Metairie Health Care Center
6401 Riverside Drive, Metairie, LA 70003 · For profit - Limited Liability company · 202 certified beds · (504) 885-8611 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has an abuse, neglect, or exploitation citation (F0600), cited Dec 2024
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607, F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- inspectors cited 2 immediate-jeopardy problems — the most serious level
- a high number of inspection citations overall (38) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $132,895 in federal fines (most recent 2024-12-19)
- its independent health-inspection rating is low (1/5)
- its payroll-based staffing rating is low (2/5)
- its facility-reported quality-measure rating is low (2/5)
- about 23% 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 | 1 of 5 |
| StaffingFrom payroll records (PBJ) | 2 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 | 1 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 held steady at 1 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 | 22.3% | 17.8% | 15.4% | worse |
| Long-stay residents who lose too much weight | 3.5% | 5.2% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 1.9% | 1.2% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 2.5% | 2.1% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 0.3% | 2.3% | 6.5% | better 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 | 4.8% | 3.5% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 27.0% | 17.9% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 25.9% | 23.2% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 98.9% | 94.9% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.8% | 5.6% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 23.1% | 15.8% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 22.6% | 22.7% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 2.8% | 3.1% | 1.4% | better than state‡ — see note marked double-dagger below the table |
| Short-stay residents given the seasonal flu vaccine | 85.4% | 76.3% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 17.5% | 28.0% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 6.8% | 14.8% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 3.61 | 2.56 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 3.18 | 2.74 | 1.80 | worse |
‡ 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.
42.2% 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 44 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 47.6% 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 21 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 0.38 therapist hours per resident per day in 2026Q1 — more than 65% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 9% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. 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
| 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 | 42.2%CMS range 31.7–54.9 | 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 | 13.8%CMS range 9.2–19.6 | 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 | 47.6% | 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 | 42.9% | 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 | 52.4% | 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 | 38.5% | 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 | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not 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 stay | 3.9% | 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 | 0.0% | 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 | 7.0%CMS range 3.9–12.4 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.14 | 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 202 beds and averages 88.3 residents a day — about 44% occupied, or roughly 114 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.53 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.13 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.20 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 3.08 hrs/resident/day on weekends vs 3.72 on weekdays — 17% thinner on weekends. RN hours go from 0.15 to 0.10 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%.
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.
38 citations, most serious first. The 13 most serious are shown; the remaining 25 are one tap away and print in full.
- Immediate jeopardy · Kcited before2024-12-19 · 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 residents, who had a history of unsafe smoking used a safety smoking device and was supervised while smoking for 3 (Resident #31, Resident #15 and Resident #53) of 3 (Resident #15, Resident #31, and Resident #53) sampled residents reviewed for unsafe smoking. This deficient practice resulted in an Immediate Jeopardy situation on 12/16/2024 at 9:50 a.m. when Resident #31, a resident identified by the facility as an unsafe smoker with moderate cognitive impairment, was observed smoking without the use of a smoking apron (a safety device which provides protection against burns to clothing and/or skin) and without staff supervision. Resident #31's care plan, initiated on 10/02/2024, included Resident #31 was an unsafe smoker, was required to wear a smoking apron, and required staff supervision while smoking. S1Administrator was notified of the Immediate Jeopardy situation on 12/16/2024 at 5:52 p.m. This deficient practice had the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Immediate jeopardy · K2024-12-19 · tag F0835 — failed to run the facility competently — patternAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews, observations, and policy review the administrative staff failed to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of residents by overseeing the effective implementation of the facility's smoking policy and procedure for monitoring and supervision for 3 (Resident #15, Resident #31, and Resident #53) of 3 (Resident #15, Resident #31, and Resident #53) residents identified as unsafe smokers. This lack of administrative oversight resulted in Immediate Jeopardy situation on 12/16/2024 at 9:50 a.m., when facility staff failed to ensure implementation of their smoking policy when an unsafe smoker (Resident #31) was observed smoking on the smoking patio, in possession of a cigarette and a lighter, alone, and without supervision. S1Administrator was notified of the Immediate Jeopardy on 12/17/2024 at 3:58 p.m. This deficient practice had the likelihood to cause more than minimal harm to the 3 residents (Resident #15, Resident #31, and Resident #53) identified as unsafe smokers.…
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.
- Actual harm · Gcited before2024-01-26 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to ensure two Certified Nursing Assistants (CNAs) used a mechanical lift to transfer a resident who was dependent on staff for transfers from the bed to the wheelchair as indicated on their plan of care. This deficient practice resulted in an actual harm when a CNA transferred Resident #10 alone via the mechanical lift from the bed to the wheelchair when the strap on the lift pad broke causing Resident #10 to fall to the floor which resulted in a closed fracture of the left hip and laceration of right lower leg. The left hip fracture required surgery for an Open Reduction and Internal Fixation (ORIF) and the laceration to the right leg required sutures. This deficient practice was identified for 1 (Resident #10) of 14 sampled residents who required mechanical lift transfer. Findings: Record review revealed, in part, Resident #10 was admitted to the facility on [DATE] with a diagnosis, in part, of Morbid Obesity. Review of Resident #10's Quarterly…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-12-17 · tag F0697 — failed to manage pain — patternProvide 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 interviews and record reviews, the facility failed to ensure staff administered a resident's scheduled pain medication as ordered for 1 (Resident #2) of 1 sampled residents investigated for pain. Findings: Review of the facility's Administering Medications policy, revised April 2019, revealed in part, medications should be administered in accordance with the prescriber's orders, including any required time frame and needs and benefits of the resident. Further review of the policy revealed if the dosage is believed to be inappropriate or excessive for a resident, or a medication has been identified as having potential adverse consequences the nurse should contact the prescriber. Review of Resident #2's record revealed, in part, Resident #2 was admitted to hospice services on 07/26/2023. Review of Resident #2's December 2025 physician's orders revealed, in part, Resident #2 had an order for Hydrocodone-Acetaminophen tablet 5-325 milligrams (mg) by mouth four times daily for unspecified pain with a start date of 07/01/2024. Review of Resident #2's Minimum Data Set with an…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2025-12-17 · tag F0755 — failed to provide safe pharmacy services — patternProvide 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 observation, interviews and record reviews, the facility failed to ensure:1. Narcotic logs were accurately reconciled for a resident (Resident #2); and, 2. Medications were available to be administered as ordered for a resident (Resident #2). This deficient practice was identified for 1 (Resident #2) of 1 sampled residents reviewed for pharmacy services. Findings: 1.Review of the facility's undated Controlled Drug policy and procedure revealed, in part, the inventory of the controlled drugs must be recorded on narcotic records and signed for correctness of count. If a discrepancy is found, residents' orders are to be checked and chart should be reviewed to see if a narcotic has been administered and not recorded. If the cause of the discrepancy cannot be located, report the matter to the supervisor. Review of Resident #2's Narcotics and Controlled Drug records from 11/29/2025 at 9:30AM through 12/07/2025 at 9:00PM revealed, in part, S14Licensed Practical Nurse (LPN) documented she administered Hydrocodone-Acetaminophen 5-325 milligrams (mg) 1 tablet on 12/07/2025 at 9:00PM…
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 before2025-12-17 · 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 observation, interviews, and record review, the facility failed to ensure all opened food items contained an opened and/or discard date for 1 (Cooler #1) of 1 sampled coolers observed during kitchen observations.Findings:Review of the 2022 United States Food and Drug Administration's Food Code revealed, in part, commercially processed food which was prepared and packaged by a food processing plant shall be clearly marked, at the time the original container was opened and if the held food was held for more than 24 hours, indicate the date or day by which the food shall be consumed, sold, or discarded.Observation on 12/15/2025 at 9:05AM of Cooler #1 revealed the following items were opened without an opened and/or discard date documented, in part:-one large package of shredded lettuce which was greenish brown in color;-one large bag of white shredded substance; and,-a 2.5 pound bag of sliced ham.In an interview on 12/15/2025 at 8:50AM, S10Dietary Manager stated the above food packages should have had an opened and/or discard date written on the outside of the packages. In an…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-12-17 · 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 failed to maintain accurate documentation of the electronic medication administration record (eMAR) and the narcotic and controlled drug records for 1 (Resident #2) of 1 sampled residents reviewed for accurate documentation. Findings:Review of Resident #2's December 2025 eMAR revealed, in part, S13Licensed Practical Nurse (LPN) documented she administered Resident #2 Hydrocodone-Acetaminophen 5-325 milligrams (mg) 1 tablet on 12/10/2025 at 8:00PM, 12/13/2025 at 8:00PM, 12/14/2025 at 8:00PM, and 12/16/2025 at 5:00PM. Review of Resident #2's Hydrocodone-Acetaminophen 5-325 mg narcotic and controlled drugs record revealed, in part, no evidence of the 12/10/2025 at 8:00PM, 12/13/2025 at 8:00PM, 12/14/2025 at 8:00PM, and 12/16/2025 at 5:00PM doses had been documented on the narcotic and controlled drug record. In an interview on 12/17/2025 at 10:00AM, S2Director of Nursing (DON) indicated Resident #2's eMAR and Narcotic and Controlled Drug record did not match and the documentation was not accurate. In a telephone interview on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-17 · tag F0582 — isolatedGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews and record reviews, the facility failed to issue a Notice of Medicare Non-Coverage (NOMNC) to a resident or his/her responsible party prior to the discontinuation of Medicare Part A services for 1 (Resident #46) of 3 residents reviewed for Beneficiary Notification. Findings:Review of Resident #46's NOMNC revealed, in part, the effective date of coverage for current skilled nursing facility services would end on 10/30/2025 and was signed by Resident #46 on 10/30/2025. Review of Resident #46's Physical Therapy Discharge Summary revealed, in part, a start date of 08/26/2026, a discharge date of 09/30/2025. Further review revealed the reason for Resident #46's therapy discharge was Resident #46's highest practical level was achieved. In an interview on 12/17/2025 at 1:25PM, S17Social Services indicated the NOMNC for Resident #46 should have a service end date of 09/30/2025, and should have been signed by Resident #36 no later than 09/28/2025, and was not. In an interview on 12/17/2025 at 1:50PM, S2Director of Nursing indicated the NOMNC for Resident #46 should have…
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 · D2025-12-17 · 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 a resident's tube feeding pump (a pump that delivers liquid nutrients directly into a person's stomach or small intestine) and the tube-feeding pump's pole were maintained in a sanitary manner for 1 (Resident #1) of 3 residents sampled for tube feedings. Findings: Observation on 12/15/2025 at 11:21AM revealed Resident #1's tube feeding pole and pump was observed to have a dried beige substance covering the tube-feeding pump and the bottom of the tube-feeding pole.Observation on 12/16/2025 at 12:00PM revealed Resident #1's tube feeding pole and pump was observed to have a dried beige substance covering the tube-feeding pump and the bottom of the tube-feeding pole.Observation on 12/17/2025 at 11:20AM revealed Resident #1's tube feeding pole and pump was observed to have a dried beige substance covering the tube-feeding pump and the bottom of the tube-feeding pole.In an interview on 12/17/2025 at 12:05PM, S3Licensed Practical Nurse indicated Resident #1's tube feeding pump and pole should have been cleaned and should…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-09-03 · tag F0944 — patternConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record reviews and interviews, the facility failed to ensure direct care staff were provided Quality Assurance and Performance Improvement (QAPI) training for 5 (S10Certified Nursing Assistant [CNA], S12CNA, S14CNA, S15CNA, S16CNA) of 5 (S10CNA, S12CNA, S14CNA, S15CNA, S16CNA) sampled direct care staff investigated for training requirements. Findings:Review of S10CNA's personnel record revealed, in part, S10CNA had a date of hire of 10/18/2021. Further review revealed S10CNA did not receive QAPI training since hire. Review of S12CNA's personnel record revealed, in part, S12CNA had a date of hire of 06/25/2024. Further review revealed S12CNA did not receive QAPI training since hire. Review of S14CNA's personnel record revealed, in part, S14CNA had a date of hire of 04/15/2025. Further review revealed S14CNA did not receive QAPI training since hire. Review of S15CNA's personnel record revealed, in part, S15CNA had a date of hire of 12/12/2022. Further review revealed S15CNA did not receive QAPI training since hire. Review of S16CNA's personnel record revealed, in part, S16CNA…
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 · D2025-09-03 · tag F0838 — failed to assess facility resources and resident needs — isolatedConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
What the surveyor found here — the official record, unedited, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure the facility assessment included active involvement from direct care staff, residents, and residents' representatives in its development. Findings:Review of the facility assessment dated [DATE] revealed, in part, a resident and resident representative and direct care staff, including a Registered Nurse (RN), Licensed Practical Nurse (LPN) and a Certified Nursing Assistant (CNA) were not included in the development of the facility's assessment. In an interview on 09/03/2025 at 12:52PM, S1Administrator confirmed he had no documentation the facility assessment dated [DATE] was developed with any of the above mentioned staff, residents, and/or residents' representatives.
- Potential for harm · Dcited before2025-09-03 · 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 staff wore proper personal protective equipment (PPE) for a resident on Enhanced Barrier Precautions (EBP) and ensure staff performed hand hygiene during a percutaneous endoscopic gastrostomy (PEG) tube (a medical device that provides nutrition, fluids, and medications directly into the stomach) dressing change for 1 (Resident #2) of 2 (Resident #2, Resident #3) sampled residents observed for indwelling device care. Findings: Review of the facility's undated EBP policy and procedure revealed, in part, gloves were to be used during high-contact resident care activities for residents with indwelling medical devices such as feeding tubes (a general term for PEG tube). Review of facility's Handwashing/Hand Hygiene policy and procedure, revised on 12/2009 revealed, in part, employees must wash their hands before and after direct resident contact, before and after handing invasive devices, after handling soiled or used dressings, and after removing gloves. Review of Resident #2's August 2025 physician'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 · D2025-07-22 · tag F0583 — failed to protect personal privacy — isolatedKeep residents' personal and medical records private and confidential.
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 maintain privacy and confidentiality of medical records observed during a medication pass for 1 (Resident R4) of 1 (Resident R4) random resident observed. Findings: Review of the facility's policy titled Resident Rights, dated 02/2017, revealed, in part, federal and state laws guarantee the right to privacy and confidentiality to all resident of the facility.Observation on 07/21/2025 at 9:25AM revealed S6Licensed Practical Nurse (LPN) stepped away from her computer in the hallway to administer Resident R4's medication in Resident R4's room. Further observation revealed the unattended computer screen visibly displayed and allowed access to Resident R4's private medical information.In an interview on 07/22/2025 at 9:28AM, S6LPN confirmed she should not have allowed Resident R4's private medical information to be visible and accessible when she left her computer unattended in the hallway. S6LPN indicated her action was a Health Insurance Portability and Accountability Act (HIPAA) violation.In an interview on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 25 citations
- Potential for harm · D2025-07-22 · tag F0655 — isolatedCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews and record reviews, the facility failed to provide a Baseline Care Plan summary to a resident and the resident representative for 2 (Resident #1, Resident #3) of 3 (Resident #1, Resident #2, Resident #3) sampled residents reviewed for care plans.Findings: Resident #1Review of Resident #1's medical record revealed, in part, an admit date of 05/21/2025. Review of Resident #1's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/28/2025 revealed, in part, Resident #1 had a Brief Interview of Mental Status (BIMS) score of 7, which indicated Resident #1 had severe cognitive impairment. Review of Resident #1's Baseline Care Plan revealed, in part, the Baseline Care Plan was completed on 05/21/2025. Further review revealed the resident and resident's representative signature and date box was not signed or dated.There was no documented evidence, and the facility could not present any documented evidence, the facility had provided Resident #1 and Resident #1's representative a summary of Resident #1's Baseline Care Plan.In a telephone 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.
- Potential for harm · D2025-07-22 · tag F0657 — failed to keep the care plan current — isolatedDevelop 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
Based on interviews and record reviews, the facility failed to ensure residents' comprehensive care plan was prepared by an interdisciplinary team (IDT) with all required members for 2 (Resident #1, Resident #3) of 3 (Resident #1, Resident #2, Resident #3) sampled residents reviewed for care plans.Findings:Resident #1Review of Resident #1's medical records revealed, in part, an admit date of 05/21/2025. Review of Resident #1's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/28/2025 revealed, in part, Resident #1 Brief Interview of Mental Status (BIMS) score of 7, which indicated Resident #1 had severe cognitive impairment.Review of Resident #1's progress note dated 05/29/2025 revealed, in part, a comprehensive care plan meeting was held to discuss Resident #1's progress in therapy. Further review revealed the only members of the IDT in attendance were S3Social Worker, S4MDS Coordinator, and S7Rehab Director. Further review revealed no documented evidence, and the facility was unable to present any documented evidence, Resident #1 and/or Resident #1'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 · E2024-12-19 · tag F0609 — failed to report abuse allegations — patternTimely 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
Based on interviews, record review and facility policy review, the facility failed to ensure an allegation of physical abuse was reported on the Statewide Incident Management System no later than 2 hours after an allegation for resident to resident physical abuse for 1 (Resident #62) of 2 residents (Resident #5 and Resident #62) sampled residents investigated for abuse. Findings: Review of the facility's undated Abuse, Neglect, and Misappropriation of Funds Program policy revealed, in part, if a determination of abuse occurred the incident would be reported by the Administrator to the Department of Health and Hospitals via the Statewide Incident Management System (SIMS). Review of Resident #5's progress note dated 11/28/2024 at 2:17 p.m., revealed, in part, Resident #5 stated another resident (Resident #62) came into her room and punched her (Resident #5) in the face while she was asleep. Review of Resident #62's progress note dated 11/28/2024 at 2:09 p.m., revealed, in part, Resident #62 went into another resident's (Resident #5) room, punched her in her face, waking her up out 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.
- Potential for harm · E2024-12-19 · tag F0610 — failed to investigate and act on abuse reports — patternRespond appropriately to all alleged violations.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record reviews and interviews, the facility failed to ensure: 1. a thorough investigation was completed following an allegation of abuse for 2 (Resident #5 and Resident #62) of 2 (Resident #5 and Resident #62) sampled residents was investigated for abuse; and 2. increased supervision was provided after an allegation of resident to resident abuse for (Resident #62) of 2 sampled residents (Resident #5 and Resident #62) investigated for abuse. Findings: Review of the facility's undated Abuse, Neglect, and Misappropriation of Funds Program policy revealed, in part, all incidents or suspected incidents of resident abuse would be investigated immediately. Further review of the facility's undated Abuse, Neglect, and Misappropriation of Funds Program policy revealed a thorough investigation of facts regarding the incident would be recorded and maintained by the administrator. Further review revealed in the instance of resident to resident abuse, the involved resident would be separated, monitored, and protected. Further review revealed the Description of Investigation shall…
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 · E2024-12-19 · tag F0726 — failed to have competent, trained nursing staff — patternEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, interviews, and observations, the facility failed to ensure staff were able to demonstrate competency in skills necessary to assess for safe smoking for 3 (Resident #31, Resident #15 and Resident # 53) of 3 (Resident #31, Resident #15 and Resident #53) residents reviewed for unsafe smoking. Findings: Review of the facility's policy titled Smoking Policy, updated 07/04/2024, revealed in part, residents that smoke would be assessed for the safety of smoking unattended and if determined unsafe, would not be allowed to have smoking paraphernalia in their possession, and would be care planned for the amount of supervision needed while smoking. Further review revealed the administrator was responsible for enforcing the designated smoking area, the nursing staff was responsible for keeping and distributing smoking paraphernalia for residents who were identified as unsafe smokers, and the ward clerk was responsible for monitoring an active unsafe smoker list. Resident #31 Review of the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-12-19 · tag F0883 — failed to offer flu and pneumonia vaccines — patternDevelop and implement policies and procedures for flu and pneumonia vaccinations.
What the surveyor found here — the official record, unedited, may be distressing
Based on interview and record review, it was determined that the facility failed ensure a pneumonia vaccine was administered for 1 (Resident #23) of 5 ( Resident #10, Resident #23, Resident #41, Resident #42 and Resident #46) reviewed for vaccines. Findings: Review of Resident #23's medical record revealed the Responsible Party (RP) signed a consent on 01/10/2024 for Resident #23 to receive a pneumonia vaccine. There was no documented evidence that the pneumonia vaccine was administered as per the consent, and the facility could not provide documentation the pneumonia vaccine had been administered. In an interview on 12/17/2024 at 5:35 PM, S2Director of Nursing (DON) confirmed the pneumonia vaccine had not been administered to Resident #23 after the RP signed the consent on 01/10/2024.
- Potential for harm · D2024-12-19 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record reviews and interviews, the facility failed to protect the resident's right to be free from resident to resident physical abuse for 1 (Resident #5) of 2 (Resident #5 and Resident #62) sampled residents investigated for abuse. Findings: Review of the facility's undated Abuse, Neglect, and Misappropriation of Funds Program revealed, in part, the facility was to ensure the safety and well-being of residents at all times, and the facility was committed to a zero tolerance of any form of abuse in our facility. Review of Resident #5's record revealed, in part, a Brief Interview for Mental Status score of 14, which indicated a cognitive mental status. Review of Resident #62's record revealed, in part, a Brief Interview for Mental Status score of 4, which indicated severe cognitive impairment. Review of Resident #5's progress note dated 11/28/2024 at 2:17 p.m. revealed, in part, Resident #5 stated another resident (Resident #62) went into her room and punched her (Resident #5) in the face while she was asleep. Review of Resident #62's progress note dated 11/28/2024 at 2:09…
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 · D2024-12-19 · tag F0693 — failed to provide proper feeding-tube care — isolatedEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to ensure an enteral feeding bag (bag that contains a formula for the purpose of supplying nutrients directly into the stomach) was properly labeled to include the date and time of initiation, an expiration date, the name of the resident, and the rate of the infusion. This practice was identified for 1(Resident#1) of 1 (Resident #1) sampled residents investigated for enteral feeding. Findings: Review of Resident #14's rerecord revealed, in part, Resident #14 was re-admitted to the facility on [DATE] with a diagnoses, in part, of dysphagia (difficulty swallowing food and/or liquids) and gastrostomy status (a surgical procedure that creates an opening in the abdomen and into the stomach to provide nutritional support). Review of the facility's undated Percutaneous Endoscopic Gastrostomy (PEG) policy and procedure revealed, in part, formula bottles and/or bags shall be labeled with the resident's name, date and time, and rate 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.
- Potential for harm · Dcited before2024-12-19 · 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 record reviews and interviews, the facility failed to maintain a record of controlled drugs for 2 (Medication Cart a and Medication Cart b) of 2 (Medication Cart a and Medication Cart b) medication carts reviewed for the reconciliation of controlled drugs (the process of ensuring that the location and quantity of controlled drugs was accurate). Findings: Review of the facility's undated policy titled, Controlled Drug Policy and Procedure revealed, in part, controlled drugs are to be counted after every shift by the nurse reporting on duty and the nurse reporting off duty. Further review revealed the inventory of the controlled drugs must be recorded in the narcotic records and signed for correctness. Review of the facility's December 2024 Medication Cart a Controlled Drugs-Count Record revealed, in part, the following shifts had an incomplete reconciliation of controlled drugs by the nurse coming on duty and the nurse going off duty: - 12/01/2024 on the 7:00 a.m. to 3:00 p.m. shift - 12/16/2024 on the 11:00 p.m. to 7:00 a.m. shift - 12/17/2024 on the 11:00 p.m. to 7:00 a.m.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-12-19 · tag F0757 — failed to avoid unnecessary drugs — isolatedEnsure each resident’s drug regimen must be free from unnecessary drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to monitor for behaviors and potential side effects of antidepressants and anti-anxiety medications for 1 (Resident #346) of 5 (Resident #10, Resident #43, Resident #53, Resident #79, and Resident #346) residents reviewed for unnecessary medications. Findings: Resident #346's Electronic Medical Record (EMR) revealed, in part, Resident #346 was admitted to the facility on [DATE] with diagnoses, in part, of major depressive disorder and anxiety. Review of Resident #346's December 2024 Physician's Orders revealed the following orders: - Prozac (a medication used to treat depression) Oral Capsule 20 milligrams (mg), give 1 capsule by mouth one time a day related to major depressive disorder beginning on 12/04/2024; and, - Buspirone (a medication used to treat anxiety) Hydrochloride Oral Tablet 5 MG, give 1 tablet by mouth two times a day related to anxiety disorder beginning on 12/04/2024. Review of Resident #346's December 2024 Electronic Medication…
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 · D2024-12-19 · tag F0773 — isolatedProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interviews, the facility failed to ensure a sample for a urinalysis, a test for determining the presence of a urinary tract infection (UTI), was obtained and treatment for a UTI was initiated as ordered for 1 (Resident #62) of 1 (Resident #62) sampled residents investigated for urinary tract infections. Findings: Review of Resident #62's record revealed, in part, a physician's order dated 12/05/2024 for a urinalysis (UA) with a culture and sensitivity related to aggressive behavior. Review of Resident #62's record revealed, in part, on 12/05/2024 an order for a urinalysis with a culture and sensitivity. Review of a Resident #62's record revealed, in part, a laboratory report that indicated the urine sample was collected on 12/10/2024 and an approval date of 12/13/2024 that indicated a result of a urinary tract infection. Further review revealed a handwritten order for ampicillin (an antibiotic to treat infection) 500 milligrams (mg) three times a day (tid) for seven days written on the laboratory results. Review of Resident #62's December 2024 Electronic…
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 · D2024-12-19 · tag F0804 — failed to serve food at safe, palatable temperature — isolatedEnsure 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 observation, record review, and interviews the facility failed to ensure food was palatable, and served at an appetizing temperature. Findings: Review of Resident #34's Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 10/21/2024 revealed a Brief Interview for Mental Status (BIMS) of 10, which indicated moderate cognitive impairment. In an interview on 12/16/2024 at 10:41 a.m., Resident #34 indicated food served at the facility did not taste good, and the alternate meal was just as bad as the scheduled main meal. Observation on 12/18/2024 at 11:53 a.m. revealed an alternate meal lunch tray was provided to the survey team by S9Dietary Manager. Four surveyors tasted the food, and findings revealed the mashed potatoes and gravy were lukewarm to room temperature, the cod fish patty was thin and consisted mostly of breading, and the steamed broccoli was soft and mushy. Findings revealed, the sampled alternate meal was not palatable or at an appetizing temperature. In an interview on 12/18/2024 at 12:45 p.m., S9Dietary Manager acknowledged 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 · Dcited before2024-12-19 · 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 — an excerpt from the official record, may be distressing
Based on observations and interview the facility failed to: 1. Ensure stored food had an open date for 8 food products; and 2. Ensure kitchen cooking equipment was kept in a clean and sanitary condition. Findings: Review of the facility's undated policy titled Proper Labeling and Storage of Food revealed, in part, proper food preparation, storage, and handling practices are essential in preventing foodborne illness and unsafe food handling practice represented a potential source of pathogen exposure for those with weakened immune systems (e.g. elderly, young, immunocompromised). Further policy review revealed sanitary conditions and safe food handling are required in food service settings, and proper storage, and labeling of food in a commercial kitchen could help prevent foodborne illness. Policy review revealed label and date all foods with date prepared or opened, the use by date, and identify what the product is. Observations on 12/16/2024 at 10:00 a.m. revealed, in part, - one opened container of jelly, with no open date; - one opened 5 pound container of peanut butter, with no…
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 before2024-12-19 · 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, observations, and interviews, the facility failed to: 1. Ensure staff performed hand hygiene between assisting residents (Resident #71 and Resident #411) with meals; and, 2. Ensure an indwelling urinary catheter tubing and collection bag was not on the floor for 1 (Resident #197) of 2 (Resident #62 and Resident #197) sampled residents investigated for urinary catheter and urinary tract infections (UTI), Findings: 1. Review of the facility's 2009 policy titled, Handwashing/Hand Hygiene revealed, in part, the facility considered hand hygiene the primary means to prevent the spread of infections. Further review revealed hand hygiene should be performed before and after assisting residents with meals. Observation on 12/16/2024 at 11:49 a.m. revealed S19Certified Nursing Assistant (CNA) assisted Resident #71 with her meal without performing hand hygiene. Further observation revealed S19CNA then assisted Resident #411 with her meal without performing hand hygiene. In an interview on 12/16/2024 at 11:54 a.m., S19CNA confirmed she did not perform hand hygiene 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 · D2024-10-09 · tag F0607 — failed to have anti-abuse policies — isolatedDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
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 staff member who had a charge which barred employment was not allowed to work in the facility without a final disposition of the charge for 1 (S3Certified Nursing Assistant [CNA]) of 5 (S3CNA, S4CNA, S5CNA, S6CNA, and S7CNA) personnel records reviewed for criminal background checks. Findings: Review of the facility's undated policy for Abuse, Neglect, and Misappropriation of Funds program revealed, in part, pre-employment screenings would be completed on all potential employees prior to the offer of a position. Further review revealed an offer of employment would not be made to an individual with any felony conviction listed in the state regulations as list of enumerated charges for health care workers. Review of Louisiana R.S. (revised statute) 40:1203.3 revealed, in part, no employer shall hire non-licensed person when the results of a criminal history check reveal that the non-licensed person has been convicted of any of the following offenses: R.S. 14 37.4 Aggravated assault with a firearm. Further review…
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 · D2024-10-09 · 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 — an excerpt from the official record, may be distressing
Based on observation and interview, the facility failed to ensure a medication room was locked when unattended for 1 (Medication Room a) of 1 Medication rooms (Medication Room a) reviewed for storage of medications. Findings: Observation on 10/08/2024 at 11:35 a.m. revealed the door of Medication Room a was open and unattended with a door stop at the base of the door. Further observation revealed Medication Room a had individual cubby areas with medications. In an interview on 10/08/2024 at 11:37 a.m., S2DirectorOfNursing (DON) confirmed Medication Room a was open, unattended and had medications. Review of the facility's video surveillance on 10/08/2024 at 11:40 a.m. revealed, in part, on 10/08/2024 at 9:55 a.m. S3AssistantDirectorOfNursing (ADON) entered Medication Room a and placed the door stop at the base of the door. Further review of the video surveillance revealed S3ADON exited Medication Room a on 10/08/2024 at 10:02 a.m. and the door remained open with the door stop at the base of the door. The door of Medication Room a remained open and unattended until 11:35 a.m. In an…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-01-26 · tag F0578 — failed to honor advance directives / code status — patternHonor 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
Based on record review and interviews, the facility failed to ensure a resident's code status consistently reflected the resident's wishes for 2 (Resident #26 and Resident #17) of 18 (Resident #1, Resident #5, Resident #10, Resident #12, Resident #17, Resident #21, Resident #22, Resident #26, Resident #73, Resident #80, Resident #87, Resident #89, Resident #96, Resident #97, Resident #98, Resident #250, Resident #251, and Resident #252) residents reviewed for advanced directives. Findings: Resident #17 Review of Resident #17's medical record revealed an admission date of 12/08/2023. Review of Resident #17's Comprehensive Care Plan revealed Resident #17 was a full code (which indicated she wanted medical intervention in the event she presented with no pulse or no breath). Review of Resident #17's January 2024 electronic medication administration record revealed Resident #17's code states of full code was signed off by a nurse at 5:00 a.m., 1:00 p.m., and 9:00 p.m. on each day in December. Review of Resident #17's Louisiana Physician Orders For Scope of Treatment (LaPOST) revealed, 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 · E2024-01-26 · tag F0692 — failed to prevent malnutrition and dehydration — patternProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview facility failed to ensure a resident's weight was monitored weekly after a significant weight loss was identified for 1 (Resident #26) of 4 (Resident #12, Resident #26, Resident #80, and Resident #87) sampled residents reviewed for Nutrition. Review of Weight Loss Program policy revealed, in part, Weekly weigh all residents with a 5% weight loss in 30 days. Review of Resident #26 weight loss record indicated resident weighed 180.6 pounds on 11/08/2023 and 171.4 pounds on 12/06/2023. The weight loss total was 9.2 pounds in a 28 day period. This amount of weight loss equaled 5.09%. Further review revealed Resident #26 weighed 165.4 pounds on 01/03/2024. In an interview on 01/24/2024 at 1:00 p.m., S6Assistant Director of Nursing (ADON) stated Resident #26 flagged for high risk weights on 12/06/2023 but was not weighed weekly thereafter for monitoring. S6ADON confirmed there were no further weights that had not been documented in the system between 12/06/2023 and 01/03/2024. In an interview on 01/24/2024 at 1:10 p.m., S2Director of Nursing stated…
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 · E2024-01-26 · tag F0698 — failed to provide proper dialysis care — patternProvide 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
Based on record review and interview, the facility failed to maintain communication with a dialysis center for 1 (Resident #87) of 1 (Resident #87) sampled residents investigated for dialysis services. Findings: Review of Resident #87's record revealed an admission date of 11/07/2023 with End Stage Renal Disease. Review of Resident #87's current Physician Orders revealed, in part, an order to send Resident #87 to dialysis on Mondays, Wednesdays, and Fridays at 10:45 am. Review of Resident #87's current Comprehensive Care Plan revealed, in part, the facility was to coordinated transportation for Resident #87 to and from the dialysis center. In an interview on 01/23/24 at 2:38 p.m., S18Licensed Practical Nurse (LPN) stated the dialysis communication is done through paperwork in a binder that travels to and from dialysis with Resident #87. S18LPN further stated the binder then is returned to the facility with the resident when dialysis is completed. Review of dialysis binder for Resident #87 revealed dialysis communication sheets that had no communication information from 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 · D2024-01-26 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview the facility failed to immediately notify a resident's physician of a significant weight loss for 1 (Resident #26) of 4 (Resident #12, Resident #26, Resident #80, and Resident #87) sampled residents reviewed for Nutrition. Findings: Review of Resident #26 record revealed an admission date of 02/05/2022 with diagnoses, in part of osteoporosis; high blood pressure; major depressive disorder; atrial fibrillation; gastroesophageal reflux disease; and pain. Review of record with an ARD (Assessment Reference Date) of 01/10/2024 revealed, in part a Brief Interview of Mental Status (BIMS) of 15 which indicated resident was cognitively intact. Further review revealed she required setup or clean-up assistance when eating and that she did have a weight loss but not on a physician-prescribed weight loss plan. Review of Resident #26's current Physician Orders (01/23/2024) revealed a diet order for regular diet, with no added salt, no fried foods and use skim milk, 2gm sodium with a 2.5L fluid restriction. Further review revealed she was on a diuretic and was…
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 before2024-01-26 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview the facility failed to: 1. Ensure an isolation room had the specified transmission based precautions sign posted for employees and visitors knowledge; 2. Ensure an isolation room's door remained closed; and, 3. Ensure staff used appropriate Personal Protective Equipment (PPE) when entering the room of a COVID-19 positive resident for 1 (Resident #89) of 3 (Resident #62, Resident #89, Resident #149) residents reviewed for transmission based precautions. Findings: Review of the medical record revealed Resident #89 was admitted to the facility on [DATE] with diagnoses including, in part, hypertension and cardiovascular disease. Review of Resident #89's record revealed, in part, Resident #89 tested positive for COVID-19 on 01/14/2024. Observation on 01/22/2024 at 10:50 a.m. revealed the door to Resident #89's room open. Further observation revealed a sign stating Caution, Isolation Room on Resident #89's door. Observation on 01/22/2024 at 1:35 p.m. revealed the door…
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 · D2024-01-26 · tag F0947 — failed to train nurse aides adequately — isolatedEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
What the surveyor found here — the official record, unedited, may be distressing
Based on record review and interviews, the facility failed to provide documentation of 12 hours of annual in-service training for 3 (S11Certified Nursing Assistant [CNA], S12CNA, and S13CNA) of 4 (S11CNA, S12CNA, S13CNA, and S14CNA) records reviewed for in-service training. Findings: Review of S11CNA personnel records revealed no documentation of 12 hours of annual in-service training for 2023. Review of S12CNA personnel records revealed no documentation of 12 hours of annual in-service training for 2023. Review of S13CNA personnel records revealed no documentation of 12 hours of annual in-service training for 2023. In an interview on 01/25/2024 at 1:07 p.m., S2Director of Nursing stated she was unable to provide documentation of 12 hours of annual training for S11CNA, S12CNA, and S13CNA for the year 2023. S2DON further stated she was unsure if the training was completed, but the CNAs should have had the training.
- No harm found · B2025-09-03 · tag F0732 — patternPost nurse staffing information every day.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation and interviews, the facility failed to post the required nurse staffing information at the beginning of each shift daily for 1 (09/02/2025) of 2 (09/02/2025, 09/03/2025) days observed for nurse staffing information. Findings:Observation on 09/02/2025 at 10:10AM revealed the facility's posted nurse staffing information dated 09/02/2025 did not include the facility's daily census. In an interview on 09/03/2025 at 12:45PM, S3CNA Supervisor indicated the posted daily nurse staffing information dated 09/02/2025 should have included the daily census. In an interview on 09/03/2025 at 12:52PM, S1Administrator indicated he was unaware the daily posted nurse staffing information should include the daily census.
- No harm found · B2024-01-26 · tag F0641 — patternEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on Record review and interviews, the facility failed to ensure accuracy of Minimum Data Set (MDS) assessments for 2 (Resident #97 and Resident #98) of 18 (Resident #1, Resident #5, Resident #10, Resident #12, Resident #17, Resident #21, Resident #22, Resident #26, Resident #73, Resident #80, Resident #87, Resident #89, Resident #96, Resident #97, Resident #98, Resident #250, Resident #251, and Resident #252) sampled residents. Findings: Resident #97 Review of the Resident #97's Electronic Medical Record (EMR) revealed Resident #97 was admitted to the facility on [DATE] and discharged to another facility on 11/16/2023. Review of Resident #97's MDS with an Assessment Reference Date (ARD) of 11/16/2023 revealed, in part, an entry under Section A2105 incorrectly documenting that Resident #97's discharge status was (1) Home/community. In an interview on 01/24/2024 at 3:30 p.m. S9Minimum Data Set (S9MDS)Nurse stated that section A2105 of the MDS should have documented that Resident #97's discharge status was (2)…
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 · B2024-01-26 · tag F0661 — patternEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to document an accurate discharge for 1 (Resident #97) of 1 discharge record reviewed. Findings: Review of the Resident #97's Electronic Medical Record (EMR) revealed Resident #97 was admitted to the facility on [DATE] and discharged to another facility on 11/16/2023. Review of Resident #97's EMR revealed, in part, a physician's order dated 11/15/2023 to discharge Resident #97 to another nursing facility on 11/16/2023. Review of Resident #97's Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/16/2023 revealed, in part, an entry under Section A2105 written by S9Minimum Data Set nurse (S9MDS) stating that Resident #97's discharge status was (1) Home/Community. Review of Resident #97's EMR revealed, in part, a nurse's note written by S10 Licensed Practical Nurse (S10LPN) dated 11/16/2023 at 06:29 p.m. stating Resident #97 left facility via EMS transport at 5 pm. Further review of Resident #97's EMR revealed no discharge instructions were…
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
$132,895 in federal fines across 2 penalties. 1 Medicare payment denial on record.
- $72,360 — penalty dated 2024-12-19
- $60,535 — penalty dated 2024-01-26
- Medicare payment denial — starting 2025-01-23 for 34 days
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to INSPIRED HEALTHCARE MANAGEMENT — 6 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 | 1 of 5 | 1.5 | -0.5 vs chain |
| Health inspection | 1 of 5 | 2.0 | -1.0 vs chain |
| Staffing | 2 of 5 | 2.3 | -0.3 vs chain |
| Quality measures | 2 of 5 | 1.2 | +0.8 vs chain |
The other 5 homes this chain runs (chain average 1.5★, 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 |
|---|---|---|---|---|
| METAIRIE OPERATIONS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 08/22/2003 |
| GOUX, JEREMY | Individual | CORPORATE OFFICER; ADP OF THE SNF | — | since 12/29/2020 |
| GOUX, TIMOTHY | Individual | CORPORATE OFFICER; ADP OF THE SNF | — | since 12/29/2020 |
| INSPIRED HEALTHCARE MANAGEMENT, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 02/01/2017 |
| CEDOR, ANDREW | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/30/2024 |
| HERPICH, BYRON | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/08/2021 |
| LEACH, MARY LYNN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 07/08/2020 |
| PARIKH, PARIMAL | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/01/2012 |
CMS files one row per role, so the 14 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.
2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $2.1M paid to related parties — landlords or management companies under common ownership — equal to about 23% 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 195278. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-17, 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.