Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Baton Rouge General Medical Center, Snf during CMS and state inspections, most recent first.
A resident’s code status was inaccurately documented in the EMR as Full Code even though the resident stated she did not want CPR and staff confirmed she wanted DNR. The DON and ADM verified the discrepancy, and the MD acknowledged the Full Code entry was an oversight.
The facility failed to develop comprehensive care plans for several residents, resulting in deficiencies in their care. Three residents were not care planned for their anticoagulant medication, and one of these residents was also not care planned for their antidepressant medication. Additionally, another resident was not care planned for an indwelling foley catheter, despite its necessity due to urinary retention and acute cystitis. These oversights indicate a significant lapse in ensuring that residents' medical needs are adequately addressed.
The facility failed to monitor side effects for psychotropic and anticoagulant medications for three residents. A resident on Lexapro and Lovenox, and two others on Lovenox, had no documented side effect monitoring. Interviews revealed the electronic system lacked a feature for documenting side effects, confirmed by the DON.
A staff member failed to properly use PPE and perform hand hygiene while providing catheter care to a resident with an indwelling Foley catheter, despite EBP signage. The staff member did not wear a gown and did not change gloves or perform hand hygiene between tasks, contrary to facility policy.
The facility failed to post required nurse staffing data, including facility census and actual hours worked, on two consecutive days. This deficiency was confirmed through observations and interviews with staff members.
The facility failed to ensure staff wore proper PPE while providing care for a resident with indwelling medical devices. Observations showed that a nurse and a personal care assistant did not don gowns while performing their duties. Interviews confirmed the resident was not on Enhanced Barrier Precautions (EBP) and the facility lacked a process for implementing EBP, with the Infection Preventionist unaware of CMS's policy.
The facility failed to complete and transmit MDS assessments within the required timeframe for three residents. Two residents were discharged but had their assessments transmitted months later, while another resident did not have an assessment completed or transmitted. Staff confirmed the expected timelines were not met.
Incorrect Code Status Documentation
Penalty
Summary
The facility failed to accurately maintain documented records for 1 of 12 sampled residents by incorrectly documenting Resident #26’s code status in the electronic health record. Resident #26 was admitted with a diagnosis of polyneuropathy, and the current physician’s orders listed the resident as Full Code, entered by S2MD. During interview, Resident #26 stated she did not want CPR performed and did not want to be resuscitated. S2DON confirmed the resident wanted to be DNR and verified that the electronic medical record still showed a Full Code order. S2MD stated the Full Code entry was an oversight, and S1ADM also confirmed there was a discrepancy between the resident’s stated code status and the electronic medical record.
Failure to Develop Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to develop and implement a Comprehensive Person-Centered Care Plan for four residents, leading to deficiencies in their care. Three residents were not care planned for their anticoagulant medication, despite having active physician orders and receiving Lovenox as per their Medication Administration Records. Additionally, one of these residents was also not care planned for their antidepressant medication, Lexapro, which they were actively receiving. This lack of care planning for critical medications indicates a significant oversight in ensuring that residents' medical needs are adequately addressed. Another resident was not care planned for an indwelling foley catheter, which was observed in place during multiple observations. The resident's clinical background included urinary retention and acute cystitis, necessitating the catheter's use. Despite this, there were no physician orders for the catheter, and the care plan did not reflect its presence or the necessary interventions. The Director of Nursing confirmed these deficiencies, acknowledging that the care plans should have included interventions for anticoagulants, antidepressants, and the indwelling foley catheter.
Failure to Monitor Medication Side Effects
Penalty
Summary
The facility failed to adequately monitor for side effects associated with the use of psychotropic and anticoagulant medications for three residents. Resident #1, who had diagnoses including Major Depressive Disorder and Hypertension, was prescribed Lexapro, an antidepressant, and Lovenox, an anticoagulant. However, there was no documentation of monitoring for side effects of these medications from 03/14/2025 to 03/19/2025. Similarly, Resident #170, with diagnoses such as Right Leg Pain and Back Pain, and Resident #171, with conditions including Diagnostic Heart Failure and Chronic Kidney Disease, were both prescribed Lovenox. There was no documentation of monitoring for side effects for these residents either. Interviews with nursing staff revealed that the electronic software system used by the facility did not have a designated area for documenting side effects for antidepressants or anticoagulants. The Director of Nursing (S2DON) confirmed that the system should have provided a pop-up box for nurses to document side effects, but it did not. This lack of documentation was confirmed upon review of the residents' Medication Administration Records and Electronic Health Records, indicating a systemic issue in monitoring medication side effects for these residents.
Inadequate PPE Use and Hand Hygiene During Resident Care
Penalty
Summary
The facility failed to implement and maintain an effective infection prevention and control program, as evidenced by the improper use of Personal Protective Equipment (PPE) and inadequate hand hygiene during resident care. Specifically, a staff member, identified as S5PCA, did not don a gown while performing catheter care for a resident who required Enhanced Barrier Precautions (EBP) due to an indwelling Foley catheter. The staff member only wore gloves and failed to change them or perform hand hygiene when transitioning between clean and dirty tasks, such as repositioning the resident and handling soiled briefs. The resident involved had a medical history that included Chronic Kidney Disease and urinary retention, necessitating the use of an indwelling Foley catheter. Despite the presence of EBP signage on the resident's door, the staff member did not adhere to the facility's policy requiring the use of both gloves and a gown for high-contact care activities. Interviews with the staff member and the Director of Nursing (S2DON) confirmed the expectations for proper PPE use and hand hygiene, which were not met during the observed care activities.
Failure to Post Nurse Staffing Data
Penalty
Summary
The facility failed to ensure compliance with nurse staffing data posting requirements, which had the potential to affect any of the 19 residents residing in the facility. On two consecutive days, observations were made of the staff posting sheets titled 'Report of Nursing Staff Directly Responsible For Resident Care,' dated 03/17/2025 and 03/18/2025. These sheets lacked documentation of the facility census and the actual hours worked by the nursing staff. Interviews conducted with S4RN, S2DON, and S1DIR confirmed the absence of this critical information on the staff posting sheets for both dates.
Failure to Implement Infection Prevention and Control Program
Penalty
Summary
The facility failed to maintain an infection prevention and control program designed to provide a safe and sanitary environment to help prevent the development and transmission of infection. Specifically, the facility did not ensure that staff wore proper Personal Protective Equipment (PPE) while providing care for a resident with indwelling medical devices. Observations revealed that a registered nurse did not don a gown while administering antibiotics intravenously through a PICC line, and a personal care assistant did not don a gown while assisting the same resident in bed. Interviews with the resident's physician and the facility's Infection Preventionist confirmed that the resident was not on Enhanced Barrier Precautions (EBP) and that the facility did not have a process in place to implement EBP for any residents. The Infection Preventionist was unaware of CMS's policy for Enhanced Barrier Precautions.
Failure to Timely Complete and Transmit MDS Assessments
Penalty
Summary
The facility failed to complete and transmit MDS assessments within the required timeframe for three residents. Resident #7 and Resident #8 were both discharged on 12/08/2023, but their discharge assessments were not transmitted until 04/29/2024. Resident #10, who was discharged on 12/29/2023, did not have a discharge assessment completed or transmitted. During an interview, S4MDS confirmed that discharge assessments should be completed within 14 days of discharge and transmitted within 7 days of completion, acknowledging the delay. S1DON also confirmed the expectation that discharge assessments should be completed 1-2 days after discharge and transmitted within 7 days, acknowledging the failure to meet these timelines.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Baton Rouge
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Capital Oaks Nursing & Rehabilitation Center Llc | 0.3 mi | ★★★★★ | 1 | 0 |
| Mid City Community Nursing And Rehab | 0.4 mi | ★★★★★ | 5 | 0 |
| Sterling Place Healthcare & Rehabilitation Center | 0.5 mi | ★★★★★ | 0 | 0 |
| St Clare Manor Nursing And Rehabilitation | 1.9 mi | ★★★★★ | 4 | 0 |
| St James Place Nursing Care Center | 3.8 mi | ★★★★★ | 1 | 0 |
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