Chateau De Notre Dame Community Care Center
2832 Burdette Street, New Orleans, LA 70125 · Non profit - Corporation · 171 certified beds · (504) 866-2741 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- inspectors cited 2 immediate-jeopardy problems — the most serious level
- inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (28) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $36,265 in federal fines (most recent 2025-05-14)
- its independent health-inspection rating is low (2/5)
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 | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 3 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 | 3 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
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 | 18.7% | 17.8% | 15.4% | worse |
| Long-stay residents who lose too much weight | 1.8% | 5.2% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 1.2% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 1.0% | 2.1% | 2.0% | better |
| Long-stay residents with depressive symptoms | 5.1% | 2.3% | 6.5% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 2.4% | 3.5% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 17.9% | 17.9% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 19.0% | 23.2% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 93.5% | 94.9% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.9% | 5.6% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 15.7% | 15.8% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 24.0% | 22.7% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 0.5% | 3.1% | 1.4% | better than state‡ — see note marked double-dagger below the table |
| Short-stay residents given the seasonal flu vaccine | 97.3% | 76.3% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 27.2% | 28.0% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 14.6% | 14.8% | 12.0% | 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.
52.7% 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 120 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 87.3% 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 63 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 52.7%CMS range 44.5–63.7 | 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 | 11.4%CMS range 7.3–15.0 | 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 | 87.3% | 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 | 85.7% | 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 | 85.7% | 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 | 97.3% | 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 | 98.4% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 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 | 5.9%CMS range 3.3–9.7 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.00 | 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 171 beds and averages 155.2 residents a day — about 91% occupied, or roughly 16 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 4.12 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.31 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.34 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 3.35 hrs/resident/day on weekends vs 4.43 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 0.37 to 0.17 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 46% 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 unchanged from the previous inspection. 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.
28 citations, most serious first. The 13 most serious are shown; the remaining 15 are one tap away and print in full.
- Immediate jeopardy · Jcited before2025-05-14 · 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 observation, interviews, and record reviews, the facility failed to properly secure a resident's wheelchair using the front securement straps in the facility's transportation vehicle for 1 (Resident #1) of 3 (Resident #1, Resident #2, Resident #3) sampled residents reviewed for transportation safety. This deficient practice resulted in an Immediate Jeopardy situation on 05/06/2025 at 11:30AM for Resident #1, when S3Certified Nursing Assistant/Transport Driver (CNA/TD) failed to properly secure Resident #1's wheelchair in the facility's transportation van with the front securement straps. Resident #1's wheelchair tipped over backwards during transport, which caused Resident #1 to strike the back of his head. Resident #1 was then transported to a local emergency room where he was assessed as having a bump to back of the head and had to receive pain medication for head and shoulder pain. This deficient practice had the likelihood to cause more than minimal harm to the 104 residents who resided in 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 · Kcited before2024-05-20 · 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 interviews, record reviews, and observations, the facility: 1. Failed to ensure a resident (Resident #1), who was assessed as being at risk for wandering/elopement, was supervised and unable to elope off of the facility's grounds; 2. Failed to ensure staff tested the WanderGuard system to ensure the transmitters were properly functioning at ankle level to alert staff and prevent residents from being able to exit the facility unsupervised for 5 (Resident #1, Resident #2, Resident #3, Resident #4, and Resident #5) of 5 residents. This deficient practice was identified for 5 (Resident #1, Resident #2, Resident #3, Resident #4, and Resident #5) of 5 (Resident #1, Resident #2, Resident #3, Resident #4, and Resident #5) sampled residents reviewed for wandering/elopement and accident/hazards. The deficient practice resulted in an Immediate Jeopardy situation on 05/07/2024 at 6:30 p.m. when Resident #1, a resident who was assessed as being at high risk for wandering and elopement, and who had a WanderGuard…
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 · K2024-05-20 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record reviews, and observations, the facility: 1. Failed to ensure a resident (Resident #1), who was assessed as being at risk for wandering/elopement, was supervised and unable to elope off of the facility's grounds; 2. Failed to ensure staff tested the WanderGuard system to ensure the transmitters were properly functioning at ankle level to alert staff and prevent residents from being able to exit the facility unsupervised for 5 (Resident #1, Resident #2, Resident #3, Resident #4, and Resident #5) of 5 residents. This deficient practice was identified for 5 (Resident #1, Resident #2, Resident #3, Resident #4, and Resident #5) of 5 (Resident #1, Resident #2, Resident #3, Resident #4, and Resident #5) sampled residents reviewed for wandering/elopement and accident/hazards. The deficient practice resulted in an Immediate Jeopardy situation on 05/07/2024 at 6:30 p.m. when Resident #1, a resident who was assessed as being at high risk for wandering and elopement, and who had a WanderGuard…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-06-04 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
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 a Quarterly Minimum Data Set (MDS) accurately reflected medication orders for 1 (Resident #74) of 5 (Resident #11, Resident #53, Resident #55, Resident #74, Resident #102) residents reviewed for medications. Findings: Review of Resident #74's electronic medication administration record (eMAR) for April 2025 revealed, in part, an order for Lasix 20 milligrams (mg) by mouth one time a day (a diuretic medication used to reduce swelling and fluid retention) and Trazodone Hydrochloride50 mg by mouth one time a day (an antidepressant medication used to treat depression) were administered during the lookback period (the period required to review information to complete the MDS), 04/24/2025 through 04/30/2025. Review of Resident #74's Quarterly MDS Assessment, with an Assessment Reference Date (ARD) of 04/30/2025 revealed, in part, Sections C: antidepressant was not checked, Section G: diuretic was not checked, and Section Z: none of the above was checked. In an interview on 06/04/2025 at 12:24PM, S3Clinical Care…
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 · D2025-06-04 · 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 review, the facility failed to ensure an enteral feeding bag (bag that contains a formula for the purpose of supplying nutrients directly into the stomach) and the free water flush bag was properly labeled to include the rate of the infusion for 1 (Resident #130) of 1 (Resident #130) sampled residents reviewed for enteral feeding. Findings: Review of the Resident #130's electronic medical record revealed, in part, Resident #130 was admitted to the facility on [DATE] with diagnoses 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 Enteral Tube Feeding via Continuous Pump policy and procedure, undated, revealed, in part, to check the enteral nutrition label against the order before administration. Further review revealed to check the resident's name and room number, type of formula, date and time…
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 · D2025-06-04 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
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 follow a physician's order for oxygen administration for 1 (Resident #52) of 1 (Resident #52) sampled residents reviewed for respiratory care. Findings: Review of Resident #52's Minimum Data Set with an Assessment Reference Date of 04/16/2025 revealed, in part, Resident #52 had a Brief Interview of Mental Status (BIMS) score of 15, which indicated Resident #52's cognition was intact. Further review revealed Resident #52 had a medical history of chronic obstructive pulmonary disease (COPD) (a group of lung diseases that block airflow and make it difficult to breathe) and lung cancer. Review of Resident #52's June 2025 Physician's Orders revealed, in part, Resident #52's oxygen was to be administered at 4 liters per minute (lpm) via nasal cannula (a device that gives you additional oxygen through your nose) every shift related to COPD, which may be removed for bathing and daily care. Review of Resident #52's care plan revealed, in part, Resident #52 was at risk for altered breathing related to the diagnosis…
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 · D2025-06-04 · tag F0699 — isolatedProvide care or services that was trauma informed and/or culturally competent.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews and record reviews, the facility failed to develop resident-specific approaches and implement a plan of care for a resident with post-traumatic stress disorder (PTSD) for 1 (Resident #52) of 1 (Resident #52) sampled residents reviewed for behavioral/emotional services. Findings: Review of Resident #52's Minimum Data Set with an Assessment Reference Date of 04/16/2025 revealed, in part, Resident #52 had a Brief Interview of Mental Status score of 15, which indicated Resident #52's cognition was intact. Further review revealed Resident #52 had a medical history of PTSD, anxiety, and depression. Review of Resident #52's June 2025 Physician's Orders revealed, in part, no documented evidence, and the facility did not present any documented evidence an order was implemented to monitor for signs and symptoms of PTSD and/or triggers associated with Resident #52's PTSD. Review of Resident #52's Psychiatric Progress Notes dated 03/28/2025 and 04/28/2025 revealed, in part, Resident #52's active medical problems were PTSD and depression. Further review revealed no documented…
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 · D2025-05-14 · tag F0726 — failed to have competent, trained nursing staff — isolatedEnsure 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
Based on observations, interviews, and record reviews, the facility failed to ensure a Certified Nursing Assistant (CNA) was competent in the facility's procedure for securing a resident's wheelchair in a transport vehicle for 1 (S5CNASupervisor) of 3 (S4Maintenance Staff/Transport Driver [MS/TD], S5CNASupervisor, S6Maintenance Director [MD]) staff members investigated for resident safety competency. Findings: Review of the facility's CNA Job Description dated 12/03/2019 revealed, in part, CNAs may have been assigned additional assignments and duties to meet the needs of the residents. Further review revealed any additional tasks, duties, and responsibilities assigned to a CNA were to be performed in accordance with established policies, procedures, and standards. Review of the facility's Vehicle and Driver policy and procedure dated 09/27/2018, with a revision date of 11/29/2019, revealed, in part, wheelchairs/scooters must be properly secured with the securement equipment. Review of the facility's undated Securing Residents in Vehicle Wheelchair and Patient Securing Systems…
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 · D2025-03-19 · tag F0623 — isolatedProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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 interviews and record reviews, the facility failed to ensure: 1. A resident was given a 30 day written notice before a facility-initiated discharge as required; and, 2. A resident's written discharge notice included the name and contact information for Louisiana's Mental Health Advocacy Service. This deficient practice was identified (Resident #1) of 2 (Resident #1, Resident #2) sampled residents investigated for discharge requirements. Findings: 1. Review of Resident #1's Electronic Medical Record (EMR) revealed, in part, Resident #1 was readmitted to the facility on [DATE] from an inpatient psychiatric hospital. Further review revealed Resident #1 was discharged from the facility on 01/27/2025. Further review revealed Resident #1 received a written Discharge Notification on 01/27/2025. Review of Resident #1's Discharge Notification dated 01/27/2025 revealed, in part, Resident #1 was discharged because the facility was unable to meet Resident #1's needs and Resident #1 continued to smoke in 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 · D2024-07-31 · tag F0740 — failed to provide behavioral / mental-health care — isolatedEnsure each resident must receive and the facility must provide necessary behavioral health care and 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 provide necessary behavioral health care needs for a resident who displayed passive suicidal ideation for 1 (Resident #1) of 3 (Resident #1, Resident #2, Resident #3) sampled residents reviewed for behavioral health care needs. Findings: Review of the facility's Policy Statement: Resident suicide threats shall be taken seriously and addressed appropriately. Policy Interpretation and Implementation with a Revision date of 2002 revealed in part that staff were to report any resident threats of suicide immediately to the Nurse Supervisor/Charge Nurse. Review of Resident #1's Minimum Data Set (MDS) with an Assessment Reference Date of 07/16/2024, revealed, in part, Resident #1 had a Brief Interview for Mental Status of 5 which indicated Resident #1's cognition was severely impaired. Further review revealed diagnoses of Dementia, Depression, and Schizophrenia. In an interview on 07/30/2024 at 1:35 p.m., S3Certified Nursing Assistant (CNA) indicated on 07/22/2024 while transporting Resident #1 into the shower room, Resident #1…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-06-13 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews and record reviews, the facility failed to ensure a resident's call light was within reach for 1 (Resident #64) of 4 (Resident #44, Resident #60, Resident #64, and Resident #112) residents reviewed for call devices. Findings: Review of Resident #64's Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 04/02/2024 revealed a Brief Interview for Mental Status score of 13. A score of 13 indicated Resident #64 was cognitively intact. Review of Resident #64's Care Plan revealed, in part, a potential for alteration in breathing pattern related to respiratory distress, self-care deficit, and risk for falls. Further review of Resident #64's Care Plan revealed an intervention to have the call bell within reach for the above mentioned issues. Observation on 06/10/2024 at11:18 a.m. revealed Resident #64's call bell was on the nightstand. The surveyor asked Resident #64 how he called for help and he replied, I holler. Observation on 06/11/2024 at 11:07 a.m. revealed Resident #64's call bell was on the nightstand. Observation on 06/12/2024 at 9:55…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-06-13 · 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 record review and interview, the facility failed to ensure that a resident and/or a resident's responsible party was invited to the resident's care planning meeting for 1 (Resident #44) of 1 (Resident #44) resident investigated for participation in care planning. Findings: Review of the facility's policy titled, Care Planning - Interdisciplinary Team (IDT), dated September 2013 revealed, in part, the resident, the resident's family and/or the resident's legal representative/guardian or surrogate are encouraged to participate in the development of and revisions to the residents care plan; every effort will be made to schedule care plan meetings at the best time of the day for the resident and family, and the mechanics of how the IDT meets its responsibilities in the development of the interdisciplinary care plan (e.g.; face-to-face, teleconference, written communication) is at the discretion of the care planning committee. In an interview on 06/10/2024 at 11:02 a.m., Resident #44's family member indicated when Resident #44 was first admitted to the facility they participated…
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 before2024-06-13 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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 ensure a resident with limited range of motion received appropriate treatment and services as identified in a therapy screening for 1(Resident #44) of 1 (Resident #44) residents reviewed for limited range of motion. Findings: Review of Resident #44's Electronic Medical Record (EMR) revealed, in part, a diagnosis of Cerebral Palsy. Review of Resident #44's Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 03/28/2024 revealed, in part, Resident #44 had a functional limitation in range of motion of both upper extremities. Review of Resident #44's Care Plan revealed, in part, Resident #44 had limited physical mobility related to contractures of the bilateral upper extremities. Review of Resident #44's rehabilitation screen dated 09/01/2023 revealed, in part, Resident #44 had hand contractures and would be evaluated by Occupational Therapy for splint fitting to prevent further decline. Observation on 06/11/2024 at 11:06 a.m. revealed Resident #44 was in her room in her wheelchair. Further…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 15 citations
- Potential for harm · D2024-06-13 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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 was monitored for targeted behaviors for 1 (Resident # 138) of 5 sampled residents reviewed for unnecessary medications. Findings: Review of the facility's Policy for Behavioral Assessment, Intervention, and Monitoring dated 03/2019 revealed the interdisciplinary team (IDT) will monitor for side effects and complications related to psychoactive medications. Review of Resident #138's Electronic Medication Administration Record (eMAR) revealed no record of monitoring for targeted behaviors for administered antidepressant and antianxiety medications in the eMAR prior to 06/13/2024. In an interview on 06/13/2024 at 10:15 a.m., S4Clinical Coordinator indicated a resident who received psychoactive medications should be assessed and monitored for targeted behaviors every shift and those targeted behaviors should be documented on the eMAR. In an interview on 06/13/2024 at 11:05 a.m., S2Director of Nursing indicated that nursing staff do not perform routine charting for the assessment and monitoring of targeted…
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 · D2023-12-06 · 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, interview, and record review the facility failed to ensure over the counter eye drops were labeled with a resident's name. This deficient practice was identified for 1 medication cart (Cart x) of 2 medication carts (Cart x and Cart y) observed for medication administration. Findings: Review of the facility's policy titled Labelling of Medication Containers revealed, in part, labels for individual resident medications would include all necessary information, such as the resident's name. Observation on 12/05/2023 at 3:15 p.m. of Cart x revealed 6 opened bottles of Artificial Tears Ophthalmic Solution (eye drops used for dry eye relief and lubricant). Further observation revealed the 6 opened bottles of Artificial Tears Ophthalmic Solution were only labeled with room numbers and not residents' names. In an interview on 12/05/2023 at 03:20 p.m., S3Licened Practical Nurse acknowledged the 6 opened bottles of Artificial Tears Ophthalmic Solution did not identify the residents by name, only by resident's room, In an interview on 12/05/2023 at 4:00 p.m., S2DON…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-12-06 · 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 observation, interview, and record review the facility failed to: 1. Ensure foods stored in the facility's kitchen refrigerator were dated; 2. Ensure expired beverages were not available for resident consumption; and 3. Ensure the inside of the facility's kitchen Prep-refrigerator (Fridge c and Fridge d) were free of an unknown thick substance, buildup of an unknown brown substance, and debris. Findings: 1. Observation on 12/05/2023 at 9:55 a.m. of the facility's kitchen refrigerator revealed a jar of spinach dip was not labeled with an open date. Further observation revealed a container with pudding had no date labeled on it. In an interview on 12/05/2023 at 9:57 a.m., S4Dietary Manager acknowledged the jar of spinach dip was not labeled with an opened date and should not have been in the facility's kitchen refrigerator. S4Dietary Manager further acknowledged the container with pudding should have been labeled with a date to identify when it was prepared and put into the facility's kitchen refrigerator. 2. Observation on 12/05/2023 at 09:58 a.m. of Fridge c revealed 1…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-11-21 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to ensure an injury of unknown origin was reported immediately, but not later than 2 hours after the injury was discovered to the State Survey Agency for 1 (Resident #1) of 3 (Resident #1, Resident #2 and Resident #3 ) sampled residents reviewed for abuse. Findings: Review of Resident #1's medical record revealed, in part, she was admitted to the facility on [DATE] with diagnoses, of Dementia, Muscle Weakness, Difficulty Walking, Other lack of Coordination, and Muscle Wasting Atrophy, Review of Resident #1's Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 10/16/2023 revealed a Brief Interview of Mental Status (BIMS) score of 2 which indicated Resident #1 was severely cognitively impaired. Further review revealed, Resident #1 required extensive assistance from one person with bed mobility and transfers and total dependence from one person for toileting. Review of Resident #1's nurse's note dated 10/27/2023 at 9:42 a.m., 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 · D2023-11-21 · tag F0776 — isolatedProvide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to ensure a stat (also known as immediate) x-ray was done in a timely manner, for 1 (Resident #1) of 3 (Resident #1, Resident #2 and Resident #3) sampled residents reviewed for abuse that received diagnostic services. Findings: Review of the facility's policy for Request for Diagnostic Services revealed, in part, an emergency request must be labeled stat ( a word meaning immediately) to assure prompt action is taken. Review of Resident #1's medical record revealed, in part, Resident #1 was admitted to the facility on [DATE] with diagnoses of Dementia, Muscle Weakness, Difficulty Walking, Lack of Coordination, and Muscle Wasting Atrophy. Review of Resident #1's Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 10/16/2023 revealed a Brief Interview of Mental Status (BIMS) score of 2 which indicated Resident #1 was severely cognitively impaired. Further review revealed, Resident #1 required extensive assistance from one person with bed…
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 before2023-08-03 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, and record review the facility failed: 1. Ensure all food items were dated when opened; 2. Ensure perishable food items were not stored outside of acceptable temperature controls. Findings: 1. Review of Policy and Procedure Manual Food Storage, in part, revealed the following: food should be dated as it is placed on the shelves. Observation on 07/31/2023 at 9:15 a.m. revealed in the refrigerator was a one gallon, half full, bottle of Caesar dressing with no open date documented. In an interview on 07/31/2023 at 9:23 a.m., S17Dietary Director stated food items were to be dated when opened and the Caesar dressing did not have an open date documented. 2. Review of the facility's Policy and Procedure Manual Food Safety revealed, in part, staff will monitor potentially hazardous foods because of their protein content, moisture content and/or food source and handle them carefully. The following foods are referred to as time/temperature controlled for safety (TCS) foods and include but not limited to milk and milk products (yogurt, cottage cheese, sour…
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 · D2023-08-03 · 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 interviews and record review, facility failed to ensure a physician and resident representative were notified immediately after an incident occurred for 1 (Resident #100) of 1 resident sampled for accidents. Findings: Review of facility of policy on Change in a Resident's Condition or Status revealed, in part: Our facility promptly notifies the resident, his or her attending physician, and the resident representative of changes in the resident's medical/mental condition and/or status. Interpretation and Implementation: The nurse will notify the resident's attending physician or physician on call when there has been an accident or incident involving the resident. Review of quarterly Minimum Data Set with an Assessment Reference Date of 07/12/2023 revealed, in part, Resident #100 had a Brief Interview for Mental Status of 9 which indicated Resident #100 had a moderate cognitive impairment. Resident #100 required extensive assistance with transfers and toilet use with the assistance of 1 person. Review of nurses' notes revealed, in part, on 07/17/2023 at 10:37 p.m., Resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-08-03 · tag F0636 — isolatedAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
What the surveyor found here — the official record, unedited, may be distressing
Based on record review and interview, the facility failed to complete and electronically submit a comprehensive assessment to CMS (Centers for Medicare and Medicaid Services) in a timely manner for 1 (Resident #80) of 5 (Resident #3, Resident #52, Resident #66, Resident #80, and Resident #120) residents reviewed for MDS discrepancies. Findings: Review of the facility's IQIES (Internet Quality Improvement and Evaluation System) MDS 3.0 Final Validation Report dated 08/02/2023 revealed, in part, Resident #80's Significant Change Assessment with and ARD (Assessment Reference Date) of 06/30/2023 was completed more than 14 days after the ARD and therefore completed late. In an interview on 08/02/2023 at 12:05 p.m., S4MDS Coordinator, stated the comprehensive assessment for Resident #80 was not completed or transmitted timely and it should have been.
- Potential for harm · D2023-08-03 · tag F0638 — isolatedAssure that each resident’s assessment is updated at least once every 3 months.
What the surveyor found here — the official record, unedited, may be distressing
Based on record review and interview, the facility failed to complete and electronically submit a quarterly assessment to CMS (Center for Medicare Service) in a timely manner for 2 (Resident #66 and Resident #80) of 5 (Resident #3, Resident #52, Resident #66, Resident #80, and Resident #120) residents reviewed for resident assessments. Findings: Review of the facility's IQIES (Internet Quality Improvement and Evaluation System) MDS (Minimum Data Set) 3.0 Final Validation Report dated 08/02/2023 revealed, in part, Resident #66's Quarterly Assessment with an ARD (Assessment Reference Date) of 05/17/2023 and Resident #80's Quarterly Assessment with an ARD of 05/18/2023 were completed more than 14 days after the ARD and therefore completed late. In an interview on 08/02/2023 at 12:05 p.m., S4MDS Coordinator, stated the above mentioned quarterly assessments for Resident #66 and Resident #80 were not completed or transmitted timely and should have been.
- Potential for harm · Dcited before2023-08-03 · tag F0641 — isolatedEnsure 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 observation, record review, and interview the facility failed to: 1. Ensure the Minimum Data Set (MDS) accurately reflected the status of residents' limited range of motion for 2 (Resident #93 and Resident #105) of 3 (Resident #10, Resident #93, and Resident #105) residents reviewed for limited range of motion; and 2. Ensure the MDS accurately reflected a resident's discharge location status for 1 (Resident #126) of 1 (Resident #126) reviewed for hospitalization. Findings: 1. Resident #93 Review of Resident #93's MDS with an Assessment Reference Date (ARD) of 05/18/2023 revealed, in part, Resident #93 had a history of stroke with left sided hemiplegia (weakness). Further review revealed resident was assessed as having no functional limited range of motion in her upper extremities (arms and hands) and did not indicate Resident #93 had a diagnosis of left hand contracture. Review of Resident #93's Care Plan with a start date of 12/22/2023 revealed, in part, Resident #93 had hemiplegia related to a stroke…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-08-03 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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 provide care and services to maintain or improve a resident's limited range of motion for 2 (Resident #93 and Resident #105) of 3 (Resident #10, Resident #93, and Resident #105) sampled residents reviewed for positioning/mobility. Findings: Resident #93 Review of Resident #93's MDS (Minimum Data Set) with an ARD (Assessment Reference Date) of 05/18/2023 revealed Resident #93 had a BIMS (Brief Interview for Mental Status) score of 14 which indicated her cognition was intact. Review of Resident #93's Care Plan revealed, in part, Resident #93 had a stroke with left sided weakness and was dependent on staff for activities of daily living. Review of Resident #93's Office Visit Reports for 05/15/2023, 5/22/2023, 6/26/2023, 6/29/2023, 07/19/2023, and 7/25/2023 revealed Resident #93 had a diagnosis of left hand contracture (stiff joints that do not move) and the plan indicated to use a splint daily. Review of Resident #93's May, June, July, and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-08-03 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide 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 the facility failed to communicate the Registered Dietician (RD) recommendations to the Physician for 1 (Resident #43) of 5 (Resident #11, Resident #23, Resident #43, Resident #62, and Resident #116) sampled residents reviewed for nutrition. Findings: Review of Resident #43's Weights revealed a weight of 107 pounds on 01/06/2023, and 83 pounds on 08/03/2023 (22% weight loss in six months). Review of Resident #43's Registered Dietician Progress Note dated 06/27/2023 revealed the registered Dietician recommended increasing Resident #43's Med Pass (nutritional supplement) (or Resource (2.0) from 4 ounces to 6 ounces by mouth three times a day for additional changes. Review of Resident #43's July and August 2023 Physician Orders revealed, in part, revealed Med Pass (nutritional supplement) 2.0 give 4 ounces three times a day. Review of Resident #43's June, July, and August 2023 Medication Administration Record (MAR) revealed, in part, revealed Med Pass 2.0 4 ounces three times a day was administered. Further review revealed no documented evidence and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-08-03 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to ensure an unauthorized person who was not employed by the facility did not administer medication or treatment to a resident for 1 (Resident #4) of 1 (Resident #4) sampled residents reviewed for constipation. Findings: Review of the facility's Private Duty Sitters Policy and Procedure revealed, in part, private duty personnel must follow the facility's established nursing care policies and procedures, instructions issued by the nurse supervisor/charge nurse. Further review revealed medications may only be administered by authorized facility personnel. Review of Resident #4's record revealed she was admitted to the facility on [DATE]. In an interview on 07/31/2023 at 10:14 a.m., Resident #4 stated she had an issue with constipation. Resident #4's private duty sitter stated the responsible party would get the fleet enema and the private duty sitters would administer the fleet enema or a suppository. Review of Resident #4's Minimum Data Set (MDS) 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 · D2023-08-03 · tag F0808 — failed to follow doctor-ordered diets — isolatedEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
What the surveyor found here — the official record, unedited, 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 a resident received a therapeutic diet as ordered by the physician for 1 (Resident #380) of 1 resident reviewed for Food. Findings: Review of Resident #380's admission records revealed, in part, Resident #380 was admitted to the facility on [DATE] with a diagnosis of Type 2 Diabetes Mellitus. Review of Resident #380's physician orders revealed, in part, no evidence of a diet order. In an interview on 08/03/2023 at 12:22 p.m., S18Dietary Manager stated Resident #380 did not have an active diet order. S18Dietary Manager also stated she did not follow-up with anyone about the missing diet order. In an interview on 08/03/2023 at 2:00 p.m., S2DON stated she reviewed Resident #380's physician orders and he did not have a diet order in the system. S2DON further stated Resident #380 should have had a diet order and did not.
- Potential for harm · D2023-08-03 · 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 record reviews, observations, and interviews the facility failed to maintain their infection control program by the following: 1. Failed to have a male urinal contained in a plastic bag and identified with a residents name (Resident #41); 2. Failed to ensure staff changed gloves and performed hand hygiene after performing wound care and prior to (Resident #105). This deficient practice was identified for and 2 (Resident #41 and Resident #105) of 2 (Resident #41 and Resident #105) sampled residents. Findings: Resident #41 Observation on 08/02/2023 at 10:01 a.m., revealed in Resident #41's bathroom, there was a male urinal on the grab bar by the commode and was uncontained with no name on the urinal. In an interview on 08/02/2023 at 10:07 a.m., S7Certified Nursing Assistant (CNA) after observing the male urinal, stated that the male urinal in the bathroom should be contained in a plastic bag with a residents' name documented on it but it was not done. In an interview on 08/02/2023 at 11:10 a.m., S8Licensed Practical Nurse (LPN) stated that a male urinal needs to be in a…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“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
$36,265 in federal fines across 2 penalties.
- $9,580 — penalty dated 2025-05-14
- $26,685 — penalty dated 2025-05-14
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 COMMCARE CORPORATION — 14 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 2 of 5 | 3.7 | -1.7 vs chain |
| Health inspection | 2 of 5 | 3.6 | -1.6 vs chain |
| Staffing | 3 of 5 | 3.4 | -0.4 vs chain |
| Quality measures | 3 of 5 | 3.8 | -0.8 vs chain |
The other 13 homes this chain runs (chain average 3.7★, 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 |
|---|---|---|---|---|
| COMMCARE CORPORATION | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 06/14/2023 |
| HUDSON, MARY | Individual | W-2 MANAGING EMPLOYEE | — | since 06/14/2023 |
| LUNDBERG, ALEC | Individual | W-2 MANAGING EMPLOYEE | — | since 06/14/2023 |
| PRECHTER, PATRICIA | Individual | W-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR; CORPORATE OFFICER | — | since 03/01/2018 |
| FORD, MICHAEL | Individual | CORPORATE DIRECTOR | — | since 01/01/2021 |
| MANGUN, GAROLD | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | — | since 06/09/1997 |
| PLAISANCE, WAYNE | Individual | CORPORATE DIRECTOR | — | since 01/01/2022 |
| HARVEY PSARELLIS, DAWN | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | — | since 06/14/2023 |
| COMMCARE MANAGEMENT CORPORATION | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 06/14/2023 |
| GARDNER, GEORGE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 06/14/2023 |
| TUCKER, JAMES | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 06/14/2023 |
CMS files one row per role, so the 15 rows in the source record cover these 11 parties — each is shown once here with every role it holds. Nothing is omitted.
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 $2.7M paid to related parties — landlords or management companies under common ownership — equal to about 16% 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 2024. 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, FY2024). 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 195589. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-04, 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.