Below average — CMS composite of the measures below.
The next survey window likely opens around November 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 Deridder Retirement & Rehab Center during CMS and state inspections, most recent first.
Surveyors found multiple kitchen sanitation and food storage failures, including expired and opened food items left available for use, undated and unsealed frozen foods, sanitizer testing at 100 PPM instead of the required 200 PPM, and missing meal-service temperature checks on logs. A dietary staff member was also observed working without a facial hair restraint while handling dishes and food, and the DON acknowledged the dietary process failures.
Failure to Follow EBP and Decontaminate Equipment: Staff did not consistently follow EBP for residents with indwelling devices and wounds. A resident with a Foley catheter and wound received hands-on care while a CNA wore only gloves, and another resident with a PICC line had no EBP in place when a nurse accessed the line without a gown. In addition, an LPN used reusable BP cuffs and a pulse oximeter on multiple residents without sanitizing the equipment between uses.
A resident with COPD, major depressive disorder, and type II DM did not have a required Quarterly MDS submitted on time. An LPN confirmed the assessment with the specified ARD should have been submitted by the required deadline but was not.
Oxygen was not administered at the ordered flow rate for a resident with asthma and COPD. The resident had an order for O2 at 2 LPM via NC PRN for O2 sat <92%, but observations showed O2 running at 4 LPM via NC, and an LPN confirmed the ordered 2 LPM was not being followed.
Medication error rate exceeded threshold. The facility had a 7.41% medication error rate, with errors involving a resident receiving the wrong topical medication on the wrong site at the wrong time and another resident’s IV Vancomycin infusing at the wrong rate. An LPN applied Desonide cream to a stump instead of the ordered face application, and an RN confirmed the IV antibiotic was running faster than the pharmacy label directed.
Unsecured medication storage and expired drugs found. An unattended treatment cart was left unlocked in a busy hallway with drawers facing outward, allowing access while residents and staff passed by. In a resident room, expired inhalation meds and an ophthalmic solution beyond its use date were available for use, and multiple emergency medication drawers were also found unlocked; an LPN and the ADON confirmed these items should not have been available or left unsecured.
Dietary services staffing did not meet required qualifications when the facility’s dietary manager lacked the minimum certification and had no prior or current food service credentials on file. The DM stated she had not obtained Serve Safe or other certifications after hire, had no nursing home experience, and was relying on a contracted RD and part-time chef for guidance; the Administrator confirmed the DM was not certified and did not have an associate or bachelor’s degree.
Dumpster Lid Left Open: Facility staff failed to ensure garbage and refuse were disposed of properly when an observation showed one dumpster with an opened side lid. The Administrator stated staff were expected to close the dumpster doors/lids after taking trash out and confirmed the dumpster should have been closed at all times when not in use, but it was not.
A cognitively impaired resident was sexually abused by another resident with a history of inappropriate behavior. The impaired resident, unable to consent, was found in a compromising situation with the other resident, who had previously exhibited similar behaviors. Despite interventions in place, the facility failed to prevent the incident.
A facility failed to accurately code a resident's inappropriate behavior in the MDS, despite documentation in nurses' notes. The resident, with a history of cognitive and psychiatric disorders, attempted inappropriate contact with another resident, requiring staff intervention and one-on-one supervision. The facility's staff acknowledged the coding error, which did not reflect the behavior during the lookback period.
A resident with hemiplegia and a history of requiring two-person assistance for transfers was injured when a CNA attempted a transfer alone, resulting in a fall and a fracture. The resident's care plan specified the need for two-person assistance, which was not followed, leading to the incident.
The facility failed to provide necessary nail care for three residents who were unable to perform ADLs independently. A resident with chronic conditions and requiring substantial assistance was observed with untrimmed nails and a dark substance under the nail bed, despite expressing a desire for nail care. Another resident, dependent on staff for bathing, had similarly untrimmed nails. A third resident with moderate cognitive impairment also had long, unclean nails, and despite requests for care, the deficiency persisted. The DON and an LPN acknowledged the need for staff assistance in these cases.
A facility failed to manage respiratory equipment properly for a resident with chronic respiratory conditions. Observations showed that oxygen tubing was not changed or labeled as required, with tubing on the concentrator dated over a month old and the tubing on the wheelchair not covered or dated. Staff interviews confirmed that the weekend night nurse was responsible for these tasks, which were not completed as per protocol.
A resident with a history of diabetes, osteoarthritis, and a rotator cuff tear did not receive prescribed Belbuca for pain management due to a communication error between the facility and pharmacy. Despite being prescribed Tramadol, the resident continued to experience significant pain. The LPN was unaware of the medication's status, and the DON confirmed the pharmacy sent an authorization form to the wrong fax number, leading to a missed medication order.
Kitchen sanitation, food storage, and dietary hygiene failures
Penalty
Summary
The facility failed to maintain a clean and sanitary kitchen and failed to store, prepare, distribute, and serve food in accordance with professional standards. During observation of the kitchen with the Administrator present, surveyors found five unopened bags of coconut shredding in dry storage with an expiration date of 12/10/2025, an opened carton of orange juice in Refrigerator A with an expiration date of 11/27/2025, and opened, undated, unsealed bags of biscuits and okra in Freezers A and B. The Administrator acknowledged that expired foods should not have been available for use and that opened food items should have been dated, labeled, sealed, and discarded when appropriate, but were not. Surveyors also observed dish sanitation concerns at the 3-compartment sink. Sanitizer testing was performed and documented at 100 PPM, and a representative from the sanitizer service later confirmed the sanitizer was low and that proper sanitation of dishware should have been at least 200 PPM. Review of the facility's food temperature and sanitizer logs showed multiple days in October, November, and December 2025 when sanitizer readings were below 200 PPM and/or meal service food temperatures were not completed. The Administrator confirmed these findings during record review. In addition, a dietary staff member was observed working in the kitchen without a facial hair restraint despite having a goatee and flyaway chin hairs. The staff member stated he knew he should wear a beard restraint but was not wearing one because the facility had run out, and he was not going to wear one that day. The Dietary Manager stated staff were expected to wear hair and facial hair restraints, to label opened food items and place them in sealed bags, to check food temperatures before serving, and to ensure sanitizer readings were at the required level, and she acknowledged these practices were not being followed.
Failure to Follow EBP and Decontaminate Reusable Equipment
Penalty
Summary
The facility failed to maintain an infection prevention and control program by not consistently following Enhanced Barrier Precautions (EBP) and by not decontaminating reusable medical equipment between residents. The facility policy stated that residents with wounds or indwelling medical devices were to be placed on EBP, and that staff were to wear gloves and gowns for high-contact care activities such as bathing, hygiene, linen changes, brief changes, toileting, and device care. The policy also stated reusable equipment was to be decontaminated between uses on different residents. Resident #54 had diagnoses including osteomyelitis, diabetes mellitus, and chronic kidney disease, with severe cognitive impairment and dependence on staff for bathing, dressing, personal care, and transfers. The resident had an indwelling Foley catheter and an unhealed surgical wound, and the record showed EBP orders related to wounds. During observation, a CNA entered the resident’s room with clean linen and later provided personal care, including a bed bath, incontinent care, linen change, dressing, repositioning, catheter care, and emptying the catheter drainage bag, while wearing only gloves and no gown. The CNA stated she knew the resident required EBP because of the Foley catheter but did not wear a gown, and another CNA stated she only wore a gown when the resident had a large bowel movement. A nurse manager confirmed the resident required EBP and that staff should have worn both a gown and gloves for direct care. Resident #44 had diagnoses including intracranial abscess and granuloma, hydrocephalus, and other post-procedural complications, with moderate cognitive impairment and partial to moderate assistance needed for bathing and personal hygiene. The resident had a right arm PICC line and received IV vancomycin and ceftazidime through that line, but no EBP signage or precautions were in place in the room. A nurse confirmed she accessed the PICC line and administered IV vancomycin without wearing a disposable gown, and the ADON confirmed the resident should have been on EBP. In a separate observation, an LPN used an arm BP monitor, wrist BP monitor, and pulse oximeter on multiple residents without sanitizing the equipment between uses, and both the ADON and LPN confirmed the equipment was not decontaminated between residents.
Failure to Submit Quarterly MDS Assessment
Penalty
Summary
The facility failed to complete a Quarterly MDS assessment for Resident #4 as required. Resident #4 was admitted on 08/19/2019 and had diagnoses including Chronic Obstructive Pulmonary Disease, Major Depressive Disorder, and Diabetes Mellitus, Type II. Review of the MDS record showed a Quarterly MDS with an ARD of 11/01/2025 was exported on 12/15/2025, and an interview with S12 LPN on 12/17/2025 confirmed the assessment should have been submitted by 11/15/2025 but was not.
Oxygen Administered at Incorrect Flow Rate
Penalty
Summary
Provide safe and appropriate respiratory care for a resident when needed was not met for Resident #53, who had diagnoses including asthma and COPD. The resident had a physician order for oxygen at 2 LPM via nasal cannula as needed when oxygen saturation was less than 92%, but observations on 12/15/2025 and 12/16/2025 showed the resident receiving oxygen at 4 LPM via nasal cannula. During the 12/16/2025 observation, an LPN confirmed that the resident's oxygen should have been administered at 2 LPM but was not.
Medication error rate exceeded threshold
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, with a 7.41% medication error rate based on 2 medication errors out of 27 opportunities. During observation of medication administration, Desonide 0.05% Cream was applied to Resident #67’s right AKA stump by S5LPN, even though the physician’s orders directed Desonide 0.05% Cream to be applied to the face topically at bedtime and Lidocaine External Cream 5% to be applied to the right stump area topically one time a day. S5LPN later confirmed she applied the wrong medication to the wrong body site at the wrong time. For Resident #44, the record showed diagnoses including intracranial abscess and granuloma, hydrocephalus, other disorders of the pituitary gland, and unspecified adrenocortical insufficiency, and the admission MDS indicated a BIMS score of 10. During observation, S8 RN had just started the resident’s 10 a.m. IV Vancomycin dose, and the medication was observed infusing through dial flow tubing at 150 mL/hr. The pharmacy label directed Vancomycin 750 mg IVPB to infuse over 90 minutes, and S8 RN confirmed the infusion was running at the incorrect rate and stated it should have been 100 mL/hr.
Unsecured medication storage and expired drugs found
Penalty
Summary
Drugs and biologicals were not stored in accordance with accepted professional principles because an unattended treatment cart (Cart C) was left unlocked at the entrance of Hall Z. The cart was positioned in a busy hallway with the drawers facing outward, and it remained unattended and unlocked for approximately 10 minutes while residents and staff passed by. The ADON later confirmed that the cart was left unattended and unlocked and that the drawers could be accessed without a key because the cart was not locked. The facility also had expired medications available for use in a resident room, including multiple packages of Arformoterol Tartrate inhalation solution with expiration dates of 12/2024, a package of Formoterol Fumarate inhalation solution with an expiration date of 04/2025, and Tropicamide 1% Phenylephrine 2.5% ophthalmic solution with a beyond-use date of 11/15/2025. During the observation, an LPN stated expired medications should not be available for use, and the ADON confirmed they were available for use but should not have been. In addition, multiple drawers containing emergency medications were observed unlocked, and the ADON confirmed the emergency medication storage drawers were supposed to be locked when not in use but were not.
Dietary Manager Lacked Required Qualifications
Penalty
Summary
Employ sufficient staff with the appropriate competencies and skill sets to carry out food and nutrition services, including a qualified dietician, was not met when the facility failed to ensure the dietary manager met the minimum qualifications of a certified dietary manager. Review of the facility’s undated Food Service Manager policy showed that dietary manager certification was required and that the qualifications included being either a Dietary Assistant, Certified Dietary Manager, or Registered Dietitian. During interview, the dietary manager stated she was hired in 08/2025, had not worked in a nursing home setting before, and had not obtained any certifications since being hired, including Serve Safe certification. She stated she had received guidance from the contracted RD and a part-time contracted chef and was unaware of a deadline to complete Serve Safe, saying she would start the course in the middle of 01/2026. The Administrator confirmed the dietary manager had no prior or current certifications in her personnel file, had no food service certifications, and did not have an associate or bachelor’s degree. The Administrator also confirmed the contracted RD and chef did not work every day at the facility.
Dumpster Lid Left Open
Penalty
Summary
Dispose of garbage and refuse properly was cited after observation and interview showed the facility failed to ensure garbage and refuse were disposed of properly. Review of the facility's undated trash policy on 12/16/2025 stated that all waste must be placed in sealed containers, all garbage and trash must be placed in a dumpster in a convenient area near the facility, and the dumpster lid is to be kept closed at all times. During an observation of the facility dumpsters on 12/15/2025 at 9:38 a.m. with the Administrator, two dumpsters were seen, and Dumpster A had an opened side lid. The Administrator stated he expected staff to close the dumpster doors/lids when finished taking trash out and confirmed that Dumpster A should have been closed at all times when not in use, but was not.
Failure to Protect Resident from Sexual Abuse
Penalty
Summary
The facility failed to protect a resident from sexual abuse by another resident. The incident involved a cognitively impaired resident who was unable to consent to sexual contact and a cognitively intact resident with a history of inappropriate sexual behavior. The cognitively intact resident entered the room of the cognitively impaired resident and was found engaging in non-consensual sexual contact. The cognitively impaired resident had multiple diagnoses, including cerebral palsy and aphasia, and was dependent on staff for all activities of daily living. The resident's care plan included interventions for communication impairment, such as asking direct yes or no questions and monitoring for indicators of discomfort or distress. Despite these measures, the resident was unable to protect herself from the inappropriate actions of the other resident. The cognitively intact resident had a documented history of inappropriate sexual behavior, including previous incidents where he attempted to engage in sexual activities with other residents. His care plan included monitoring behavior episodes and notifying medical staff of any incidents. However, the facility failed to prevent the resident from accessing the room of the cognitively impaired resident, leading to the incident of sexual abuse.
Inaccurate MDS Coding for Resident Behavior
Penalty
Summary
The facility failed to ensure an accurate assessment of a resident's behavior, leading to a deficiency in the coding of the Minimum Data Set (MDS) for behaviors. Specifically, the facility did not accurately document an incident involving a resident with a history of cognitive communication deficit, paranoid schizophrenia, and other disorders, who exhibited inappropriate sexual behavior towards another resident. This behavior was not captured in the resident's Discharge MDS, despite being documented in the nurses' notes and incident report. The incident occurred when the resident attempted to inappropriately touch another resident, requiring staff intervention and resulting in the resident being placed under one-on-one supervision. The facility's staff, including the MDS LPN, DON, and Administrator, acknowledged that the behavior was not accurately coded in the MDS, which should have reflected the inappropriate behavior exhibited during the lookback period. This oversight highlights a failure in the facility's assessment process, as the behavior was documented in other records but not in the MDS.
Failure to Provide Adequate Assistance During Transfer
Penalty
Summary
The facility failed to ensure adequate assistance was provided to prevent accidents for a resident, resulting in actual harm. On the evening of April 28, 2024, a CNA attempted to transfer a resident from a wheelchair to a bed without the required two-person assistance, as specified in the resident's care plan. During the transfer, both the CNA and the resident slipped, causing the resident to fall and sustain an injury. The resident, who had a history of hemiplegia following a cerebral infarction and required extensive assistance with transfers, was diagnosed with an impacted humeral head fracture with osteopenia following the incident. The resident's care plan clearly indicated the need for two-person assistance during transfers due to physical mobility impairments and a risk of falls. Despite this, the CNA proceeded with the transfer alone, contrary to the facility's policy on safe resident handling and transfers. The incident was documented in an incident report and confirmed through interviews with the resident, the CNA, and the Director of Nursing. The resident experienced pain and swelling in the left elbow following the fall, and subsequent X-rays confirmed the fracture.
Failure to Provide Necessary Nail Care for Residents
Penalty
Summary
The facility failed to provide necessary nail care for three residents who were unable to perform activities of daily living (ADLs) independently. Resident #32, who required substantial assistance for personal hygiene and was dependent on staff for bathing, was observed with fingernails approximately 1/8th of an inch past his fingertips and a dark substance under the nail bed. Despite expressing a desire for his nails to be cleaned and cut, observations on consecutive days showed no change in his nail condition. The Director of Nursing (DON) acknowledged that Resident #32 required staff assistance for nail care, which should have been provided during his shower. Similarly, Resident #52, who was dependent on staff for bathing, was observed with fingernails about 1/4 inch past his fingertips. He also expressed a desire for his nails to be cut, but observations indicated that his nails remained untrimmed. The DON confirmed that Resident #52 required staff assistance for nail care. Resident #17, with moderate cognitive impairment and requiring substantial assistance with personal hygiene, was observed with fingernails 1/2 inch long and a brown substance under them. Despite the resident's request for nail care, the nails remained untrimmed, and an LPN confirmed the deficiency.
Failure to Properly Manage Respiratory Equipment
Penalty
Summary
The facility failed to provide respiratory care consistent with professional standards for a resident diagnosed with acute and chronic respiratory failure, pneumonia, and chronic obstructive pulmonary disease. The resident's care plan included interventions such as administering oxygen therapy as ordered and changing tubing per protocol. However, observations revealed that the oxygen tubing connected to the resident's oxygen concentrator was dated 07/07/2024, indicating it had not been changed as required. Additionally, the oxygen tubing connected to the oxygen tank on the resident's wheelchair was neither covered nor dated, contrary to the facility's protocol. Interviews with facility staff, including an LPN and the ADON, confirmed that the night nurse on the weekend was responsible for storing, changing, and labeling oxygen tubing weekly. The ADON acknowledged that the oxygen equipment should have been stored in a bag and labeled, and confirmed that the tubing should have been changed and dated every weekend. The DON also confirmed that all oxygen equipment should have been changed and dated weekly by the night nurse, which was not done in this case.
Failure in Pain Management for Resident
Penalty
Summary
The facility failed to provide adequate pain management for a resident who required such services, as per professional standards and the resident's comprehensive care plan. The resident, who had a history of Type 2 Diabetes Mellitus, pain, secondary osteoarthritis, and a complete rotator cuff tear/rupture of the left shoulder, was prescribed Belbuca and Tramadol for pain management. Despite the prescription for Belbuca being sent to the pharmacy, the medication was not received by the facility, and the resident continued to experience pain levels ranging from 5 to 8 on the pain scale, even after taking Tramadol. Interviews revealed that the LPN was unaware of why the Belbuca medication had not arrived, and the resident believed the prescription had been canceled due to a lack of communication. The DON confirmed that the pharmacy had sent an authorization form to the wrong fax number, resulting in the facility not receiving it. Consequently, the medication was missed, and no follow-up was conducted to ensure the resident received the necessary pain management.
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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 Deridder
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Westwood Manor Nursing Home, Inc | 1.5 mi | ★★★★★ | 0 | 0 |
| Rosepine Retirement & Rehab Center, Llc | 6.1 mi | ★★★★★ | 9 | 0 |
| The Woodlands Healthcare Center | 19.6 mi | ★★★★★ | 12 | 0 |
| Shady Acres Health And Rehabilitation Center | 25.9 mi | ★★★★★ | 14 | 4 |
| The Care Center Of Dequincy | 27.7 mi | ★★★★★ | 4 | 0 |
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