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 Camelot Of Broussard during CMS and state inspections, most recent first.
A resident’s admission MDS was coded incorrectly for oral/dental status. Although the MDS showed none of the above in Section L, the resident stated he had no natural teeth and wore upper and lower dentures, and a CNA confirmed this during interview. The MDS nurse responsible for coding acknowledged the error and said Section L should have been coded as edentulous.
A resident with Alzheimer’s disease, malnutrition, and severe cognitive impairment was not care planned for dentures or oral/dental care. The care plan had no related focus area, and an LPN confirmed the omission. An MDS staff member later entered dentures and oral/dental interventions only after surveyors noted the resident wore dentures and had no natural teeth.
A resident with heart disease, PVD, and thrombosis had Eliquis ordered and later discontinued, but the care plan still listed anticoagulant use. An MDS staff review confirmed the med had been stopped and the care plan should have been updated to remove anticoagulants.
Failure to document PRN medication administration and leave medications unattended at the bedside. An LPN gave a resident Promethazine for nausea and vomiting but did not document the MAR entry or the resident’s response, and another LPN placed oral meds in a cup on a resident’s bedside table and left without observing the resident swallow them, even though the resident had not been assessed for self-administration.
A resident with muscle weakness, gait impairment, moderate cognitive impairment, and hospice care for esophageal cancer was observed vomiting blood-tinged fluid while wearing a jacket splattered with vomit. Staff gave nausea medication but did not change the soiled clothing or offer hygiene assistance, and the resident later stated no one had offered him a bath or clean clothes. He remained in the stained jacket for hours until another staff member noticed and offered a shower.
Failure to provide ordered CPAP oxygen therapy: A resident with moderate cognitive impairment and diagnoses including AFib and HF had a physician order for CPAP oxygen at bedtime, but the MAR showed multiple missed administrations. The resident reported the CPAP machine was broken and had not been used for a while, and the DON confirmed the CPAP adaptor was broken and that nursing staff did not provide the ordered therapy.
Facility staff failed to follow food service hygiene standards by not wearing required hair restraints. During a kitchen tour, S1DM was observed with exposed facial hair and no beard restraint, despite the facility policy requiring beard restraints to keep hair from contacting exposed food, clean equipment, utensils, and linens. S1DM later confirmed his facial hair should have been covered.
The facility failed to maintain infection control practices when clean mop heads and blankets were stored on the soiled side of the laundry room instead of being kept separate from contaminated linen. In addition, a resident with a urinary catheter had the drainage bag touching a fall mat and later laying on the floor in the room, which staff confirmed should not have occurred.
The facility failed to maintain effective infection control, with staff not performing proper hand hygiene during medication administration and not wearing appropriate PPE for a resident on Enhanced Barrier Precautions. Observations showed an LPN did not sanitize hands after removing a wristband and before handling medications, and another LPN used a pen from the floor without sanitizing hands. Additionally, staff provided wound care to a resident without gowns, despite EBP requirements.
The facility did not maintain professional standards for food service safety, as observed when the Dietary Manager was without a beard restraint and the Maintenance Director's hair was not fully covered by a hair net. This oversight could potentially affect the 124 residents consuming food from the kitchen.
A resident's dignity was compromised when a sign indicating their need for feeding assistance was placed outside their door, visible to the public. This action violated the facility's policy on maintaining resident dignity and confidentiality. The resident, with severe cognitive impairment and requiring assistance due to hemiplegia, had not requested the sign to be placed publicly. The DON confirmed the sign's presence, which was contrary to the responsible party's wishes.
A resident with dementia and at moderate risk for falls was not rounded on for six hours, leading to a fall. Despite guidelines for two-hour checks, staff failed to enter the resident's room during this period, as confirmed by video footage. The DON acknowledged the lapse in care.
The facility failed to accurately maintain and reconcile narcotic records for one of two medication carts. Discrepancies were found in the counts of Oxycodone and Lorazepam pills between the lockbox and narcotic record sheets. The ADON noted that a nurse did not sign out medications on the record sheet after administration, leading to these discrepancies.
An LPN in an LTC facility borrowed Zofran from another resident's supply to administer to a resident with nausea, despite the medication being available in the facility's pyxis machine. The LPN prioritized quick symptom relief over proper medication dispensing procedures, as confirmed by the DON.
A facility failed to document the administration of Zofran and the resident's response, as required by policy. The resident, with multiple health conditions, was prescribed Zofran for nausea, but the LPN did not record the administration or follow-up on the MAR. The DON confirmed the lapse in procedure, highlighting a deficiency in pharmaceutical services.
A facility failed to maintain accurate medical records when an LPN did not document the administration of Zofran for a resident who experienced nausea and vomiting. The EMAR lacked entries for the medication administration and the resident's response, as confirmed by the DON. This deficiency had the potential to impact the care of all residents.
A facility failed to protect a resident from verbal and mental abuse by a CNA, who used derogatory language and refused assistance, causing distress to the resident with cognitive impairment. Another resident was not protected from physical abuse by a fellow resident with a history of aggression, who struck her in the dining area. Both incidents were confirmed through video surveillance, highlighting a breach in the facility's responsibility to ensure resident safety.
A resident with moderate cognitive impairment and muscle weakness was exposed during personal care when a CNA left the door open, violating privacy policies. The facility's DON confirmed the door should have been closed to protect the resident's dignity.
A resident with moderate cognitive impairment was verbally abused by a CNA, as captured on video. The CNA made derogatory remarks while the resident was on the floor, and neither the RN nor the LPN present reported the incident to the facility's administration, despite acknowledging the unprofessional conduct. The facility's policy mandates reporting such incidents, which was not followed.
Two residents experienced deficiencies in care due to failures in reporting changes in their conditions. One resident, with severe cognitive impairment, suffered a leg fracture after her leg slipped off a wheelchair footrest, but the CNA did not report her pain to the nursing staff. Another resident, with a high fever and low oxygen levels, was placed on supplemental oxygen by an RN, but the resident's family and physician were not notified of the condition change. These communication lapses were confirmed by staff and family interviews.
The facility failed to implement a comprehensive care plan and physician's orders for two residents. One resident, with severe cognitive impairment, was not monitored as ordered after a fall, resulting in a lack of documentation for two shifts. Another resident, with mobility issues, fell and sustained a head injury, but no new non-pharmacological interventions were added to prevent future falls, despite the fall being linked to a urinary tract infection.
A facility failed to monitor a resident's fluid intake and output, leading to a deficiency in maintaining hydration status. The resident, with conditions including Overactive Bladder and Acute Cystitis, showed acute creatinine elevation. Despite a care plan requiring monitoring, there was no specific documentation for fluid intake, as confirmed by the DON and Quality Insurance Nurse.
Incorrect MDS Oral/Dental Coding
Penalty
Summary
The facility failed to accurately code Resident #115’s admission MDS assessment for oral/dental status. The resident’s EHR showed diagnoses including mild protein-calorie malnutrition, a personal history of venous thrombosis and embolism, benign prostatic hyperplasia with lower urinary tract symptoms, and Alzheimer’s disease with late onset. The admission MDS dated [DATE] included a BIMS score of 05, indicating severe cognitive impairment, and Section L - Oral/Dental Status was coded as none of the above were present. During interview on 04/15/2026, the resident was alert and oriented to place and time, spoke clearly, and stated he had no natural teeth and wore upper and lower dentures. A CNA who provided oral care confirmed the resident wore upper and lower dentures and had no natural teeth. The MDS nurse responsible for coding the assessment confirmed Section L was coded incorrectly and should have been coded as B, no natural teeth or tooth fragments (edentulous).
Failure to Care Plan Oral/Dental Needs
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for Resident #115’s oral and dental health. Resident #115 was admitted on [DATE] with diagnoses including Alzheimer’s disease with late onset and mild protein-calorie malnutrition, and the admission MDS dated [DATE] showed a BIMS score of 05, indicating severe cognitive impairment. Review of the care plan showed no focus area related to dentures or dental/oral care. During interview, an LPN confirmed the resident was not care planned for dentures or oral/dental care, and the MDS staff member stated she was responsible for care plans and entered a focus area, goal, and interventions for dentures and oral/dental care on 04/15/2026 only after it was brought to the facility’s attention that the resident wore dentures and had no natural teeth. She confirmed the resident had not been care planned for dentures or oral/dental care from admission on 01/22/2026 through 04/14/2026.
Care Plan Not Updated After Anticoagulant Discontinued
Penalty
Summary
The facility failed to ensure Resident #114’s care plan was accurately updated after Eliquis, an anticoagulant, was discontinued. The resident was admitted with diagnoses including heart disease, peripheral vascular disease, and thrombosis. Review of the physician’s orders showed Eliquis was ordered on 06/24/2025 and discontinued on 08/21/2025, but the resident’s current care plan still listed anticoagulant use and did not reflect that Eliquis had been stopped. During an interview on 04/14/2026, S10MDS and S11MDS reviewed the physician’s orders and care plan and confirmed that Eliquis had been discontinued and that anticoagulants should have been removed from the care plan.
Failure to Document PRN Medication and Leaving Medications at Bedside
Penalty
Summary
Staff failed to document administration of a PRN medication and the resident’s response for a resident with multiple diagnoses including unspecified urethral stricture, muscle weakness, fatigue, malaise, gait and mobility abnormalities, and malignant neoplasm of the esophagus who was receiving hospice services. The resident was observed vomiting while sitting on the side of his bed, and an LPN stated he had given Promethazine for nausea and vomiting and was waiting for it to work. Review of the MAR showed no documentation that Promethazine had been given since 04/01/2026, and the LPN stated he forgot to document the medication administration. Review of the progress notes also showed no documentation of the effectiveness of the Promethazine, and the LPN confirmed he did not document the medication’s effectiveness. Staff also left oral medications at the bedside of a resident with diagnoses including macular degeneration, glaucoma, and major depressive disorder. The resident’s BIMS score was 15, indicating intact cognition, but she had not been assessed for self-administration of medications and was not considered safe to self-administer. During observation, a plastic cup containing tablets was found on the bedside table, and the resident began to take a tablet from the cup. The LPN confirmed she had placed the morning medications in a cup on the bedside table and left the room without observing the resident swallow them, and she acknowledged the medications should not have been left unattended. The DON also confirmed that medications should not have been left unattended at the bedside and that all medications should be administered before the nurse leaves the room.
Failure to Assist Resident With Hygiene and Soiled Clothing
Penalty
Summary
The facility failed to ensure a resident who required assistance with activities of daily living received help to maintain good grooming and personal hygiene. The resident had diagnoses including muscle weakness, fatigue, malaise, gait and mobility abnormalities, and later malignant neoplasm of the esophagus with hospice services. The resident’s MDS showed moderate cognitive impairment, partial/moderate assistance needed for bathing, and supervision or touching assistance needed for personal hygiene and upper body dressing. The care plan identified deficits in ADLs and included interventions for assistance with bathing, dressing, personal hygiene, transferring, and walking. On observation, the resident was seen sitting on the side of his bed vomiting blood-tinged fluid into a garbage can while wearing a gray jacket splattered with vomit. An LPN entered the room, observed the resident, and gave medication for nausea but did not offer to change the soiled jacket. The next morning, the resident was again observed wearing the same jacket, now stained with what appeared to be large amounts of vomit, and he stated no one had offered him a bath or changed his jacket. He also stated staff knew his jacket was dirty and that he needed help. Later observations showed the resident still wearing the stained jacket, then sitting with his upper body bare, with the soiled jacket beside him and a vomit stain on his blanket. He stated he had taken the jacket off but was not feeling well enough to get cleaned up or get clean clothes, and that no staff had offered him a bath or changed him. A CNAMR observed the resident and stated he should not have been left in the dirty jacket, then offered him a shower and bagged the jacket for laundering. The CNA and LPN later confirmed the jacket was soiled, and the CNA stated she thought the resident could care for himself and did not offer a bath or change his jacket. The CNA supervisor stated the resident should have been checked on, bathed, and changed.
Failure to Provide Ordered CPAP Oxygen Therapy
Penalty
Summary
Resident #34 did not receive oxygen therapy as ordered. Her quarterly MDS showed a BIMS score of 11, indicating moderate cognitive impairment, and her MDS section O was coded for oxygen therapy, non-invasive mechanical ventilator, and respiratory therapy. Her EHR showed diagnoses including insomnia, anxiety disorder, unspecified atrial fibrillation, and heart failure. A physician order dated 06/27/2025 directed Oxygen: CPAP 5/2L at bedtime related to heart failure. Review of the MAR showed the ordered Oxygen: CPAP 5/2L at bedtime was documented as not administered on April 1 through April 8, 2026, and April 11 through April 13, 2026. During interview, Resident #34 stated her CPAP machine was broken and she had not been using it for a while, and she reported that a nurse broke the machine, though she could not identify the nurse or when it occurred. The DON later observed the resident's room, brought a concentrator and oxygen tubing, and attempted to connect the tubing to the CPAP machine, but stated the CPAP adaptor was broken and confirmed the ordered oxygen therapy could not be delivered. The DON also confirmed the MAR showed the therapy was not administered on the listed dates and that nursing staff did not provide the oxygen therapy as ordered.
Failure to Wear Required Beard Restraint in Kitchen
Penalty
Summary
The facility failed to maintain professional standards for food service safety by not ensuring appropriate hair restraints were worn. During a review of the facility policy titled "Preventing Foodborne Illness-Employee Hygiene and Sanitary Practices," the policy stated that hair nets or caps and/or beard restraints must be worn to keep hair from contacting exposed food, clean equipment, utensils, and linens. On 04/13/2026 during the initial kitchen tour, S1DM was observed with facial hair exposed and was not wearing a beard restraint. At the conclusion of the tour, S1DM confirmed that his facial hair should have been covered and was not.
Infection Control Lapses in Linen Storage and Catheter Bag Placement
Penalty
Summary
Provide and implement an infection prevention and control program was deficient because the facility did not maintain effective infection control practices in two observed areas. A review of the facility policy titled "Laundry and Bedding, Soiled" stated that clean linen is to be stored separately, away from soiled linens, at all times and kept separate from contaminated linen. During an observation of the soiled linen room in the laundry department, three covered plastic bins were found stored on the soiled side of the laundry room. When the covers were removed, two bins contained clean mop heads and one bin contained clean blankets. S3HLS confirmed that the clean laundered items were being stored on the soiled side of the laundry room and should not have been. S2IC also confirmed that clean laundered items should not have been stored on the soiled side of the laundry room. The facility also failed to keep Resident #81's urinary catheter drainage bag from contacting the floor. Resident #81 was admitted with diagnoses including retention of urine, chronic kidney disease stage 4, and other obstructive and reflux uropathy. On three separate observations, the bottom of the resident's urinary catheter drainage bag was seen touching a fall mat next to the bed and later laying on the floor in the resident's room. S4CNA confirmed that the drainage bag was laying on the floor and should not have been, and S2IC confirmed that the bag should not have been touching the fall mat or laying on the floor.
Infection Control Lapses in Hand Hygiene and PPE Use
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by improper hand hygiene practices during medication administration. On March 10, 2025, observations revealed that an LPN did not sanitize her hands after removing a wristband from a resident and before continuing medication preparation. Additionally, the same LPN failed to perform hand hygiene before and after donning gloves to remove pills from a medicine cup. Another LPN was observed picking up a pen from the floor and using it without sanitizing her hands. Both LPNs acknowledged their lapses in hand hygiene during interviews. The facility also failed to adhere to Enhanced Barrier Precautions (EBP) for a resident with a Stage 3 pressure ulcer. The resident's care plan required the use of gowns and gloves during high-contact care activities due to the risk of multidrug-resistant organism (MDRO) transmission. Despite a sign indicating the need for EBP, the Assistant Director of Nursing and an LPN were observed providing wound care to the resident without wearing gowns. Both staff members confirmed their awareness of the EBP requirement but did not comply during the care session. Interviews with the facility's Infection Preventionist confirmed the lapses in infection control practices, emphasizing the necessity of hand hygiene and appropriate PPE use. The deficiencies highlight the facility's failure to implement its own policies on hand hygiene and EBP, potentially compromising the safety and well-being of residents and staff.
Failure to Maintain Food Service Safety Standards
Penalty
Summary
The facility failed to adhere to professional standards for food service safety by not ensuring that staff wore appropriate hair restraints. During an observation, the Dietary Manager (S1DM) was seen in the kitchen without a beard restraint, leaving his facial hair exposed. Additionally, the Maintenance Director (S2MD) was observed wearing a hair net that did not fully cover his hair, allowing a large amount of hair to hang down to his shoulders. Both staff members acknowledged the oversight, confirming that they should have been wearing proper hair restraints as per the facility's policy on preventing foodborne illness through employee hygiene and sanitary practices. This deficiency had the potential to affect the 124 residents who consumed food prepared in the kitchen, as the lack of proper hair restraints could lead to contamination of food, equipment, utensils, and linens.
Resident Dignity Compromised by Public Display of Care Needs
Penalty
Summary
The facility failed to maintain the dignity of a resident by placing a sign outside the resident's door, visible to the public, indicating that the resident required feeding assistance. This action was contrary to the facility's policy on Quality of Life-Dignity, which specifies that signs indicating a resident's clinical status or care needs should not be openly posted. The resident in question, identified as Resident #14, had severe impaired cognition and required partial to moderate assistance with eating due to hemiplegia and hemiparesis following a cerebral infarction. Observations on two separate occasions confirmed the presence of the sign outside the resident's door. The resident's responsible party (RP) stated that she did not request the sign to be placed outside the door, but rather inside the room to assist with care, especially when agency staff were working. The Director of Nursing (DON) confirmed the presence of the sign and mentioned that the RP had requested it to be placed outside the door previously. This failure to adhere to the facility's policy could have led to decreased feelings of self-worth, embarrassment, and a diminished quality of life for the resident.
Failure to Conduct Regular Rounding Leads to Resident Fall
Penalty
Summary
The facility failed to provide care and services that met professional standards of quality by not ensuring that rounding was conducted every two hours for a resident. The resident, who was at moderate risk for falls due to psychoactive drug use and had impaired cognitive function related to Alzheimer's and dementia, was not checked on for a period of six hours. This lapse in care occurred despite the facility's guideline of conducting rounds every two hours to ensure resident safety and positioning. The deficiency was highlighted by an incident where the resident fell from her bed and was found on the floor after being unattended for several hours. Video footage from the resident's electronic monitoring device confirmed that staff did not enter the resident's room between 11:00 PM and 5:16 AM, during which time the fall occurred. The Director of Nursing acknowledged the failure in staff rounding, confirming that the expected two-hour checks were not performed, which contributed to the resident's fall.
Discrepancies in Narcotic Records for Medication Cart
Penalty
Summary
The facility failed to maintain and reconcile individual resident narcotic records accurately for one of the two medication carts reviewed. During a narcotic count review of Cart A, discrepancies were identified. For one resident, the count of Oxycodone APAP 10-325mg pills in the lockbox was 72, while the narcotic record sheet indicated 73 pills. For another resident, the count of Lorazepam 2mg pills in the lockbox was 17, whereas the narcotic record sheet showed 16 pills. The Assistant Director of Nursing (S6ADON) acknowledged that the nurse who administered the medications that morning did not sign them out on the narcotic record sheet, which should have been done immediately after administration to ensure accurate reconciliation.
LPN Borrows Medication from Another Resident
Penalty
Summary
The facility failed to ensure that services were provided to meet professional standards of quality when an LPN borrowed medication from one resident to administer to another resident. This incident was identified during a complaint survey. The LPN, identified as S2LPN, borrowed Zofran, a nausea medication, from another resident's supply instead of obtaining it from the facility's medication pyxis machine, which is an automated dispensing system designed to provide the right medications to the right patient at the right time. This action was taken despite the availability of Zofran in the pyxis machine, as confirmed by the Director of Nursing (S1DON). The resident involved, referred to as Resident #1, had been admitted with diagnoses including Generalized Osteoarthritis, Morbid Obesity, Muscle Weakness, Essential Hypertension, and Benign Prostatic Hyperplasia with lower urinary tract symptoms. The resident had an active order for Zofran 4mg to be administered three times a day for nausea. During an interview, S2LPN admitted to borrowing the medication because she was focused on quickly relieving the resident's symptoms. The Director of Nursing confirmed that the LPN should have used the medication from the pyxis machine and not borrowed from another resident's supply.
Failure to Document Medication Administration and Resident Response
Penalty
Summary
The facility failed to ensure the accurate administration and documentation of a medication for one resident during a complaint survey. The resident, who had a history of Generalized Osteoarthritis, Morbid Obesity, Muscle Weakness, Essential Hypertension, and Benign Prostatic Hyperplasia, was prescribed Zofran for nausea. However, there was no documentation on the Medication Administration Record (MAR) that the medication was administered after the Licensed Practical Nurse (LPN) called the Nurse Practitioner (NP) for the order. Additionally, there was no documentation of the resident's response to the medication. The Director of Nursing (DON) confirmed that the LPN failed to document the administration of Zofran and the resident's response in the clinical record, which was against the facility's policy. The LPN admitted to administering the medication as ordered but acknowledged not following the correct procedure for documentation on the MAR and in the nurse's notes. This lack of documentation and follow-up on the resident's symptoms constituted a deficiency in the facility's pharmaceutical services.
Failure to Document Medication Administration
Penalty
Summary
The facility failed to maintain accurate medical records in accordance with accepted professional standards and practices for one of the sampled residents. Specifically, an LPN did not document the administration of a medication, Zofran, on the Electronic Medication Administration Record (EMAR) or in the nurse's notes. This oversight occurred after the resident complained of nausea and vomited twice, prompting the LPN to contact the Nurse Practitioner and receive a new order for Zofran 4 mg to be administered every 8 hours for 3 days. However, the EMAR for October 2024 did not reflect that the medication was administered on the specified date, nor did it include any follow-up documentation regarding the resident's response to the medication. During an interview and record review with the Director of Nursing (DON), it was confirmed that the LPN failed to document the administration of Zofran and the resident's response in the clinical record. The DON acknowledged that the LPN should have recorded this information either on the EMAR or in the nurse's notes, as per the facility's policy on medication administration documentation. This deficiency in documentation had the potential to affect the care of all 127 residents in the facility.
Failure to Protect Residents from Abuse
Penalty
Summary
The facility failed to protect Resident #2 from verbal and mental abuse by a Certified Nursing Assistant (CNA), identified as S6CNA. Resident #2, who has a moderately impaired cognitive status due to conditions such as Disease of Basal Ganglia and Depression, was subjected to derogatory and intimidating language by S6CNA on multiple occasions. Video surveillance captured instances where S6CNA used disparaging terms and refused to assist Resident #2 adequately, causing the resident to struggle physically and emotionally. The resident's responsible party reported increased anxiety and nervous tics in Resident #2, which were attributed to the verbal abuse experienced at the facility. The facility also failed to protect Resident #1 from physical abuse by another resident, Resident #3. Resident #1, who has severe cognitive impairment due to Alzheimer's Disease, was struck by Resident #3 in the dining area. Video surveillance confirmed that Resident #3, who also has severe cognitive impairment and a history of aggressive behavior, wheeled by Resident #1 and slapped her on the arm. Despite Resident #1's inability to recall the incident, the facility's staff confirmed the aggressive act through video review. The facility's policy on abuse and neglect emphasizes the responsibility to ensure residents' safety and freedom from abuse. However, the incidents involving Resident #2 and Resident #1 demonstrate a failure to uphold these standards. The facility's administration and nursing staff acknowledged the unprofessional behavior of S6CNA and the aggressive actions of Resident #3, indicating a lapse in maintaining a safe and respectful environment for all residents.
Privacy Violation During Personal Care
Penalty
Summary
The facility failed to ensure privacy for a resident during personal care, violating the resident's rights to dignity and respect. The facility's policy on Quality of Life - Dignity, which emphasizes the importance of maintaining and protecting resident privacy during personal care, was not adhered to. This deficiency was identified through video surveillance and interviews, revealing that a Certified Nursing Assistant (CNA) left the door open while changing the resident's brief, exposing the resident's lower body to the hallway. The resident involved had a history of muscle weakness, Parkinson's Disease, and moderate cognitive impairment, requiring extensive assistance with personal hygiene. Despite these needs, the CNA did not close the door during personal care on two separate occasions, leaving the resident exposed. The Director of Nursing confirmed that the door should have been closed to ensure the resident's privacy, as per the facility's policy.
Failure to Report Verbal Abuse Incident
Penalty
Summary
The facility failed to report an incident of verbal abuse involving a resident, which was captured on video surveillance. The incident occurred when a CNA, along with an RN and an LPN, entered the resident's room and found her sitting on the floor. The CNA made derogatory remarks about the resident, suggesting that the resident was playing games and did not need assistance. The RN and LPN present did not report the incident to the ADON, DON, or the administrator, despite acknowledging that the CNA's behavior was unprofessional and could have caused the resident to feel humiliated. The resident involved had a history of conditions including Disease of Basal Ganglia, Muscle Weakness, Parkinson's Disease, and Tremor, with a moderately impaired cognitive status as indicated by a BIMS score of 12. The failure to report the incident was confirmed during interviews with the RN and LPN, who admitted they should have reported the CNA's mistreatment of the resident. The facility's manual requires that any evidence of mistreatment, exploitation, neglect, or abuse be reported to the administrator, which was not adhered to in this case.
Failure to Report Changes in Resident Conditions
Penalty
Summary
The facility failed to ensure immediate reporting of a change in condition for two residents, leading to deficiencies in care. For the first resident, who had severe cognitive impairment and a history of Alzheimer's Disease and pain, the issue arose when the resident's leg slipped off the wheelchair footrest, causing pain and a subsequent fracture. Despite the resident's complaints of pain, the van driver, who was also a CNA, did not report the incident to the nursing staff. This lack of communication resulted in a delay in addressing the resident's injury, as the nurse was not informed until later, after the resident had already communicated her pain to other staff members. In the case of the second resident, who had diagnoses including overactive bladder and cognitive communication deficit, the deficiency involved a failure to notify the resident's family and physician of a significant change in condition. The resident experienced a high fever and low oxygen levels, prompting the RN to administer Tylenol and place the resident on supplemental oxygen. However, the RN did not notify the resident's family or physician about these changes, leaving them unaware of the resident's condition until after the resident was hospitalized. Interviews with staff and family members confirmed these lapses in communication and reporting. The Director of Nursing acknowledged that the van driver should have reported the first resident's pain, and the RN should have informed the family and physician about the second resident's condition. These failures to follow the facility's policy on notifying relevant parties of changes in residents' conditions contributed to the deficiencies identified in the report.
Failure to Implement Care Plans and Physician's Orders
Penalty
Summary
The facility failed to implement a comprehensive person-centered care plan and physician's orders for two residents. For Resident #1, the facility did not follow the physician's order to monitor the resident for changes in condition, range of motion, and pain every shift for 72 hours following an incident. The resident, who has severe cognitive impairment due to Alzheimer's Disease, experienced a fall from her wheelchair, resulting in a nondisplaced fracture of the proximal tibia. Despite the order for acute charting and monitoring, there was no documentation of assessments on the evening shifts of two consecutive days, indicating non-compliance with the physician's directive. For Resident #3, the facility did not develop appropriate interventions to prevent future falls after the resident experienced a fall. The resident, who has a history of cerebral infarction and mobility issues, fell while attempting to get into a chair, resulting in a head injury. Although the fall was potentially linked to a urinary tract infection, the only interventions implemented were lab tests and a urinalysis, followed by a course of antibiotics. No non-pharmacological, person-centered interventions were added to the care plan to address the risk of future falls, as confirmed by the Director of Nursing.
Failure to Monitor Resident's Fluid Intake and Output
Penalty
Summary
The facility failed to effectively monitor a resident's fluid intake and output, which was necessary to maintain acceptable hydration parameters. The resident, who was admitted with diagnoses including Overactive Bladder, Cognitive Communication Deficit, and Acute Cystitis without Hematuria, was found to have an acute elevation of creatinine, indicating potential acute kidney injury. The care plan for this resident included interventions to monitor intake and output, but there was no documented evidence in the resident's health record that this monitoring was being carried out effectively. During an interview with the Director of Nursing and the Quality Insurance Nurse, it was confirmed that there was no specific area in the resident's medical record for documenting the number of times the resident voided or the number of brief changes. The Director of Nursing stated that the resident's intake was monitored through the percentage of meal intake, which included fluids with meals, but there was no specific documentation for fluid intake throughout each shift. This lack of specific documentation and monitoring led to the deficiency in maintaining the resident's hydration status.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 124 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Broussard
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cornerstone At The Ranch | 4.1 mi | ★★★★★ | 0 | 0 |
| Maison De Lafayette | 4.2 mi | ★★★★★ | 12 | 0 |
| River Oaks Retirement Manor | 5.9 mi | ★★★★★ | 3 | 0 |
| Landmark Of Acadiana | 6.1 mi | ★★★★★ | 4 | 0 |
| Amelia Manor Nursing Home | 7 mi | ★★★★★ | 5 | 0 |
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