Below average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
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 Chateau De Notre Dame Community Care Center during CMS and state inspections, most recent first.
A resident's Quarterly MDS assessment did not accurately reflect the administration of a diuretic and an antidepressant, as documented in the eMAR. The MDS failed to indicate the use of these medications, and staff interviews confirmed the assessment was not completed correctly.
A resident receiving continuous enteral nutrition and scheduled free water flushes did not have the required infusion rate labeled on their feeding and flush bags, as observed on multiple occasions. Facility policy and physician orders required this labeling, and staff confirmed the omission during interviews.
A resident with COPD and lung cancer did not receive oxygen at the physician-ordered rate of 4 lpm via nasal cannula, as observations showed administration at lower rates on multiple occasions. Both an LPN and the DON confirmed the oxygen was not set as ordered.
A resident with PTSD, anxiety, and depression did not have a care plan that addressed the source of trauma, monitoring for PTSD symptoms, identification of triggers, or interventions to prevent further trauma. Despite recommendations for a crisis/safety intervention plan, the clinical record and care plan lacked necessary assessments and documentation, as confirmed by both the LPN and DON.
A certified nursing assistant/transport driver failed to secure the front straps of a resident's wheelchair during van transport, resulting in the wheelchair tipping over and the resident sustaining a head injury. The resident, who had multiple medical conditions and was on blood thinners, required emergency evaluation and missed a scheduled dialysis treatment.
A CNA did not engage a resident's wheelchair brakes before securing the chair in a transport van, contrary to facility policy and training. The administrator also failed to verify brake engagement or use the required checklist during monitoring. Staff and manufacturer interviews confirmed that engaging wheelchair brakes is a necessary step in the securement process.
A facility failed to provide a resident with a 30-day written notice before discharge and did not include required contact information for Louisiana's Mental Health Advocacy Service in the discharge notice. The resident, who had major depressive disorder and bipolar disorder, was discharged without documented evidence of the cited reasons for discharge, such as smoking. The administrator confirmed the omission of necessary advocacy contact details.
A resident with severe cognitive impairment and mental health diagnoses expressed passive suicidal ideation during a shower transport. Two CNAs present did not report the statement to the nurse on duty, contrary to facility policy. The resident was later found with a bag strap around his neck, highlighting a failure to provide necessary behavioral health care.
A resident, who was cognitively intact and had a care plan requiring the call bell to be within reach, was found to have the call bell placed out of reach on multiple occasions. Despite the resident's inability to reach the call bell, staff members believed the resident was capable of using it.
A facility failed to involve a resident's family in care planning meetings, contrary to its policy. The resident's family was initially involved but was not invited to subsequent meetings. The Social Services Director admitted to not scheduling care plan conferences since June 2023, and the administrator confirmed that these meetings had not been held for long-term residents since that time.
A resident with Cerebral Palsy and bilateral hand contractures did not receive the recommended Occupational Therapy evaluation for splint fitting, as observed during a survey. Despite a rehabilitation screen suggesting the need for splints to prevent further decline, the resident was found without splints, and staff confirmed the evaluation had not been completed.
A facility failed to monitor a resident for targeted behaviors related to psychoactive medications, as required by their policy. The eMAR showed no documentation of monitoring for antidepressant and antianxiety medications. Interviews revealed that staff did not routinely chart assessments for targeted behaviors, only documenting if behaviors were observed. The DON admitted to this oversight, and the Administrator was unaware of the issue.
The facility failed to ensure adequate supervision and functioning of the WanderGuard system for residents at risk of wandering. A resident assessed as high risk for wandering exited the facility unsupervised, and the WanderGuard system did not alert staff. The system was not tested properly at ankle level or from multiple angles, contributing to the failure to prevent elopement.
The facility failed to ensure proper supervision and functioning of the WanderGuard system for a high-risk resident, who was able to exit the facility and was unsupervised for approximately 13.45 hours. The system was not tested at ankle level or from multiple angles, contributing to the deficiency.
Inaccurate MDS Assessment of Medication Administration
Penalty
Summary
The facility failed to ensure that a resident's Quarterly Minimum Data Set (MDS) assessment accurately reflected the medications administered during the required lookback period. Review of the electronic medication administration record (eMAR) showed that the resident received Lasix, a diuretic, and Trazodone, an antidepressant, during the assessment period. However, the corresponding MDS assessment did not indicate the use of either a diuretic or an antidepressant in the relevant sections, and instead marked 'none of the above.' Interviews with the Clinical Care Coordinator, Director of Nursing, and Administrator confirmed that the MDS was not completed accurately as required, and the medication use should have been documented in the assessment.
Failure to Label Enteral Feeding and Free Water Flush Bags with Infusion Rate
Penalty
Summary
A deficiency was identified when a resident with a history of dysphagia and gastrostomy status, who was receiving continuous enteral nutrition and scheduled free water flushes, did not have the required labeling on their enteral feeding and free water flush bags. The facility's policy required that these bags be labeled with specific information, including the infusion rate, to ensure proper administration according to physician orders. However, multiple observations over several days revealed that both the enteral feeding bag and the free water flush bag lacked the necessary labeling of the infusion rate. Interviews with facility staff, including the Director of Nursing and the Administrator, confirmed that the bags should have been labeled with the infusion rate as per facility policy and physician orders. The failure to label the bags was consistently observed and acknowledged by staff, indicating noncompliance with established procedures for enteral feeding management.
Failure to Follow Physician's Order for Oxygen Administration
Penalty
Summary
Facility staff failed to follow a physician's order for oxygen administration for Resident #52, who had a history of chronic obstructive pulmonary disease (COPD) and lung cancer and was assessed as having intact cognition. The physician's order specified that oxygen should be administered at 4 liters per minute (lpm) via nasal cannula every shift, with removal only for bathing and daily care. However, observations on two separate occasions revealed that the resident was receiving oxygen at lower rates—3.4 lpm and 3 lpm, respectively. Both the Clinical Care Coordinator/LPN and the Director of Nursing confirmed that the oxygen was not administered at the prescribed rate, acknowledging that it should have been set at 4 lpm as ordered.
Failure to Develop and Implement Trauma-Informed Care Plan for Resident with PTSD
Penalty
Summary
The facility failed to develop and implement a resident-specific plan of care for a resident diagnosed with post-traumatic stress disorder (PTSD), anxiety, and depression. Review of the resident's Minimum Data Set indicated intact cognition, and the resident's medical history included PTSD. However, there was no documented evidence in the physician's orders or psychiatric progress notes that the facility assessed the source of the resident's trauma, monitored for signs and symptoms of PTSD, identified triggers, or implemented interventions to avoid further trauma. The PASRR Level II Summary recommended a crisis/safety intervention plan, but this was not reflected in the resident's care plan. Interviews with the Clinical Care Coordinator/LPN and the Director of Nursing confirmed that the resident's clinical record and care plan did not address the PTSD diagnosis, including the necessary assessments and interventions. The lack of documentation and individualized planning for the resident's behavioral and emotional needs constituted a failure to provide trauma-informed and culturally competent care as required.
Failure to Properly Secure Wheelchair During Resident Transport
Penalty
Summary
A deficiency occurred when a certified nursing assistant/transport driver failed to properly secure the front straps of a resident's wheelchair during transport in the facility's van. As a result, the wheelchair tipped over backwards when the van accelerated after a stop, causing the resident to fall and strike the back of his head. The facility's policy required that wheelchairs be properly secured with securement equipment, and staff interviews confirmed that the wheelchair was not secured according to these guidelines. The resident involved had significant medical conditions, including end stage renal disease, peripheral vascular disease, cognitive communication deficit, and a right above knee amputation. He was also prescribed blood thinning medications, which increased his risk for serious injury following a head trauma. Due to the incident, the resident was transported to a local emergency department for evaluation of a head injury and was unable to receive his scheduled dialysis treatment.
Failure to Ensure CNA Competency in Wheelchair Securement Procedures
Penalty
Summary
A Certified Nursing Assistant (CNA) failed to follow the facility's established procedure for securing a resident's wheelchair in a transport vehicle. During the loading of a resident into the facility van, the CNA attached the front Q'Straint securement straps to the wheelchair without first engaging the wheelchair brakes, as required by the facility's competency checklist and the Q'Straint user instructions. The CNA then exited the vehicle and prepared to close the van door without ensuring the wheelchair brakes were engaged. The CNA had previously completed the required training on the securement procedure. Additionally, the facility administrator monitored the securement process but did not use the facility's competency checklist or verify that the wheelchair brakes were engaged. Multiple staff interviews confirmed that engaging the wheelchair brakes is a required step in the securement process. The Q'Straint representative also confirmed that the brakes should be engaged before applying the securement system. The administrator acknowledged not checking the status of the wheelchair brakes during monitoring and could not explain why the checklist was not followed.
Failure to Provide Proper Discharge Notice and Required Advocacy Information
Penalty
Summary
The facility failed to provide a resident with a 30-day written notice before a facility-initiated discharge, as required by regulations. The resident was readmitted to the facility from an inpatient psychiatric hospital and was discharged four days later. The discharge notification was given on the same day as the discharge, citing the facility's inability to meet the resident's needs and the resident's continued smoking as reasons. However, there was no documented evidence of the resident smoking or possessing smoking paraphernalia after returning from the psychiatric hospital. The resident was under one-on-one monitoring during this period, and the administrator could not provide evidence to dispute the deficiency. Additionally, the facility failed to include the required contact information for Louisiana's Mental Health Advocacy Service in the resident's discharge notice. The resident had diagnoses of major depressive disorder and bipolar disorder, which necessitated the inclusion of this information. The administrator confirmed that the discharge notice did not contain the necessary contact details, further contributing to the deficiency.
Failure to Address Passive Suicidal Ideation in Resident
Penalty
Summary
The facility failed to provide necessary behavioral health care for a resident who displayed passive suicidal ideation. The resident, who had severe cognitive impairment and diagnoses of dementia, depression, and schizophrenia, made a statement indicating passive suicidal ideation while being transported to the shower room. The statement was made in the presence of two CNAs, who did not report the incident to the nurse on duty as required by the facility's policy. The CNAs proceeded to give the resident a shower and returned him to his room without further assessment or intervention. Later, one of the CNAs found the resident with a promotional bag strap around his neck and then brought him to the nurse on duty. Interviews with facility staff, including the administrator and a psychiatric mental health nurse practitioner, confirmed that the CNAs should have reported the resident's statement immediately and remained with the resident to ensure his safety. The failure to follow the facility's policy on addressing suicide threats resulted in a deficiency in providing necessary behavioral health care to the resident.
Resident's Call Light Inaccessibility
Penalty
Summary
The facility failed to ensure that a resident's call light was within reach, which is a deficiency in accommodating the needs and preferences of the resident. Resident #64, who was cognitively intact with a Brief Interview for Mental Status score of 13, had a care plan that included an intervention to have the call bell within reach due to potential respiratory distress, self-care deficit, and risk for falls. However, observations on multiple occasions revealed that the call bell was either on the nightstand or in the top drawer of the nightstand, making it inaccessible to the resident. Interviews with the resident confirmed that he could not reach the call bell, while staff members, including an LPN and a CNA, indicated that the resident was capable of using the call bell, despite its inaccessibility.
Failure to Involve Resident's Family in Care Planning
Penalty
Summary
The facility failed to ensure that a resident and/or their responsible party was invited to participate in care planning meetings. This deficiency was identified for one resident who was investigated for participation in care planning. The facility's policy, dated September 2013, encourages the involvement of residents, their families, and legal representatives in the development and revision of care plans. However, it was found that the facility did not adhere to this policy, as evidenced by the lack of invitations extended to the resident's family for care plan conferences. Interviews conducted during the investigation revealed that the resident's family member had participated in quarterly care plan conferences when the resident was first admitted but had not been invited to subsequent meetings. The Social Services Director admitted to not contacting families to schedule care plan conferences since June 2023, and stated that a conference was only held if a family member attended. The facility's administrator acknowledged that care plan conferences had not been completed for long-term residents since June 2023, despite the expectation to schedule them for each quarterly assessment.
Failure to Provide Recommended Occupational Therapy Evaluation
Penalty
Summary
The facility failed to provide appropriate treatment and services for a resident with limited range of motion, as identified in a therapy screening. Resident #44, diagnosed with Cerebral Palsy, had functional limitations in the range of motion of both upper extremities and contractures of the bilateral upper extremities. A rehabilitation screen conducted on 09/01/2023 recommended an evaluation by Occupational Therapy for splint fitting to prevent further decline. However, an observation on 06/11/2024 revealed that Resident #44, while in her wheelchair, did not have splints on her hands despite having bilateral hand contractures. Interviews with an LPN and the Rehab Director confirmed that the Occupational Therapy evaluation for splints had not been completed, despite the earlier recommendation.
Failure to Monitor Targeted Behaviors for Psychoactive Medications
Penalty
Summary
The facility failed to monitor a resident for targeted behaviors related to the use of psychoactive medications, resulting in a deficiency. The facility's policy required the interdisciplinary team to monitor for side effects and complications of psychoactive medications. However, a review of the resident's Electronic Medication Administration Record (eMAR) showed no documentation of monitoring for targeted behaviors associated with administered antidepressant and antianxiety medications prior to a specified date. Interviews with facility staff, including the Clinical Coordinator and Director of Nursing, revealed that the nursing staff did not routinely chart assessments and monitoring of targeted behaviors for residents receiving psychoactive medications. The Director of Nursing admitted that the staff only documented progress notes if targeted behaviors were observed, and the Administrator was unaware of the lack of monitoring for the resident in question.
Failure to Ensure Adequate Supervision and Functioning of WanderGuard System
Penalty
Summary
The facility failed to ensure adequate supervision and functioning of the WanderGuard system for residents at risk of wandering and elopement. Resident #1, who was assessed as being at high risk for wandering, was able to exit the facility unsupervised through Door A. The WanderGuard system did not alert staff, and Resident #1 was missing for approximately 13.45 hours before being located by an LPN on a street near the facility and returned to the facility. The WanderGuard system was not tested properly at ankle level or from multiple angles, which contributed to the failure to prevent Resident #1's elopement. Additionally, the facility did not ensure that the WanderGuard system was functioning correctly for other residents at high risk for wandering. Residents #2, #3, #4, and #5, all assessed as high risk for wandering, had WanderGuard bracelets placed on their ankles or wrists. However, the system was not tested adequately to ensure it would alert staff if these residents attempted to exit the facility. Observations revealed that the WanderGuard system on Door A did not lock the doors or sound an alarm when approached from certain angles or at ankle height. Interviews with staff indicated that the WanderGuard system was only tested at waist level and not from multiple angles. The facility's Plant Manager confirmed that the system was not set to its maximum range to allow residents to use the facility's elevator. This lack of proper testing and system configuration contributed to the failure to prevent residents from exiting the facility unsupervised, posing a significant risk to their safety.
Failure to Ensure Proper Supervision and Functioning of WanderGuard System
Penalty
Summary
The facility failed to ensure proper supervision and functioning of the WanderGuard system for a resident assessed as being at high risk for wandering and elopement. Resident #1, who had a WanderGuard transmitter on his right ankle, was able to exit the facility through Door A and was unsupervised for approximately 13.45 hours. The resident was eventually found walking on a street near the facility by an LPN and was returned to the facility. This incident created an Immediate Jeopardy situation, highlighting the failure in monitoring and testing the WanderGuard system effectively. Interviews revealed that the Plant Manager tested the WanderGuard system at waist level rather than ankle level, and the Corporate Administrator confirmed that the system's range was not set as wide as it could have been. Additionally, the facility did not test the WanderGuard system from multiple angles, which contributed to the failure in preventing the resident's elopement. There was no documented evidence that the WanderGuard system was tested with a transmitter bracelet at ankle height or from different angles, leading to the deficiency.
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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 New Orleans
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St. Margaret's Daughters Home | 1.7 mi | ★★★★★ | 12 | 0 |
| St Jude's Health & Wellness Center | 2.2 mi | ★★★★★ | 16 | 2 |
| Jefferson Healthcare Center | 2.2 mi | ★★★★★ | 6 | 0 |
| Covenant Home | 2.5 mi | ★★★★★ | 1 | 0 |
| John J Hainkel Jr Home And Rehabilitation Center | 2.5 mi | ★★★★★ | 1 | 0 |
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