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Landmark of Plaquemine

59355 River West Drive, Plaquemine, LA 70764 · For profit - Limited Liability company · 108 certified beds · (225) 385-4332 Medicare & Medicaid certified

Call the home — (225) 385-4332 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0610) — cited Sep 2023
Insights

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

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • lower-than-typical staff turnover (34% vs 45% nationally) — better care continuity
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0610) — 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 (23) — 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)

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.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Urgent care / clinic
59335 River West Dr · (225) 685-1052 · Call to confirm hours
Pharmacy
Lil Daves0.9 mi
58608 Belleview Dr · (225) 401-4140 · Call to confirm hours
Grocery
58720 Belleview Rd · (225) 687-2557 · Call to confirm hours
Park
J Gerald Berret Blvd · (225) 687-0641 · Typically dawn to dusk
Place of worship

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 improved from 2 to 4 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 rating4★
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 increased26.0%17.8%15.4%worse
Long-stay residents who lose too much weight4.8%5.2%5.4%better
Long-stay residents with a catheter left in their bladder0.4%1.2%0.9%better
Long-stay residents with a urinary tract infection0.8%2.1%2.0%better
Long-stay residents with depressive symptoms0.4%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 injury2.6%3.5%3.3%better
Long-stay residents whose ability to walk worsened25.7%17.9%16.1%worse
Long-stay residents on antianxiety or hypnotic medication28.1%23.2%18.9%worse
Long-stay residents given the seasonal flu vaccine92.1%94.9%95.3%typical
Long-stay residents with pressure ulcers8.2%5.6%4.7%worse
Long-stay residents with worsening bladder/bowel control19.2%15.8%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table11.3%22.7%17.1%better
Short-stay residents who newly got an antipsychotic medication2.4%3.1%1.4%better than state — see note marked double-dagger below the table
Short-stay residents given the seasonal flu vaccine44.7%76.3%79.4%worse
Short-stay residents rehospitalized after admission43.3%28.0%22.6%worse
Short-stay residents with an outpatient ER visit8.3%14.8%12.0%better
Long-stay hospitalizations per 1,000 resident days1.972.561.67worse
Long-stay outpatient ER visits per 1,000 resident days2.582.741.80worse

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.

10.5%U.S. median 10.7%
Went back to hospital
0.23U.S. median 0.31
Therapy hours / resident / day
0.08hours / resident / day
Physical therapy
0.09hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.23 therapist hours per resident per day in 2026Q1 — more than 30% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 21% 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 SNF10.5%CMS range 6.9–16.810.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot 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 dischargenot 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 dischargenot 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 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 stay3.2%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 worsened16.1%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 SNFs1.261.02Oct 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

0.37
RN hours/ resident / day
1.30
LPN hours/ resident / day
2.06
Aide hours/ resident / day
3.73
Total nurse hours/ resident / day
0.13
RN hoursweekends
34.5%
Total nursing turnover
33.3%
RN turnover

How full it usually is: this home is certified for 108 beds and averages 73.0 residents a day — about 68% occupied, or roughly 35 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 3.73 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.37 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.06 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 2.82 hrs/resident/day on weekends vs 4.10 on weekdays — 31% thinner on weekends — a notable drop. RN hours go from 0.47 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 34% is below 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

6
deficiencies at the latest standard inspection (2025-07-09)
4
at the previous standard inspection (2024-07-11)

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.

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.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

  • Potential for harm · E2025-07-09 · tag F0580 — failed to tell family and doctor about changes — pattern
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and record reviews, the facility failed to ensure: 1. A Certified Nursing Assistant (CNA) notified a nurse of a resident's change in gastrointestinal (parts of the digestive trach) conditions (Resident #56); and, 2. A nurse reported a resident's refusal of supplemental nutrition to the resident's medical provider (Resident #56). This deficient practice was identified for 1 (Resident #56) of 2 (Resident #56, Resident #61) sampled residents reviewed for nutrition. Findings: Review of Resident #56's Care Plan with an effective start date of 08/28/2024 and a next review date of 07/22/2025 revealed, in part, an intervention to administer Resident #56's supplements as ordered. Review of Resident #56's July 2025 physician's orders revealed, in part, an order to administer Resident #56 four (4) ounces (oz) of house supplement (a liquid nutritional supplement) three times a day and 30 milliliters (ml) of liquid protein daily. Review of Resident #56's June 2025 electronic Medication Administration Record (eMAR) revealed, in part, Resident #56 refused the 4 oz of house…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-07-09 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure food was served at a palatable temperature as required. This deficient practice had the potential to affect any of the 71 residents who consumed meals from the facility's kitchen. Findings: In an interview on 07/07/25 at 10:45AM, Resident #48 indicated the food served, on the meal tray, in her room was cold and didn't taste good. In an interview on 07/08/2025 at 10:13 AM, Resident #46 indicated the food served, on the meal tray, in his room was cold. In an interview on 07/08/2025 at 10:14AM, Resident #58 indicated the food served, on the meal tray, in her room was cold. Observation on 07/08/2025 at 12:15PM revealed staff members passing meal trays on the hall, from the meal cart that contained Resident #48's meal tray. On 07/08/2025 at 12:15PM, the surveyor selected Resident #48's meal tray from the cart. On 07/08/2025 at 12:17PM the surveyor team tasted the food on Resident #48's meal tray and the beef, potatoes, and carrots were noted to be lukewarm. Observation on 07/08/2025 at 12:19PM, revealed S11Cook tested the…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-07-09 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure meals were prepared in a sanitary manner as required. This deficient practice had to potential to affect any of the 71 residents who received meals from the facility. Findings: 1. Observation on [DATE] at 9:20AM revealed S18Cook in the facility's kitchen with a beard and mustache hair approximately 1/4 inch long and had no beard cover. Observation on [DATE] 11:36AM revealed S18Cook with a beard and mustache hair approximately 1/4 inch long cooking potatoes on the grill and had no beard cover. In an interview [DATE] at 11:45AM, S18Cook indicated he did not wear a face/beard cover because the facility doesn't have them available. In an interview on [DATE] at 11:48AM, S10Dietary Manager confirmed S11Cook should have had a face/beard cover on. 2. Observation on [DATE] at 9:12AM of the facility's kitchen's dry storage room revealed 33 packets of blue cheese salad dressing with an expiration date of [DATE]. In an interview on [DATE] at…

    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 before2025-07-09 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, and record reviews, the facility failed to implement a system to consistently and accurately reconcile controlled medications for 1 (Medication Cart a) of 3 (Medication Cart a, Medication Cart b, Medication Cart c) medication carts reviewed for the reconciliation of controlled substances. Findings: Review of the facility's Drug-Controlled Substances policy and procedure, dated 04/2006 and revised on 11/2017, revealed, in part, controlled medications were to be signed out on Form NS-618 Individual Resident Narcotics Record at the time they were administered. Review of Resident #23's Electronic Medication Administration Record (EMAR) for July 2025 revealed, in part, Resident #23 had an order for Modafinil 200 milligram (mg) (a controlled medication used to promote wakefulness) give 1 tablet once daily. Further review revealed S7Licenesed Practical Nurse (LPN) administered Modafinil 200 mg 1 tablet to Resident #23 at 9:00AM. Record review on 07/09/2025 at 1:21PM of Medication Cart a's narcotic binder with S7LPN revealed, in part, Resident #23 had an…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-09 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    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 pneumococcal (a bacterial infection caused by Streptococcus pneumonia bacterial) vaccines were administered for 2 (Resident #70, Resident #173) of 5 (Resident #22, Resident #68, Resident #70, Resident #173, Resident #372) sampled residents investigated for pneumococcal vaccines. Findings: Review of the facility's policy titled Pneumococcal Vaccination of Residents, with a revision date of 01/2024 revealed, in part, residents or their resident representative, will be asked upon admission for the resident's pneumococcal vaccination history and the resident's age at the time of the vaccination. The resident's records will also be used to determine the resident's vaccination status. If there is no evidence the resident has received the vaccination, the vaccine will be offered. The administration of the pneumococcal vaccine will be documented in the resident's medical record. Resident #70 Review of Resident #70's vaccine consent form revealed, in part, Resident #70's responsible party signed a consent form for Resident…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-09 · tag F0887 — isolated
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    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 the COVID-19 (an infectious disease caused by the SARS-CoV-2 virus) vaccine was administered for 2 (Resident #70, Resident #173 ) of 5 (Resident #22, Resident #68, Resident #70, Resident #173, Resident #372) sampled residents investigated for COVID-19 vaccines. Findings: Review of the facility's Coronavirus (Covid-19) policy, latest revision date 07/2024, revealed in part, all residents would be offered the Covid-19 vaccine upon admission and at least annually thereafter if previously declined. Resident #70 Review of Resident #70's vaccine consent form revealed Resident #70's responsible party signed a consent form for Resident #70 to receive the COVID-19 vaccine on 06/02/2025. Review of Resident #70's physician's orders revealed in part, an order with a revision date of 06/15/2025, stated the Covid-19 vaccine may be administered as recommended with consent. Review of Resident #70 immunization documentation revealed there was no documentation Resident #70 received the Covid-19 vaccine. There was no documented…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-07-11 · tag F0755 — failed to provide safe pharmacy services — pattern
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interviews the facility failed to ensure expired medications were not available for use for 1 (Medication Room a) of 1 (Medication Room a) medication rooms observed during medication storage observations. Findings: Observation on 07/09/2024 at 2:17 p.m. of Medication Room a revealed the following, in part, a bottle of Aspirin 325 milligrams (mg) with an expiration date of 04/2024. Further observation revealed four boxes of Influenza Fluad Quadrivalent (injectable medication use to prevent the flu) with an expiration date of 06/30/2024. In an interview on 07/09/2024 at 2:20 p.m., S3Licensed Practical Nurse (LPN) indicated the above mentioned medications should not have been available for resident use. In an interview on 07/09/2024 at 2:55 p.m., S2Director of Nursing (DON) indicated the above mentioned medications should not have been available for use.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-07-11 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews, observation, and interviews, the facility failed to ensure a resident's continuous enteral feeding (intake of food through a tube placed into the stomach) was not stopped and restarted by a certified nursing assistant (CNA) for 1 (Resident #228) of 2 (Resident #10 and Resident #228) sampled residents investigated for enteral feeding. Findings: Review of Resident #228's record revealed, in part, an admission date of 06/25/2024 and diagnoses including mild protein-calorie malnutrition and failure to thrive. Review of Resident #228's Minimum Data Set with an Assessment Reference Date of 07/02/2024 revealed, in part, Resident #228 required enteral feeding through a gastrostomy tube (an artificial hole in the stomach to deliver enteral feedings). Review of Resident #228's July 2024 Physician's Orders revealed, in part, an order for Isosource 1.5 calories (a type of enteral feeding formula) at 40 milliliters an hour continuously via a feeding pump. Further review revealed an order to check the placement of Resident #228's gastrostomy tube prior to 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-07-11 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based upon observations, record reviews, and interviews, the facility failed to assess a resident's respiratory status and provide oxygen (O2) accordingly for 1 (Resident #12) of 1 (Resident #12) sampled residents reviewed for respiratory care. Findings: Observation on 07/08/2024 at 12:03 p.m. revealed Resident #12 was wearing a nasal cannula (NC) connected to an oxygen concentrator at 2.5 liters per minute (lpm). Observation on 07/09/2024 at 10:10 a.m. revealed Resident #12 was wearing a nasal cannula (NC) connected to an oxygen concentrator at 2.5 liters per minute (lpm). Observation on 07/10/2024 at 11:31 a.m. revealed Resident #12 was wearing a nasal cannula (NC) connected to an oxygen concentrator at 2.5 liters per minute (lpm). Review of Resident #12's electronic medical record (EMR) revealed an order dated 04/23/2024 for oxygen at 2 lpm via NC as needed (PRN) for saturations less than 93 Further review revealed instructions to check and record oxygen saturation levels. Review of Resident #12's electronic medication administration record (EMAR) for May, June, and July 2024…

    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 before2024-07-11 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, and interviews, the facility failed to ensure staff removed gloves and perform hand hygiene prior to exiting a resident's room for 1 (S6Housekeeper) of 1 (S6Housekeeper) housekeepers observed for infection control. Findings: Observation on 07/10/2024 at 1:05 p.m. revealed S6Housekeeper exited the elevator on the first floor by the dining room with her gloves on. Observation further revealed she was the only person on the elevator. In an interview on 07/10/2024 at 1:10 p.m., S6Housekeeper indicated she forgot to take her gloves off after cleaning a resident's room on the second floor. In an interview on 07/10/2024 at 1:15 p.m., S5Housekeeping Supervisor indicated staff should take off gloves and perform hand hygiene when exiting resident rooms. In an interview on 07/10/2024 at 2:27 p.m., S4Assistant Director of Nursing/Infection Preventionist indicated gloves should be removed and hand hygiene performed when exiting resident rooms. In an interview on 07/10/2024 at 3:50 p.m., S2Director of Nursing confirmed gloves should be removed prior to leaving a resident…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
Show the remaining 13 citations
  • Potential for harm · D2023-12-21 · 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 record reviews and interviews, the facility failed to ensure a resident's nurse documented and communicated a resident's fall for 1 (Resident #3) of 3 (Resident #1, Resident #2, and Resident #3) sampled residents reviewed for accidents. Findings: Review of the facility's Accident/Incident Reports policy and procedure revealed, in part, all accidents and/or incidents including residents will be reported to the Charge Nurse and to the appropriate department head immediately upon knowledge of occurrence, so that it may be evaluated. Further review revealed an accident and/or injury was defined as an unexpected happening which may or may not have caused loss or injury. Review also revealed following an incident, an incident report will be completed on any accident and/or incident that occurred within the facility and information regarding accidents and/or incidents that involve a resident will be recorded in the resident's medical record in the nurses' notes. Review of the facility's Fall policy 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-09-14 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — pattern
    Provide 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

    Based on observation, interview and record review, the facility failed to: 1.) Ensure a resident's suprapubic catheter (a tube that is passed through the lower abdominal wall directly into the bladder to drain urine) was secure to prevent pulling for 1 (Resident #36) of 1 (Resident #36) sampled residents investigated for catheter care; and, 2.) Ensure a resident's suprapubic catheter (a tube that is passed through the lower abdominal wall directly into the bladder to drain urine) drainage bag was positioned below the level of the bladder for 1 (Resident #36) of 1 (Resident #36) sampled residents investigated for catheter care. Findings: Review of the facility's urinary catheter policy revealed, in part, the drainage bag should be positioned lower than the bladder by attaching to a fixed part of the bed frame. Further review revealed the drainage bag should not be attached to the side rails. Review of Resident #36's medical record revealed, in part, Resident #36 had the following diagnosis: Functional Quadriplegia, Neuromuscular Dysfunction of the Bladder, Presence of Urogenital…

    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 before2023-09-14 · 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 record review, the facility failed to: 1. Ensure food that was cooled improperly was not served to facility residents; 2. Implement a system where a refrigerator and freezer temperature was monitored and documented; 3. Ensure food held at an improper temperature on the facility's steam table was not served to the facility's residents; and 4. Ensure the concentration level of the sanitizing solution in the facility's 3 compartment sink was correct. This deficient practice was identified for 74 residents who consume food from the facility as documented on the facility's Census and Conditions of Resident CMS Form-672. Findings: 1. Review of the facility's Storage of Cooked Foods policy revealed, in part, cooked foods must be cooled to 70 degrees Fahrenheit within two hours and then to 41 degrees Fahrenheit or lower in an additional four hours for a total cooling time of six hours. If food is not cooled to 70 degrees F in two hours, then it must be cooled to 41 degrees F within four hours. Observation on 09/12/2023 at 9:15 a.m. revealed S28Dietary…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-09-14 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review the facility failed to ensure: 1. Staff performed hand hygiene during wound care for 2 (Resident #46 and Resident #71) of 2 (Resident #46, Resident #71) sampled residents observed for wound care and; 2. Staff performed hand hygiene during incontinence care for 2 (Resident #36 and Resident #46) of 2 (Resident #36 and Resident #46) sampled residents observed for incontinence care, Findings: Review of the facility's Dressing Change Policy and Procedure revealed, in part, steps in the procedure include: wash hands thoroughly before beginning the procedure, put on disposable gloves, remove dressing and pull gloves over dressing and discard, perform hand hygiene, cleanse the area as ordered, dry the skin, perform hand hygiene, apply disposable gloves, dress the area as prescribed, remove gloves and discard, and wash hands. Review of the facility's Hand Hygiene policy revealed, in part, indications for hand hygiene include: hand hygiene should be performed when entering or exiting a resident's room, before and after procedures, before…

    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 · E2023-09-14 · tag F0919 — failed to provide a working call system — pattern
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    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 a functional call light was available for 2 (Resident #46 and Resident # 48) of 2 (Resident #46 and Resident # 48) sampled residents investigated for call lights. 26 initial pool residents were observed for call bell use. Findings: Resident #46 Review of Resident #46's Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 07/19/2023 revealed, in part, resident had a Brief Interview for Mental Status (BIMS) score of 14 which indicated she was cognitively intact, and that Resident #46 required extensive assistance with bed mobility and transfers. Review of Resident #46's care plan revealed, in part, an intervention to place the call light within Resident #46's reach and to educate Resident #46 on calling for assistance. A test of Resident #46's call light was conducted on 09/11/2023 at 10:06 a.m., which revealed the call light was not functioning and notifying staff at the nursing station. Further observation revealed the indicator light did not stay illuminated on the wall of Resident #46'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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-14 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure a thorough investigation was conducted when an injury of unknown origin was discovered for 2 (Resident # 7 and Resident #34) of 2 (Resident # 7 and Resident #34) sampled residents reviewed for injuries of unknown origin. Findings: Review of the facility's Incident Investigation and Reporting Policy revealed the facility's investigation should include signed statements from all staff involved. Further review revealed, if only oral information can be obtained for a statement, the facility must have at least two persons present to receive information and the reporter must have the statement read back to him or her. The reporter, the recorder, and the witness must also sign. Resident #7 Review of Resident #7's Quarterly MDS (Minimum Data Set) with ARD (Assessment Reference Date) of 06/23/2023 revealed, in part, Resident #7 had a Brief Interview of Mental Status (BIMS) score of 1 indicating severe cognitive impairment and Alzheimer's disease. Review of Resident #7's departmental note dated 08/28/2023 revealed, in part,…

    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 · D2023-09-14 · 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

    Based on interview and record review, the facility failed to ensure a resident with an identified mental health diagnosis was referred for a Preadmission Screening and Resident Review (PASARR) Level II evaluation as required for 1 (Resident #48) of 1 (Resident #48) sampled residents reviewed for PASARR. Findings: Review of Resident #48's clinical record revealed, in part, an admit date of 01/31/2019. Review of Resident #48's Level 1 PASARR screening dated 01/31/2019 revealed, in part, Resident #48 was not diagnosed with a mental illness; therefore, no psychiatric diagnoses were selected to review. Review of Resident #48's diagnosis list revealed, in part, an active diagnosis of schizophrenia (a serious mental illness that can cause distorted reality, delusions, and paranoia) with an onset date of 01/27/2021. Review of Resident #48's last documented comprehensive Minimum Data Set (MDS) with an Assessment Reference Date (ARD) date of 02/20/2023 revealed, in part, Resident #48 was assessed to have active diagnoses of schizophrenia and did not have a diagnosis of dementia. Further…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-14 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed develop a care plan for dental issues for 1 (Resident #33) of 21 residents (Resident #48, Resident #7, Resident #79, Resident #40, Resident #21, Resident #24, Resident #3, Resident #38, Resident #34, Resident #36, Resident #29, Resident #33, Resident #11, Resident #46, Resident #16, Resident #60, Resident #49, Resident #43, Resident #2, Resident #51, and Resident #68) reviewed. Findings: Review of Resident #33's Yearly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 06/16/2023 revealed, in part, Section L - Oral/Dental Status no issues indicated. Review of Resident #33's dental evaluation forms dated 12/06/2022 and 06/06/2023 revealed, in part, obvious or likely cavity, broken natural teeth, and loose natural teeth. Review of Resident #33's care plan revealed, in part, Resident #33 was not care planned for dental issues. An observation on 09/12/2023 at 09:18 a.m. of Resident #33's mouth revealed one tooth noted to left lower side, gray in color, not positioned correctly and multiple areas on…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-14 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a resident's weight bearing restriction order was implemented for 1 (Resident #7) of 3 (Resident #3, Resident #7, and Resident #29) residents reviewed for accidents. Findings: Review of Resident #7's Quarterly MDS (Minimum Data Set) with ARD (Assessment Reference Date) of 06/23/2023 revealed an admit date of 10/26/2018. Further review revealed, in part, Resident #7 had a Brief Interview of Mental Status (BIMS) score of 1 indicating severe cognitive impairment. Further review revealed Resident #7 had a diagnosis of schizophrenia (a mental disorder) and Alzheimer's disease (a brain disorder that causes memory loss). Review of Resident #7's departmental note dated 08/28/2023 revealed, in part, Resident #7 was screaming in pain and upon assessment her left ankle and foot was found to be turned inward. Further review revealed Resident #7 was sent to a hospital for evaluation. Review of Resident #7's hospital Discharge summary dated [DATE] revealed,…

    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 · D2023-09-14 · tag F0732 — isolated
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to post nurse staffing data as required. Findings: Observation on 09/11/2023 at 9:45 a.m. revealed nurse staffing data was not posted and readily accessible to residents and visitors in the building. Observation on 09/11/2023 at 2:20 p.m. revealed nurse staffing data was not posted and readily accessible to residents and visitors in the building. Observation on 09/12/2023 at 9:10 a.m. revealed nurse staffing data was not posted and readily accessible to residents and visitors in the building. Observation on 09/13/2023 at 9:02 a.m. revealed nurse staffing data was not posted and readily accessible to residents and visitors in the building. There was no documented evidence and the facility did not present any documented evidence that nurse staffing data was posted and readily accessible to residents and visitors. In an interview on 09/13/2023 at 9:10 a.m. S9Human Resources stated Nurse Staffing information should be posted daily and is posted at the front desk by the welcome sign. S9Human Resources walked with surveyor over to…

    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 · D2023-09-14 · 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

    Based on interviews and record reviews, the facility failed to ensure assessments of a dialysis access site were documented upon the resident's return from dialysis for 1 (Resident #46) of 1 sampled residents investigated for dialysis. Findings: Review of Resident #46's physician's order dated 03/23/2023 revealed, in part, orders for hemodialysis on Monday, Wednesday, and Friday. Review of Resident #46's Nursing Facility/Dialysis Clinic Communication sheet for July, August, and September 2023 revealed, in part, the dialysis access site assessment was not documented as being conducted upon Resident #46's return from dialysis on 07/05/2023, 07/28/2023, 08/21/2023, and 08/25/2023. Review of Resident #46's Nurse's notes did not reveal documentation that Resident #46's dialysis access site was assessed upon Resident #46's return from dialysis on 07/05/2023, 07/28/2023, 08/21/2023, and 08/25/2023. There was no documented evidence, and the facility did not present any documented evidence of documenting Resident #46's dialysis access assessments for the above mentioned dates. In an…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-14 · tag F0947 — failed to train nurse aides adequately — isolated
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    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 provide in-service training for nurse aides to ensure the continuing competence of nurse aides and no less than 12 hours per year for 2 (S4Certified Nursing Assistant and S5Certified Nursing Assistant) of 5 (S4Certified Nursing Assistant, S5Certified Nursing Assistant, S8Certified Nursing Assistant, S10Certified Nursing Assistant, and S11Certified Nursing Assistant) CNAs training records reviewed for in-service training. Findings: Review of S4CNA's In-service Educational Attendance Record revealed, in part, a hire date of 12/29/2020. Further review of S4CNA's In-service Educational Attendance Record revealed the following: 02/02/2023: 1 hour - Documenting Activities of Daily Living (ADL); 03/23/2023: 0.5 hour - room [ROOM NUMBER] Staff educate; 04/24/2023: 2 hours - Duties, Handling, Hearing, Speaking; 06/18/2023: 1 hour - Call lights, round every 2 hours, company concerns, meal times; 07/14/2023: 15 minutes - Documenting work; 07/16/2023: 10 minutes…

    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
  • No harm found · B2023-09-14 · tag F0636 — pattern
    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

    Based on record review and interview, the facility failed to conduct an accurate comprehensive assessment for 1 (Resident #33) out of 21 sampled residents (Resident #2, Resident #3, Resident #7, Resident #11, Resident #16, , Resident #21, Resident #24, , Resident #29, Resident #33, Resident #34, Resident #36, Resident #38, Resident #40, Resident #43, Resident #46, Resident #48, Resident #49, Resident #51, Resident #60, Resident #68, and Resident #79) reviewed for comprehensive assessments. Findings: Review of Resident #33's yearly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 06/16/2023 revealed, in part, Section L - Oral/Dental Status no issues indicated. Further review of Resident #33's quarterly MDS with an ARD of 01/11/2023 Section L- Oral/Dental status no issues indicated. Further review of Resident #33's MDS assessments since Resident #33's admit on 06/16/2022 revealed Oral/Dental status no issues indicated or Oral/Dental status not assessed. Review of Resident #33's dental evaluation forms dated 12/06/2022 and 06/06/2023 revealed, in part, obvious or…

    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

“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 THE BEEBE FAMILY — 48 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 4 of 52.8+1.2 vs chain
Health inspection 4 of 53.0+1.0 vs chain
Staffing 3 of 53.3-0.3 vs chain
Quality measures 2 of 52.0≈ chain avg
The other 47 homes this chain runs (chain average 2.8★, per CMS)
1 of 5Gulfport Care CenterGulfport, MS 1 of 5Heritage Manor Of Baton Rouge IIBaton Rouge, LA 1 of 5Heritage Manor Of OpelousasOpelousas, LA 1 of 5Humphreys Co Nursing CenterBelzoni, MS 1 of 5Lawrence Co Nursing CenterMonticello, MS 1 of 5Lexington HouseAlexandria, LA 1 of 5Riverview Care CenterBossier City, LA 1 of 5Southern Hills Healthcare And RehabilitationShreveport, LA 1 of 5The SummitAlexandria, LA 1 of 5Tishomingo ManorIuka, MS 2 of 5Attala County Nursing CenterKosciusko, MS 2 of 5Heritage Manor WestShreveport, LA 2 of 5Highland HomeRidgeland, MS 2 of 5Landmark Nursing Center HammondHammond, LA 2 of 5Landmark Of DesotoHorn Lake, MS 2 of 5Matthews Memorial Health Care CenterAlexandria, LA 2 of 5Myrtles Nursing Center, LLCColumbia, MS 2 of 5Perry County Nursing CenterRichton, MS 2 of 5Sardis Community NhSardis, MS 2 of 5Tunica County Health & Rehab, LLCTunica, MS 3 of 5Clarksdale Nursing CenterClarksdale, MS 3 of 5Copiah Living CenterCrystal Springs, MS 3 of 5Heritage Manor Of Ville PlatteVille Platte, LA 3 of 5Heritage Manor of HoumaHouma, LA 3 of 5J G Alexander Nursing CenterUnion, MS 3 of 5Landmark Of RayneRayne, LA 3 of 5Landmark of Baton RougeBaton Rouge, LA 3 of 5Landmark of Lake CharlesLake Charles, LA 3 of 5Senior Village Nursing & Rehabilitation CenterOpelousas, LA 3 of 5Washington Care CenterGreenville, MS 4 of 5Audubon Health and RehabThibodaux, LA 4 of 5Brandon CourtBrandon, MS 4 of 5Camellia EstatesMcComb, MS 4 of 5Forest Manor Nursing and Rehabilitation CenterCovington, LA 4 of 5Heritage House Nursing CenterVicksburg, MS 4 of 5Heritage Manor Of SlidellSlidell, LA 4 of 5Heritage Manor Of Stratmore Nursing & Rehab CtrShreveport, LA 4 of 5Heritage Manor SouthShreveport, LA 4 of 5Hillcrest Nursing CenterMagee, MS 4 of 5Landmark Of AcadianaSaint Martinville, LA

Showing 40 of 47; lowest-rated first.

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
EXTENDED CARE ASSOCIATES, INC.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL100%since 08/01/2021
ELTON G BEEBE SR REVOCABLE TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100%since 08/01/2021
PARKINSON, TONIIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2020
ACCOUNT MANAGEMENT SERVICES INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2020
ADMINISTRATIVE SYSTEMS INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2020
PATHWAY SOUTH LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2020
PROVIDER PROFESSIONAL SERVICES INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2020
TRISTAR REHAB INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2024
BEEBE, BOBBYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/11/2021
BEEBE, ELTONIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2020
BROWN, EVANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2022
DUPRE, LEAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 08/03/2018
FALGOUST, GERARDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2020
THIBODAUX, EARLIndividualOPERATIONAL/MANAGERIAL CONTROLsince 10/01/2020
ALISONS 2016 FAM TR NO 2OrganizationADP OF THE SNFsince 01/01/2020
ARIA CARE MANAGEMENT LLCOrganizationADP OF THE SNFsince 01/01/2023
BEEBE 2013 CHILDRENS TR NGOrganizationADP OF THE SNFsince 01/01/2025
CGC INVESTMENTS LLCOrganizationADP OF THE SNFsince 01/01/2025
FELICIAS 2016 FAM TR NO 2OrganizationADP OF THE SNFsince 01/01/2025
LTC HIM CONSULTING INCOrganizationADP OF THE SNFsince 10/01/2020
PHARMACEUTICAL CONSULTING SERVICES OF AMERICA LLCOrganizationADP OF THE SNFsince 10/01/2020
RIVER WEST HOLDINGS LLCOrganizationADP OF THE SNFsince 01/01/2025
VERDIN ENTERPRISES, LLCOrganizationADP OF THE SNFsince 11/01/2020

CMS files one row per role, so the 35 rows in the source record cover these 23 parties — each is shown once here with every role it holds. Nothing is omitted.

16 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.

$8.0M
Net patient revenuemost recent cost report
-4.9%
Operating marginrevenue minus expenses
$13K
Related-party expense0% of expenses
Who pays — share of resident-days
Medicaid 80%Medicare 9%Other / private 12%

About 80% 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 $13K 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

$308per resident / day
operating cost
$9,360per month
≈ monthly operating cost
$294per 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 195329. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-09, 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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