The Ellington
308 Amelia Street, Rayne, LA 70578 · For profit - Corporation · 120 certified beds · (337) 334-5111 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)
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- inspectors cited 1 immediate-jeopardy problem — the most serious level
- inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $29,007 in federal fines (most recent 2024-09-04)
- its facility-reported quality-measure rating is low (1/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 1 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 | 1 of 5 |
| Long-stay residentspeople who live here | 2 of 5 |
| Short-stay residentsrehab / post-hospital | 1 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 14.3% | 17.8% | 15.4% | typical |
| Long-stay residents who lose too much weight | 5.0% | 5.2% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 1.3% | 1.2% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 1.2% | 2.1% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.5% | 2.3% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 4.1% | 3.5% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 20.2% | 17.9% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 27.6% | 23.2% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 99.1% | 94.9% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.5% | 5.6% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 13.6% | 15.8% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 18.7% | 22.7% | 17.1% | typical |
| Short-stay residents who newly got an antipsychotic medication | 3.4% | 3.1% | 1.4% | typical for the state‡ — see note marked double-dagger below the table |
| Short-stay residents given the seasonal flu vaccine | 100.0% | 76.3% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 29.5% | 28.0% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 17.9% | 14.8% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 2.75 | 2.56 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 2.47 | 2.74 | 1.80 | worse |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
42.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 65 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 32.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 61 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.26 therapist hours per resident per day in 2026Q1 — more than 36% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 7% 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 | 42.1%CMS range 29.8–53.8 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 8.8%CMS range 5.3–13.7 | 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 | 32.8% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 59.0% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 34.4% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 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 | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this 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 | 1.1% | 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 | 2.3% | 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 | 8.2%CMS range 4.2–12.9 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.43 | 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 120 beds and averages 108.6 residents a day — about 90% occupied, or roughly 11 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.13 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.22 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.81 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.43 hrs/resident/day on weekends vs 4.41 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 0.27 to 0.08 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 39% 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 fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
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 12 most serious are shown; the remaining 11 are one tap away and print in full.
- Immediate jeopardy · Jcited before2024-09-04 · 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 record reviews, observations, and interviews, the facility failed to implement care plan interventions and provide adequate supervision to ensure a cognitively impaired resident, who had a history of wandering did not elope for 1 (Resident #1) out of 3 sampled resident (Resident #1, #2, and #3). This deficient practice resulted in an Immediate Jeopardy on 08/23/2024 at 6:51 p.m. when Resident #1, a severely cognitively impaired resident, was unsupervised and eloped from the facility. On 08/23/2024 beginning at 5:10 p.m., Resident #1 was observed by multiple staff members repeatedly attempting to open several doors throughout the facility before exiting the facility's front entrance door undetected by staff at 6:51 p.m. On 08/23/2024 at 7:03 p.m., the facility received a call from a citizen that observed the resident in a residential area approximately 300 feet away from the facility. Resident #1 was brought back to the facility by staff at 7:10 p.m. Resident #1 was transferred to another facility with a…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Actual harm · Gcited before2024-04-16 · 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 interviews, observations, and record reviews, the facility failed to ensure a resident was free from accidents hazards during a chair to bed transfer for 1 (#1) of 4 (#1, #2, #3, and #R1) sampled residents. This deficient practice resulted in actual harm for Resident #1 on 03/25/2024 at 5:37 p.m. when S5CNA (Certified Nursing Assistant) transferred the resident from chair to bed without assistance of another person and without the use of a mechanical lifter as required by his plan of care. On 03/26/2024 at 10:30 a.m., S3ADONWC observed Resident #1's right lower leg as discolored and painful upon movement. X-ray of the resident's right lower leg, dated 03/26/2024, revealed a tibia (shin bone) fracture. On 03/29/2024 at 11:26 a.m., S9MD (Medical Doctor) observed swelling and discoloration to the resident's left lower leg and ordered an x-ray. X-ray of the resident's left lower leg, dated 03/29/2024, revealed a fracture of the distal tibial metaphysis (lower part of the shin bone). Resident #1 was 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.
- Potential for harm · D2025-08-06 · tag F0628 — isolatedProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
What the surveyor found here — the official record, unedited, may be distressing
Based on record reviews and interviews, the facility failed to notify the state's Long-Term Care Ombudsman in writing of a discharge for 1 (#123) of 1 (#123) residents reviewed for discharge requirements out of a total sample of 41 residents.Findings:Review of Resident #123's electronic medical record (EMR) revealed an admission date of 06/12/2025, with diagnoses that included cerebral infarction, type 2 diabetes mellitus, and chronic atrial fibrillation. Further review of Resident #123's EMR revealed a discharge summary with a discharge date of 06/23/2025. Continued review of Resident #123's EMR revealed no evidence the State's Long-Term Care Ombudsman had been notified in writing of Resident #123's discharge from the facility on 06/23/2025.On 08/05/2025 at 4:22 p.m., an interview was conducted with S1DON (Director of Nursing). S1DON stated the Ombudsman had not been notified of the resident's discharge as this is something they do not do.
- Potential for harm · Dcited before2025-08-06 · 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 minimum data set (MDS) assessment accurately reflected the status of 2 (Resident #5 and #55) of 41 sampled residents.Resident #5Review of Resident #5's electronic medical record revealed she was admitted to the facility on [DATE] with diagnoses that included but were not limited to hypertensive heart disease without heart failure, major depressive disorder, shortness of breath, and atherosclerotic heart disease of native coronary artery without angina pectoris. Review of Resident #5's current physician's orders revealed an order dated 03/08/2025 that read in part, Hydrochlorothiazide (diuretic) oral tablet 25 mg (milligrams) Give 25 by mouth one time a day.Review of Resident #5's MAR (medication administration record) for June 2025 revealed she had been administered Hydrochlorothiazide 25mg for the entire month as ordered.Review of Resident #5's Annual MDS (Minimum Data Set) with an ARD (Assessment Reference Date) of 06/19/2025 revealed in…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-08-06 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews, the facility failed to implement a person centered care plan by failing to ensure physician orders were followed for heel protectors for 1 (Resident #55) of 41 sampled residents. Review of Resident #55's electronic medical record revealed she was admitted to the facility on [DATE] with diagnoses that included but were not limited to unspecified sequelae of cerebral infarction, hypertensive heart disease without heart failure, anxiety disorder, unspecified and dermatitis.Review of Resident #55's current physician's orders revealed an order dated 01/09/2025 that read in part, Apply heel protectors every morning while patient is in bed every day shift.Review of Resident #55's care plan with a focus that read in part, Resident has potential for alteration in skin integrity related to impaired mobility and history of pressure ulcers. Heel protectors when in bed was listed as an intervention for this focus with a date initiated on 05/07/2025.On 08/05/2025 at 09:16…
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 · D2025-08-06 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to review and revise the care plan for 1 (#80) of 2 (#9, #80) residents investigated for dialysis out of a sample of 41 residents. Finding: Record review revealed Resident #80 was admitted to the facility on [DATE] with diagnosis not limited to end stage renal disease, hemodialysis, obstructive sleep apnea, type 2 diabetes mellitus, and peripheral vascular disease. Record review of Resident #80 physician orders dated 02/01/2025 read in part, provide foley (urinary catheter) care every shift and change bag and tubing every month. Record output and the end of every shift. Start date of order read 01/02/2025and was discontinued on 02/02/2025. Record review of Resident #80's care plan read in part, C.N.A. (Certified Nursing Asistant) and LPN (Licensed Practical Nurse) monitor intake and output for Resident #80. Start date was listed as 12/31/2024. On 08/06/2025 at 12:30 p.m., S7LPN confirmed during an interview that she does not monitor intake and output 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.
- Potential for harm · D2024-11-06 · tag F0658 — failed to meet professional standards of care — isolatedEnsure services provided by the nursing facility meet professional standards of quality.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure that nursing services were provided to meet standards of quality as evidenced by failing to ensure nurses conducted a fall risk assessment after each time a resident had a fall, and accurately assessed a resident's fall risk status for 1 (#3) out of 4 (#1, #2, #3, and #4) resident's investigated for falls. Findings: Review of the facility's Fall Assessment and Prevention policy (no date) revealed in part . Purpose: To ensure the safety of the resident residing in the facility. Procedure: 1. Resident will be assessed using the Fall Risk Assessment Form upon admission, re-admission, at the time of the MDS/Care Plan review, and prn (as needed) .4. If a resident has a fall the Fall Assessment Form should be completed. 5. Attempt should be made to determine the cause of the fall document findings. Review of Resident #3's records revealed she was admitted to the facility on [DATE]. Her diagnoses included in part, Age-related Osteoporosis without…
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 · D2024-11-06 · 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 review and interview, the facility failed to ensure the residents received all care and treatment in accordance with professional standards of practice as evidenced by nurses failing to assess the resident after receiving reports of bruising, swelling, and pain to the resident's right leg for 1 (#4) out of 4 (#1, #2 #3, #4) sampled residents. Findings: Review of Resident #4's electronic clinical record revealed the resident was admitted to the facility on [DATE]. The resident's diagnoses included Cerebrovascular Disease, Aphasia, and Displaced Oblique Fracture of Shaft of Right Femur (10/30/2024). Review of the resident's annual MDS (Minimum Data Set) dated 08/06/2024 revealed the resident was coded 3 for being severely impaired for cognition. The resident was coded requiring extensive assistance with 2 plus person assist for bed mobility, and coded requiring total dependence with 2 plus person assist for transfers. Review of the resident's nurse's note dated 10/23/2024 at 9:48 a.m. 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.
- Potential for harm · Ecited before2024-07-10 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record reviews, the facility failed to ensure resident's remained free from accidents for 1 (Resident #1) of 3 (Resident #1, Resident #2, Resident #3) investigated for falls. The facility failed to ensure: 1. night staff got resident out of bed during last rounds, and 2. the resident's wheel chair alarm was properly working. Findings: Resident #1 was admitted to the facility on [DATE] with diagnoses that included, but not limited to Unspecified Dementia, Unspecified Severity, Without Behavioral Disturbance, Psychotic Disturbance, Mood Disturbance and Anxiety, Repeated Falls, Cognitive Communication Deficit, and Unsteadiness on Feet. Review of Resident #1's admission MDS (Minimum Data Set) with an ARD (Assessment Reference Date) of 05/29/2024 revealed he had a BIMS (Brief Interview for Mental Status) score of 05, indicating he had severe cognitive impairment. Section GG Functional Abilities and Goals revealed he used a walker and required supervision for toilet transfer, sit…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-06-26 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor 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 interview, the facility failed to maintain and clean, comfortable, and homelike environment by failing to ensure clean bed linen was provided to 1 (#46) out of 2 (#24 and #46) residents investigated for homelike environment. Findings: On 06/26/2024, a review of the facility's policy titled Bed Making - Unoccupied Bed with a last reviewed date of 04/29/2024 read in part . Purpose: To provide a clean and comfortable bed for the residents . Essential Points . Change any soiled or dirty linen . Review of Resident #46's record revealed he was admitted to the facility on [DATE] with diagnoses which included, but were not limited to, Muscle Wasting and Atrophy, Lack of Coordination, and Spondylosis without Myelopathy. On 06/24/2024 at 12:15 p.m. an observation was made of Resident #46's room. Resident #46 was sitting in his wheelchair. The bed was observed not made and the resident's pillow case revealed a medium size yellow stain, and multiple areas of small light brown stains on 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 · Dcited before2024-06-26 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to follow a physician's order and care plan for 1 (#95) of 40 sampled residents by failing to ensure the resident's TED (Thrombo-Embolic Deterrent) hoses were applied as ordered. Findings: Resident #95 was admitted to the facility on [DATE], with diagnoses which included, but were not limited to Chronic Obstructive Pulmonary Disease, Essential Primary Hypertension, and Unspecified Atrial Fibrillation. A review of quarterly MDS (Minimum Data Set) with an ARD (Assessment Reference Date) of 04/26/2024, revealed Resident #95 had a BIMS (Brief Interview of Mental Status) score of 15, indicating her cognition was intact. A review of Resident #95's physician orders revealed an order written on 03/01/2024 to apply TED hose in the AM (morning) and remove at night. A review of Resident #95's June 2024 care plan revealed she had Hypertension r/t (related to) dx (diagnosis) of Essential Primary Hypertension and Atrial Fibrillation with a goal 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.
- Potential for harm · D2024-06-26 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure oxygen equipment was stored appropriately when not in use for 1 (Resident #97) out of 2 (Resident #83, Resident #97) sampled residents reviewed for respiratory care. Findings: Review of Resident #97's electronic health record revealed she was admitted to the facility on [DATE] with diagnoses which included, but were not limited to, Atrial Fibrillation, Atherosclerotic Heart Disease of Native Coronary Artery, and COVID-19. Review of Resident #97's June 2024 physician's orders revealed an order dated 04/08/2024 for O2 (oxygen) at 2L/MIN/NC (liters per minute per Nasal Cannula) PRN (as needed) to relieve hypoxia. Review of Resident #97's care plan read in part .Resident has oxygen therapy as needed for SOB (shortness of breath). Interventions included: Oxygen Settings: 02 at 2L per nasal cannula as needed. On 06/24/2024 at 12:04 p.m., an observation was made of Resident #97's room. An oxygen concentrator was observed near 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.
Show the remaining 11 citations
- Potential for harm · D2024-06-26 · tag F0726 — failed to have competent, trained nursing staff — isolatedEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record reviews, the facility failed to ensure the nursing staff demonstrated specific competencies and skill sets necessary to provide care to meet the residents' needs safely to attain or maintain the highest practicable physical well-being for 1 (#95) of 40 sampled residents. This was evidenced by S4LPN (Licensed Practical Nurse) leaving Resident #95's medication at the bedside. Findings: On 06/25/2024, a review of the facility's policy titled Medication Administration - Oral with a revision date of 04/29/2024 read in part, It is the policy of the _____ to administer medications in a safe manner .The person administering medication must remain with the resident until all medication has been swallowed. Resident #95 was admitted to the facility on [DATE], with diagnoses which included, but were not limited to Chronic Obstructive Pulmonary Disease, Essential Primary Hypertension, and Unspecified Atrial Fibrillation. A review of Resident #95's quarterly MDS (Minimum Data Set)…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-06-26 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations and interview, the facility failed to store, distribute, and serve food in accordance with professional standards for food service safety by failing to follow appropriate food handling practices as evidenced by: 1. Two opened packages of hamburger buns not labeled with the date. 2. Food storage: A. Cooler: 1. One opened Liquid Protein container not labeled with the date. 2. One opened Chocolate Desert Topping not labeled with the date and an expiration date of 03/31/2024. B. Walk-in freezer: 1. One opened bag of garlic bread not labeled with the date. 2. One opened bag of sweet potato fries not labeled with the date. The total amount of residents that ate out of the kitchen was 112 residents. Findings: On 06/24/2024 at 9:50 a.m., an initial tour of the facility's kitchen was conducted with S5DC (Dietary Cook). S5DC confirmed the two opened packages of hamburger buns were not labeled with the date. On 06/24/2024 at 9:57 a.m., an interview and observation was conducted with S2DM (Dietary Manager). S2DM confirmed the above findings were opened and not labeled 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 · D2024-06-26 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard 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 review, the facility failed to maintain accurately documented medical record in accordance with accepted professional standards and practices. The facility failed to accurately document on the TAR (Treatment Administration Record) for 1 (#98) out of 1(#98) sampled resident reviewed for urinary catheter or UTI (Urinary tract infection) in a final sample of 40 residents. Findings: Review of Resident #98's April 2024 Treatment Administration Record (TAR) revealed the nursing staff failed to initial suprapubic catheter site care and treatment on the resident's left toe and malleolus were performed on the following dates: 04/07/2024, 04/09-04/10-2024, 04/12/2024, 04/15-04/16/2024 and 04/21/2024. Review of Resident #98's May 2024 Treatment Administration Record (TAR) revealed the nursing staff failed to initial that treatment on the resident's left toe were performed on the following dates: 05/01/2024, 05/04-05/05/2024, 05/11-05/12/2024. Further review of the May 2024 TAR revealed the nursing staff failed to initial that suprapubic catheter care 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 · Dcited before2024-05-28 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure that a resident's person-centered plan of care was implemented for monitoring adverse reactions of Plavix and Aspirin for 1 (Resident #2) out of 3 (Resident #1, #2, and #3) sampled residents. Findings: Review of Resident #2's record revealed she was admitted to the facility on [DATE] with diagnoses which included, but were not limited to, Occlusion and Stenosis of Unspecified Carotid Artery, Heart Failure, and Chronic Pulmonary Edema. Review of Resident #2's Quarterly MDS (Minimum Data Set) dated 04/17/2024 revealed the Brief Interview for Mental Status (BIMS) of 8, indicating her cognition was moderately impaired. Under Section N: Medications revealed the resident received antiplatelets. Review of Resident #2's physician's orders revealed an order entry with a start date of 05/01/2020 read in part, Aspirin EC (enteric coated) tablet delated release 81 mg (milligram) give 1 tablet by mouth one time a day related to Occlusion and Stenosis 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 · E2023-12-19 · tag F0919 — failed to provide a working call system — patternMake 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, interviews and observations, the facility failed to ensure the residents call system was functioning properly for 2 (Hall B and Hall C) of 3 halls (Hall A, Hall B and Hall C). The deficient practice was evidenced when: 1. Resident #2's RP (responsible party) filed a grievance regarding Resident #2 pressing her call bell, and staff failing to assist the resident because the call system was not functioning properly and 2. A bed alarm was tested on site in Room A and immediately after bed alarm was deactivated, the resident call system for 2 halls (Hall B and Hall C) began malfunctioning. Findings: Review of the facility's policy titled, Call Light System, revealed in part: Purpose: to respond to resident's request and needs. Equipment: Functioning call bell system Procedure: 1. Answer call system promptly .7. If call system is defective, report to maintenance .Essential Points .Should call system malfunction hand bells will be distributed to every resident. 1. Resident #2's electronic…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-12-19 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure that each resident's person-centered comprehensive care plan was implemented for 1 (#2) of 3 (#1, #2 and #3) sampled residents by failing to ensure Resident #2 had a working call light and received prompt response when the resident requested assistance. Findings: Resident #2's electronic medical record was reviewed and revealed the resident was admitted to the facility on [DATE] with the following pertinent diagnoses: Cerebrovascular Accident (CVA/Stroke), Other Speech Language Deficits following Cerebral Infarction, Cognitive Communication Deficit, Unsteadiness on Feet, Difficulty in Walking and Anxiety Disorder. Review of Resident #2's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 09 indicating the resident's cognition was moderately impaired. Under Section GG, Resident #2 was assessed as having impairment on one side of her upper and lower extremities that…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-07-12 · tag F0656 — failed to write and follow a full care plan — patternDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record reviews, the facility failed to implement the residents' plan of care by not following physician orders and the care plan for 2 (#16, #105) out of a finalized sample of 38 residents as evidenced by: 1. Failing to ensure catheter tubing was secured by using a leg strap for resident #16, 2. Failing to monitor and document behaviors and adverse reactions to an antidepressant for resident #105. This deficient practice had the potential to affect a total census of 109 residents. Findings: Resident #16 Records review revealed that Resident #16 was admitted on [DATE] with diagnoses that included Obstructive and Reflux Uropathy, Retention of Urine, Urinary Tract Infection Site not specified. A review of Resident #16's Physician's Orders revealed an order dated 02/06/2023 foley leg strap to release tension from foley. A review of Resident #16's Care Plan revealed, in part, indwelling foley catheter related to obstructive and reflux uropathy, interventions leg straps as ordered…
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 · E2023-07-12 · tag F0803 — failed to meet residents' dietary needs — patternEnsure 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and interview the facility failed to meet the food preferences of 1 (#48) resident out of 3 (#44, #48, #54) residents investigated for food in a final sample of 38 residents. Findings: Review of Facility's Policy titled, Food Likes and Dislikes read in part, the food likes and dislikes of each resident are determined through a dietary assessment .2. A written record shall be maintained (Nutritional Data List) of the resident's likes and dislikes. Such record will include how the resident prefers his/her food to be served (i.e., cut, chopped, or ground) .3. Residents shall be visited periodically to determine if any changes need to be made in order to meet the resident's needs. Review of Resident #48's clinical record revealed she was admitted on [DATE] with Diagnoses that included Chronic Kidney Disease, Major Depressive Disorder, Hypertension, Acute on Chronic Diastolic Heart Failure and Age Related Osteoporosis. Review of Resident #48's Quarterly MDS (Minimum Data Set)…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-07-12 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to ensure the resident's Minimum Data Set (MDS) was completed accurately for 1 (#11) out of 38 sampled residents. The facility had a census of 109 residents. Review of the resident's #11's electronic clinical record revealed Resident #11 was admitted to facility on 01/17/2023 with diagnosis not limited to: Right femur fracture, Unsteady Gait, Major Depression, Visual Hallucination, Abnormal weight loss and Macular Degeneration. Review of the physician's orders revealed an order dated 03/20/2023 - Admit to Amedisys Hospice. Review of the resident's significant change MDS (Minimum Data Set) dated 03/27/2023 revealed the resident was not coded for having hospice services. On 07/11/2023 at 1:50 p.m., an interview was conducted with S7LPN (Licensed Practical Nurse) who confirmed the resident is on Hospice services. On 07/11/2023 at 3:35 p.m., during an interview S5MDS reviewed Resident #11's significant change MDS dated [DATE] and confirmed 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 · D2023-07-12 · tag F0645 — isolatedPASARR screening for Mental disorders or Intellectual Disabilities
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview and observation, the facility failed to ensure that Resident #61 who was admitted to the facility with the diagnoses of Bipolar Disorder and Major Depressive Disorder had a Level I PASARR (Preadmission Screening and Resident Review) screening for 1 (#61) out of 2 (#43, #61) resident investigated for PASARR. Findings: Resident #61 was admitted to the facility on [DATE] with diagnosis not limited to Parkinson's Disease, Unspecified Dementia, Bipolar Disorder and Major Depressive Disorder Review of the physician orders dated 09/15/2022 revealed the resident was prescribed a medication for Bipolar Disorder which was Depakote tab delayed release 500mg (milligrams) give 1 tablet by mouth two times a day. Review of Minimum Data Set (MDS) dated [DATE] read in part: Active Diagnoses - Bipolar Disorder, Anxiety Disorder and Depression. Review of The Level 1 pre-screening dated 04/20/2022 was reviewed and revealed - Under Section III: Mental Illness the following was noted - 1. Has 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 · D2023-07-12 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and interview, the facility failed to help prevent the development and transmission of communicable diseases and infections. Staff failed to perform hand hygiene after changing gloves during wound care for 1 (#16) of 1 (#16) residents investigated for pressure ulcers out of 3 residents with pressure ulcers according to the Resident Census and Conditions of Residents Report (CMS-672). Findings: Review of the facility's Standard Precautions Policy statement read: Standard precautions will be used in the care of all residents regardless of their diagnosis or presumed infection status. Standard Precautions apply to blood, body fluids, secretions, and excretions regardless of whether or not they contain visible blood, non-intact skin, and mucous membranes. Policy Interpretation and Implementation: 1. Hand washing a. wash hands after touching blood, body fluids, secretions, excretions, and contaminated items, whether or not gloves are worn. Review of electronic medical record for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“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
$29,007 in federal fines across 2 penalties.
- $20,313 — penalty dated 2024-09-04
- $8,694 — penalty dated 2024-04-16
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| BABINEAUX, DAVID | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7% | since 02/01/2003 |
| BROWN, ALAN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12% | since 01/23/2006 |
| BROWN, CATHERINE | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12% | since 01/23/2006 |
| COOK, KARON | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER | 7% | since 01/18/2014 |
| CURTIS, DWIGHT | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7% | since 02/01/2003 |
| FAUL, SHARON | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7% | since 02/01/2003 |
| GUIDRY, JOHN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 06/01/2009 |
| HAIR, CATHERINE | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 9% | since 07/01/2011 |
| WHITE, MARY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER | 12% | since 01/18/2014 |
| HANCOCK WHITNEY BANK | Organization | 5% OR GREATER MORTGAGE INTEREST | — | since 08/10/2016 |
| GROTEFEND, DAVID | Individual | W-2 MANAGING EMPLOYEE; CORPORATE OFFICER | — | since 10/08/2018 |
CMS files one row per role, so the 14 rows in the source record cover these 11 parties — each is shown once here with every role it holds. Nothing is omitted.
1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $36K 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 195464. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-06, 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.