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Lakeview Manor Nursing And Rehabilitation Center

400 Hospital Road, New Roads, LA 70760 · For profit - Limited Liability company · 122 certified beds · (225) 638-4404 Medicare & Medicaid certified

Call the home — (225) 638-4404 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0609) — cited Mar 2025Behavioral-health or dementia-care citation — no harm found (F0740)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • 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
  • a high number of inspection citations overall (25) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure rating is low (2/5)
  • about 20% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

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

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
310 Durel Dr · (225) 713-2400 · Call to confirm hours
Pharmacy
213 Hospital Rd · (225) 638-5151 · Call to confirm hours
Grocery
213 Hospital Rd · (225) 638-5130 · Call to confirm hours
Park
1200 Major Pkwy · (225) 638-3870 · Typically dawn to dusk
Place of worship
806 Hospital Rd · (225) 638-7000

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 2 of 5
Long-stay residentspeople who live here 2 of 5
Short-stay residentsrehab / post-hospital 2 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased16.5%17.8%15.4%typical
Long-stay residents who lose too much weight3.7%5.2%5.4%better
Long-stay residents with a catheter left in their bladder1.8%1.2%0.9%worse
Long-stay residents with a urinary tract infection0.0%2.1%2.0%better
Long-stay residents with depressive symptoms0.6%2.3%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury3.2%3.5%3.3%typical
Long-stay residents whose ability to walk worsened24.3%17.9%16.1%worse
Long-stay residents on antianxiety or hypnotic medication16.8%23.2%18.9%better
Long-stay residents given the seasonal flu vaccine98.1%94.9%95.3%typical
Long-stay residents with pressure ulcers1.1%5.6%4.7%better
Long-stay residents with worsening bladder/bowel control7.8%15.8%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table34.6%22.7%17.1%worse
Short-stay residents who newly got an antipsychotic medication16.7%3.1%1.4%worse than state — see note marked double-dagger below the table
Short-stay residents given the seasonal flu vaccine87.0%76.3%79.4%typical
Short-stay residents rehospitalized after admission24.1%28.0%22.6%typical
Short-stay residents with an outpatient ER visit19.6%14.8%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.882.561.67worse
Long-stay outpatient ER visits per 1,000 resident days4.042.741.80worse

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.

9.5%U.S. median 10.7%
Went back to hospital
85.3%U.S. median 56.6%
Met the expected recovery
0.27U.S. median 0.31
Therapy hours / resident / day
0.10hours / resident / day
Physical therapy
0.11hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 85.3% 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 34 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.27 therapist hours per resident per day in 2026Q1 — more than 41% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 28% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.5%CMS range 6.0–15.510.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge85.3%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge79.4%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge73.5%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot 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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay2.1%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.301.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

0.18
RN hours/ resident / day
0.93
LPN hours/ resident / day
2.51
Aide hours/ resident / day
3.62
Total nurse hours/ resident / day
0.13
RN hoursweekends
40.9%
Total nursing turnover
60.0%
RN turnover

How full it usually is: this home is certified for 122 beds and averages 95.4 residents a day — about 78% occupied, or roughly 27 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.62 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.18 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.51 is at or above 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 3.00 hrs/resident/day on weekends vs 3.88 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.20 to 0.13 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 41% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

5
deficiencies at the latest standard inspection (2026-04-15)
13
at the previous standard inspection (2025-03-12)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

25 citations, most serious first. The 10 most serious are shown; the remaining 15 are one tap away and print in full.

  • Potential for harm · E2026-04-15 · tag F0740 — failed to provide behavioral / mental-health care — pattern
    Ensure 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record reviews, the facility failed to have a system in place to provide individualized behavioral health services, which met the individualized needs of a resident by preventing and treating their mental health disorder(s) for 1 (#17) of 7 residents reviewed for behavioral health in the sample Findings: Review of the facility's undated Provision of Quality Care Policy, as of 04/15/2026 at 3:45 p.m., revealed, in part, the following: Policy Explanation and Compliance Guidelines: 1. Each resident will be provided care and services to attain or maintain his/her highest practicable physical, mental, and psychosocial well-being. 3. Qualified persons will provide the care and treatment in accordance with the resident's choices. 6. The facility will employ on a full-time, part-time, or consultant basis those professionals necessary to carry out the provisions of the residents' care plans. Review of the facility's undated Behavioral Health Services Policy, as of 04/15/2026 at 3:45…

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

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

    Based on observations, interviews, and policy review, the facility failed to prepare, distribute, and serve food in accordance with professional standards for food service safety by failing to ensure: 1. Food was labeled and / or dated with a preparation date; and 2. Left over food was discarded in a timely manner.This deficient practice had the potential to affect any of the 91 residents who received nourishment from the facility's kitchen.Findings: Review of the undated facility policy titled Storage: Freezer revealed the following, in part:3. Label and date all items Review of the undated facility policy titled Storage: Refrigerator revealed the following, in part:6. If raw foods must be kept in the same refrigerator keep cooked foods above raw foods. If cooked foods are kept below raw foods, they can become contaminated by drips and spills. Then, if they are not to be cooked again before serving, they may be hazardous.7. Keep refrigerated foods wrapped or covered in sanitary containers. On 04/14/2026 at 2:24 p.m., an interview was conducted with S4DM. S4DM confirmed 91 residents…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-04-15 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to ensure nursing staff notified the provider when staff heard Resident #89 state she did not want to live anymore for 1 (#89) of 3 residents reviewed for Dementia Care.Findings:Review of Resident #89's Clinical Record revealed she was admitted to the facility on [DATE] with the following diagnoses: Unspecified Dementia, Mood Disturbance, Anxiety, and Schizoaffective Disorder.Review of Resident #89's Quarterly MDS with an ARD of 03/03/2026 revealed the resident had a BIMS of 12, indicating the resident was moderate cognitively impaired.Review of Resident #89's Nursing Notes, dated 02/23/2026 at 5:53 a.m., revealed the following: Resident #89 was heard in her room stating I just want to die already. S16LPN asked Resident #89 why she felt that way and Resident #89 stated because people are talking about her. S16LPN asked what people and Resident #89 pointed to the empty bed in her room. S16LPN assured her no one was in the room with her. Resident #89…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-15 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    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 respect the resident's right to personal privacy for 2 (#8 and #63) of the 25 residents reviewed for privacy in the initial pool. The facility failed to ensure Residents #8 and #63 had privacy curtains around their beds.Findings: Resident #8Review of Resident #8's Clinical Record revealed an admission date of 07/03/2025. Review of Resident #8's Quarterly MDS with an ARD of 03/26/2026 revealed that the resident had a BIMS of 15, indicating the resident was cognitively intact. Resident #63Review of Resident # 63's Clinical Record revealed an admission date of 04/28/2025. Review of Resident #63's Quarterly MDS with an ARD of 02/02/2026 revealed that the resident had a BIMS of 14, indicating the resident was cognitively intact. Review of facility Census revealed Resident #8 and Resident #63 were roommates. On 04/13/2026 at 9:01 a.m., an observation was conducted of Resident #8 sitting in her room next to the window. Further observation revealed there was no privacy curtain attached to the track on the ceiling.…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-15 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review the facility failed to ensure a resident with a newly identified psychiatric diagnosis was referred for a Preadmission Screening and Resident Review (PASRR) Level II evaluation as required for 1 (#51) of 4 sampled residents reviewed for PASRR. Review of the facility's undated Policy titled Resident Assessment- Coordination with PASRR Program revealed the following, in part: Policy: The facility coordinates assessments with preadmission screening and resident review (PASRR) program under Medicaid to ensure that individuals with a mental disorder, intellectual disability, or a related condition receives care and services in the most integrated setting appropriate to their needs. Policy Explanation and Compliance Guidelines: 1. All applicants to this facility will be screened for serious mental disorders or intellectual disabilities and related conditions in accordance with the State's Medicaid rules for screening. U9. Any resident who exhibits a newly evident or possible…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-03-12 · tag F0656 — failed to write and follow a full care plan — pattern
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review, the facility failed to ensure a resident's comprehensive person-centered care plan was implemented by failing to administer enteral feeding as ordered for 1 (#53) of 2 (#53 and #71) residents reviewed with enteral feeding. Findings: Review of Resident #53's Clinical Record revealed he admitted to the facility on [DATE] and had diagnoses, which included Neurocognitive Disorder with Lewy Bodies, Gastrostomy Status, and Dysphagia. Review of Resident #53's Significant Change MDS with an ARD of 01/08/2025 revealed a BIMS interview was not conducted related to the resident was rarely/never understood. Review of Resident #53's current Care Plan revealed the following, in part: Problem: At risk for malnutrition related to PEG tube feedings; NPO (nothing by mouth) status. Goal: The resident will maintain weight through review date Interventions: 01/03/2025 - Diet changed to PEG tube feedings. Resident is now NPO. Review of Resident #53's Physician Orders dated…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-03-12 · tag F0658 — failed to meet professional standards of care — pattern
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review, the facility failed to ensure each resident received services as outlined in the comprehensive care plan which met professional standards of quality for 1 (#53) of 2 (#53 and #71) residents reviewed with enteral feeding. The facility failed to ensure S6RN: 1. Verified Resident #53's physician orders prior to enteral feeding administration; and 2. Accurately documented administration of Resident #53's enteral feeding. Findings: Review of the facility's undated policy titled, Enteral Tube Feeding via Gravity revealed the following, in part: Purpose: The purpose of this procedure is to provide nourishment to the resident who is unable to obtain nourishment orally. Preparation: 1. Verify that there is a physician's order for this procedure. 2. Review the resident's care plan and provide for any special needs of the resident. General Guidelines: 3. Check the enteral nutrition label against the order before administration. Review of the facility's undated policy…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-03-12 · tag F0692 — failed to prevent malnutrition and dehydration — pattern
    Provide enough food/fluids to maintain a resident's health.
    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 review, the facility failed to ensure a resident received enteral feedings as ordered to maintain acceptable parameters of nutritional status for 1 (#53) of 4 (#37, #53, #65, and #71) residents reviewed for nutrition and/or enteral feeding. Findings: Review of Resident #53's Clinical Record revealed he was admitted to the facility on [DATE] and had diagnoses, which included Neurocognitive Disorder with Lewy Bodies, Gastrostomy Status, and Dysphagia. Further review of the Clinical Record revealed Resident #53's ideal body weight was 166 pounds. Review of Resident #53's Significant Change MDS with an ARD of 01/08/2025 revealed a BIMS interview was not conducted related to resident was rarely/never understood. Further review of the MDS revealed Resident #53 had lost 5% or more in the last month or 10% or more in the last six months of body weight and was not on a physician-prescribed weight loss regimen. Resident #53 received 51% or more of nutrition through tube…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-03-12 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews, the facility failed to ensure drugs and biologicals used in the facility were stored in accordance with currently accepted professional principles. The facility failed to ensure: 1. Medication rooms were free of expired supplements for 1 (MR3) of 2 (MR2 and MR3) medication rooms reviewed; 2. Medication carts were free of expired supplements for 1 (MC3) of 2 (MC1 and MC3) medication carts reviewed; 3. Medication carts were free of loose pills for 1 (MC1) of 2 (MC1 and MC3) medication carts reviewed; and 4. Insulin pens were labeled with an opened date on 1 (MC1) of 2 (MC1 and MC3) medication carts reviewed. This deficient practice had the potential to affect all of the 97 residents residing in the facility. Findings: Review of the undated facility policy titled Medications - Storage revealed the following, in part: The facility shall store drugs and biologicals in a safe, secure, and orderly manner. Policy Interpretation and Implementation 2. The nursing staff…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-03-12 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and policy review, the facility failed to prepare, distribute, and serve food in accordance with professional standards for food service safety by failing to ensure: 1. food was dated after opening; 2. food was properly sealed and stored; and 3. staff with facial hair wore a beard restraint. This deficient practice had the potential to affect any of the 97 residents who received nourishment from the facility's kitchen. Findings: Review of the undated facility policy titled Storage: Dry Food revealed the following, in part: Procedure: 2. Keep all containers tightly closed from insects, rodents, and dust. Dry foods can be contaminated, even if they do not need refrigeration. Review of the undated facility policy titled Storage: Freezer revealed the following, in part: 2. Keep all frozen foods tightly wrapped or packaged to prevent freezer burn. 3. Label and date all items Review of the undated facility policy titled Storage: Refrigerator revealed the following, in part: 5. Store raw items separately if possible. 6. If raw foods must be kept 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
Show the remaining 15 citations
  • Potential for harm · D2025-03-12 · tag F0609 — failed to report abuse allegations — isolated
    Timely 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 report allegations of verbal abuse to the State Survey Agency immediately, but no later than 2 hours, for 1 (#195) of 3 (#5, #36 and #195) residents reviewed for abuse. Findings: Review of the undated facility policy titled, Abuse Prevention and Investigation revealed the following: Definitions: Verbal Abuse: means the use of oral, written or gestured communication or sounds that willfully includes disparaging and derogatory terms to resident or their families, or within their hearing distance regardless of their age, ability to comprehend, or disability. Alleged Violation: is a situation or occurrence that is observed or reported by staff, resident, relative, visitor or others but has not yet been investigated and, if verified, could be indication of noncompliance with the Federal requirements related to mistreatment, exploitation, neglect, or abuse, including injuries of unknown source, and misappropriation of resident property. Identification 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-12 · tag F0636 — isolated
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to ensure that each resident's comprehensive Minimum Data Set (MDS) assessments were completed in a timely manner for 1 (#195) of 5 (#9, #31, #65, #195, and #295) newly admitted residents reviewed for comprehensive assessments. The facility failed to ensure that the resident admission assessment was completed within the 14-day requirement. Findings: Review of Resident #195's admission MDS assessment with an Assessment Reference Date (ARD) of 02/25/2025, revealed an admit date of 02/20/2025. Further review of the Admit MDS revealed the MDS had a status of in progress. On 03/12/2025 at 8:58 a.m., an interview was conducted with S3MDS. S3MDS reviewed Resident #195's admission MDS and confirmed Resident #195 was admitted to the facility on [DATE]. She further confirmed Resident #195's admission MDS was still in progress on 03/10/2025, and was not completed in the required timeframe. On 03/12/2025 at 4:42 p.m., an interview was conducted with S2DON. 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-03-12 · tag F0641 — isolated
    Ensure 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 observations, interviews and record review, the facility failed to ensure resident assessments accurately reflected the residents' status. The facility failed to ensure staff accurately coded: 1. The discharge status for 1 (#94) of 2 (#93 and #94) residents reviewed for discharge; and 2. The ostomy status for 1 (#22) of 2 (#22 and #81) residents reviewed for appliances. Findings: 1. Resident #94 Review of Resident #94's clinical record revealed he was admitted to the facility on [DATE] and discharged from the facility on 02/15/2025. Review of Resident #94's MDS Discharge Assessment with an ARD of 02/15/2025, revealed resident was discharged to an acute hospital. Review of Resident #94's Nurses Notes revealed the following, in part: 02/15/2025 at 9:48 a.m., Resident #94 discharged home with family. On 03/11/2025 at 3:20 p.m., an interview was conducted with S7MDS. She reviewed Resident #94's MDS Discharge Assessment with an ARD of 02/15/2025, and confirmed it indicated Resident #94 discharged to an acute…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-12 · tag F0657 — failed to keep the care plan current — isolated
    Develop 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to ensure the residents care plan was reviewed and revised for 1(#5) of 4 (#5, #12, #47, and #195) residents reviewed for accidents. The facility failed to update Resident #5's care plan when she exhibited new aggressive behaviors. This deficient practice had the potential to affect a current census of 96 residents. Findings: Review of Resident #5's Clinical Record revealed she was admitted to the facility on [DATE] with diagnoses, which included Cognitive Communication Deficit and Major Depressive Disorder. Review of Resident #5's Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 12/19/2024, indicated the resident was assessed by the facility to have a Brief Interview of Mental Status (BIMS) of 11, which indicated she was moderately cognitively impaired. Further review revealed the resident did not have any behaviors. Review of Resident #5's most recent Care Plan revealed Resident #5 had a history of physical and verbal aggressive…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-12 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to ensure each resident who was unable to carry out activities of daily living (ADLs) received the necessary services to maintain good personal hygiene by failing to ensure each resident received scheduled bed baths for 1 (#47) of 3 (#22, #45, and #47) residents reviewed for ADLs. Findings: Review of Resident #47's Clinical Record revealed she was admitted to the facility on [DATE] and had diagnoses, which included Cerebral Infarction, Hemiplegia and Hemiparesis on Left Non-Dominant Side. Review of Resident #47's Quarterly MDS with ARD of 12/10/2024 revealed a BIMS of 14, which indicated she was cognitively intact. Further review of the MDS Section GG revealed she was dependent upon staff for showering/bathing. Review of Resident #47's Current Care Plan revealed the following, in part: Focus: The resident has an ADL self-care performance deficit. Interventions: Assist with all ADLs as ordered. Review of Resident #47's ADL Documentation revealed she was…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-03-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record review, the facility failed to implement effective fall interventions for 1 (#47) of 4 (#5, #12, #47, and #195) residents reviewed for accident hazards. Findings: Review of Resident #47's Clinical Record revealed she was admitted to the facility on [DATE] with diagnoses, which included Cerebral Infarction, Hemiplegia and Hemiparesis Affecting Left Non-Dominant Side. Review of Resident #47's Quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 12/10/2024, revealed Resident #47 had a BIMS of 14, which indicated she was cognitively intact. Further review of MDS Section GG revealed Resident #47 required max assistance for bed mobility. Review of Resident #47's Care Plan revealed in part, the following: Focus: The resident is at risk for falls. Interventions: Resident had fall from bed on 02/04/2025. Staff educated on fall interventions that are in place. New, firmer wedge to be placed to left side of bed. Review of Resident #47's current Physician…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-12 · tag F0726 — failed to have competent, trained nursing staff — isolated
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure S6RN had the specific competencies and skill sets necessary to care for residents' needs as identified in the plan of care. The facility failed to ensure S6RN was competent to: 1. Verify and administer enteral feedings as ordered by the Physician for 1 (#53) of 2 (#53 and #71) residents reviewed with enteral feeding; and 2. Identify Enhanced Barrier Precautions and don necessary PPE to provide care for 1 (#53) of 5 (#22, #53, #71, #81, and #195) residents reviewed on Enhanced Barrier Precautions. Findings: Review of the facility's undated policy titled, Sufficient and Competent Staff revealed the following, in part: Policy: It is the policy of this facility to provide sufficient staff with appropriate competencies and skill sets to assure resident safety and attain and maintain the highest practicable physical, mental, and psychosocial wellbeing of each resident. Policy Explanation and Compliance Guidelines: 4. The facility must…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-03-12 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure staff utilized appropriate PPE during care with residents who required Enhanced Barrier Precautions for 1 (#53) of 5 (#22, #53, #71, #81, and #195) residents observed during chronic wound care and/or use of indwelling medical devices. Findings: Review of the facility's policy dated January 2025 and titled, Enhanced Barrier Precautions revealed the following, in part: Policy: It is the policy of this facility to implement Enhanced Barrier Precautions for the Prevention of transmission of multidrug-resistant organisms (MDRO). Definitions: Enhanced Barrier Precautions refer to the use of gown and gloves for use during high-contact resident care activities for residents known to be colonized or infected with MDRO as well as those at increased risk of MDRO acquisition (eg. Residents with wounds or indwelling medical devices). Policy Explanation and Compliance Guidelines: 48. High-contact resident care activities include: g. Device…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-25 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to ensure nursing staff notified the resident representative when a resident had a significant change in condition for 1 (#1) of 3 (#1, #2, #3) sampled residents reviewed. Findings: Review of the facility's undated policy titled, Change in a Resident's Condition or Status revealed the following, in part: Policy Statement: Our facility shall promptly notify the .representative of changes in the resident's medical/mental condition and/or status. Policy Interpretation and Implementation: 3. Unless otherwise instructed by the resident, the Nurse Supervisor/Charge Nurse will notify the resident's family or representative when: b. There is a significant change in the resident's physical, mental, or psychosocial status. Review of Resident #1's Clinical Record revealed the resident was admitted to the facility on [DATE] with diagnoses of Cerebral Infarction Due To Embolism of Right Middle Cerebral Artery and Cardiomegaly. Review of Resident #1's Annual MDS…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-25 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to maintain complete and accurate records in accordance with accepted professional standards and practices for 1 (#1) of 3 (#1, #2, #3) sampled residents reviewed. The facility failed to ensure nursing staff documented a resident's change in condition, provider notification of a resident's change in condition, and administration of Zofran. Findings: Review of the facility's undated policy titled, Documentation revealed the following, in part: The purpose of charting and documentation is to provide: 1. A complete account of the resident's care, treatment, response to the care, signs, symptoms, etc., for continuity of care, treatment decisions . Procedure: 1. Chart all pertinent changes in the resident's condition, reaction to treatments, medications, etc . 2. Document all notifications of resident status to physicians .Document all responses to notifications. 6. Document medication administration, treatments, vital signs, etc. Review of the facility's…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-25 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a record review, observations, and interviews, the facility failed to maintain an infection prevention and control program designed to provide a safe and sanitary environment to help prevent the development and transmission of infection. The facility failed to ensure staff wore proper Personal Protective Equipment (PPE) for 1(#2) resident who was on Enhanced Barrier Precautions (EBP). Findings: Review of the undated facility policy titled Enhanced Barrier Precautions, revealed the following: It is the policy of this facility to implement enhanced barrier precautions (EBP) for the prevention of transmission of multidrug-resistant organisms (MDRO). 3. Implementation of Enhanced Barrier Precautions a. Gowns and gloves will be available 4. High Contact resident care activities include: g. device care or use: urinary catheters. Review of Resident #2's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses of Urinary Tract Infection and Retention of Urine. Review of Resident #2's…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-04-25 · tag F0641 — pattern
    Ensure 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, interviews, and record review, the facility failed to ensure a resident's assessment accurately reflected the residents' status. The facility failed to ensure: 1. A resident's Minimum Data Set yearly assessment was accurately coded in regards to PASRR Level II for 1 (#28) of 4 (#6, #15, #28, and #80) residents reviewed for PASRR; and 2. A resident's Minimum Data Set yearly and quarterly assessments accurately reflected the use of a bed alarm for 1 (#15) of 3 (#15, #56, and #59) residents reviewed for falls. Findings: Review of the facility's policy MDS 3.0 Completion, with no effective date, revealed, in part, the following: Policy: Residents are assessed, using a comprehensive assessment process, in order to identify care needs and to develop an interdisciplinary care plan. Care Plan Team Responsibility for Assessment Completion: 1. Interdisciplinary Responsibility for Completion of MDS Sections: c. Persons completing part of the assessment must attest to the accuracy of the section they…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-25 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to ensure a record of the Level 1 Preadmission Screening Resident Review (PASRR) form was maintained in the resident's record for 1 (#6) of 4 (#6, #15, #28, and #80) residents reviewed for PASRR. Findings: Review of the facility's policy Resident Assessment-Coordination with PASRR Program, with no effective date, revealed the following, in part: Policy: This facility coordinates assessments with the Preadmission Screening and Resident Review (PASRR) program under Medicaid to ensure that individuals with a mental disorder, intellectual disability, or a related condition receives care and services in the most integrated setting appropriate to their needs. Policy Explanation and Compliance Guidelines: 3. A record of the pre-screening shall be maintained in the resident's medical record. Resident #6 Review of Resident #6's Clinical Record revealed she was admitted to the facility on [DATE] with diagnoses, which included Unspecified Dementia Unspecified…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure 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 review, the facility failed to ensure residents received adequate supervision for 1 (#15) of 3 (#15, #56, and #59) residents reviewed for falls. The facility failed to ensure staff rounded on Resident #15 every 2 hours to prevent falls. Findings: Review of the facility's policy titled, Routine Resident Checks, with no effective date, revealed the following, in part: Policy: Staff shall make routine resident checks to help maintain resident safety and well-being. Policy Interpretation and Implementation: 1. CNA's will check each resident at least every 2 hours. 2. Routine resident checks involve entering the resident's room and/or identifying the resident elsewhere on the unit to determine if the resident's needs are being met, identify any change in the resident's condition, identify whether the resident has any concerns, and see if the resident is sleeping, needs toileting assistance, etc. Review of the facility's policy titled, Fall Prevention, with no effective…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-25 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe and sanitary environment to help prevent the development and transmission of infection. The facility failed to ensure S5CNA wore proper Personal Protective Equipment (PPE) while providing care for 1 (#42) of 8 (#21,#24, #33, #42, #61, #69, #193 and #194) residents on Enhanced Barrier Precautions (EBPs). Findings: Review of the facility's undated policy Enhanced Barrier Precautions revealed: Policy: It is the policy of this facility to implement enhanced barrier precautions for the prevention of transmissions of multidrug-resistant organisms. Definitions: Enhanced barrier precautions refer to the use of gown and gloves for use during high-contact resident care activities for residents known to be colonized or infected with a MDRO as well as those at increased risk of MDRO acquisition (e.g., resident with wounds or indwelling medical devices. 4. High-contact…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to RIGHTCARE HEALTH SERVICES — 13 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 52.9+0.1 vs chain
Health inspection 3 of 53.3-0.3 vs chain
Staffing 3 of 52.5+0.5 vs chain
Quality measures 2 of 51.9+0.1 vs chain
The other 12 homes this chain runs (chain average 2.9★, per CMS)

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

Who owns this facility

Owner / managerTypeRoleShareSince
MANAGEMENT GROUP THIRTEEN LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST67%since 04/01/2022
SHM LAKEVIEW LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST33%since 04/01/2022
B & J LIMITED PARTNERSHIPOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST8%since 11/01/2017
JHS-SNF LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST8%since 04/01/2022
REVOCABLE TRUST OF ROY BUSH BRIDGES AND JUDY KAYE WINN BRIDGESOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST8%since 04/01/2022
SRB INVESTMENTS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST8%since 04/01/2022
THE VERNICE C WRIGHT IRREVOCABLE TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST8%since 04/01/2022
ABINGTON, LEONARDIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST8%since 04/01/2022
BROUSSARD, SCOTTIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR8%since 04/01/2022
DAVIS, JOHNIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST8%since 04/02/2022
DAVIS, MICHAELIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST8%since 04/01/2022
DAVIS, THOMASIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST8%since 04/01/2022
JONES, CALVINIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST8%since 04/01/2022
SANDERS, JACKIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 04/01/2022
MANAGEMENT SEVEN, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 04/01/2022

CMS files one row per role, so the 17 rows in the source record cover these 15 parties — each is shown once here with every role it holds. Nothing is omitted.

8 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.

$9.6M
Net patient revenuemost recent cost report
+8.9%
Operating marginrevenue minus expenses
$1.7M
Related-party expense20% of expenses
Who pays — share of resident-days
Medicaid 84%Medicare 7%Other / private 9%

About 84% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.7M paid to related parties — landlords or management companies under common ownership — equal to about 20% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$250per resident / day
operating cost
$7,587per month
≈ monthly operating cost
$274per day
avg. revenue, all payers

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

What families pay in LA

Paying with Medicaid

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

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

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 195446. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-15, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

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

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

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