payroll-based staffing rating is low (1/5)
- its facility-reported quality-measure rating is low (2/5)
- about 20% of its spending goes to commonly-owned related companies
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 1 of 5 |
| Quality measuresSelf-reported by the facility | 2 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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 | 2 of 5 |
| Long-stay residentspeople who live here | 2 of 5 |
| Short-stay residentsrehab / post-hospital | 2 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 held steady at 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 16.0% | 17.8% | 15.4% | typical |
| Long-stay residents who lose too much weight | 8.7% | 5.2% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 1.0% | 1.2% | 0.9% | typical |
| Long-stay residents with a urinary tract infection | 0.7% | 2.1% | 2.0% | better |
| Long-stay residents with depressive symptoms | 12.2% | 2.3% | 6.5% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 2.2% | 3.5% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 30.3% | 17.9% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 14.6% | 23.2% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 98.7% | 94.9% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 8.5% | 5.6% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 20.7% | 15.8% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 27.3% | 22.7% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 2.1% | 3.1% | 1.4% | better than state‡ — see note marked double-dagger below the table |
| Short-stay residents given the seasonal flu vaccine | 93.0% | 76.3% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 22.1% | 28.0% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 15.7% | 14.8% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 1.72 | 2.56 | 1.67 | typical |
| Long-stay outpatient ER visits per 1,000 resident days | 1.53 | 2.74 | 1.80 | better |
‡ 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.
46.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 127 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 53.9% 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 52 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 46.1%CMS range 37.5–56.0 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 12.9%CMS range 9.7–16.5 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | 53.9% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 50.0% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 51.9% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 45.2% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS 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 discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 1.2% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 10.6%CMS range 6.7–16.5 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.02 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 110 beds and averages 90.1 residents a day — about 82% occupied, or roughly 20 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 3.11 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.18 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.59 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 2.57 hrs/resident/day on weekends vs 3.33 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.19 to 0.15 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 40% is about the same as the national median of 45%. 1 administrator has left in the past year.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are 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.
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.
25 citations, most serious first. The 10 most serious are shown; the remaining 15 are one tap away and print in full.
- Potential for harm · E2026-05-05 · tag F0804 — failed to serve food at safe, palatable temperature — patternEnsure 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 from the facility's kitchen was palatable in flavor as required. Findings:Resident #1 Review of Resident #1's Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 02/18/2026 revealed, in part, Resident #1 had a Brief Interview for Mental Status (BIMS) score of 14, which indicated Resident #1 was cognitively intact. In an interview on 05/03/2026 at 10:05AM, Resident #1 indicated the facility's food was terrible. Resident #1 further indicated the facility's food was cooked badly and not seasoned. In an interview on 05/05/2026 at 1:27PM, Resident #1 indicated the Brussel sprouts served for dinner on 05/04/2026 were mushy and not good. Resident #30 Review of Resident #30's Quarterly MDS with an ARD of 03/25/2026 revealed, in part, Resident #30 had a BIMS score of 13, which indicated Resident #30 was cognitively intact. In an interview on 05/03/2026 at 9:30AM, Resident #30 indicated the facility's food tasted horrible. In an interview on 05/04/2026 at 8:26AM, Resident #30 indicated she did not…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-05-05 · tag F0697 — failed to manage pain — isolatedProvide safe, appropriate pain management for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interviews and record reviews, the facility failed to ensure an ordered pain medication was available for 1 (Resident #7) of 1 sampled resident reviewed for medication availability. Findings:Review of Resident #7's May 2026 physician's orders revealed, in part, an order to administer Resident #7 oxycodone hydrochloride (HCI) (a type of medication used to treat pain) 5 milligrams (mg) by mouth (po) every 4 hours as needed for pain. In an interview on 05/04/2026 at 2:00PM, Resident #7 indicated she requested pain medication for pain this morning. Further, Resident #7 indicated the nurse (S3Licensed Practical Nurse) informed her the facility did not have oxycodone 5 mg po as per the doctor's order. Review of Resident #7's May 2026 electronic medication administration record (EMAR) revealed, in part, Resident #7 had not been administered oxycodone HCI 5 mg by mouth on 05/04/2026.Observation on 05/04/2026 at 2:01PM revealed there was no oxycodone HCI 5mg tablets available on the medication cart for Resident #7.In an interview on 05/04/2026 at 2:02PM, S3Licensed…
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.
- Potential for harm · D2026-05-05 · tag F0803 — failed to meet residents' dietary needs — isolatedEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
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 the advance prepared menus, approved by the facility's dietician, were followed for 3 (05/03/2026, 05/04/2026, 05/05/2026) of 3 days of observation of the facility's served meals. Findings:Review of the facility's dietician approved Week 1 2026 Spring/Summer Menu revealed, in part, on 05/03/2026, the facility was to serve broccoli rice casserole for lunch. Further review revealed on 05/04/2026, the facility was to serve turkey tetrazzini for dinner. Further revealed, on 05/05/2026, the facility was to serve fried chicken and a chocolate cherry bar for lunch. In an interview on 05/03/2026 at 9:44AM, Resident #28 indicated the facility always served the same food. In an interview 05/03/2026 9:56AM, Resident #70 indicated the facility's food was repetitive and the facility always served them rice. Observation of lunch on 05/03/2026 at 12:27PM revealed the facility's residents were served, in part, white rice instead of the broccoli rice casserole that was listed on the above mentioned dietician…
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.
- Potential for harm · Ecited before2026-02-25 · tag F0842 — failed to keep accurate, complete medical records — patternSafeguard 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
Based on interviews and record reviews, the facility nursing staff failed to document assistance provided with bathing, oral care, and eating for 1 (Resident #1) of 3 residents reviewed for activities of daily living care provided. Findings:Review of Resident #1's Quarterly Minimum Data Set with an Assessment Reference Date of 12/09/2025 revealed, in part, Resident #1 had a diagnosis of Parkinson's disease (a progressive neurological disorder that affects movement) and required substantial/maximum assistance from staff with bathing, oral hygiene, and eating. Review of Resident #1's care plan revealed, in part, Resident #1 required assistance with Activities of Daily Living and staff were to assist Resident #1 with bathing, hygiene, and eating. Further review revealed Resident #1 had essential tremors (involuntary shaking in the hands) and staff were to monitor and document Resident #1's ability to perform Activities of Daily Living. Review of Resident #1's December 2025 Documentation Survey Report v2 revealed, in part, there was no documented evidence staff provided bathing…
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.
- Potential for harm · Ecited before2025-04-08 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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 the kitchen's dishwasher and 3 compartment sink parameters were maintained to correctly sanitize dinnerware. Findings: Observation on 04/08/2025 at 8:10AM revealed after multiple attempts the dishwasher temperature gauge read 90 degrees Fahrenheit (°F). In an interview on 04/08/2025 at 8:11AM, S10Culinary Aide (CA) indicated the dishwasher's water wash temperature was 90°F. S10CA further indicated they were using a sanitizer for the dinnerware. In an interview on 04/08/2025 at 8:12AM, S9Dietary Manager (DM) indicated the dish machine's water temperature was not getting to 150°F as it should. S9DM further indicated the facility needed to install a hot water heater to raise the dishwasher water temperatures, and S9DM was not sure how many parts per million (PPM) the sanitizer needed to be in order to sanitize the dinnerware. S9DM further indicated according to the Dishwasher Temperature Log, the wash temperature should be 150°F and the rinse temperature should be 180°F. Review of the facility's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-08 · tag F0578 — failed to honor advance directives / code status — isolatedHonor 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 interviews and record reviews, the facility failed to ensure a resident's physical chart did not contain conflicting advance directive documents for 1 (Resident #11) of 3 (Resident #11, Resident #71, Resident #134) sampled residents investigated for advanced directives. Findings: Review of the facility's Advance Directive policy and procedure dated [DATE] revealed, in part, previously revised advanced directives should be removed from a resident's chart and placed in the resident's file in medical records. Further review revealed only the active advanced directive should remain on the chart. Review of Resident #11's physical chart revealed, in part, a Louisiana Physician Orders for Scope of Treatment (LaPOST) form dated [DATE], which indicated Resident #11 was a full code status (a healthcare provider should perform cardiopulmonary resuscitation [CPR] [an emergency procedure that combines chest compressions and rescue breathing to keep blood circulating] if a resident's heart stopped beating or a…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-08 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations and interviews, the facility failed to ensure the shower room floors were maintained in a clean manner for 2 (Shower room e, Shower room f) of 3 (Shower room d, Shower room e, Shower room f) shower rooms observed for cleanliness. Findings: In an interview on 04/06/2025 at 9:54AM, Resident #44 indicated the shower room was dirty. Observation of Shower room f on 04/06/2025 at 10:06AM revealed the floors had a buildup of an unknown black substance between the floor tiles throughout the floor of Shower room f. Observation of Shower room e on 04/06/2025 at 10:08AM revealed the floors had a buildup of an unknown black substance between the floor tiles throughout the floor of Shower room e. In an interview on 04/06/2025 at 10:12AM, S13Certified Nursing Assistant indicated the floors in Shower rooms e and f were dirty and needed to be cleaned. In an interview on 04/07/2025 at 10:27AM, S14Housekeeping Supervisor confirmed Shower room e and Shower room f had a buildup of an unknown black substance between the floor tiles throughout the floors and needed to be cleaned. In…
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.
- Potential for harm · Dcited before2025-04-08 · tag F0725 — failed to have enough nursing staff — isolatedProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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 staff answered call bells to assist residents in a timely manner for 3 (Resident #7, Resident #48, Resident #333) of 24 (Resident #1, Resident #3, Resident #4, Resident #6, Resident #7, Resident #8, Resident #9, Resident #14, Resident #20, Resident #21, Resident #33, Resident #35, Resident #37, Resident #41, Resident #43, Resident #46, Resident #47, Resident #48, Resident #51, Resident #52, Resident #56, Resident #65, Resident #76, Resident #333) initial pool residents reviewed for call bell use. Findings: Resident #333 Review of Resident #333's discharge Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 03/28/2025 revealed, in part, Resident #333's cognition was moderately impaired and Resident #333 was incontinent of bowel and bladder. In an interview on 04/06/2025 at 9:40AM, Resident #333 indicated on 04/05/2025 she had to wait approximately 6 hours, from 6:00AM to 12:00 PM, to receive incontinence care from staff. Resident #333 further indicated the wait time for staff assistance…
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.
- Potential for harm · D2025-04-08 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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 — the official record, unedited, may be distressing
Based on observation, interviews, and record review, the facility failed to ensure that a medication cart was secured while unattended for 1 (Medication Cart a) of 4 (Mediation Cart a, Medication Cart b, Medication Cart c, Medication Cart d) medication carts observed. Findings: Review of the facility's Medication Administration policy and procedure dated 10/04/2024 revealed, in part, medications must be secured at all times and not left unattended. Further review revealed, medication cart drawers should be locked when not in use. Observation on 04/06/2025 at 9:22AM revealed, Medication Cart a was left unlocked and unattended by S8Licensed Practical Nurse (LPN). In an interview on 04/06/2025 at 9:35AM, S8LPN indicated a medication cart should always be locked if unattended. In an interview on 04/08/2025 at 2:45PM, S2Director of Nursing (DON) confirmed all medication carts should have been locked while unattended. In an interview on 04/08/2025 at 2:50PM, S1Administrator confirmed medication carts should have been locked if left unattended.
- Potential for harm · Dcited before2025-04-08 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, and record reviews the facility failed to ensure oxygen personal care items were contained in plastic bags when not in use for 2 ( Resident #133, Resident #135) of 6 (Resident #40, Resident #50, Resident #133, Resident #134, Resident #155, Resident #185) sampled residents investigated for oxygen use. Findings: Resident #133 Review of the facility's BIPAP (Bilevel Positive Airway Pressure) and CPAP (Continuous Positive Airway Pressure) Machine Cleaning Policy and Procedure dated 11/04/2014 revealed, in part, store mouthpiece, and mask in plastic bag when not in use. Review of Resident #133's Physician's Orders dated April 2025 revealed, in part, Resident #133 was on Continuous Positive Airway Pressure (CPAP) nightly at bedtime. Observation on 04/06/2025 at 10:32AM revealed Resident #133's CPAP mask and tubing was on the nightstand and was not contained in a plastic bag. Observation on 04/06/2025 at 3:42PM revealed Resident #133's CPAP mask and tubing was on the nightstand and not contained in a plastic bag. In an interview on 04/06/2025 at 3:46PM,…
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.
Show the remaining 15 citations
- Potential for harm · Ecited before2025-02-05 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure 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, interviews, and record reviews, the facility failed to ensure a resident's individualized fall prevention interventions were implemented to prevent future falls for 1 (Resident #3) of 3 (Resident #1, Resident #2, Resident #3) sampled residents reviewed for accidents. Findings: Review of the facility's Fall Protocol policy and procedure dated 10/14/2014 revealed, in part, the purpose of the fall protocol was to initiate preventative fall approaches and provide appropriate interventions to prevent falls. Review of Resident #3's medical record revealed, in part, Resident #3 was admitted to the facility on [DATE] with diagnose, which included, cognitive communication deficit, abnormalities of gait and mobility, and generalized muscle weakness. Review of Resident #3's Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 01/03/2025 revealed, in part, Resident #3 had a Brief Interview for Mental Status (BIMS) score of 10, which indicated Resident #3 had moderate cognitive impairment.…
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.
- Potential for harm · D2025-02-05 · tag F0658 — failed to meet professional standards of care — isolatedEnsure 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
Based on interviews and record reviews, the facility failed to deliver care per professional standards by failing to ensure a physician's orders for daily weights was followed for 1 (Resident #3) of 3 (Resident #1, Resident #2, Resident #3) sampled residents investigated for nursing services. Findings: Review of the May 2023 Louisiana Administrative Code, Title 46, Part XLVII revealed, in part: the registered nurse retained the accountability for the total nursing care of the individual, and was responsible for and accountable to each consumer of nursing care for the quality of nursing care he or she received, regardless of whether the care was provided solely by the registered nurse or by the registered nurse in conjunction with other licensed or unlicensed assistive personnel. Further review revealed, in part, the plan for nursing care was implemented according to the following criteria: nursing actions were consistent with the plan for nursing care and nursing actions were documented by written records. Review of Resident #3's February 2025 physician's orders revealed, in part,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-02-05 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to follow a physician's order to ensure a pressure relieving cushion was in place on a resident's wheelchair for 1 (Resident #3) of 3 (Resident #1, Resident #2, Resident #3) sampled residents reviewed for quality of care. Findings: Review of Resident #3's February 2025 physician's orders revealed, in part, an order dated 07/01/2024 for a pressure relieving cushion to be used on Resident #3's wheelchair. Review of Resident #3's care plan with a start date of 07/21/2024 and a review date of 04/17/2025 revealed, in part, Resident #3 was at high risk for skin breakdown. Further review revealed an intervention for the facility to place a pressure reducing device/product on Resident #3's wheelchair. Review of Resident #3's Braden Scale assessment dated [DATE] revealed, in part, Resident #3 had a total score of 18.0, which indicated Resident #3 was at a risk of skin breakdown and/or developing a pressure ulcer. Observation on 02/03/2025 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.
- Potential for harm · Dcited before2025-02-05 · tag F0725 — failed to have enough nursing staff — isolatedProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews and record reviews, the facility failed to ensure the required number of Certified Nursing Assistants (CNAs) were present and working in the facility for 2 (01/13/2025 and 01/14/2025) of 3 (01/12/2025, 01/13/2025, and 01/14/2025) days reviewed for sufficient staffing. Findings: Review of the Facility's Assessment, last updated on 01/01/2025 revealed, in part, the number or range of CNAs needed to provide competent support and care to the facility's residents, every day and during emergencies, was 6 to 9 CNAs during the day shift 6:00AM to 2:00PM) on weekdays. Review of the facility's CNA schedule for 01/13/2025 revealed, in part, eight CNAs were scheduled to work the 6:00AM to 2:00PM shift. Review of the facility's CNA's time sheets dated 01/12/2025 to 01/13/2025, revealed in part, on 01/13/2025, between 6:00AM to 6:02AM, S16CNA and S17CNA were clocked in for a total of two CNAs working in the facility. Further review revealed on 01/13/2025 between 6:02AM to 6:06AM, S16CNA, S17CNA, and S18CNA were clocked in for a total of three CNAs working in the facility.…
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.
- Potential for harm · D2025-02-05 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide 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
Based on interviews and record reviews, the facility failed to maintain a system to reconcile controlled drugs for 3 (Medication Cart a, Medication Cart b, Medication Cart d) of 4 (Medication Cart a, Medication Cart b, Medication Cart c, Medication Cart d) medication carts reviewed for the reconciliation documentation of controlled substances. Findings: Medication Cart a Review of S15Licensed Practical Nurse (LPN)'s 01/14/2025 time sheet revealed, in part, S15LPN clocked out from her shift (11:00PM to 7:00AM) at 7:03AM on 01/14/2025. Review of S10LPN's 01/14/2025 time sheet revealed, in part, S10LPN clocked in for her shift (7:00AM to 3:00PM) at 7:33AM on 01/14/2025. Review of the facility's January 2025 Medication Cart a's Controlled Drugs-Count Record revealed, in part, on 01/14/2025 S15LPN documented with her initials that she was the nurse scheduled for the 11:00PM to 7:00AM shift and had reconciled the controlled substances on Medication Cart a with S10LPN. Further review revealed on 01/14/2025 S10LPN documented with her initials that she was the nurse scheduled for the 7:00AM…
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.
- Potential for harm · Dcited before2025-02-05 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard 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
Based on observation, interviews, and record review, the facility failed to ensure a Resident's electronic Medication Administration Record (eMAR) was accurately documented for 1 (Resident #3) of 3 (Resident #1, Resident #2, Resident #3) sampled residents reviewed for accurate medical record documentation. Findings: Review of the facility's Licensed Practical Nurse (LPN) job description dated 10/2024 revealed, in part, it was the responsibility of the LPN to have knowledge of federal and state laws and regulations related to resident care and to carry out the assigned duties and responsibilities in accordance with current existing federal and state regulations. Review of Resident #3's February 2025 physician's orders revealed, in part, an order dated 07/01/2024 for a pressure relieving cushion to be used on Resident #3's wheelchair. Review of Resident #3's February 2025 electronic Medication Administrator Record (eMAR) revealed, in part, S9Licensed Practical Nurse documented Resident #3 had a pressure relieving cushion on his wheelchair on 02/05/2025. Observation on 02/05/2025 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.
- Potential for harm · D2024-06-05 · tag F0660 — isolatedPlan the resident's discharge to meet the resident's goals and needs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility failed to ensure the discharge process was followed by failing to: 1. Ensure a resident's discharge location was accurate (Resident #1); 2. Ensure a resident and/or resident's responsible party (RP) was provided information in order to select a home health agency (Resident #1); and, 3. Ensure the resident and/or RP received the discharge summary and instructions prior to discharge (Resident #1). This deficient practice was identified for 1 (Resident #1) of 3 (Resident #1, Resident #2, Resident #3) sampled residents investigated for discharge planning. Findings: Review of Discharge-Transfer of a Resident Policy and Procedure effective 08/21/2017 revealed, in part, the purpose of the policy and procedure was to ensure a safe departure from the facility and provide sufficient information for after care of the resident. Further review revealed when a resident was discharged , the facility must complete the Discharge Summary/Instructions assessment and review the assessment with the resident and/or RP…
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.
- Potential for harm · E2024-04-11 · tag F0684 — failed to provide proper treatment and quality of care — patternProvide appropriate treatment and care according to orders, resident’s preferences and goals.
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 ensure an enteral feeding bag (which contains an enteral formula for purpose of supplying nutrients directly into the stomach) was properly labeled to include the date and time of initiation and the rate of infusion. This practice was identified for 1(Resident#1) of 1 (Resident #1) sampled for enteral feeding. Findings: Review of Texas Health and Human Services Evidence-Based Best Practice for Nutritional Support revealed, in part, enteral feeding should include a label with resident's name, date and time of initiation, and the infusion rate. Observation on 04/07/2024 at 10:43 a.m. revealed Resident #31's enteral feeding bag was not labeled with date or time of initiation or the infusion rate of the feeding. Observation on 04/08/2024 at 10:15 a.m. revealed Resident #31's enteral feeding bag was not labeled with the time of initiation or the infusion rate of the feeding. Observation on 04/09/2024 at 9:22 a.m. revealed Resident #31's enteral feeding bag was not labeled with the infusion rate of the feeding.…
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.
- Potential for harm · E2024-04-11 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — patternProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations and interviews, the facility failed to ensure an indwelling urinary catheter (a tubing that goes into the bladder to drain urine) drainage bag and catheter tubing did not touch the floor to prevent infections for 3 (Resident #7, Resident #71, Resident #341) of 3 (Resident #7, Resident #71, Resident #341) sampled residents reviewed for catheter use. Findings: Review of Healthcare Infection Control Practices Advisory Committee, Guidelines for Prevention of Catheter Associated Urinary Tract Infections 2009, revised on June 09, 2019 revealed, in part, not to rest the urinary catheter bag on the floor. Resident #7 Observation on 04/07/24 at 10:21 a.m. revealed Resident #7's indwelling urinary catheter drainage bag was hanging from the bedrail and lying on the floor. Observation on 04/08/2024 at 10:04 a.m. revealed Resident #7's indwelling urinary catheter drainage bag was hanging from bedrail and lying on the floor. Observation on 04/08/2024 at 11:55 a.m. revealed Resident #7 indwelling urinary catheter draining bag was hanging from bed rail and lying on the floor.…
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.
- Potential for harm · D2024-04-11 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview the facility failed to ensure a resident's bathroom door would close. This was identified for 1 (Resident #144) of 2 Resident (#141 and Resident #144) sampled residents for environment. Findings: In an interview on 04/07/2024 at 10:53 a.m., Resident #144 indicated his bathroom door could not close all the way. Observation on 04/08/2024 at 8:49 a.m. revealed Resident #144's bathroom door was unable to be closed all the way. Observation on 04/08/2024 at 2:05 p.m. revealed Resident #144 bathroom door was unable to be closed all the way. Observation on 04/09/2024 at 10:14 a.m. revealed S4Certified Nursing Assistant (CNA) tried to close Resident #144's bathroom door and was unable to close it all the way. In an interview on 04/09/2024 at 10:15 a.m., S4CNA indicated she could not close Resident #144's bathroom door all the way. In an interview on 04/09/2024 at 10:40 a.m., S5Housekeeping Supervisor indicated the bathroom door cannot close all the way and it should. In an interview on 04/09/2024 at 11:20 a.m., S2Director of Nursing indicated 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.
- Potential for harm · Dcited before2024-04-11 · tag F0725 — failed to have enough nursing staff — isolatedProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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 and interviews the facility failed to ensure staff assisted a resident with transfer assistance timely for 1 resident (Resident #341) of 37 residents (Residents #2 ,#3, #6, #7, #8, #9, #12, #15, #19, #20, #21, #29, #31, #34, #38, #41, #42, #44, #50, #52, #54, #56, #64, #65, #66, #70, #71, #72, #78, #82, #87, #88, #89, #90, #141, #144, and #341) included in the sample. Findings: Observation on 04/09/2024 at 9:14 a.m. revealed Resident #341 pushed call light button for assistance. In an interview on 04/09/2024 at 9:15 a.m., Resident #341 indicated she pushed call light for needing staff to assistance her with being transferred from her bed to her wheelchair. Observation on 04/09/2024 at 9:19 a.m. revealed S7Certified Nursing Assistant (CNA) entered Resident #341's room and turned off Resident #341's call light. . Further observation revealed Resident #341 requested assistance from S7CNA to assist her with being transferred from her bed to her wheelchair. S7CNA replied back to Resident #341…
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.
- Potential for harm · Dcited before2024-04-11 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure 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 observations and interviews the facility failed to ensure expired food items were not available for resident consumption. Findings: Observations on 04/07/2024 at 9:22 a.m. in the dry storage area of the facility's kitchen revealed: 1. One half box of dried cranberries had an expiration date of 01/23/2021. 2. Six packets of Chefs Finest Ranch Salad Dressing had an expiration date of 04/22/2020; and, 3. One 128 ounce container of Cajun Worchester Sauce with 4 ounces remaining in the container had an expiration date of 07/09/2023. In an interview on 04/07/2024 at 9:30 a.m., S6Dietary Manager indicated the above mentioned expired food items should not have been made available for resident consumption. In an interview on 04/08/2024 at 9:10 a.m., S1Administrator indicated the above mentioned expired food items should not have been made available for resident consumption.
- Potential for harm · Dcited before2024-04-11 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record reviews, observation, and interviews the facility failed to perform proper hand hygiene after removing gloves during incontinence care for 1 (Resident #7) of 1 (Resident #7) sampled resident reviewed for incontinence care. Findings: Review of Perineal Care Policy and Procedure with an effective date of 11/17/2015 revealed, in part, proper hand hygiene was to be performed after glove removal. Observation on 04/09/2024 at 10:30 a.m., revealed incontinence care for Resident #7 by S10Certified Nursing Assistant (CNA). Further observation revealed S10CNA acquired cleansing wipes with gloves on and wiped the genitalia of Resident #7. Observation further revealed S10CNA disposed the cleansing wipes then removed her gloves and did not perform hand hygiene. Further observation revealed S10CNA had three gloves on each hand and after she removed the first pair of gloves, S10CNA did not perform hand hygiene. S10CNA then acquired additional cleansing wipes and wiped Resident #7's catheter tubing. Further observation revealed S10CNA removed second pair of gloves and did not…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-09-27 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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
Based on record review and interview, the facility failed to ensure a new intervention was implemented following a resident's fall to prevent future falls for 1 Random Resident (Random Resident R4) of 3 sampled resident and 2 randomly sampled residents (Resident #1, Resident #2, Resident #3, Random Resident R4, and Random Resident R5) reviewed for accident hazards. Findings: Record Review of Random Resident R4 's Care Plan revealed, in part, resident is at risk for falls, a history of falls, and no interventions for a fall on 09/11/2023. In an interview on 09/25/2023 at 10:20 a.m., Random Resident R4 stated he had fallen in the bathroom on 09/11/2023. Random Resident R4 stated after falling he sat on the floor and held the grab bar near the vanity. In an interview on 09/25/2023 at 10:40 a.m., Resident #3 stated he saw Random Resident R4 seated on the floor in the bathroom after hearing a thud, like someone fell and hit the wall. In an interview on 09/27/2023 at 10:34am, S3Certified Nursing Assistant (CNA) stated Random Resident R4 had fallen in the bathroom while I was caring for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · B2024-04-11 · tag F0636 — patternAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record reviews and interview, the facility failed to complete and electronically submit resident assessments to CMS (Center for Medicare Service) in a timely manner for 8 (Resident #12, Resident #21, Resident #41, Resident #42, Resident #44, Resident #54, Resident #66, and Resident #70) of 8 (Resident #12, Resident #21, Resident #41, Resident #42, Resident #54, Resident #66, and Resident #70) residents reviewed for resident assessments. Findings: Review of the facility's IQIES (Internet Quality Improvement and Evaluation System) MDS (Minimum Data Set) 3.0 Final Validation Report dated 04/08/2024 revealed, in part, the facility completed and/or submitted the following resident assessments late: Resident #12 Resident #12's Death in Facility Assessment with an ARD (Assessment Reference Date) of 11/06/2023 was completed more than 14 days after the ARD; Resident #21 Resident #21's Quarterly Assessment with an ARD of 02/21/2024 was completed more than 14 days after the ARD and submitted more than 14 days after it was completed; Resident #41 Resident #41's Discharge Assessment…
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.
“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.
- 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.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to PLANTATION MANAGEMENT COMPANY — 16 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 2 of 5 | 1.8 | +0.2 vs chain |
| Health inspection | 3 of 5 | 2.6 | +0.4 vs chain |
| Staffing | 1 of 5 | 1.3 | -0.3 vs chain |
| Quality measures | 2 of 5 | 1.9 | +0.1 vs chain |
The other 15 homes this chain runs (chain average 1.8★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| HIGHPOINT HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL | 50% | since 11/01/2020 |
| MEDICO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | since 11/01/2020 |
| IRRV PROPERTY TR FOR THE QUIRK CHILDREN | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | since 11/01/2020 |
| QUIRK, CYNTHIA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL | 18% | since 11/01/2020 |
| QUIRK, GENE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL | 18% | since 11/01/2020 |
| SADLER, ALISON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 17% | since 11/01/2020 |
| STALLARD, FELICIA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 17% | since 11/01/2020 |
| LANDERS, ZEB | Individual | W-2 MANAGING EMPLOYEE | — | since 11/01/2020 |
| QUIRK, SCOTT | Individual | CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL | — | since 11/01/2020 |
| HPHC OF LOUISIANA LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 01/19/2022 |
| DELATTE, KIMBERLY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 11/01/2020 |
CMS files one row per role, so the 15 rows in the source record cover these 11 parties — each is shown once here with every role it holds. Nothing is omitted.
4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $1.9M paid to related parties — landlords or management companies under common ownership — equal to about 20% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in LA
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.
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 195536. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-05, 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 →
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