Tri-Community Nursing Center
7014 Hwy 71, Palmetto, LA 71358 · For profit - Corporation · 108 certified beds · (337) 623-4227 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- it has an abuse, neglect, or exploitation citation (F0602), cited Aug 2025
- it has a citation for mishandling residents’ money or property (F0568)
- a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 3 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 10.9% | 17.8% | 15.4% | better |
| Long-stay residents who lose too much weight | 5.4% | 5.2% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 2.8% | 1.2% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 4.2% | 2.1% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 0.0% | 2.3% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 1.5% | 3.5% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 8.7% | 17.9% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 18.6% | 23.2% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 94.9% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.8% | 5.6% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 11.3% | 15.8% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 21.2% | 22.7% | 17.1% | worse |
| Long-stay hospitalizations per 1,000 resident days | 1.38 | 2.56 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 2.34 | 2.74 | 1.80 | worse |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ 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.
Therapy staffing: this home’s payroll records show 0.19 therapist hours per resident per day in 2026Q1 — more than 20% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 12% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not 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 SNF | 12.6%CMS range 6.4–17.9 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 8.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not 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 SNFs | 1.13 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 108 beds and averages 48.7 residents a day — about 45% occupied, or roughly 59 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.57 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.27 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.10 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 2.76 hrs/resident/day on weekends vs 3.89 on weekdays — 29% thinner on weekends — a notable drop. RN hours go from 0.30 to 0.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 38% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.
- Potential for harm · F2026-03-25 · tag F0880 — failed to prevent and control infections — widespreadProvide 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 record reviews and interviews, the facility failed to maintain an effective infection control program. The facility failed to: 1. Analyze the cause of resident's repeat facility acquired infections; and2. Follow its system for identifying potential infections The facility's census was 45 residents.Findings: Record review of the facility's policy titled, Infection Prevention and Control Program with a revision date of 04/28/2025 read in part, The facility has established and maintains an infection prevention and control program.to help prevent the development and transmission of communicable diseases and infections.1. The designated Infection Preventionist (IP) is responsible for oversight of the program.and surveillance.and investigations of exposures of infectious diseases.3. Surveillance: a. A system of surveillance is utilized for prevention, identifying, reporting, investigating, and controlling infections and communicable diseases for all residents.b. The infection Preventionist serve as the leader…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-03-25 · tag F0568 — isolatedProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
What the surveyor found here — the official record, unedited, may be distressing
Based on interview and review of the facility's Resident Personal Funds policy, the facility failed to provide quarterly personal funds statements for 1 (#12) out of 1 (#12) resident investigated for personal funds.Findings:An interview was conducted on 03/23/2026 at 09:24 a.m. with Resident #12. Resident #12 stated he had not received a quarterly statement for several months. On 03/23/2026, a review of the facility's policy titled Resident Personal Funds with no date revealed in part, Accounting and Records .3. The individual financial record must be available to the resident through quarterly statements and upon request .An interview was conducted on 03/24/2026 at 12:45 p.m. with S10PFS. She stated that she was responsible for providing quarterly personal funds statements to the residents with a personal funds account. S10PFS stated had been out of the facility from January 2025 to September 2025 and confirmed that Resident #12 had not received quarterly statements during that time.
- Potential for harm · Dcited before2026-03-25 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure the resident's MDS (Minimum Data Set) was completed accurately for 2 (#32, #44) out of 25 sampled residents. Findings:Review of Resident #32's quarterly MDS dated [DATE] revealed the resident was coded for taking anticoagulants. Review of Resident #32's physician's orders for March 2026 revealed there was no order noted for an anticoagulant (a drug that inhibit clotting factors in the blood to prevent stable blood clots). Review of Resident #44's quarterly MDS dated [DATE] revealed the resident was coded for taking anticoagulants. Review of Resident 44's physician's orders for March 2026 revealed there was no order noted for an anticoagulant. On 03/24/2026 at 8:50 a.m., an interview was conducted with S4MDSIP and S5MDS. They both reviewed the resident's electronic clinical record. S4MDSIP stated the residents were on Plavix and that was the anticoagulant. S5MDS corrected her and stated that Plavix was an antiplatelet medication. Both then…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-03-25 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews, the facility failed to ensure residents who are unable to carry out activities of daily living (ADL) received the necessary services to maintain good grooming and personal hygiene for 3 (#13, #15, #35) of 4 residents reviewed for ADL care.Findings: Record review of the facility's policy with a revision date of 04/28/2025, titled, Nail Care read in part, Provide guidelines for the provision of care to a resident's nails for good grooming and health.3. Routine cleaning and inspection of nails will be provided during ADL (Activities of Daily Living) care on an ongoing basis.6. Procedure: c. gently clean underneath nails with orange stick. Resident #13 Resident #13 was admitted to the facility on [DATE], with diagnoses that included, but were not limited to, vascular dementia, delusional disorder, type 2 diabetes mellitus and anxiety. Her MDS (Minimum Data Set) dated 02/03/2026 indicated her BIMS (Brief Interview for Mental Status) score was 7, meaning her…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-03-25 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to have a policy/process in place to ensure that collected specimens were sent to the lab for processing in a timely manner to prevent delay of care for 1 (Resident #11) of 25 sampled residents.Findings:Review of Resident #11's electronic record revealed she was admitted to the facility on absence epileptic syndrome, intractable without status epilepticus; major depressive disorder, recurrent; and iron deficiency anemia. Review of Section H of the resident's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed that she was always incontinent of urine and bowel.Review of Resident #11 progress notes revealed the following entries:11/20/2025 at 5:24 p.m. by S9LPN revealed the resident was exhibiting signs and symptoms of confusion and S8MD was notified and a new order noted for UA (urinary analysis) and C&S (culture and sensitivity). 11/21/2025 at 5:09 a.m. by S7LPN revealed she attempted urine collection and the resident was incontinent of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-03-25 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to ensure all drugs and biologicals remained locked in stored compartments as evidenced by medication left unattended on top of a medication cart. Findings: Review of the facility's policy and procedure for Medication Storage that was not dated revealed, Policy Explanation and Compliance Guidelines 1. General Guidelines: a. All drugs and biologicals will be stored in locked compartments (i.e., medication carts, cabinets, drawers, refrigerators, medication rooms) under proper temperature controls. c. During a medication pass, medications must be under the direct observation of the person administering medications or locked in the Medication storage area/cart.On 03/24/2026 at 11:08 a.m. during the medication pass, S9LPN (Licensed Practical Nurse) was observed leaving medication blister packets of Baclofen and Hydralazine on top of the medication cart that was in the hall next to Resident #26's room. S9LPN was then observed entering Resident #26's room to administer medications. The medication cart was not in…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-08-05 · tag F0602 — failed to protect residents from theft of their belongings — patternProtect each resident from the wrongful use of the resident's belongings or money.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews and record reviews, the facility failed to ensure a resident's right to be free from financial exploitation for 1 (#1) of 3 (#1, #2, #3) sampled residents. The facility's census was 49.Findings:On 08/05/2025, a review of the facility's undated policy titled Abuse, Neglect and Exploitation, read in part: It is the policy of this facility to provide protections for the health, welfare, and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation and misappropriation of resident property.Review of Resident #1's Electronic Health Record (EHR) revealed an admission date of 05/31/2023, with diagnoses which included, but were not limited to, hemiplegia and hemiparesis following cerebral infarction affecting right dominant side; alcohol use, unspecified with withdrawal with perpetual disturbance; and major depressive disorder. Review of Resident #1's last quarterly Minimum Data Set (MDS) revealed he had a brief interview for mental status (BIMS) of 14, indicating his cognition was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2025-02-26 · tag F0851 — widespreadElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
What the surveyor found here — the official record, unedited, may be distressing
Based on record review and interview, the facility failed to electronically submit accurate payroll information for direct care staffing as required. This deficient practice had the potential to affect any of the 51 residents residing in the facility. Findings: Review of the PBJ (Payroll Based Journal) Staffing Data Report for Fiscal Year 2024, Quarter 1 (October 1- December 31) revealed the following: -One star staffing rating, triggered. -Excessively low weekend staffing, this metric is suppressed for this facility and quarter. -Failed to have licensed nursing coverage 24 hours/day, triggered. On 02/26/2025 at 9:22 AM, an interview was conducted with S1ADM (Administrator). She stated she reviewed her entries to PBJ for Quarter 1, and realized she had two licensed practical nurses coded as a regular staff member versus a licensed practical nurse that was providing direct care to the residents. S1ADM confirmed she did not submit accurate payroll information to PBJ.
- Potential for harm · D2025-02-26 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and interviews, the facility failed to supervise and monitor assistive devices to prevent accidents. This occurred in 1 (#35) out of 1 (#35) residents who were investigated for Accidents out of 19 sampled residents. Findings: Record review of the facility policy titled Resident Alarms and dated 12/31/2024 read in part, Alarms are to be utilize in accordance with the resident's needs .to maintain highest .level of well-being .when movement is detected .The use of alarms does not eliminate the need for adequate supervision of the resident .Each resident shall be assessed for fall .and periodically thereafter as part of the comprehensive assessment process .When alarms are used .monitoring shall be provided .to .verify alarms are working properly. Review of Resident #35's record revealed he was admitted to the facility on [DATE]. His diagnoses were in part, Bipolar, Major Depression, Seizures, Paralytic Syndrome, Anoxic brain damage, Cerebral Vascular Disease, and Hemiplegia…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-02-26 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations and interview, the facility failed to provide appropriate and sufficient services, treatment and care according to standards of professional practice for 1 (#48) of 4 (#16, #17, #32 and #48) residents that were reviewed for urinary catheter or UTI (urinary tract infection). The facility failed to ensure Resident #48's urinary catheter drainage bag was secured properly off of the floor. Findings: On 02/26/2025 a review of the facility's policy with a review date of 12/31/2024 titled Catheter Care read in part, It is the policy of this facility to ensure that residents with indwelling catheters receive appropriate catheter care and maintain their dignity and privacy when indwelling catheters are in use. Resident #48 was admitted to the facility on [DATE] with diagnoses that included type 2 diabetes mellitus, anxiety disorder and retention of urine. Review of Resident #48's quarterly MDS (Minimum Data Set) with an ARD (Assessment Reference Date) of 01/21/2025 revealed in Section…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 9 citations
- Potential for harm · F2024-01-18 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to store food in accordance with professional standards for food service by failing to ensure all stored food items in the facility's walk in freezer were labeled and dated. This deficient practice had the potential to affect the 52 residents who consumed meals prepared and/or served from the facility's kitchen. Findings: Review of the facility's policy and procedure titled Food Storage revealed in part: . Food is stored, prepared, and transported at an appropriate temperature and by methods designed to prevent contamination . 16. Frozen foods . c. Foods should be covered, labeled and dated . On 01/15/2024 at 9:15 a.m., during the initial walk through of the facility's kitchen, an observation was made of the facility's walk in freezer with S9DS (Dietary Supervisor). There were a total of 6 individual clear storage bags containing food items without dates or labeling. S9DS verified the contents of the unlabeled bags were 2 bags of frozen meat pies; 1 bag of frozen crab cakes; 1 bag of frozen chicken nuggets; and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2024-01-18 · tag F0851 — widespreadElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
What the surveyor found here — the official record, unedited, may be distressing
Based on record review and interviews, the facility failed to electronically submit payroll information for direct care staffing as required. Findings: Review of the PBJ (Payroll Based Journal) Staffing Data Report for FY (Fiscal Year) Quarter 4 2023 from 07/01/2023 - 09/30/2023 revealed triggers for the following: failed to submit accurate data for the quarter- One Star Staffing Rating. On 01/18/2024 10:10 a.m., S1ADM (Administrator) stated that she was unaware that the facility's PBJ had not been submitted. She stated that the nursing facility had a third-party company that submitted the facility's PBJ information. At 10:35 a.m., S1ADM contacted the HR (Human Resource) Director with the company. During the phone interview, the HR Director confirmed that the company only complied the data sent by the nursing home and create the PBJ, but the nursing home was responsible for submitting their data. S1ADM confirmed that the PBJ information was not submitted into the system.
- Potential for harm · E2024-01-18 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews the facility failed to maintain a homelike environment for 4 (#6, #20, #26 and #38) out of 6 (#6, #20, #26, #28, #38 and #50) residents investigated for a safe, clean, comfortable, and homelike environment. This deficient practice had the potential to affect all the residents residing in the facility. The facility's census was 54. Findings: Review of the facility's policy, Maintenance Inspection revealed, in part, the following: Policy Statement: It is the policy of this facility . to assure a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. Resident #6: Review of Resident #6's record revealed he was admitted to the facility on [DATE] with diagnoses which included, but were not limited to, Essential Hypertension, Cerebrovascular Disease, and Pain. Review of Resident #6's Quarterly Minimum Data Set (MDS) dated [DATE], revealed the resident had a Brief Interview for Mental Status (BIMS) of 12 indicating his cognition was moderately…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-01-18 · tag F0572 — isolatedGive residents a notice of rights, rules, services and charges.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to inform Resident #254 and his RP (resident representative) of the resident's rights by failing to complete an admission packet during the admission process for 1 (#254) out of 29 final sampled residents. This deficient practice had the potential to effect all the resident's that reside in the nursing facility. The facility census was 54. Findings: A review of Resident #254's medical record revealed an admission date of 12/13/2023. Further review of the medical record revealed there was no admission packet completed, which contained documents that informed the resident and/or the resident's RP of the resident's rights and of all rules and regulations governing the resident conduct and responsibilities during his or her stay. On 01/18/2024 at 11:30 a.m., an interview was conducted with S5SSD (Social Services Director). She confirmed that she was responsible for completing the admission packet with resident's and the resident's RP upon admission. She confirmed that Resident #254 did not have a completed and signed admission…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-01-18 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure the nurse informed the physician of low blood pressure readings for 1 (#37) resident out of 29 sampled residents. Findings: Resident #37. Review of the resident's electronic clinical record revealed the resident was admitted to the facility on [DATE]. The resident's diagnoses included Cerebral Infarction, Dysphagia, Hypertension, Anxiety Disorder, and Atrial Fibrillation. Review of the resident's quarterly MDS (Minimum Data Set) dated 1/9/2024 revealed the resident's BIMS (Brief Interview Mental Status) score was 13 which meant the resident was cognitive. Review of the resident's nurse's notes dated 1/14/2024 at 3:31 p.m. revealed, 11 a.m.: Called into room by CNA (Certified Nursing Assistant) due to low blood pressure reading on vs (vital sign) machine. VS machine had BP (blood pressure) of 77/33, re-checked with manual cuff BP 80/40 . Placed in Trendelenburg (position elevating the feet and legs of the resident above the level of the heart…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-01-18 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to accurately assess Resident #4's dental status out of a sample of 29 residents. Findings: Record review of Resident #4's care plan dated 07/31/2023 read in part, Resident #4 has natural teeth with some missing and broken. Record review of S5SSD (Social Service Director) progress notes dated 08/01/2023 read in part, New admit: Resident #4 is a new admit to the facility on [DATE] .Resident #4 has natural teeth with some missing. Record review of Resident #4's MDS (Minimum Data Set) dated 08/07/2023 under Section L, Oral/Dental Status, B. No natural teeth or tooth fragments., D. Obvious or likely cavity or broken natural teeth. were not checked. Further review of this document revealed Z None of the above were present was checked On 01/15/2024 at 12:48 p.m., observation revealed Resident #4 had missing, broken and decayed teeth. On 01/18/2024 at 8:07 a.m., an interview and record review was conducted with S5SSD (Social Service Director). She reviewed her…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-01-18 · tag F0697 — failed to manage pain — isolatedProvide safe, appropriate pain management for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to reassess the resident's pain level after administering pain medication as required by the facility's policy for 2 (#4, #21) of 3 (#4, #21, #304) residents investigated for pain management out of 29 sampled residents. Findings: Record review of the facility's policy titled Pain Management read in part, The facility must ensure that pain management is provided to residents who require such services, consistent with professional standards of practice . Resident #4 Record review of revealed Resident #4 was admitted to the facility on [DATE] with current diagnoses of, Pain, Weakness, Type 2 Diabetes mellitus, Muscle wasting and Atrophy, Atrial Fibrillation, and Cardiac Pacemaker. Record review of Resident #4's care plan read in part, Resident #4 has episodes of generalized pain to left shoulder. X-rays shows probability of chronic rotator cuff tear. Give PRN (as needed) medication for pain as ordered. Monitor the effectiveness of PRN medication. Record…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-01-18 · tag F0803 — failed to meet residents' dietary needs — isolatedEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure menus met the nutritional needs of the residents and were followed as evidenced by kitchen staff failing to: 1) Have knowledge of recipes to be followed when preparing pureed foods and 2) Ensure the appropriate sized scoops were used to serve pureed foods. This deficient practice had the potential to contribute to an unpleasant dining experience, decreased intake, altered nutritional needs and weight loss for the 3 residents who consumed pureed diets. Findings: Record review of a form titled, Tuesday Week 3 Diet Spreadsheet, provided by S10Cook revealed column 3 of 6 that was titled Puree with the menu items that were divided into the three meals of the day: breakfast, lunch and supper. The corresponding scoop sizes served for an individual portion size were listed before the menu item. Review of the Puree lunch meal revealed #10 sc (scoop) for pork chop. There was also a separate chart noted at the bottom of the spreadsheet that listed the different scoop sizes (No. 6, 8, 10, 12 and 16) and the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-01-18 · tag F0814 — failed to dispose of garbage properly — isolatedDispose of garbage and refuse properly.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation and interviews, the facility failed to dispose of garbage and refuse properly. This deficient practice had the potential to affect the 54 residents who resided in the facility. Findings: On 01/18/2024 at 10:33 a.m., an observation with S10Cook was made of the facility's 2 dumpsters located outside in the rear of the building. Surrounding the 2 large dumpsters were a large amount of cigarette butts scattered on the ground. There was also discarded disposable gloves and multiple areas of litter scattered on the ground surrounding the 2 dumpsters. On 01/18/2024 at 2:18 p.m., S2DON (Director of Nursing) confirmed the facility's dumpsters area was unsanitary and there should not have been any litter on the ground surrounding the dumpsters.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| MCCRAINE, LAUREN | Individual | CORPORATE DIRECTOR; ADP OF THE SNF | since 04/12/2024 |
| LACOUR, GERARD | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/21/1999 |
CMS files one row per role, so the 5 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
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.
About 88% 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 $222K paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in LA
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Louisiana Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 195552. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-25, 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.