Average — CMS composite of the measures below.
A standard survey is most likely before 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 Garden Park Nursing & Rehab Ctr, Llc during CMS and state inspections, most recent first.
Survey results were not readily accessible to residents, family members, or others for review. An observation showed the most recent survey result was missing from the survey binder, and the Administrator confirmed it should have been there.
A facility failed to complete pre-restraint assessments and obtain written consent for wheelchair devices used on three residents. A lap buddy was used for one resident with dementia and cognitive impairment, and self-releasing seatbelts were used for two residents with severe cognitive impairment, Alzheimer’s disease, falls, and other neurologic conditions. Observations showed the devices in place, and staff acknowledged the residents could not remove the lap buddy or seatbelts when asked.
A resident with dementia and mood disturbance had a PRN Vistaril order for anxiety and/or restlessness that had no stop date. The DON acknowledged the PRN psychotropic order remained active beyond 14 days and should have included an end date.
Incomplete Discharge MDS Assessment: A resident with diagnoses including low back pain, schizophrenia, CKD stage 4, HTN, generalized muscle weakness, and muscle wasting/atrophy was discharged without a completed discharge MDS. The MDS record showed the discharge ARD was overdue, and the MDS nurse and Medicare Case Manager confirmed the discharge assessment had not been completed and should have been.
A resident was not referred for a Level II PASARR after new mental illness diagnoses were added to the chart following admission. The initial PASARR showed no mental illness and no Level II need, but later records documented brief psychotic disorder and major depressive disorder with psychotic symptoms. The DON acknowledged that a new PASARR was not resubmitted when the new diagnosis was identified.
The facility failed to develop individualized care plans for multiple residents. A resident with dementia, a resident with anxiety receiving Buspirone, a resident with an unstageable pressure ulcer, a resident with current wound care needs, and a resident using bed rails/side rails all had care plans that lacked appropriate diagnoses, focuses, or interventions. Staff interviews confirmed the missing care plan content.
A resident with no cognitive impairment and diagnoses including hemiplegia, chronic pain, and dysphagia had a cup of various pills left on the bedside table while he was in the bathroom. The resident said an LPN left the medications there, and both the LPN and DON confirmed medications should not be left at the bedside without an order for self-administration.
Failure to maintain oxygen equipment and post required signage: A resident with COPD and respiratory failure had an oxygen concentrator filter coated with a gray fuzzy substance, and two residents receiving continuous oxygen had no oxygen-in-use signs posted outside their room doors. The DON verified the missing signage, and an RN confirmed the filter needed cleaning.
Failure to follow catheter care infection control technique occurred when a CNA did not cleanse a resident’s catheter six inches from the insertion site during perineal care after the resident had a BM. The resident had a Foley catheter order for daily soap-and-water care and a UTI, and the IP and Corporate Nurse confirmed the required cleansing step was missed.
The facility failed to ensure call lights were within reach for four high-risk residents, as required by their Fall Prevention Program Policy. Observations showed that call lights were consistently out of reach for residents with conditions like dementia and Alzheimer's, increasing their risk of falls. An LPN confirmed the issue, and the DON acknowledged the need for call lights to be accessible at all times.
A facility failed to provide proper respiratory care for several residents, including not administering oxygen at the prescribed rate for a resident and not changing and dating oxygen equipment weekly for others. Additionally, No Smoking signs were missing from rooms of residents on oxygen, contrary to facility policy. These deficiencies were confirmed through observations and staff interviews.
A facility failed to transmit a resident's MDS assessments to the State within the required timeframe. The assessments, completed on a specific date, were not sent within the mandated 7-day period. This was confirmed by an MDS Nurse during an interview, revealing a lapse in compliance with transmission requirements.
Survey Results Not Readily Accessible
Penalty
Summary
The facility failed to ensure the most recent survey results were readily accessible to residents, family members, or anyone who wanted to review them. On 09/08/2025 at 10:00 a.m., observation showed the most recent survey result was not present in the facility's survey binder. During an interview at 10:01 a.m., the Administrator confirmed the most recent survey was not in the survey binder and should have been.
Missing restraint assessments and consent for wheelchair devices
Penalty
Summary
The facility failed to ensure that three residents were free from physical restraints unless needed for medical treatment, and failed to have a pre-restraint assessment and written consent in place for the use of a lap buddy or self-releasing seat belt. The facility policy stated that physical restraints include devices such as lap cushions, lap trays, and belts that the resident cannot remove easily, and that informed consent and a pre-restraint assessment must be completed before restraint use. During interviews, a corporate nurse acknowledged that lap buddies and self-releasing seat belts required a pre-restraint assessment and informed consent prior to use, while a Medicare case manager stated the facility did not consider them restraints. Resident #15 had diagnoses including major depressive disorder with psychotic symptoms, cognitive impairment, and dementia. The physician ordered a lap buddy to the wheelchair at all times to aid with positioning while sitting, and the resident’s MDS indicated the resident was rarely or never understood. The record did not contain a pre-restraint assessment or written consent for the lap buddy. Observations showed the resident seated in a wheelchair with a soft lap buddy in place, and a CNA applied and secured the lap buddy under the wheelchair arm rests. When asked to remove it, the resident could not remove the lap buddy, and the CNA acknowledged this. Resident #58 had diagnoses including Alzheimer’s disease, dementia with agitation, repeated falls, and need for assistance with personal care. The physician ordered a self-release seatbelt to the wheelchair while in the chair, and the resident’s quarterly MDS showed severe cognitive impairment. The record did not contain an assessment or consent for the seatbelt. Observations showed the resident in a wheelchair with a self-releasing seatbelt in place, and the resident could not remove it when requested by an LPN and CNA. Resident #139 had diagnoses including muscle wasting and atrophy, cognitive communication deficit, and dementia with mood disturbance. The physician ordered a self-releasing seatbelt while in the wheelchair due to multiple falls, the MDS indicated the resident was rarely understood, and the record did not contain a pre-restraint assessment or written consent. Observation showed the resident seated in a wheelchair with a lap self-releasing seatbelt in use.
PRN Psychotropic Order Lacked Required Stop Date
Penalty
Summary
The facility failed to ensure a resident with a PRN order for psychotropic medication was not subjected to chemical restraints because the resident’s PRN Vistaril order was not limited to 14 days. Resident #139 was admitted with diagnoses including muscle wasting and atrophy, cognitive communication deficit, and dementia in other diseases classified elsewhere, severe, with mood disturbance. The resident’s physician orders included Vistaril 25 mg by mouth every 8 hours as needed for anxiety and/or restlessness, and the order had no stop date. During interview, the DON acknowledged the resident had a PRN Vistaril order for anxiety greater than 14 days and stated the PRN order should have had an end date but did not.
Incomplete Discharge MDS Assessment
Penalty
Summary
Resident #137’s discharge assessment was not completed after the resident was discharged from the facility. The medical record showed an admission date of 03/11/2025 and a discharge date of 03/17/2025, with diagnoses including low back pain, schizophrenia, hypertensive chronic kidney disease with stage 4 chronic kidney disease, generalized muscle weakness, essential hypertension, and muscle wasting and atrophy. Review of the MDS assessments did not reveal a discharge assessment, and the MDS tracking record stated that the discharge ARD of 03/17/2025 was 162 days overdue. During interview, the MDS nurse and Medicare Case Manager confirmed that the discharge MDS assessment had not been completed and should have been.
Failure to Resubmit PASARR After New Mental Illness Diagnosis
Penalty
Summary
The facility failed to refer Resident #23 for a Level II PASARR after new diagnoses of mental illness were documented following admission. Resident #23 was admitted on 07/11/2019, and the initial PASARR dated 07/10/2019 showed no mental illness diagnoses and did not indicate a Level II PASARR. The medical record later documented a diagnosis of brief psychotic disorder on 06/04/2020 and a diagnosis of major depressive disorder, recurrent, severe with psychotic symptoms on 01/01/2025. Review of the record did not show that a new PASARR was submitted after these diagnoses were added. During interview, the DON acknowledged that a new PASARR had not been resubmitted when the resident received the new mental illness diagnosis after admission and stated that it should have been.
Failure to Develop Individualized Care Plans for Multiple Residents
Penalty
Summary
The facility failed to develop individualized, person-centered care plans for 5 of 5 residents reviewed for plan of care. Resident #3 had an admission date of 07/15/2025 and a diagnosis of Non-Alzheimer's dementia, but the comprehensive care plan did not include appropriate interventions for dementia care. During interview, the MDS nurse confirmed the care plan did not include appropriate interventions for the resident's diagnosis. Resident #5 had a diagnosis of generalized anxiety disorder, a BIMS score of 14 indicating intact cognition, and received Buspirone 5 mg twice daily for anxiety, but the care plan did not include appropriate interventions for anxiety disorder. Resident #58 had diagnoses including an unstageable pressure ulcer of the left heel and a skin and wound assessment noting an unstageable pressure ulcer to the left medial foot with the RP and MD notified and new orders noted, but the care plan did not include a focus for wound care with appropriate interventions. Resident #69 had diagnoses including unsteadiness on feet and repeated falls, and Resident #111 had hand assist bars bilaterally to the head of the bed, but their care plans did not include appropriate focuses and interventions for the current wound care and for the use of bed rails/side rails, respectively. Staff interviews confirmed the missing care plan interventions for these residents.
Medications Left at Bedside Without Order
Penalty
Summary
The facility failed to provide services that met professional standards of quality by leaving medications at the bedside for a resident without an order for self-administration. The facility’s medication administration policy stated that medications are to be administered as prescribed, at the time they are prepared, and that the person administering medication must remain with the resident until all medication has been swallowed. Review of the resident’s physician orders did not reveal an order for self-administration of medication. Resident #6 was admitted on 10/06/2023 and had a BIMS score of 15/15, indicating no cognitive impairment. The resident’s diagnoses included hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side, chronic pain, and dysphagia. During observation, the resident’s bedside table had a cup containing various pills, and the resident stated that an LPN left the pills there while he was in the bathroom. The LPN later confirmed the medications should not have been left at the bedside without an order, and the DON also confirmed medications should not be left at the bedside without an order.
Failure to Maintain Oxygen Equipment and Post Required Oxygen Signage
Penalty
Summary
The facility failed to provide respiratory care consistent with professional standards of practice and its own oxygen administration policy for 3 residents receiving oxygen therapy. The policy stated that while oxygen is in use, no smoking signs must be posted at the entrance to the room and that concentrator filters should be cleaned weekly or as needed. For Resident #49, who had diagnoses including COPD with acute exacerbation, dependence on supplemental oxygen, and acute and chronic respiratory failure with hypoxia, the oxygen concentrator filter was observed coated in a gray fuzzy substance, and an RN confirmed the filter needed to be cleaned. For Resident #69, who had diagnoses including simple chronic bronchitis, COPD with acute exacerbation, and dependence on supplemental oxygen, an observation showed the resident in the room receiving oxygen at 3 liters per minute via nasal cannula through an oxygen concentrator, but no oxygen-in-use sign was posted on the room doorway. For Resident #150, who had diagnoses including acute respiratory failure with hypoxia and acute on chronic combined systolic and diastolic heart failure, an observation also showed oxygen in use at 2 liters per nasal cannula with no signage posted on the room doorway. The DON later verified that oxygen-in-use signs should have been posted outside the rooms of Residents #69 and #150 and were not.
Failure to Follow Catheter Care Infection Control Technique
Penalty
Summary
Provide and implement an infection prevention and control program was not ensured when proper infection control techniques were not followed during incontinence and catheter care for Resident #124. The facility’s undated Catheter Management policy directed staff to separate the labia, cleanse the area with soap and water or personal cleanser using downward strokes, and while applying gentle traction to the catheter, cleanse it six inches from the insertion site using downward strokes, changing the washcloth with each wipe. Resident #124 was admitted on 08/29/2025 with a diagnosis of subsequent encounter for closed fracture with routine healing, and had a physician order for catheter care with soap and water every day shift. During observation on 09/10/2025 at 8:15 a.m., Resident #124 had a bowel movement while S12 CNA and S13 CNA provided perineal and catheter care. The observation showed S12 CNA did not cleanse the catheter six inches from the insertion site during care. During interview, S12 CNA confirmed the omission and stated she should have cleansed the catheter. S14 IP stated the resident had a UTI and that failing to cleanse the catheter six inches from the insertion site could lead to a worsening UTI by introducing new or more bacteria. S3 Corporate Nurse also confirmed the catheter should have been cleansed six inches from the insertion site during perineal care.
Failure to Ensure Call Lights Within Reach for High-Risk Residents
Penalty
Summary
The facility failed to accommodate the needs of four residents by not ensuring their call lights were within reach, as required by the facility's Fall Prevention Program Policy. This policy mandates that call bells be placed within each resident's reach when feasible and that residents be instructed to use them to call for assistance. Observations revealed that the call lights for all four residents were consistently out of reach, despite their high risk for falls and need for assistance with transfers. These residents had various medical conditions, including dementia, Alzheimer's disease, muscle wasting, and atrophy, which increased their vulnerability to falls. Specific instances included a resident sitting in a wheelchair with the call light across the room, another resident in a recliner with the call light hanging on the wall, and a resident lying in bed with the call light behind the headboard. Interviews with an LPN confirmed that the call lights were out of reach and should not have been. The Director of Nursing acknowledged that call lights should be accessible to residents at all times, even if they do not remember to use them.
Deficiencies in Respiratory Care and Equipment Management
Penalty
Summary
The facility failed to provide appropriate respiratory care for six residents, as observed through various deficiencies in oxygen administration and equipment management. Resident #40 was found with oxygen tubing connected to a concentrator that was not turned on, despite a physician's order for continuous oxygen at 2L/min. This oversight was confirmed by an LPN during an interview, highlighting a failure to adhere to prescribed oxygen therapy. For Residents #18, #23, #73, #57, and #290, the facility did not ensure that oxygen tubing and humidification bottles were changed and dated weekly as per physician orders and facility policy. Observations revealed that the oxygen equipment for these residents lacked proper labeling, indicating when they were last changed. Interviews with nursing staff confirmed these findings, acknowledging that the equipment should have been dated to ensure compliance with care standards. Additionally, the facility did not post No Smoking signs at the entrance to the rooms of residents on oxygen, as required by facility policy. This was specifically noted for Resident #73, whose room lacked the necessary signage, posing a potential safety risk. The absence of these signs was confirmed by a charge nurse during an interview, further emphasizing the facility's failure to adhere to its own safety protocols.
Failure to Transmit Resident Assessments Timely
Penalty
Summary
The facility failed to ensure that resident assessments were transmitted within the required timeframe. Specifically, for one resident, the Minimum Data Set (MDS) assessments with reference dates of July 1, 2024, were completed on July 15, 2024, but had not been transmitted to the State. This was confirmed during an interview with the MDS Nurse on August 6, 2024, who acknowledged that the assessments were completed but not transmitted. The deficiency was identified during a review of the resident's electronic medical record, which showed the assessments were in 'Export Ready' status but had not been sent within the mandated 7-day period after completion.
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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 Shreveport
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Spring Lake Skilled Nursing And Rehabilitation | 1.5 mi | ★★★★★ | 5 | 0 |
| Booker T. Washington Skilled Nursing And Rehabilit | 1.7 mi | ★★★★★ | 0 | 0 |
| The Bradford Skilled Nursing And Rehabilitation | 2 mi | ★★★★★ | 8 | 0 |
| Southern Hills Healthcare And Rehabilitation | 2 mi | ★★★★★ | 3 | 0 |
| Village Health Care At The Glen | 2.7 mi | ★★★★★ | 3 | 0 |
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