Below average — CMS composite of the measures below.
A standard survey is most likely before 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 Green Meadow Haven during CMS and state inspections, most recent first.
A resident with diabetes and intact cognition sustained a partial thickness burn after spilling facility coffee onto her lap. Staff later found redness and blisters on her thigh, and the coffee being served from warming pots and insulated dispensers was measured at temperatures as high as 164.8 degrees F. The facility had no official scald-prevention policy or formal resident assessment in place for serving hot liquids, and staff reported only informal discussion after the incident.
A resident with severe cognitive impairment, total ADL dependence, and contractures of both hands and knees was unable to use the call light because it was placed beside the bed rather than made accessible. During observation, the resident attempted to move both arms and hands but could not press the button, and the DON acknowledged the resident could not use the call light due to arm and hand contractures.
A resident with Alzheimer’s disease, anxiety disorder, and schizophrenia had a PRN Ativan order for anxiety with an indefinite end date, and the MAR showed repeated doses throughout the month. An LPN reported the resident had been receiving PRN Ativan, and the DON confirmed the resident was receiving doses in August.
Failure to provide required transfer and bed hold notices: Written notices were not given to residents or their RPs for transfers/discharges, including the reason for transfer, effective date, location, appeal rights, and bed-hold duration. A resident sent to the ED and two residents transferred to an ER or rehab center had no documentation of the required notices, and the MDS Coordinator and Administrator confirmed bed-hold notifications were not being sent.
The facility failed to implement a NP order for a Urology referral for a resident with acute urinary retention and an indwelling catheter. The resident had moderately impaired cognition, required another Foley placement, and had altered mental status and confusion possibly related to urinary retention. The ward clerk acknowledged the referral was not scheduled, the resident reported no notification of an appointment, and the DON confirmed the appointment should have been made.
Failure to submit PBJ staffing data report. Record review showed the facility did not electronically submit PBJ Staffing Data Report 1705D for FY Q2 2025, and the Administrator acknowledged the report was not submitted and should have been.
The facility failed to monitor five residents for edema while on diuretics and one resident for bleeding while on an anticoagulant. The lack of documentation in the MAR for July 2024 suggests that necessary monitoring was not performed, as acknowledged by the DON.
The facility inaccurately submitted staffing data to CMS for FY Quarter 2 2024, showing issues like a One Star Staffing Rating and no RN hours on certain dates. Despite adequate weekend staffing, the report inaccurately reflected staffing deficiencies. The current staff were unsure of the data's origin, and the administrator confirmed the previous bookkeeper's submission of inaccurate information.
Hot Coffee Served at Unsafe Temperature Caused Resident Burn
Penalty
Summary
The facility failed to maintain a system to prevent accident hazards when it served coffee at a temperature that caused a burn injury to a resident. Resident #67, who had diagnoses including type 1 diabetes mellitus with hyperglycemia, diabetic chronic kidney disease, and unspecified polyneuropathy, had intact cognition and required only set-up assistance with eating. On 08/13/2024, she spilled facility coffee onto her lap and did not realize she had been burned until a CNA noticed redness and blisters on her left upper thigh while assisting her in the bathroom. The incident report and nursing notes documented that the resident reported she had reached for the coffee from the bedside table, it hit the end of the table, and spilled onto her lap. She stated she guessed she was still half asleep and did not know it had burned her leg until she went to wash herself off and saw the injury. The nurse practitioner later assessed the injury as a partial thickness burn of the left thigh, and wound care treatment was started. Subsequent wound care notes described the burn as second or third degree initially, then second degree thermal burn, with delayed healing noted in the context of diabetes. The facility did not have official policies in effect related to scald prevention at the time of the survey, and staff reported that no formal assessments or policies had been implemented to ensure residents could safely drink coffee or hot liquids. The dietary manager stated coffee was brewed in an industrial coffee maker at 200 degrees F and then placed in insulated dispenser pots or warming pots, with no temperatures measured after brewing other than the brewing temperature. Surveyors measured coffee temperatures in serving pots and cups at 147.8 degrees F, 161.7 degrees F, 164.8 degrees F, 157.4 degrees F, and 163.2 degrees F during observation. Staff interviews indicated informal discussion occurred after the incident, but there was no documentation of formal in-service training on scalding and hot liquids.
Call Light Not Accessible to Resident With Hand Contractures
Penalty
Summary
The facility failed to reasonably accommodate a resident's needs and preferences by not ensuring an assistive device was accessible. Resident #3 was admitted with diagnoses including spinal stenosis, adult failure to thrive, and contractures of the right and left knees, and the quarterly MDS indicated a BIMS score of 7 with severe impaired cognition and dependence on staff for all ADL care. The care plan also noted contractures of the right and left hands. During observation, the ADON placed the call bell button on the bed beside the resident's left elbow, and the resident was observed attempting to move both arms and hands but was unable to use the call bell button. In interview, the resident stated she had not been able to press the call bell button for assistance, and the DON acknowledged the resident was unable to press the call light due to contractures of her arms and hands.
Unrestricted PRN Ativan Use
Penalty
Summary
The facility failed to ensure a resident with a PRN psychotropic medication order was not subjected to chemical restraints, and failed to ensure the resident’s PRN order for psychotropic medication was limited to 14 days. Resident #4 was admitted on 01/04/2025 with diagnoses including Alzheimer’s disease, anxiety disorder, and schizophrenia. A physician order dated 07/07/2025 directed Ativan (lorazepam) 1 mg by mouth every 6 hours as needed for anxiety with an indefinite end date. Review of the August 2025 MAR showed repeated administration of Ativan on multiple dates and times throughout the month, including several doses on consecutive days. During interviews, an LPN reported the resident had been receiving PRN Ativan for anxiety, and the DON confirmed the resident had the PRN Ativan order dated 07/07/2025 and had been receiving doses in August.
Failure to Provide Required Transfer and Bed Hold Notices
Penalty
Summary
The facility failed to provide written notice to residents and/or their responsible parties that specified the reason for transfer, the effective date, the location, the statement of appeal rights, and the duration of bed hold for 3 of 3 residents reviewed for transfers. Resident #4, who had diagnoses including fracture of the neck of the left femur, Alzheimer's disease with early onset, vascular dementia, paranoid schizophrenia, and generalized anxiety disorder, was sent to the ED on 06/08/2025, but the record did not show that a written transfer/discharge notice had been provided to the resident and/or RP at the time of transfer/discharge. Resident #81, admitted with diagnoses including hemiplegia and hemiparesis following cerebral infarction, cerebral infarction, vascular dementia, hypo-osmolality and hyponatremia, and atherosclerotic heart disease, was discharged to a local ER on multiple occasions with returns to the facility, but the record did not show that the resident and/or RP had been provided bed hold notice prior to transfer/discharge on [DATE], 05/13/2025, and 05/18/2025. Resident #89, admitted with diagnoses including hypertensive chronic kidney disease, COPD, and hemiplegia affecting the right dominant side, was transported to a rehab center on 07/10/2025, and the record did not show that the resident or RP had been provided bed hold notice prior to discharge on [DATE]. Interviews with the MDS Coordinator and Administrator confirmed that bed hold notifications were not being sent with residents or their RPs upon discharge/transfer.
Failure to Implement Urology Referral for Resident with Urinary Retention
Penalty
Summary
The facility failed to ensure a physician's order for a urology referral was implemented for a resident with acute urinary retention. The resident was admitted with diagnoses including displaced intertrochanteric fracture of the left femur, Type 2 diabetes, and generalized anxiety disorder, and the admission MDS indicated moderately impaired cognition with a BIMS score of 11. The resident also had an indwelling catheter in place. A nurse practitioner entered an order on 06/30/2025 to refer the resident to Urology for acute urinary retention after the resident required another Foley catheter placement and had altered mental status and confusion possibly related to urinary retention. The medical record did not show that a Urology appointment had been scheduled. During interview, the ward clerk acknowledged the referral had not been made, the resident stated she had not been notified of any Urology appointment, and the DON acknowledged the resident had not been scheduled for the appointment and should have been.
Failure to Submit PBJ Staffing Data Report
Penalty
Summary
The facility failed to electronically submit Payroll Based Journal (PBJ) Staffing Data Report 1705D for Fiscal Year Quarter 2 2025, covering January 1 through March 31. Record review showed the staffing data for that quarter was not submitted, and during an interview on 08/19/2025 at 3:15 p.m., the Administrator acknowledged that the PBJ Staffing Data Report 1705D for FY Quarter 2 was not submitted and should have been.
Failure to Monitor Residents on Diuretics and Anticoagulants
Penalty
Summary
The facility failed to ensure that the drug regimens of five residents were free from unnecessary medications, as they did not adequately monitor these residents for specific conditions while on prescribed medications. Residents with conditions such as congestive heart failure, coronary artery disease, and chronic atrial fibrillation were not monitored for edema while receiving diuretics. Specifically, Resident #17, who was on Furosemide and Xarelto, was not monitored for edema or bleeding, which are critical side effects to watch for with these medications. Similarly, Residents #34, #41, #44, and #382, all of whom were on diuretics for conditions like heart failure and chronic obstructive pulmonary disease, were not monitored for edema. The lack of documentation in the Medication Administration Records (MAR) for the month of July 2024 indicates that the necessary monitoring was not performed. During an interview, the Director of Nursing acknowledged the absence of documentation and admitted that if it was not documented, it likely was not monitored. This oversight in monitoring could potentially lead to adverse effects for the residents, as the facility did not adhere to the required protocols for medication management and monitoring.
Inaccurate Staffing Data Submission to CMS
Penalty
Summary
The facility failed to accurately submit mandatory direct care staffing information to the Centers for Medicare & Medicaid Services (CMS) for Fiscal Year Quarter 2 2024. The Payroll Based Journal (PBJ) Staffing Data Report for this period revealed issues such as a One Star Staffing Rating, Excessively Low Weekend Staffing, and No Registered Nurse (RN) Hours on specific dates. Despite the facility's weekend staffing patterns showing that direct care hours exceeded the required hours, the report inaccurately reflected no RN hours on several dates. Interviews with the current bookkeeper and human resources staff indicated that the previous bookkeeper submitted the PBJ Staffing Data Report, and they were unsure of the data's origin. The facility administrator confirmed the submission of inaccurate information by the previous bookkeeper.
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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 Coushatta
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mansfield Nursing Center | 20.2 mi | ★★★★★ | 6 | 0 |
| Ringgold Nursing And Rehabilitation Center, Llc | 20.2 mi | ★★★★★ | 1 | 0 |
| Desoto Retirement & Rehab Ctr, Llc | 21.7 mi | ★★★★★ | 2 | 0 |
| Courtyard Of Natchitoches | 24.6 mi | ★★★★★ | 14 | 0 |
| Natchitoches Nursing And Rehabilitation Center, Ll | 24.6 mi | ★★★★★ | 17 | 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.