Lafon Nursing Facility Of The Holy Family

Based on observation and interviews, the facility failed to ensure staff followed the manufacturer's instructions for the 3 compartment sink to correctly sanitize dishware. Findings:In an interview on 08/27/2025 at 1:20PM, S4Dietary indicated he routinely washed dishes in the 3 compartment sink. S4Dietary explained that he would dip the dishes into the sanitization solution in the 3 compartment sink, remove the dishes from the sanitization solution, and would place the dishes on the side to air dry. S4Dietary further indicated he did not soak dishes in the sanitization compartment of the 3 compartment sink for any specific amount of time. Observation on 08/27/2025 at 1:26PM revealed the manufacturer's instructions were posted on the wall near the 3 compartment sink that indicated to expose all area's surfaces of the dishware in the sanitization solution for no less than one minute and then allow to air dry. In an interview on 08/27/2025 at 1:26PM, S5Dietary Manager indicated S4Dietary should have followed the manufacturer's instructions posted on the wall near the 3 compartment sink…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to: 1. Ensure a referral to home health was completed prior to a resident's discharge as ordered (Resident #1); and, 2. Clarify a resident's discharge order to ensure a resident had all the necessary supplies and equipment for Percutaneous Endoscopic Gastrostomy (PEG) tube (a feeding tube inserted directly into the stomach through a small incision in the abdomen) feeding before the resident was discharge home (Resident #1). This deficient practice was identified for 1 (Resident #1) of 3 (Resident #1, Resident #2, Resident #3) sampled residents investigated for discharge requirements. Findings: Review of the facility's Discharge and Plan policy with a revision date of 03/2025 revealed, in part, the facility should make referrals to local agencies, and support services that could assist in accommodating the resident's post-discharge preferences, as appropriate. 1. Review of Resident #1's Physician's Telephone Order dated 04/07/2025 revealed, in part, 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.

Based on interviews and record reviews, the facility failed to ensure transfer or discharge reports were completed for 3 (Resident #1, Resident #2, Resident #3) of 3 (Resident #1, Resident #2, Resident #3) sampled residents investigated for transfer and discharge requirements. Findings: Review of the facility's transfer and d ischarge plan policy statement with a revision date of 03/2025, revealed, in part, the discharge summary should include the following: a. recapitulation of the resident's stay at the facility (a concise summary of the resident's stay and course of treatment in the facility); b. a final summary of the resident's status at the time of the discharge available for release to authorized individuals and agencies, with the consent of the resident or representative; and Review of Resident #1's record revealed, in part, Resident #1 was discharged on 04/10/2025. Review of Resident #1's t ransfer/d ischarge r eport dated 04/10/2025 revealed, in part, no chief complaint (reason for transfer), no relevant information including detailed instructions for ongoing care and no…

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

Based on observations, interviews, and record reviews, the facility failed to ensure a notice of employees' rights against retaliation for reporting crimes against residents was posted in a conspicuous location. Findings: Review of the United States Social Security Act Title XI, Part A, Section 1150B(d)(3) dated 08/14/1935 and amended on 09/26/2024 revealed, in part, each long-term care facility shall post conspicuously in an appropriate location a sign specifying the rights of employees against retaliation for reporting crimes against residents of the facility. Further review revealed, such sign shall include a statement that an employee may file a complaint against a long-term care facility that violates the provisions against retaliation with respect to the manner of filing such a complaint. Observation of the facility's employee common areas on 03/18/2025 at 3:00PM revealed no conspicuous signage related to employees' rights against retaliation for reporting suspected crimes. In an interview on 03/18/2025 at 3:10PM, S6Licensed Practical Nurse (LPN) indicated there was no signage…

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.

Based on interviews and record reviews, the facility failed to ensure an allegation of abuse was reported to the State Survey Agency within the required two hours for 1 (Resident #1) of 3 (Resident #1, Resident #2, Resident #3) sampled residents investigated for abuse. Findings: Review of the facility's Abuse Investigation and Reporting policy and procedure dated 03/04/2024 revealed, in part, an alleged violation of abuse, neglect, exploitation or mistreatment would be reported immediately to the State Survey Agency, but not later than 2 hours if the alleged violation involved abuse or had resulted in serious bodily injury. Review of the Louisiana Department of Health (LDH) Health Standards Incident Report #271580 revealed, in part, an allegation of abuse involving Resident #1: -Occurred on 02/19/2025; -Was discovered on 02/21/2025 at 9:39AM; and, -Was entered into the Statewide Incident Management System (SIMS) reporting system on 02/21/2025 at 11:05AM. In an interview on 03/18/2025 at 12:20PM, S1Administrator indicated she was made aware of Resident #1's allegation of abuse on…

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

Based on interviews and record reviews, the facility failed to complete a performance review within 12 months for 1 (S8Certified Nursing Assistant [CNA]) of 5 (S7CNA, S8CNA, S9CNA, S10CNA, S11CNA) personnel records reviewed. Findings: Review of S8CNA's personnel record revealed, in part, S8CNA had a hire date of 03/10/2023. Further review revealed S8CNA's last performance review was dated 03/13/2024. There was no documented evidence, and the facility could not provide any documented evidence a performance review was completed for S8CNA within the past 12 months. In an interview on 03/18/2025 at 1:45PM, S5Human Resources Director indicated the facility could not provide any documented evidence S8CNA had a performance review completed in the past 12 months. In an interview on 03/19/2025 at 12:58PM, S1Administrator confirmed a personnel performance review had not been conducted for S8CNA within the past 12 months as required and should have been.

Based on interviews and record review, the facility failed to ensure monthly weights were documented for 1 (Resident #1) of 3 (Resident #1, Resident #2, Resident #3) sampled residents investigated for nutrition. Findings: Review of Resident #1's Care Plan revealed Resident #1 was care planned for monthly weight evaluation notifications as per the dietician's recommendations. Review of Resident #1's Weights and Vitals Report revealed no documented monthly weights for November 2024 and December 2024. In an interview on 03/13/2025 at 8:52AM, S4Dietitian stated she was not able to assess Resident #1's three month weight loss percentage on her 2/24/2025 nutritional assessment because there were no documented weights for November 2024 or December 2024 on Resident #1's Weights and Vitals Summary. In an interview on 03/13/2025 at 9:35AM, S3Compliance Executive Nurse (CEN) indicated it is the policy of the facility to obtain monthly weights on all residents. S3CEN confirmed there were no documented weights for Resident #1 for November 2024 and December 2024. S3CEN further indicated there…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to ensure a Discharge/Transfer Minimum Data Set (MDS) assessment was completed and transmitted timely for 1 (Resident #66) of 3 (Resident #12, Resident #66, and Resident #80) residents reviewed for resident assessment. Findings: Review of Resident #66's record revealed, in part, Resident #66 was admitted to the facility on [DATE] and was transferred to the hospital on [DATE]. Further review revealed Resident #66 was discharged from the facility and did not return to the facility. Further review of Resident #66's records revealed, in part, no documented evidence a transfer and discharge assessment was completed and/or transmitted since he was discharged . In a telephone interview on 09/13/2024 at 2:08 p.m., S3License Practical Nurse/Minimum Data Set (S3LPN/MDS) confirmed Resident #66's discharge MDS was not completed and transmitted and should have been. In an interview on 09/16/2024 at 11:03 a.m., S7Director of Nursing confirmed Resident #66 did not have…

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

Based on record reviews and interviews, the facility failed to ensure the accuracy of a Minimum Data Set (MDS) assessment for 1 (Resident #12) of 3 (Resident #12, Resident #66, and Resident #80) sampled residents reviewed. Findings: Review of Resident #12's MDS with an assessment referenced date (ARD) of 08/01/2024, revealed, in part, Resident #12 had a brief interview of mental status (BIMS) score of 15, which indicated she was cognitively intact. Further review revealed the bedrail was used less than daily documented as a physical restraint while Resident #12 was in bed. Review of Resident #12's care plan revealed, in part, there was no documentation, and the facility did not provide any documentation of Resident #12 being care planned for restraints. Observation on 09/13/2024 at 1:39 p.m. revealed Resident #12 did not have any bedrails on her bed. In an interview on 09/13/2024 at 1:39 p.m. with Resident #12 confirmed she did not have side rails on her bed. In a telephone interview on 09/13/2024 at 2:08 p.m , S3License Practical Nurse confirmed Resident #12's MDS was coded 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.

Based on record reviews and interviews, the facility failed to complete performance reviews and provide in-service education based on the outcome of these reviews annually for 2 (S5Certified Nursing Assistant [CNA], S6Receptionist [Rec]) of 3 (S4CNA, S5CNA, S6Rec) ) sampled unlicensed personnel. Findings; Review of S4CNA's personnel record revealed, in part, a hire date of 03/27/2024. Further review of S4CNA's personnel record revealed no documented evidence and the provider did not present any documented evidence of an annual performance evaluation for S4CNA. Review of S5CNA's personnel record revealed, in part, a hire date of 10/03/2022. Further review of S5CNA's personnel record revealed no documented evidence and the provider did not present any documented evidence of an annual performance evaluation for S5CNA. Review of S6Rec's personnel record revealed, in part, a hire date of 04/24/2012. Further review of S5CNA's personnel record revealed no documented evidence and the provider did not present any documented evidence of an annual performance evaluation for S6Rec. In an…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, observations, and interview, the facility failed to ensure staff placed a floor mat on the floor while a resident was in bed per a resident's plan of care as a safety precaution for 1 (Resident #3) of 3 (Resident #1, Resident #2, and Resident #3) sampled residents. Findings: Review of Resident #3's February 2024 Physician Orders revealed, in part, floor mats for safety precaution with an order start date of 08/29/2023. Review of Resident #3's fall scale assessment dated [DATE] revealed a score or 75. A score of 75 indicated a high risk for falls. Review of Resident #3's care plan revealed, in part, Resident #3 was identified as having a potential for falls and injuries related to impaired mobility and the need for assistance with activities of daily living. Further review revealed a intervention included to place a floor mat at the bedside when Resident #3 was in bed. Observation on 02/29/2024 at 1:54 p.m. revealed S6Certified Nursing Assistant (CNA) and S7CNA transferred Resident #3…

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.

Based on record reviews, observation, and interviews, the facility failed to ensure a physician's order for pain medication was transcribed to the medical record for 1 (Resident #1) of 3 (Resident #1, Resident #2, and Resident #3) records reviewed. Findings: Review of Resident #1's physician progress notes dated 02/28/2024 revealed, in part, Resident #1 did not complain of pain at the time of visit; however, after the visit the nursing staff stated Tylenol did not relieve Resident #1's pain. Review of Resident #1's record revealed a copy of a physician's order dated 02/28/2024 for Tramadol 50mg (milligrams) tablets to take 1 every 8 hours prn (as needed) for pain. Review of Resident #1's March 2024 physician's orders revealed no documented evidence of an order for Tramadol 50mg (milligrams) tablets 1 tablet every 8 hours prn for pain. Review of the facility's pharmacy delivery sheet dated 02/28/2024 at 4:41 p.m. revealed, in part, Resident #1 received 30 Tramadol 50mg tablets. The pharmacy delivery sheet was signed as received by S5Licensed Practical Nurse (LPN). Observation of…

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

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, observations, and interviews, the facility failed to: 1. Ensure a resident's pressure ulcer (a wound caused by pressure) wound assessments were completed at least weekly for 2 (Resident #48 and Resident #289) of 4 (Resident #3, Resident #17, Resident #48, and Resident #289) sampled residents investigated for pressure ulcers; and, 2. Ensure a resident's pressure ulcer wound care was performed per physician's orders for 1 (Resident #289) of 4 (Resident #3, Resident #17, Resident #48, and Resident #289) sampled residents investigated for pressure ulcers. Findings: 1.) Resident #48 Review of Resident #48's Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 09/06/2023 revealed, in part, Resident #48 had a diagnosis of a Stage IV Pressure Ulcer (a wound that extends into deep tissues including muscle, tendons, and ligaments) of the right hip, which was not present on admission to the facility. Review of Resident #48's Right Hip Stage IV Pressure Ulcer care plan initiated on…

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

Based on record review and interview, the facility failed to establish and maintain a method of communication with the contracted dialysis facility for 1 (Resident #67) of 1 (Resident #67) sampled residents reviewed for dialysis services. Findings: Review of the facility's Care of a Resident with End-Stage Renal Disease policy and procedure revealed, in part, agreements between the facility and the contracted dialysis facility include all aspects of how the resident's care will be managed, including how information will be exchanged between the facility and the dialysis facility. There was no documented evidence and the facility was unable to present any documented evidence that an agreement was established with the contracted dialysis facility in regards to communication of a resident's condition. Review of Resident #67's Minimum Data Set with an Assessment Reference Date of 09/13/2023 revealed, in part, Resident #67 had a diagnosis of End Stage Renal Disease and received dialysis services. Review of Resident #67's October 2023 Physician's Orders revealed, in part, an order 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.

Based on record review and interviews, the facility failed to electronically submit accurate payroll information for direct care staffing as required. Findings: Review of the facility's Payroll Based and Journal (PB&J) report for Fiscal Year 2023 Quarter 3 (April 1 thru June 30), revealed, in part, the facility triggered for no Registered Nurse (RN) hours provided on 04/10/2023, 05/29/2023, 06/01/2023, 06/23/2023, and 06/26/2023. Record review of facility written time sheets revealed, in part, a minimum of 8 hours was provided by S9Corporate Registered Nurse (RN) on 04/10/2023, 05/29/2023, 06/23/2023, and 06/26/2023. Further review revealed, in part, the S2Director of Nursing (DON) provided 8 hours on 06/01/2023. In an interview on 10/25/2023 at 9:20 a.m., S8Facility Director, stated at the time the above mentioned PB&J report was completed, the S9Corporate RN and S2DON were not clocking into the time clock. S8Facility Director further stated the PB&J report was incorrect due to the RNs not clocking in.

Based on record review, observations, and interviews, the facility failed to: 1. Ensure staff used fresh water and a clean towel when performing incontinence care for 1 (Resident # 3) of the 1 sampled residents observed incontinence care; 2. Ensure staff changed their gloves and performed hand hygiene between wounds, when coming into contact with items in the environment, and between procedures for 4 (Resident #3, Resident #17, Resident #48, and Resident #289) of 4 (Resident #3, Resident #17, Resident #48, and Resident #289) sampled residents observed for wound care; 3. Ensure staff disinfected reusable medical equipment after use for 2 (Resident #1 and Resident #84) of 5 (Resident #1, Resident #84, Resident #48, Resident #8, and Resident #79) residents observed during medication administration. Findings: 1. Resident #3 Review of the facility's Perineal Care Policy and Procedure revealed, in part, the purpose of the procedure is to provide cleanliness and comfort to the resident, to prevent infections and skin irritation, and to observe the resident's skin condition. Further review…

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

Based on record review and interview, the facility failed to ensure the Skilled Nursing Facility Advance Beneficiary Notice (SNFABN), form Centers for Medicare and Medicaid Services (CMS)-10055, was completed prior to the discontinuation of Medicare Part A services (short term skilled nursing care and/or rehabilitation) for 2 (Resident #56 and Resident #25) of 3 (Resident #56, Resident #25, and Resident #189) residents reviewed for termination of Medicare Part A services. Findings: Review of the facility's Medicare Advanced Beneficiary Notice Policy revealed, in part, residents are informed in advance when changes will occur to their bills. 1. If the director of admissions or benefits coordinator believes (upon admission or during the resident's stay) that Medicare (Part A of the Fee for Service Medicare Program) will not pay for an otherwise covered skilled service(s), the resident (or representative) is notified in writing why the service(s) may not be covered and of the resident's potential liability for payment of the non-covered service(s). a. The facility issues the Skilled…

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.

Based on observation and record review, the facility failed to ensure water accessible to residents did not exceed 120 degrees Fahrenheit for 2 (Room a and Room b) of 5 (Room a, Room b, Room c, Room d, and Room e) rooms observed for water temperature. Findings: Review of the facility's Safety of Water Temperatures policy and procedure revealed, in part, water heaters that service resident rooms, bathrooms, common areas, and tub/shower areas shall be set to temperatures of no more than 120 degrees Fahrenheit. Further review revealed maintenance staff shall conduct periodic tap water checks. Observation on 10/23/2023 at 10:54 a.m. revealed the water from the sink in Room a was hot to touch, and surveyor was unable to maintain their hand in the flow of water for more than 5 seconds due to the high temperature. Observation on 10/24/2023 at 11:32 a.m. revealed the water from the sink in Room a was hot to touch, and surveyor was unable to maintain their hand in the flow of water for more than 5 seconds due to the high temperature. Observation on 10/24/2023 at 11:33 a.m. revealed the water…

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.

Based on record reviews and interview, the facility failed to have documented evidence the Certified Nursing Assistant (CNA) Registry was performed prior to hire for 1 (S10CNA) of 5 (S10CNA, S11CNA, S12CNA, S13CNA, and S14CNA)personnel records reviewed for state registry verification reviews. Findings: Review of S10CNA's personnel record revealed a hire date of 03/10/2023. Further review of S10CNA's personnel record revealed the CNA Registry was checked on 04/05/2023. There was no documented evidence and the facility did not present any documented evidence of the CNA Registry check that was completed upon hire for S10CNA. In an interview on 10/24/2023 at 11:42 a.m., S8Facility Director stated there was no documented evidence the CNA Registry check was completed for S10CNA upon hire.

Based on record review, observation, and interview, the facility failed to: 1) Ensure the surface of the freezer floor was kept clean; 2) Ensure food was not stored on the freezer floor; and, 3) Ensure food available for use was dated, labeled, and not left open to air. Findings: Review of the facility's Food Receiving and Storage policy revealed, in part, all foods stored in the freezer are covered, labeled and dated. Further review revealed foods in the walk-in are stored off the floor. Observation on 10/23/2023 at 09:10 a.m. of the facility's walk in freezer revealed, in part, a softball size clear frozen substance and a softball size red frozen substance on the floor of the walk in freezer. Further observation revealed an open plastic bag of frozen crab balls that were not labeled or dated. In an interview on 10/23/2023 at 9:10 a.m., S16Dietary Aide stated something must have spilled onto the freezer floor and it went unnoticed by the staff. S16Dietary Aide stated the bag of frozen crab balls should have been labeled, dated, and sealed after it was opened. Observation on…

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

Based on record review and interview the facility failed to immediately notify the responsible party of a change in skin condition to Resident's #1's right lower extremity for 1 (Resident#1) of 4 (Resident #1, Resident #2, Resident #3, and Resident #4 ) sampled residents. Findings: Review of S1Licensed Practical Nurse (LPN) nurse's wound assessment notes revealed in part: while performing wound care on 09/01/2023, S1LPN noticed a reddened area to Resident #1's Right foot. There was no documented evidence and the facility did not present any documented evidence of Resident #1's responsible party being immediately notified of Resident #1's change in skin condition. In an interview on 09/22/2023 at 2:45 p.m., S1LPN stated she did not have any documented evidence of the facility immediately notifying Resident #1's responsible party of the above mentioned change in skin condition until 09/05/2023.

Based on record review and interview the facility failed to immediately notify the responsible party when there was a significant change in the resident's level of consciousness, decreased blood pressure requiring transportation to a local hospital for 1(Resident#1) of 5 (Resident #1, Resident #2, Resident #3, Resident #4 and Resident #5) of sampled Residents. Findings: Review of S3Licensed Practical Nurse nurse's notes revealed in part: on 06/21/2023 at 7:15 a.m. the shower aid returns Resident #1 to the room stating she noticed a change in Resident's #1 Level of Consciousness. Resident #1 was assessed vital signs Blood Pressure 61/33, Heart Rate 109, Respirations 34, and a Temperature of 96.6 F (Fahrenheit). Resident #1 was placed in a Trendelenburg position, the body was placed with the feet elevated above the head, and Resident #1 was escorted to a local hospital by Acadian ambulance service at 8:15 a.m. In an interview on 08-15-2023 the consumer stated on 06-20-2023 stated she arrived at the facility around looking for Resident #1 she was approached by the staff who directed…

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.