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Ouachita Healthcare And Rehabilitation Center

7950 Millhaven Road, Monroe, LA 71203 · For profit - Limited Liability company · 167 certified beds · (318) 737-1117 Medicare & Medicaid certified

Call the home — (318) 737-1117 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Oct 2023$31,844 in federal fines1 Medicare payment denial
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Oct 2023
  • a high number of inspection citations overall (27) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $31,844 in federal fines (most recent 2024-06-14)
  • its payroll-based staffing rating is low (1/5)
  • about 32% 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.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
4103 Pecanland Mall Dr · (318) 329-2993 · Call to confirm hours
Pharmacy
5400 Frontage Rd · (318) 345-0207 · Call to confirm hours
Grocery
7920 Desiard St · (318) 345-2680 · Call to confirm hours
Park
8475 Millhaven Rd · (318) 329-2454 · Typically dawn to dusk
Place of worship
6680 Frontage Rd · (318) 343-8946

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 3 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 2 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 4 to 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.

Overall rating1★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased18.2%17.8%15.4%worse
Long-stay residents who lose too much weight0.6%5.2%5.4%better
Long-stay residents with a catheter left in their bladder1.2%1.2%0.9%worse
Long-stay residents with a urinary tract infection1.4%2.1%2.0%better
Long-stay residents with depressive symptoms0.9%2.3%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury4.9%3.5%3.3%worse
Long-stay residents whose ability to walk worsened14.6%17.9%16.1%typical
Long-stay residents on antianxiety or hypnotic medication15.9%23.2%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%94.9%95.3%typical
Long-stay residents with pressure ulcers3.9%5.6%4.7%better
Long-stay residents with worsening bladder/bowel control19.9%15.8%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table16.1%22.7%17.1%typical
Short-stay residents who newly got an antipsychotic medication0.7%3.1%1.4%better than state — see note marked double-dagger below the table
Short-stay residents given the seasonal flu vaccine89.4%76.3%79.4%better
Short-stay residents rehospitalized after admission28.0%28.0%22.6%worse
Short-stay residents with an outpatient ER visit13.8%14.8%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.462.561.67better
Long-stay outpatient ER visits per 1,000 resident days1.982.741.80typical

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.

56.5% 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 146 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

56.5%U.S. median 51.5%
Got home and stayed home
9.7%U.S. median 10.7%
Went back to hospital
40.0%U.S. median 56.6%
Met the expected recovery
not reportedno hours filed
Therapy hours / resident / day

Met the expected recovery: 40.0% 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 145 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF56.5%CMS range 48.6–63.851.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.7%CMS range 7.0–12.810.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge40.0%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge35.2%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge47.6%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge98.2%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.6%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization9.7%CMS range 6.1–14.37.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.181.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.17
RN hours/ resident / day
1.14
LPN hours/ resident / day
2.02
Aide hours/ resident / day
3.33
Total nurse hours/ resident / day
0.11
RN hoursweekends
42.2%
Total nursing turnover
60.0%
RN turnover

How full it usually is: this home is certified for 167 beds and averages 157.9 residents a day — about 95% occupied, or roughly 9 beds typically open. It runs fairly full. 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 3.33 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.17 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.02 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.90 hrs/resident/day on weekends vs 3.50 on weekdays — 17% thinner on weekends. RN hours go from 0.19 to 0.11 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 42% 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

5
deficiencies at the latest standard inspection (2026-04-15)
11
at the previous standard inspection (2025-03-11)

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

Inspection deficiencies

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

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

27 citations, most serious first. The 10 most serious are shown; the remaining 17 are one tap away and print in full.

  • Potential for harm · E2026-06-16 · tag F0580 — failed to tell family and doctor about changes — pattern
    Immediately 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record reviews, the facility failed to ensure it notified the resident's representative of a significant change in the resident's physical, mental, or psychosocial status by failing to notify the responsible party of significant changes for 2 (#1, #2) of 3 sampled residents.Findings: Review of the facility Change in Condition Policy and Procedure, effective date 08/27/2018, revealed it defined an acute change in condition as a sudden, clinically important deviation from a resident's baseline in areas such as physical, cognitive, behavioral, functional, etc. The policy read in part, The resident and or the resident's representative will also be notified and documented in the electronic medical record and on physician order as appropriate. Resident #1 Record review revealed Resident #1 was admitted to the facility on [DATE] diagnoses included hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side, unspecified dementia, moderate, without behavioral…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2026-04-15 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and interviews, the facility failed to ensure respiratory care was provided in accordance with professional standards of practice for 3 (#36, #84 and #169) of 5 residents reviewed for respiratory care. The facility failed to:1) Change oxygen tubing, and humidified water bottles per the policy for 2 (#36, #84), and2) ensure the BiPAP nasal prongs were stored properly when not in use for Resident #169.Findings:Review of the facility's Oxygen Concentrator Cleaning Policy and Procedure dated 11/16/2014 Purpose: To Keep Oxygen concentrator and equipment clean. Policy: Resident's Oxygen concentrator will be kept clean when in resident room. Procedure: 1. All Surfaces areas of the machine will be cleaned with disinfectant wipe or spray when needed. 2. Store Oxygen tubing, cannula, and mask in a plastic bag when not in use. 3. Oxygen tubing, cannula, and mask to be changed out weekly and as needed. 4. Oxygen concentrator filter to be cleaned and or changed out weekly and as needed.…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2026-04-15 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observations and interviews, the facility failed to store, prepare, distribute and serve food in accordance with professional standards. According to S2DON the facility provided meals from the kitchen to 159 residents.Findings: On 04/13/2026 at 5:20 a.m. an initial observation of the kitchen revealed the following:The storage pantry contained a large bottle of browning serving sauce that had spills and splatters on the outside of the bottle, and a bag of miniature marshmallows was open to air and did not contain an open date.The freezer revealed a bag of meat pies was open to air and was not sealed properly.The refrigerator revealed a large ziplock bag of cheese was open to air, and an opened bag of turkey was open to air and not sealed properly.Two large fryers contained grease buildup on the inside compartments and on the outside of the fryers. On 04/13/2026 at 5:40 a.m. interview with S5Assistant Dietary Manager confirmed the above issues in the kitchen. On 04/14/2026 at 9:20 a.m. S6Dietary Manager was notified of the issues observed in the kitchen.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2026-04-15 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews and interviews, the facility failed to maintain and establish an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 (#9 and #13) of 2 residents reviewed for infection control, by having staff not utilize appropriate PPE while caring for residents on EBP.Findings:Review of the facility's Enhanced Barrier Precautions Policy and Procedure dated 04/01/2024 revealed the following in part: Enhanced Barrier Precautions refer to an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employs targeted gown and glove use during high contact resident care activities. 4. For residents for who EBP are indicated, EBP is employed when performing the following high-contact resident care activities: c. Transferring g. Device care or use (Central line, urinary catheter, feeding tube,…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-15 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews, the facility failed to maintain a safe, clean, comfortable and homelike environment for 1 (#106) of 1 sampled resident reviewed for environmental concerns. The facility failed to ensure that residents' wheelchairs were clean and maintained in good repair. Findings:Review of Resident #106's record revealed an admit date of 08/02/2024 with diagnoses including bilateral primary osteoarthritis of hip, muscle wasting and atrophy, unspecified lower leg weakness, and spondylosis of the lumbar region. Review of the quarterly MDS assessment dated [DATE] documented Resident #106 utilized a wheelchair for mobility.On 04/13/2026 at 9:28 a.m., 04/14/2026 at 8:55 a.m., and 04/15/2026 at 8:00 a.m. observations of Resident #106's wheelchair revealed the wheelchair arm padding to be cracked and torn with foam exposed. Further observations revealed Resident #106's wheelchair frame revealed dirt and debris on the wheelchair frame.On 04/15/2026 at 12:40 p.m., an observation and interview…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-15 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to develop a comprehensive care plan related to the need for counseling and mental health services for 1 (#3) of 2 residents reviewed for PASARR. Findings: On 04/13/2026 at 8:38 a.m., an interview with Resident #3 revealed she said she has Post Traumatic Stress Disorder related to an incident that occurred when she was eight years old. Resident #3 further said that she goes to her counselor about every 3 weeks and to a mental health clinic.On 04/14/2026 review of the record for Resident #3 revealed diagnoses, in part, of anxiety disorder, personality disorders, depression, post-traumatic stress disorder and bi-polar disorder.Review of the social history and assessment dated [DATE] revealed Resident #3 was alert and oriented. Resident #3 scored 14 on BIMS indicating resident is cognitively intact.On 04/14/2026 at 11:32 a.m., an interview with S4Social Service Specialist revealed Resident #3 was recently admitted to the facility from another nursing home.…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-03-11 · tag F0558 — failed to accommodate residents' needs and preferences — pattern
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview the facility failed to ensure the resident's call light was within reach for 3 (#102, #141 #143) of 3 residents observed with call lights out of reach and were high risk for falls. Findings: Resident #102 On 03/10/2025 at 10:45 a.m., observation of resident #102's room revealed the call light was out of the resident's reach. Resident #102 was in a wheelchair and call light was out of reach on the bed. She agreed she would not be able to call for assistance if needed. Review of the medical record for resident #102 revealed diagnoses in part of cerebral infarction, psychotic disorders with delusions, chronic respiratory failure with hypercapnia, major depressive disorder with psychotic symptoms, vascular dementia with behavioral disturbances, neuropathy, convulsions, type 2 diabetes, and heart failure. Review of the Quarterly Minimum Data Set (MDS) assessment revealed resident #102 had a Brief Interview Mental Status (BIMS) score of 15 indicating the resident 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-03-11 · tag F0583 — failed to protect personal privacy — pattern
    Keep residents' personal and medical records private and confidential.
    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 ensure resident personal privacy was maintained during care for 1 (#102) of 1 residents observed exposed to the hallway during care. Findings: On 03/09/2025 at 1:45 p.m., observation from the hallway into resident #102's room revealed resident #102 was lying on the bed with no sheets covering her. Further observation revealed resident #102 was lying in the bed with her brief exposed to the hallway. On 03/09/2025 at 1:47 p.m., an interview with S6Certified Nurse Aide (CNA) and S7CNA revealed when S7CNA left out of the room the door must have swung back open when they went to get a gown for the resident. S6CNA and S7CNA agreed the door was open to the hallway and resident #102 was lying on the bed with no sheets covering her and her brief was exposed to the hallway, not maintaining the resident's privacy. Review of the record for resident #102 revealed diagnoses of cerebral infarction, psychotic disorders with delusions, chronic respiratory…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-03-11 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews, the facility failed to provided a resident who is unable to carry out activities of daily living received the necessary services to maintain good personal hygiene for 2 (#14,#63) of 3 (#14,#25,#63) residents reviewed for ADL (Activities of Daily Living), by failing to ensure residents #14 and #63 received assistance with personal hygiene. Findings: Resident #14 Review of resident #14's medical record revealed that he was admitted to the facility on [DATE] with diagnoses including Parkinson's disease. Review of the quarterly minimum data set assessment dated [DATE] revealed resident #14 had a brief interview for mental status score of 12, which indicated that he had moderate cognitive impairment with daily decision making skills. Further review revealed resident #14 required partial to moderate assistance with personal hygiene that included shaving. Review of resident #14's record revealed he was care planned for having an activities of daily living self-care performance…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-03-11 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations and interviews, the facility failed to provide necessary care and services for the provision of respiratory care in accordance with professional standards. The facility failed to ensure oxygen was administered as ordered by the physician for 2 (#48, #138) of 3 (#29, #48, #138) residents reviewed for oxygen therapy. Findings: Review of the Oxygen Administration Policy and Procedure revised 11/16/2024 revealed the following in part: Policy: Oxygen Administration will be performed as ordered by the physician. Procedure: 1. Check physician's order for liter flow and method of administration. 5. e. Set the flow meter to the rate ordered by the physician. 6. Nasal Cannula: connect tubing to humidifier outlet and adjust liter flow as ordered. Place prongs of cannula in the resident's nares. Addjust elastic loosely around head, above the ears. If cannula does not have elastic adjustment, lop the plastic around the ears and under the chin. Adjust the plastic slide to hold cannula 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 17 citations
  • Potential for harm · Ecited before2025-03-11 · tag F0803 — failed to meet residents' dietary needs — pattern
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review, observation, and interview the facility failed to ensure the menus were followed for 7 of 7 (#5, #39, #63, #72,# 80,#104, and # 127) pureed diets by not serving pureed cornbread as per the menu. Findings: On 03/09/2025 review of the lunch menu for the pureed diets revealed they were supposed to receive a dinner roll but facility substituted cornbread on the menu. Further review of the menu for the pureed diets revealed they were supposed to be served pureed cornbread. On 03/09/2025 at 11:00 a.m., observation of the lunch meal revealed residents #5, #39, #63, #72, #80, #104, and #127 did not receive the pureed cornbread. On 03/10/2025 review of the lunch menu for the pureed diets revealed they were supposed to receive pureed cornbread with their meal. On 03/10/2025 at 11:00 a.m., observation again of the lunch meal revealed residents #5, #39, #63, #72, #80, #104, and #127 did not receive the pureed cornbread. On 03/10/2025 at 3:00 p.m., an interview with S3Dietary Manager agreed the pureed diets were not served cornbread.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-03-11 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview the facility failed to store and distribute and serve food in accordance with professional standards for food service safety. There were 168 diets served from the kitchen. Findings: On 03/09/2025 at 8:06 a.m. observation of the reach in freezer revealed a personal drink was inside. Interview with S4Dietary confirmed the staff personal drink should not be in the refrigerator. At 8:10 a.m., observation of the walk in refrigerator revealed there was a pan of pureed rib meat that was not fully covered, and was not dated, there was also a pan of taco soup with a date of 02/27/2025 that should not have been available for resident consumption. At the time of the observation, S5Cook confirmed the items in the walk in refrigerator. At 8:20 a.m., observation of 2 large containers of powdered mashed potatoes revealed the scoop and handle were laying inside the powdered potatoes. Interview again with S5Cook confirmed the scoop and handles should not be stored inside the mashed potato bins. Further observation of the kitchen environment revealed the bowl,…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-03-11 · tag F0908 — failed to keep essential equipment working — pattern
    Keep all essential equipment working safely.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview the facility failed to ensure mechanical equipment was in safe operating condition by having the manual can opener with metal shavings. There were 168 diets served from the kitchen. Findings: On 03/09/2025 at 8:00 a.m., an observation of the large mechanical can opener revealed there was a buildup of metal shavings. At that time an interview with S5Cook confirmed the metal shavings on the can opener.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-03-11 · tag F0925 — failed to control pests — pattern
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview, the facility failed to maintain an effective pest control program so that the facility is free of pests by having ants in the dry pantry area. This failed practice had the potential to affect the 168 residents receiving meals from the kitchen. Findings: On 03/09/2025 at 7:45 a.m., an observation of the dry food storage area of the kitchen revealed there were small black ants on the large containers of grits and sugar. At this time, S5Cook confirmed there were little black ants and they had been having issues with them.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-11 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    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 and interview the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes or enhances his or her quality of life for 2 (#143, #14) of 2 residents. Findings: On 03/09/2025 at 1:06 p.m. observation of resident #143 revealed he was sitting in a high back wheelchair with a clean disposable brief behind his head cushioning his head and neck against the wheelchair headrest. On 03/11/2025 at 2:03 p.m., record review revealed diagnoses in part of Parkinson's disease, coronary artery disease, hypertension, dysphagia following cerebrovascular disease. Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed resident #143 had a Brief Interview Mental Status (BIMS) of 11 indicating resident #143 had moderate cognitive impairment. Further review of the MDS revealed resident #143 was dependent on staff for activities of daily living. On 03/11/2025 at 3:29 p.m. S2Director of Nursing (DON) was notified 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-11 · tag F0661 — isolated
    Ensure 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 facity failed to document a discharge summary when a resident was discharged from the facility for 1 (#160) of 3 (#34, #160, and #213) sampled residents reviewed for discharge. Findings: Review of the closed record for resident #160 revealed an admission date of 12/04/2024 with diagnoses including cerebral infarction, acute and chronic respiratory failure with hypoxia, unspecified protein-calorie malnutrition, morbid obesity, epilepsy, and type 2 diabetes mellitus. Review of resident #160's admission Minimum Data Set (MDS) assessment dated [DATE] revealed the resident required partial to moderate assistance with activities of daily living. Review of the closed record revealed resident #160 was discharged home on [DATE]. Further review of the record revealed no documentation of a discharge summary was completed. An interview on 03/11/2025 at 2:06 p.m. with S2Director of Nursing (DON) confirmed that resident #160 was discharged from the facility on 12/30/2024, and 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-03-11 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews, the facility failed to maintain a sanitary environment and to help prevent the development and transmission of communicable diseases and infections by, having employee's personal items lying on top of and in direct contact with tables that were designed for the folding of clean clothing and linen items. Findings: On 03/11/2025 at 3:09 p.m., an observation of the laundry department revealed S14Laundry Worker and S15Laundry Worker standing in the designated clean laundry room. S14Laundry Worker was holding a cell phone in her hand. Observation revealed S14Laundry Worker placing the cell phone on the top of and in direct contact with a table that contained clean clothing items and a bed pad. S14Laundry Worker confirmed the cell phone belonged to her (S14Laundry Worker). S14Laundry Worker further confirmed the table was designed for folding clean resident clothing and linen items. Observation of the clean laundry room further revealed a second table that had a cell phone lying on the table top of and in direct contact with the table top. S15Laundry…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-04-17 · tag F0658 — failed to meet professional standards of care — pattern
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, and record reviews, the facility failed to provide services that met professional standards during medication administration for 1 (#90) of 2 (#46 and #90) sampled residents. The facility failed to follow policies and procedures to ensure safe medication administration practices. Findings: Review of the facility's Medication Administration Policy and Procedure dated 08/27/2018 revealed the following, in part: Procedure: 1. Medication Administration: Prior to administration, the Nursing staff member administering the medication shall ensure that the following steps are accomplished. a. verify the medication selected matches the order and label; b. verify the medication is being administered at the proper time, in the prescribed dose, and by the correct route; Resident #90: Review of the record for resident #90 revealed an admission date of 04/25/2022 with diagnoses including cerebral infarction, pressure ulcer of left hip, hemiplegia following cerebral infarction affecting left non-dominant side, type 2 diabetes mellitus, and hypertension. An…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-04-17 · tag F0755 — failed to provide safe pharmacy services — pattern
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, and record review, the facility failed to accurately obtain pharmaceutical services, including supplying routine medications with the appropriate strength as ordered by the physician for 1 (#90) of 2 (#46 and #90) residents observed during medication administration pass. Findings: Resident #90: Review of the record for resident #90 revealed an admission date of 04/25/2022 with diagnoses including cerebral infarction, dysphagia, pressure ulcer of left hip, hemiplegia following cerebral infarction affecting left non-dominant side, type 2 diabetes mellitus, and hypertension. Observation on 04/16/2024 at 7:20 a.m of resident #90's medication pass revealed S7Licensed Practical Nurse (LPN) administered a blood pressure medication, Nifedipine Extended Release (ER) 30 milligrams (mg) 1 tablet by mouth (po). Review of resident #90's April 2024 Physician's Orders revealed an order dated 02/04/2024 for Procardia XL 90 mg 1 tablet po daily (Nifedipine ER generic name for Procardia XL). An interview on 04/17/2024 at 12:20 p.m. with pharmacist (from pharmacy…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-04-17 · tag F0803 — failed to meet residents' dietary needs — pattern
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to ensure: 1) dietary orders were followed for 2 (#38, #62) of 2 (#38, #62) residents having orders for mighty shakes and 2) dietary preferences were followed for 1 (#73) of 1 (#73) resident reviewed for dining. Findings: Resident #38 On 04/16/2024 at 2:35 p.m. record review for Resident #38 revealed diagnoses in part of end stage renal disease, cerebral vascular accident due to embolism of pre-cerebral artery, type 2 diabetes, chronic atrial fibrillation, dysphagia, systolic congestive heart failure, and stage 3 pressure ulcer of the sacral region. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview of Mental Status (BIMS) of 10 indicating moderate cognitive impairment. Review of the current physician orders for April 2024 revealed an order for mighty shakes, three times a day (TID). Review of the dietary card revealed Resident #38 was receiving a regular, no added salt, low concentrated sweet…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-04-17 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews, the facility failed to store, prepare, distribute, and serve food under sanitary conditions. This had the potential to affect all residents who received meals from the kitchen. Findings: On 04/15/2024 at 08:20 a.m. during initial tour of the facility, an observation of the facility kitchen revealed the following: 1. Small and large deep fryers had a large build-up of grease and grime in the lower compartment underneath the fryers. 2. Large toaster had old food particles noted underneath the rack on the bottom surface of the toaster and there was a sticky build up on the front panel of the toaster and also around the control knobs. 3. Large covered bin on shelf in Dry Storage Area had 1 large opened spiral noodle bag with 1/2 of the spiral noodles noted in bag, 1 large opened macaroni with 1/4 of shells noted in bag, and 1 large opened small macaroni noodle bag with ½ of noodles noted in bag. There were no open dates on any of the pasta bags. On 04/17/2024 at 4:00 p.m., an observation revealed 2 of the small microwaves located on top of 2 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-17 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure all medical records regarding the resident's code status consistently reflected the resident's wishes for 1 (#77) of 38 residents reviewed in the initial pool screening for advanced directives. Findings: Review of the facility Advance Directive Policy and Procedure dated 04/10/2023 revealed in part: Identify, clarify, and periodically review the existing care instructions on whether the resident wishes to change or continue instructions. If changes are made to the existing advance directive, a copy of the updated advanced directive will be given to the director of nursing (DON) to ensure physician orders are carried out and the resident's medical record is updated accordingly. Review of resident #77's medical record revealed she was admitted to the facility on [DATE] with diagnoses of unspecified dementia, and cerebral infarction. Review of resident #77's Quarterly Minimum Data Set assessment dated [DATE] revealed she had a Brief Interview for…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-17 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation and interviews, the facility failed to ensure that a resident received treatment and care in accordance with professional standards of practice and the comprehensive person centered care plan. The facility failed to address resident #69's positioning needs in a timely manner. Findings: Review of resident #69's medical record revealed she was admitted to the facility on [DATE] with diagnoses of Parkinson's disease, cerebrovascular disease, and unspecified dementia. Review of resident #69's Quarterly Minimum Data Set, dated [DATE] revealed she had a Brief Interview for Mental Status score of 99, which indicated the interview was not successful. Further review revealed she required moderate to maximal assistance for most activities of daily living (ADLs). Review of resident #69's current care plan revealed she required staff assistance for all ADLs. The care plan was revised on 03/08/2024 with an intervention to assist resident with repositioning while in her wheelchair with lap…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-17 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview the facility failed to ensure pharmaceutical services was provided to meet the needs of each resident that were consistent with state and federal requirements and reflect current standards of practice by failing to ensure medications were not left at the bedside for 1 (#38) of 1 (#38) residents with medications observed at the bedside. Findings: On 04/17/2024 review of the Quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #38 had a Brief Interview Mental Status (BIMS) of 10 indicating moderate cognitive impairment. Further review of the record revealed Resident #38 had diagnoses in part of: cerebral infarct due to embolism of unspecified pre-cerebral artery, type 2 diabetes, hypertension, chronic atrial fibrillation, end stage renal disease requiring dialysis, systolic congestive heart failure, history of cardiac arrest, history of hypotension, chronic metabolic acidosis, and dysphagia. On 04/17/2024 at 7:25 a.m. observation of Resident…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-17 · tag F0908 — failed to keep essential equipment working — isolated
    Keep all essential equipment working safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations, and interviews, the facility failed to ensure all patient care equipment was maintained in safe operating condition by failing to repair a wheelchair lap tray in a timely manner for 1(#69) resident reviewed for positioning. Findings: Review of resident #69's medical record revealed she was admitted to the facility on [DATE] with diagnoses of Parkinson's disease, cerebrovascular disease, and unspecified dementia. Review of resident #69's Quarterly Minimum Data Set, dated [DATE] revealed she had a Brief Interview for Mental Status score of 99, which indicated the interview was not successful. Further review revealed she required moderate to maximal assistance for most activities of daily living (ADLs). Review of resident #69's current care plan revealed she required staff assistance for all ADLs. The care plan was revised on 03/08/2024 with an intervention for a wheelchair with lap tray. On 04/16/2024 at 08:20 a.m. an observation revealed resident #69 was in her high back…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-04 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect 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 observations, record reviews, and interviews, the facility failed to protect the residents' right to be free from sexual abuse by other residents. The facility failed to ensure residents were free from sexual abuse for 1 (#1) of 3 (#1, #2, and #3) sampled residents. The facility implemented corrective actions which were completed prior to the State Agency's investigation, thus it was determined to be Past Noncompliance. Findings: Review of the facility's Abuse Prevention Policy revealed in part: this facility will not condone resident abuse by anyone including other . residents .sexual abuse is defined as, but limited to sexual assault. Review of the facility's Self-Reported Incident Report initiated on 08/27/2023 at 4:29 p.m. revealed an allegation of sexual abuse involving resident #1 (victim) and resident #2 (accused). Resident #2 was immediately relocated after the incident, and placed on 1:1 supervision pending the investigation. The following morning, resident #2 was admitted to a behavioral health unit. The facility's investigation was substantiated for 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · D2023-08-09 · tag F0697 — failed to manage pain — isolated
    Provide 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to ensure that pain management was provided to residents who required such services, consistent with professional standards of practice, the comprehensive person-centered care plan and the residents' goals and preferences. The facility failed to administer pain medication as needed to 1 (#1) of 5 (#1, #2, #3, #4, #5) sampled residents reviewed for pain management. Findings: Record review revealed Resident 1 was admitted to the facility on [DATE] with diagnoses that included but not limited to the following: syncope and collapse, displaced artic head of left femur for closed fracture with routine healing (onset 05/03/2023), paroxysmal atrial fibrillation, cerebral ischemia, chronic kidney disease- stage 4, emphysema, muscle wasting and atrophy unspecified lower leg, abnormalities of gait and mobility, weakness, anemia, nausea, constipation, essential hypertension, arthritis, and hypothyroidism. Review care plans revealed Resident 1 had pain and hip…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

$31,844 in federal fines across 1 penalty. 1 Medicare payment denial on record.

  • $31,844 — penalty dated 2024-06-14
  • Medicare payment denial — starting 2024-07-23 for 8 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 PLANTATION MANAGEMENT COMPANY — 16 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 2 of 51.8+0.2 vs chain
Health inspection 3 of 52.6+0.4 vs chain
Staffing 1 of 51.3-0.3 vs chain
Quality measures 3 of 51.9+1.1 vs chain
The other 15 homes this chain runs (chain average 1.8★, per CMS)

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

Who owns this facility

Owner / managerTypeRoleShareSince
PLANTATION MANAGEMENT COMPANY, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL100%since 08/01/2014
QUIRK, CYNTHIAIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTORNO PERCENTAGE PROVIDEDsince 09/01/2008
QUIRK, GENEIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTORNO PERCENTAGE PROVIDEDsince 09/01/2008
DELATTE, KIMBERLYIndividualCORPORATE DIRECTORsince 09/01/2008
QUIRK, SCOTTIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 09/01/2008

CMS files one row per role, so the 9 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner 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.

$19.1M
Net patient revenuemost recent cost report
+9.7%
Operating marginrevenue minus expenses
$5.4M
Related-party expense32% of expenses
Who pays — share of resident-days
Medicaid 66%Medicare 12%Other / private 22%

This home reported $5.4M paid to related parties — landlords or management companies under common ownership — equal to about 32% 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

$297per resident / day
operating cost
$9,028per month
≈ monthly operating cost
$329per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in LA

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Louisiana Medicaid page.

Typical monthly cost in Louisiana
$7,604/mo
Nursing home (semi-private)
$8,076/mo
Nursing home (private)
$5,163/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 195531. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-15, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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