Above average — CMS composite of the measures below.
The next survey window likely opens around December 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 Christwood during CMS and state inspections, most recent first.
Inaccurate PBJ RN Staffing Submission: The facility failed to submit complete and accurate PBJ direct care staffing data. The PBJ report showed no RN hours, even though payroll and timekeeping records documented an RN/DON working multiple shifts, and the ADM confirmed those RN hours were not reported but should have been.
A resident’s code status was not accurately reflected by the facility’s visual identifier system. Although the resident had a signed DNR and the resident stated she signed a DNR on admission, the door plaque displayed a blue dot for Full Code instead of the red dot used for DNR. Staff stated they relied on the colored dot on the plaque to identify code status if a resident were unresponsive.
Failure to Change Gloves During Wound Care: An LPN provided wound care to a resident with a Stage 3 pressure ulcer to the left ankle and applied ointment to the wound without changing gloves or performing hand hygiene after cleansing the area. The LPN later acknowledged the error, and the DON confirmed hand hygiene should occur between glove changes and dirty gloves should not be used to apply ointment to a clean wound.
The facility failed to maintain complete and accurate medical records for residents, as evidenced by missing documentation for catheter care and intake/output monitoring for a resident with urinary issues, and lack of side effect monitoring for medications prescribed to another resident with depression and anxiety. Interviews with LPNs confirmed the documentation lapses, and the DON acknowledged the deficiency in maintaining records according to standards.
A resident with multiple medical conditions was incorrectly administered Amlodipine Besylate for blood pressure management, despite their blood pressure readings being below the prescribed threshold. The LPN did not notice the specific parameters on the MAR and administered the medication based on a different order. The DON confirmed the medication should not have been given under these circumstances.
A facility failed to follow Enhanced Barrier Precautions (EBP) and proper hand hygiene, leading to a deficiency in infection control. An LPN provided suprapubic catheter care to a resident without wearing a gown, as required by EBP policy. The LPN also handled soiled linens with bare hands and did not perform hand hygiene before touching the resident's belongings. The LPN admitted to not following the protocol, and the DON confirmed the lapse in adherence to EBP and hand hygiene procedures.
Inaccurate PBJ RN Staffing Submission
Penalty
Summary
The facility failed to electronically submit complete and accurate direct care staffing information based on payroll and other verifiable and auditable data. Review of the PBJ Staffing Data Report for Fiscal Year 2025 Quarter 4 showed no RN hours were reported. However, review of the facility’s timekeeping and payroll information showed that the S2DON, identified as an RN, worked on 08/23/2025, 09/06/2025, 09/07/2025, 09/20/2025, and 09/21/2025, with hours documented from 5:45 a.m. to 2:30 p.m. for each shift. During an interview on 01/28/2026, the S2DON stated she was an RN and worked 8 hours on each of those dates. In a separate interview, the ADM stated the facility’s PBJ process was being transitioned between departments during the quarter and confirmed that no RN hours were reported for those dates even though they should have been, and that all quarters for direct care staffing submission should be complete and accurate.
Advance Directive Code Status Mismatch
Penalty
Summary
The facility failed to ensure an effective system was in place for advance directives and failed to ensure a resident’s emergency basic life support status accurately reflected the resident’s wishes for 1 of 16 residents reviewed. The facility’s policy stated that code status would be verified in the EMR before interventions and that visual indicators on the resident’s name plate would prompt staff to verify code status, with a red dot indicating DNR and a blue dot indicating Full Code. Review of the physician orders showed the resident had DNR status, and the resident’s signed LaPost, completed by the resident’s daughter/POA, also indicated DNR. During interview, the resident stated she signed a DNR upon admission. However, observation of the resident’s door plaque with the DON confirmed a blue dot was displayed, indicating Full Code, even though the resident had a signed DNR document. Staff interviews confirmed that the colored dots on door plaques were used to identify code status and that staff would rely on the dot if a resident were unresponsive.
Failure to Change Gloves During Wound Care
Penalty
Summary
The facility failed to implement and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. The deficiency was identified during observation, interview, and record review when staff failed to change gloves during wound care for Resident #5, who had a Stage 3 pressure ulcer/injury to the left ankle and a current order for wound care to the left lateral ankle area. During wound care observation, an S3LPN cleansed the resident’s left lateral ankle wound with wound cleanser and patted it dry with gauze, then removed topical ointment from a clear medication cup and applied it to the wound without changing gloves or performing hand hygiene. The S3LPN then removed the gloves and, without performing hand hygiene, donned a new pair of gloves before covering the wound with a bordered foam dressing. In interview, the S3LPN stated she should have removed the dirty gloves, performed hand hygiene, and donned new gloves before retrieving the ointment, but did not. The DON confirmed hand hygiene should be completed between glove changes and that dirty gloves should not be used to apply ointment to a clean wound.
Incomplete Documentation of Resident Care and Medication Monitoring
Penalty
Summary
The facility failed to maintain complete and accurate medical records for its residents, as evidenced by the lack of documentation for specific care and monitoring tasks. Resident #7, who was admitted with medical diagnoses including Benign Prostatic Hyperplasia and Obstructive and Reflux Uropathy, had orders for daily suprapubic catheter care and monitoring of intake and output. However, the Treatment Administration Record (TAR) and Medical Administration Record (MAR) for November and December 2024 showed multiple instances where these tasks were not documented, indicating that the care may not have been provided or recorded as required. Additionally, the facility did not document the monitoring of side effects for medications prescribed to Resident #3, who had diagnoses of Depression, Anxiety Disorder, and Atrial Fibrillation. The September 2024 TAR revealed blank entries for monitoring side effects of antidepressant, antianxiety, and anticoagulant medications on several dates, with no corresponding notes in the Progress/Nurse's Notes. Interviews with the LPNs responsible for the care confirmed that the documentation was not completed as expected. The Director of Nursing (DON) confirmed the lack of documentation for both residents, acknowledging that the expected procedures for documenting care and monitoring were not followed. This failure to document care and monitoring accurately and completely is a deficiency in maintaining medical records according to professional standards and facility policy.
Failure to Follow Physician's Orders for Blood Pressure Medication
Penalty
Summary
The facility failed to correctly implement Physician's Orders for a resident regarding the administration of Amlodipine Besylate, a medication prescribed for blood pressure management. The resident, who had medical diagnoses including Unspecified Atrial Fibrillation, Chronic Combined Systolic and Diastolic Heart Failure, Peripheral Vascular Disease, and Acute Pulmonary Edema, was prescribed Amlodipine Besylate to be administered only when their blood pressure was greater than 140/90 mmHg. However, the Medication Administration Record (MAR) for December 2024 showed that the medication was administered on four consecutive days despite the resident's blood pressure readings being below the prescribed threshold. The LPN responsible for administering the medication confirmed that she did not notice the specific parameters on the MAR and administered the medication based on a different order that required holding the medication only if the systolic blood pressure was less than 100 mmHg. The Director of Nursing (DON) reviewed the situation and confirmed that the medication should not have been given under the circumstances, as it did not align with the physician's specific orders for the resident's blood pressure management.
Failure to Follow Enhanced Barrier Precautions and Hand Hygiene
Penalty
Summary
The facility failed to adhere to its Enhanced Barrier Precautions (EBP) and proper hand hygiene procedures, leading to a deficiency in infection prevention and control. During an observation, an LPN was seen providing suprapubic catheter care to a resident without wearing a gown, as required by the facility's EBP policy for high-contact resident care activities. The resident had a suprapubic catheter and was on EBP due to their medical condition, which included Benign Prostatic Hyperplasia with Lower Urinary Tract Symptoms and Obstructive and Reflux Uropathy. Despite the presence of a sign indicating the need for EBP, the LPN did not follow the protocol. After completing the catheter care, the LPN removed her gloves and handled soiled linens with bare hands, failing to perform hand hygiene before touching the resident's personal belongings. This lapse in protocol was confirmed by the LPN during an interview, where she acknowledged her failure to wear a gown and perform hand hygiene. The Director of Nursing also confirmed that the LPN did not adhere to the EBP policy and proper hand hygiene practices, despite having been educated on these procedures.
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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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How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Forest Manor Nursing And Rehabilitation Center | 1 mi | ★★★★★ | 4 | 0 |
| Pontchartrain Health Care Center | 4.4 mi | ★★★★★ | 3 | 0 |
| Trinity Trace Community Care Center | 4.8 mi | ★★★★★ | 4 | 0 |
| Heritage Manor Of Mandeville | 6.8 mi | ★★★★★ | 5 | 0 |
| Lacombe Nursing Centre | 15.1 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.