Below average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Belle Maison Nursing & Rehabilitation Center, Llc during CMS and state inspections, most recent first.
Expired medications were found in a medication cart and the medication storage room refrigerator. An RN said she completed weekly and random audits but failed to identify the expired meds. The DON confirmed the meds were expired and should not have been available for resident use. The cart contained expired Ondansetron for one resident and expired Meloxicam for another resident, and the refrigerator held unopened boxes of expired Flucelvax.
Undated Open Food Items in Kitchen Storage. Surveyors observed multiple opened food items in the freezer and pantry/dry storage without required dates or labels, including a partially consumed chocolate pie, corn starch, beef flavoring base, cookie pieces, and pasta noodles. Staff and the ADM confirmed opened food items should be dated and labeled, but the observed items were not.
Staff failed to follow infection control practices during EBP and perineal care. A CNA and wound care staff member provided direct care to residents on EBP without wearing a gown, and a CNA caring for a resident with a catheter and bowel incontinence reused soiled gloves while cleaning feces, the urinary catheter, and clean items in the room. The CNA also handled a wipe pack in a way that contaminated it and placed it on a hallway cart for later use.
Delayed Wound Dressing Change After Soilage: A resident with sacral and L buttock pressure ulcers and osteomyelitis had orders for wound dressings to be changed as needed for soilage or strikethrough. After a large BM, a CNA removed wet, soiled, non-intact dressings and left the wounds uncovered for hours before wound care was completed. The CNA said she notified the wound care nurse earlier, but the wound care nurse said she was not aware until noon and expected immediate notification when dressings were soiled or removed; the DON also stated wound care should have been provided immediately.
Incorrect Free Water Flush Rates for Two Residents with Feeding Tubes: The facility failed to provide ordered free water flushes for two residents with gastrostomy tubes. Both residents had physician orders for 40 mL/hr flushes, but observations showed the tube feeding pumps infusing at 30 mL/hr. An LPN stated the flushes should be 30 mL/hr, while the DON confirmed the ordered rate was 40 mL/hr.
A resident with dementia and other diagnoses had orders for psychotropic side effect monitoring, behavior monitoring, COVID-19 symptom checks, nightly enteral feeding, and urine color monitoring. The MAR had blank entries for all of these tasks on one shift, and the nursing notes did not document that they were completed; an LPN acknowledged the missing documentation and the DON confirmed the MAR was incomplete.
A resident with significant neurological and physical impairments, including dysphagia and muscle weakness, was entirely dependent on staff for feeding, yet the care plan lacked documented interventions for feeding assistance. Multiple staff members, including CNAs, LPNs, and an occupational therapist, confirmed the resident's total dependence, and the care plan coordinator acknowledged the omission.
The facility did not ensure accurate and complete medical documentation for two residents. One resident's required oxygen saturation checks were not consistently recorded, and there was no documentation of refusals when checks were missed. For another resident who died while on hospice, the death note lacked essential details such as notifications and body release information, contrary to facility policy.
During catheter and incontinence care for a resident, two CNAs failed to change gloves and perform hand hygiene after contact with contaminated areas and before handling clean items and linens. Both staff members acknowledged the lapse, and the DON confirmed that facility policy requires glove changes and hand hygiene when moving from dirty to clean tasks.
A facility failed to accurately assess a resident's status by not coding Generalized Edema as an active diagnosis in the resident's MDS, despite the resident being prescribed Furosemide for this condition. Staff interviews confirmed the oversight and uncertainty regarding the coding requirements.
The facility failed to store and label food items properly, affecting 108 residents. Observations revealed several open and unlabeled food items in the kitchen and walk-in cooler, including seasonings, beans, flour, panko crumbs, rice, tea bags, slaw dressing, mayonnaise, and salad dressing. An interview confirmed that these items should have been sealed and labeled with an open date.
The facility failed to ensure accurate MDS assessments for four residents, resulting in incorrect coding for PASRR, anxiety, hospice, and discharge status. A resident with a serious mental illness was not coded for PASRR, another with anxiety was not coded for the condition, a third resident in hospice care was not coded as such, and a fourth resident was incorrectly coded as discharged to a hospital instead of home. These errors were confirmed by the staff responsible for MDS assessments and the Director of Nursing.
The facility failed to limit PRN orders for psychotropic medications to 14 days for two residents. One resident was prescribed Vistaril for anxiety without a stop date, and another was prescribed Diazepam and Xanax without specified durations. The DON confirmed these orders exceeded the 14-day limit without end dates.
A resident with severe cognitive impairment and a history of falls was observed without the prescribed wheelchair cushion, leading to a fall. Facility staff confirmed the care plan intervention was not implemented, resulting in the resident's fall.
A resident with a history of falls and Alzheimer's disease experienced a fall, but the facility failed to update the care plan with new interventions. Staff responsible for care plan updates acknowledged the oversight, confirming no revisions were made after the incident.
A facility failed to provide a diabetic resident with necessary snacks, juice, or supplements during dialysis treatments, leading to the resident feeling tired and weak. Despite the resident's complaints, the facility did not verify with the dialysis center whether COVID-19 restrictions on food had been lifted, resulting in a lack of communication and appropriate care.
The facility did not post nurse staffing data, including resident census and staff hours, in a location accessible to residents and visitors. Observations and staff interviews confirmed the absence of this information, with an LPN, ADON, and DON acknowledging the deficiency.
Expired Medications Found in Medication Cart and Storage Room
Penalty
Summary
Expired medications were found stored in 2 of 4 medication storage areas observed, including Medication Cart 1 and the medication storage room refrigerator. The facility’s undated Medication Storage In The Facility policy stated that medications and biologicals are to be stored safely, securely, and properly, and that outdated medications are to be immediately removed from stock and disposed of according to procedure. During observation of the medication storage room, 6 unopened boxes of Flucelvax 2025-2026 were found in the refrigerator with an expiration date of 05/20/2026. Medication Cart 1 also contained expired medications for two residents. Resident #5 had an order for Ondansetron 4 mg as needed for nausea and vomiting, and the MAR showed the medication was administered on 05/21/2026 and 06/04/2026, but the cart contained Ondansetron 4 mg that expired on 04/20/2026. Resident #94 had an order for Meloxicam 15 mg as needed for pain, and the cart contained Meloxicam 15 mg that expired on 03/27/2026. The DON and RN confirmed the medications were expired and should have been discarded and not available for resident use. The RN stated she conducted weekly audits of the medication storage room and random audits of Medication Cart 1, but failed to identify the expired medications.
Undated Open Food Items in Kitchen Storage
Penalty
Summary
The facility failed to store foods under sanitary conditions by leaving opened food items undated and unlabeled in the kitchen. During an initial tour of the kitchen, surveyors observed a partially consumed chocolate pie in the freezer with no date, three opened 16 oz boxes of corn starch with no date, an opened container of beef flavoring base with no date, an opened container of medium cookie pieces with no date, and an opened box, container, or bag of pasta enriched noodles with no date in pantry/dry storage. The facility's undated policy for date marking for food safety stated that food must be clearly marked with the date or day by which it must be consumed or discarded, and that the marking system must include a color-coded label, the day/date of opening, and the day/date the item must be consumed or prepared. Staff confirmed the observed items were opened without the required date or label, and the administrator later confirmed opened food items should be dated and labeled with a fluorescent sticker showing when they were opened and an expiration date for discard.
Infection Control Lapses During EBP and Perineal Care
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. Surveyors found that staff did not consistently use required PPE during Enhanced Barrier Precautions (EBP) care and did not follow proper glove use and perineal wipe handling during incontinence care. The report identified deficiencies involving three residents on EBP and one resident receiving catheter/perineal care. Resident #1 had a feeding tube and was ordered to be on EBP for high-contact resident care related to the feeding tube. During a bed bath, a CNA performed direct care without donning a gown. Resident #70 had chronic venous stasis ulcers and was also on EBP for wound care. During wound care, a wound care staff member applied clean dressings to the resident’s lower extremities without wearing a gown. In both instances, the staff later confirmed they should have worn a gown during the care provided. Resident #2 had diagnoses including obstructive and reflux uropathy, unspecified bladder-neck obstruction, UTI, and infection and inflammatory reaction due to an indwelling urethral catheter, and his quarterly MDS indicated bowel incontinence. During perineal care, a CNA cleaned feces from the resident’s buttocks, then continued care without changing soiled gloves before cleaning the penis and urinary catheter, and later touched clean items and the resident without changing gloves. The CNA also placed a pack of wipes on the resident’s bed, used it during care, then removed it from the room and placed the contaminated wipes on a hallway cart for use with another resident.
Delayed Wound Dressing Change After Soilage
Penalty
Summary
The facility failed to ensure a resident with pressure ulcers received timely wound care when dressing changes were needed for soilage. The resident was admitted with diagnoses including osteomyelitis of the sacral and sacrococcygeal region and had physician orders for a pressure ulcer to the left buttock to be cleaned, treated with Santyl, and covered with a bordered foam dressing as needed for dislodgement or strikethrough, and for a pressure ulcer to the sacrum to be cleaned, treated with xeroform and hydrafera blue foam, and covered with a dry bordered dressing every day as needed for soilage and strikethrough until resolved. During observation, the resident’s sacral and left buttock wounds were visible with no dressing after a CNA performed perineal care following a bowel movement. The CNA stated the dressings had been wet, soiled, and not intact, and that she removed them, then notified the wound care nurse between 8:00 a.m. and 9:00 a.m. that the wounds needed redressing. The wound care nurse stated she was not aware of the large bowel movement until noon and that CNAs were expected to immediately notify her when wound dressings were soiled and/or removed. The DON stated CNAs were expected to immediately report a resident with a large bowel movement and soiled or removed wound dressings, and that wound care should have been provided immediately after the soiled dressings were identified for infection control.
Incorrect Free Water Flush Rates for Two Residents with Feeding Tubes
Penalty
Summary
The facility failed to ensure that residents receiving enteral feeding were provided the ordered free water flushes. Resident #1 had a diagnosis of gastrostomy status and a physician order for every shift to flush the tube with 40 mL of free water an hour. During observations, the resident’s tube feeding pump was seen infusing water flushes at 30 mL/hr instead of the ordered 40 mL/hr. Resident #75 had a diagnosis of encounter for attention to gastrostomy and a physician order for every shift of continuous free water flush at 40 mL/hr. During observations, the resident’s tube feeding pump was also seen infusing water flushes at 30 mL/hr instead of the ordered rate. During interview, the LPN reviewed both residents’ orders and stated the water flushes should be 30 mL/hr and were currently infusing at 30 mL/hr, and she would not confirm that the current orders were for 40 mL/hr. The DON later reviewed both residents’ orders and confirmed the water flushes should be 40 mL/hr, stating she expected the flushes to be infused at the ordered rate.
Incomplete MAR Documentation for Tube Feeding and Monitoring
Penalty
Summary
The facility failed to ensure staff completely and accurately documented tube feeding administration and required monitoring for one resident. Resident #2 was admitted with diagnoses including urinary tract infection, infection, and vascular dementia with mood disturbance, and had physician orders to monitor for side effects of psychotropic medication, monitor for behaviors related to psychotropic use, monitor for signs and symptoms of COVID-19, provide enteral feeding every night shift, and monitor urine color every shift for retention. Review of the resident’s May 2026 MAR showed blank documentation boxes on 05/17/2026 at 2200 for all of those ordered tasks, and the nursing notes contained no documentation that the orders were completed. The night shift LPN stated the blank MAR boxes meant she did not completely and accurately document the care and monitoring, and the DON confirmed the missing documentation and stated the nurse should have ensured the MAR was accurate and complete.
Failure to Develop Comprehensive Care Plan for Feeding Assistance
Penalty
Summary
The facility failed to develop a comprehensive, person-centered care plan that addressed the specific feeding assistance needs for one of three residents reviewed. The resident in question was admitted with multiple diagnoses, including sequelae of cerebral infarction, dysphagia, need for assistance with personal care, tremors, neuropathy, and muscle weakness. Despite these conditions, a review of the resident's most recent care plan revealed no documented interventions for feeding assistance. Direct observation showed that the resident was entirely dependent on staff for feeding, with staff members providing all food and hydration without the resident's participation. Multiple interviews with CNAs, LPNs, and an occupational therapist confirmed that the resident required total assistance with feeding at all meals. The staff responsible for the resident's care plan acknowledged that feeding assistance interventions were not included and confirmed that they should have been. The Director of Nursing also confirmed that residents needing feeding assistance should have individualized interventions documented in their care plans to ensure proper care and support.
Failure to Maintain Accurate Medical Documentation for Two Residents
Penalty
Summary
The facility failed to maintain accurate and complete documentation for two residents. For one resident with dementia, physician orders required routine oxygen saturation checks every shift, with instructions to notify the physician if levels fell below 90%. However, the Medication Administration Record (MAR) showed multiple shifts where oxygen saturation was not documented. Additionally, there were no nursing notes indicating the resident's refusal of oxygen checks on those dates, despite staff stating that refusals sometimes occurred. The Director of Nursing confirmed the absence of both oxygen saturation documentation and notes regarding refusals for the specified dates. For another resident who expired while on hospice care, the nurse's note simply stated the resident had expired, without including required details such as the date and time of death, pertinent details of the event, notifications to the physician and family, or information about the release of the body. The Director of Nursing confirmed that the death note was incomplete and did not meet the facility's policy requirements for documentation following a resident's death.
Failure to Follow Infection Control Practices During Catheter and Incontinence Care
Penalty
Summary
Staff failed to maintain appropriate infection control practices during and after incontinence and catheter care for a resident. During an observed catheter care procedure, two CNAs donned clean gloves and cleaned the resident's catheter tubing. Without changing gloves or performing hand hygiene, one CNA picked up clean soapy washcloths, performed perineal care, disposed of the washcloths, and touched the resident and various items in the immediate environment. The second CNA used a wet wipe to clean the resident's buttocks and removed a dirty brief, then, without changing gloves, both CNAs touched clean briefs, draw sheets, the resident's gown, multiple pillows, sheets, and the call light. Only after completing these tasks did both CNAs remove their gloves and perform hand hygiene. Interviews with both CNAs confirmed that they did not change gloves or perform hand hygiene after touching the resident's dirty catheter and before moving to clean areas or items, acknowledging that they should have done so. The Director of Nursing also stated that staff are expected to change gloves and perform hand hygiene when transitioning from dirty to clean areas during catheter care. The facility's policy on hand hygiene emphasizes the importance of changing gloves and performing hand hygiene at appropriate times to prevent infection, which was not followed in this instance.
Inaccurate Assessment of Resident's Diagnosis
Penalty
Summary
The facility failed to ensure an accurate assessment of a resident's status, specifically regarding the diagnosis of Generalized Edema. The resident, who was admitted with a diagnosis of Generalized Edema, was prescribed Furosemide 20 mg daily to manage this condition. However, during a review of the resident's Quarterly MDS with an Assessment Reference Date (ARD) of 09/07/2024, it was found that Generalized Edema was not coded as an active diagnosis. Interviews with staff members confirmed the oversight, with one staff member acknowledging the omission and another expressing uncertainty about the coding requirements for the diagnosis.
Failure to Store and Label Food Properly
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, affecting 108 residents who received meals prepared by the kitchen. During an observation of the kitchen meal prep area, several food items were found to be open and unlabeled, including a 28-ounce container of lemon pepper seasonings, a 25-pound bag of lima beans, a 25-pound bag of flour, a 25-pound bag of panko crumbs, a 5-pound bag of white rice, and a 6-pound box of tea bags. Additionally, in the walk-in cooler, a 1-gallon container of slaw dressing, a 1-gallon container of mayonnaise, and a 1-gallon container of salad dressing were also found to be open and unlabeled. An interview with S5DM confirmed that all opened food items should be sealed and labeled with an open date, which was not done in this case. S5DM further confirmed that the rice, flour, lima beans, panko crumbs, and tea bags should have been stored in sealed containers, which they were not.
Inaccurate MDS Assessments for Four Residents
Penalty
Summary
The facility failed to ensure accurate MDS assessments for four residents, leading to deficiencies in coding for PASRR, anxiety, hospice, and discharge status. Resident #38, who had a serious mental illness, was not correctly coded in the MDS for PASRR, as sections A1500, A1510A, and A1510B were left blank despite a Level II PASRR indicating a serious mental illness. Resident #45, diagnosed with an anxiety disorder, was not coded for anxiety in the MDS, which was confirmed by the staff responsible for MDS assessments. Resident #62, who had been admitted to hospice, was not coded for hospice in the MDS, despite physician orders confirming hospice admission. Lastly, Resident #119 was incorrectly coded as being discharged to a hospital, while nurse's notes indicated discharge to home. The Director of Nursing confirmed these coding errors upon review, acknowledging that the MDS assessments should have been coded correctly for all four residents.
Failure to Limit PRN Psychotropic Medication Orders
Penalty
Summary
The facility failed to ensure that PRN orders for psychotropic medications were limited to 14 days and included a specified duration for two residents. Resident #9 was prescribed Vistaril 50 mg to be taken every 8 hours as needed for anxiety, starting on September 22, 2023. However, the medication order did not include a stop date or duration, and it was confirmed by the Director of Nursing (S2DON) that the PRN order was in place for longer than 14 days without an end date. Similarly, Resident #27 was prescribed Diazepam 5 mg to be taken every 6 hours as needed, starting on March 26, 2024, and Xanax 0.25 mg to be taken every 6 hours as needed, starting on July 4, 2024. Both medications lacked a stop date or duration in the physician's orders and the Medication Administration Record (MAR). The S2DON confirmed that the PRN orders for these medications were also in place for longer than 14 days without an end date or duration documented.
Failure to Implement Fall Prevention Intervention
Penalty
Summary
The facility failed to implement a care plan intervention for a resident identified as a high fall risk. The resident, who has severe cognitive impairment and a history of repeated falls, was observed without the prescribed wheelchair cushion intended to improve positioning and reduce fall risk. This observation was made when the resident fell out of the wheelchair at the nurse's station, indicating that the intervention was not in place as required by the care plan. Interviews with facility staff, including an LPN and the Director of Nursing, confirmed that the care plan intervention to replace the wheelchair cushion was not implemented. The staff acknowledged that the cushion should have been present in the resident's wheelchair according to the care plan, but it was not, leading to the resident's fall. This oversight highlights a failure in ensuring that care plan interventions are consistently followed to meet the resident's needs.
Failure to Revise Care Plan After Resident Fall
Penalty
Summary
The facility failed to ensure that a resident's care plan was revised following a fall incident. Resident #108, who has a history of repeated falls, difficulty in walking, reduced mobility, cognitive communication deficit, and Alzheimer's disease, experienced a fall on 07/07/2024. The resident was found on the floor by a CNA during rounds, with a skin tear on the back of the right hand. Despite this incident, the resident's care plan was not updated to include new fall interventions after the fall on 07/07/2024. Interviews with facility staff revealed that the responsibility for updating care plans after incidents lies with S7IP, who acknowledged awareness of the fall but confirmed that no revisions were made to the care plan. S2DON also confirmed that the care plan should have been updated with new interventions after each fall, but no changes had been made since 06/17/2024. This oversight resulted in a deficiency in the facility's care planning process for the resident.
Failure to Provide Nutritional Support During Dialysis
Penalty
Summary
The facility failed to provide appropriate dialysis care for a resident with End Stage Renal Disease and Type II Diabetes Mellitus, who required dialysis services. The resident, who was sent to dialysis three times a week, reported feeling tired and weak after treatments due to not receiving any snacks, juice, or supplements during the lengthy sessions. Despite the resident's complaints to the nursing and administrative staff, the facility did not provide the necessary nutritional support during dialysis. Interviews with facility staff revealed a lack of communication with the dialysis center regarding the current policy on food restrictions. The LPN responsible for communication with the dialysis centers admitted to not verifying whether the COVID-19 restrictions on bringing food had been lifted, which they had. The Director of Nursing also confirmed the oversight and acknowledged that the resident was not sent with the necessary nutritional items, as they were under the impression that food was still not allowed at the dialysis center.
Failure to Post Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that nurse staffing data, including resident census and the total number and actual hours worked for licensed and unlicensed nursing staff, was posted in a prominent location readily accessible to residents and visitors. This deficiency was observed on 07/08/2024 at 11:00 a.m., when no nursing staffing data was found posted in a visible area within the facility. Interviews conducted with staff members, including an LPN, the Assistant Director of Nursing (ADON), and the Director of Nursing (DON), confirmed the absence of posted nursing data. The LPN was unaware of any such data being posted, while both the ADON and DON acknowledged that no nursing staff data was accessible to residents and visitors.
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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 Hammond
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Landmark Nursing Center Hammond | 0.4 mi | ★★★★★ | 3 | 0 |
| Ponchatoula Community Care Center | 1 mi | ★★★★★ | 0 | 0 |
| Hammond Nursing Home | 2 mi | ★★★★★ | 6 | 0 |
| Heritage Healthcare Of Hammond | 2.1 mi | ★★★★★ | 7 | 0 |
| The Lodge At Tangi Pines | 18.6 mi | ★★★★★ | 6 | 0 |
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