Below 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 Heritage Manor Of Mandeville during CMS and state inspections, most recent first.
A resident with Alzheimer’s Disease, muscle weakness, lack of coordination, and gait/mobility abnormalities was incorrectly coded on the MDS as having two or more falls with major injury. Review of the fall log and staff interviews confirmed the resident had no falls with major injury, and the MDS nurse and DON acknowledged the assessment was inaccurate.
Failure to prime an insulin pen needle before administering Novolog to a resident with Type 2 DM. An LPN applied the pen needle, dialed up the ordered dose for an elevated blood glucose level, and gave the insulin without priming. The LPN confirmed the omission and stated she believed priming was not needed; the DON stated pen needles should be primed per manufacturer guidelines.
A resident receiving multiple psychotropic medications via PEG tube had no documented monitoring for medication side effects, even though the meds were administered as ordered. An LPN confirmed she had not been monitoring or documenting side effects, and the DON confirmed the record lacked this documentation.
Improper Storage of Opened Insulin Pen: An opened Humalog insulin pen for a resident was found in Med Cart 2 with an open date beyond the 28-day limit stated in the medication insert. An LPN confirmed the pen should have been discarded, and the DON stated nurses are responsible for removing insulin pens after 28 days; the pen was still available for resident use.
A resident’s record showed repeated documentation that staff assisted with hearing aids even though the resident was hard of hearing and did not wear hearing aids. Two LPNs confirmed they charted the task as completed on multiple occasions when they had not done it, and the DON verified the task log contained those inaccurate entries.
The facility failed to complete and transmit MDS assessments within the required timeframe for two residents. A resident's Quarterly MDS and another's Discharge MDS were both incomplete and marked 'In progress' beyond the 14-day requirement. Staff confirmed the delay and lack of transmission to CMS.
The facility failed to ensure accurate MDS assessments for several residents, leading to discrepancies in their records. Two residents were not accurately coded for PASRR evaluations, another was incorrectly coded for anticoagulant use, and a resident's diabetic foot ulcer was not reflected in the MDS. Additionally, a resident's discharge status was inaccurately recorded. Staff interviews confirmed these errors.
A resident with a new diagnosis of Psychotic Disorder with Delusions was not referred for a Level II PASARR evaluation. The diagnosis was not included in the resident's Level 1 PASARR, and no review was submitted for further evaluation. Interviews with the DON and an LPN confirmed the oversight.
A facility failed to update a resident's care plan to reflect a change from full code to DNR status. The MDS nurse was not informed of the change, despite a physician order and a signed LaPOST document. This oversight was confirmed by the MDS nurse and the DON, highlighting a communication breakdown in the facility's process for updating care plans.
The facility failed to properly label and store medications, as expired 5% Lidocaine Patches were found in Medication Room A and on Medication Cart A. An LPN responsible for monthly checks confirmed the expired medications should have been discarded. The DON was aware of the issue and acknowledged the expired medications should not have been available for use.
The facility did not employ a certified dietary manager, as required for the food and nutrition service. Interviews revealed that a staff member lacked a current food service management and safety certification, and no staff, including another interviewed member, had a certificate or degree in food service or dietary management.
The facility did not maintain documentation of daily temperature and chemical sanitation checks for refrigerators, freezers, and the dish machine, potentially affecting 109 residents. Staff interviews confirmed the absence of these checks, which are essential for food service safety.
A resident with hypertension and edema had a physician's order for compression stockings, but observations showed they were not worn despite being documented as such on the MAR. The LPN confirmed the resident often refused the stockings, but this was not recorded, leading to inaccurate medical records. The DON acknowledged the responsibility to document refusals accurately.
The facility failed to complete MDS assessments timely for two residents due to an increased number of assessments required from higher admissions and re-hospitalizations. The MDS staff could not keep up, leading to incomplete assessments beyond the required timeframe. Despite having a QA process in place, the facility was unable to resolve the issue by the projected deadline.
A facility failed to ensure proper use of PPE during high-contact care for a resident on Enhanced Barrier Precautions (EBP) due to wounds. A CNA did not wear a gown while providing peri-care, contrary to facility policy. The CNA acknowledged the error, and the DON confirmed the requirement for gown use during such care.
The facility failed to maintain a sanitary environment in the kitchen's walk-in cooler, where cloudy water was observed pooling. The Dietary Manager was aware and had notified maintenance, but the issue persisted despite attempts to reseal the weather strip. The Assistant Administrator was informed two weeks prior, confirming the unsanitary condition.
Inaccurate MDS Coding for Fall With Major Injury
Penalty
Summary
The facility failed to ensure an accurate MDS assessment for Resident #5 by incorrectly coding Section J1900, Section C as indicating two or more falls with major injury. Resident #5 was admitted with diagnoses including Alzheimer's Disease, muscle weakness, lack of coordination, and abnormalities of gait and mobility. Review of the resident's annual MDS showed the major injury item was coded as 2, but review of the fall log and fall investigations from January 2025 to the current review found no falls resulting in major injury. Staff interviews confirmed the resident had never had a fall with major injury, and the MDS nurse acknowledged the assessment was not accurate and should have been modified and resubmitted to reflect the resident's actual fall history. The DON also stated the MDS was inaccurate and expected MDS staff to code correctly.
Failure to Prime Insulin Pen Needle
Penalty
Summary
The facility failed to ensure nursing staff met professional standards of quality when administering insulin by not priming an insulin pen needle before giving Novolog to a resident with Type 2 Diabetes Mellitus. Resident #8 was admitted with a diagnosis of Type 2 Diabetes Mellitus and had a current order for Novolog Flex Pen 100 unit/mL to be given per sliding scale before meals and at bedtime. During observation, the resident’s blood glucose was 303 mg/dL, and S4LPN applied the insulin pen needle, dialed up 10 units, and administered the insulin without priming the needle first. S4LPN confirmed she did not prime the insulin pen needle and stated she believed priming was not needed. The DON was later informed and stated insulin pen needles should be primed according to the insulin pen and pen needle manufacturer’s guidelines.
Lack of Monitoring for Psychotropic Medication Side Effects
Penalty
Summary
The facility failed to ensure adequate monitoring for side effects related to psychotropic medication use for Resident #65. Record review showed current physician orders for escitalopram 20 mg daily via PEG tube, buspirone 7.5 mg three times daily via PEG tube, clonazepam 0.5 mg twice daily via PEG tube, and Depakote Sprinkles 125 mg twice daily via PEG tube, and the MAR showed these medications were administered as ordered from 09/01/2025 through 09/23/2025. However, there was no documentation that side effects from these psychotropic medications were being monitored. An LPN reviewed the chart and confirmed she had not been monitoring or documenting psychotropic medication side effects, and the DON also reviewed the record and confirmed there was no documentation of such monitoring and that it should have been.
Improper Storage of Opened Insulin Pen
Penalty
Summary
Med Cart 2 was found to have an improperly stored medication for Resident #81: an opened Humalog insulin pen with an open date of 08/09/2025 was observed on 09/22/2025 during a medication cart inspection with an LPN. The medication insert for Humalog stated that opened insulin should be used for a total of 28 days. During the observation, the LPN confirmed the open date and stated opened insulin pens should be discarded after 28 days, and that Resident #81's Humalog insulin pen should have been discarded but was still available for resident use. The DON later stated nurses are responsible for ensuring insulin pens in medication carts are discarded 28 days after the open date and confirmed the pen with the 08/09/2025 open date should not have been available for resident use.
Inaccurate Documentation of Hearing Aid Assistance
Penalty
Summary
The facility failed to ensure adequate monitoring for side effects with the use of psychotropic medication was completed for 1 of 5 residents reviewed for unnecessary medications. Review of Resident #47’s clinical record showed the resident was admitted to the facility on [DATE] and had a Plan of Care task starting 01/06/2025 to assist with inserting hearing aids in the morning and removing them at night to put on the charger. The record showed the resident was documented as having been assisted with placement of hearing aids on 09/01/2025, 09/08/2025, 09/12/2025, 09/17/2025, 09/21/2025, 09/22/2025, and 09/23/2025. During interviews on 09/24/2025, an LPN stated the resident was hard of hearing and did not wear hearing aids, and confirmed she documented assistance with hearing aids on several dates when she did not provide that care. Another LPN gave the same explanation for other dates, and the DON reviewed the task log and confirmed the documented completion dates were entered even though the task had not been performed.
Failure to Timely Complete and Transmit MDS Assessments
Penalty
Summary
The facility failed to ensure that Minimum Data Set (MDS) assessments were completed and transmitted in a timely manner for two residents. Resident #27 was admitted to the facility, and a review of his clinical record revealed that his Quarterly MDS with an Assessment Reference Date (ARD) of 09/03/2024 was incomplete and marked as 'In progress' as of 10/07/2024. It was only completed on 10/08/2024, beyond the required 14-day period. Similarly, Resident #101, who was discharged to the hospital and later returned, had an incomplete Discharge MDS with an ARD of 09/07/2024, also marked as 'In progress' on 10/07/2024 and completed on 10/08/2024. Interviews with staff members S5MDS, S6MDS, and S4DON confirmed that these assessments were not completed within the required timeframe and had not been transmitted to CMS as required.
Inaccurate MDS Assessments for Multiple Residents
Penalty
Summary
The facility failed to ensure accurate MDS assessments for several residents, leading to discrepancies in their records. Resident #17 and Resident #22 were not accurately coded for PASRR evaluations, despite having approvals from the state Level II Authority. Resident #17's MDS assessment incorrectly indicated no PASRR evaluation, and Resident #22's assessment was similarly miscoded. Interviews with staff confirmed these errors, as the MDS assessments should have reflected the residents' PASRR status. Resident #26 was incorrectly coded for anticoagulant use in his MDS assessment, despite having no physician orders or medication administration records indicating such use. Staff interviews confirmed that the resident was not taking anticoagulants during the relevant period, and the MDS assessment was inaccurately completed. Resident #99's MDS assessment failed to accurately reflect her diabetic foot ulcer, which was documented in her physician's orders. The MDS assessment incorrectly indicated no diabetic foot ulcer, despite treatment orders for such a condition. Additionally, Resident #114's discharge MDS was inaccurately coded, indicating a discharge to a hospital rather than to home with family, as confirmed by the discharge summary and staff interviews.
Failure to Refer Resident for Level II PASARR Evaluation
Penalty
Summary
The facility failed to ensure that a resident with a newly diagnosed qualified mental disorder was referred for a Level II PASARR evaluation and determination. Resident #48 was admitted to the facility and later received a new diagnosis of Psychotic Disorder with Delusions due to a Known Physiological Condition. However, this new diagnosis was not included in the resident's Level 1 PASARR, and there was no documented evidence that a review had been submitted for a Level II evaluation. Interviews with the Director of Nursing (S4DON) and a Licensed Practical Nurse (S8LPN) confirmed that the necessary referral for a Level II PASARR evaluation was not completed, despite the new diagnosis being recognized on the date it was made.
Failure to Update Care Plan for Code Status Change
Penalty
Summary
The facility failed to revise a resident's care plan when there was a change in the resident's code status from full code to Do Not Resuscitate (DNR). The resident was admitted to the facility, and their care plan initially indicated a full code status. However, a physician order changed the resident's status to DNR, but this change was not reflected in the care plan. The care plan still listed the resident as full code, despite the updated physician order. Interviews with facility staff revealed a breakdown in communication and procedure. The MDS nurse, responsible for updating care plans, was not informed of the change in code status. The staff member who completed the LaPOST document and obtained the resident's son's signature on the DNR order did not notify the MDS nurse of the change. Both the MDS nurse and the Director of Nursing confirmed that the care plan should have been updated to reflect the DNR status, but it was not, indicating a failure in the facility's process for updating care plans following changes in resident care orders.
Expired Medications Found in Storage and Cart
Penalty
Summary
The facility failed to ensure that drugs and biologicals were labeled and stored in accordance with accepted professional principles. During observations, it was found that Medication Room A contained two boxes of 5% Lidocaine Patches with expiration dates of July 2024 and one box with an expiration date of August 2024. Additionally, Medication Cart A contained one box of 5% Lidocaine Patches with an expiration date of July 2024. These observations were verified by an LPN, who acknowledged responsibility for checking the medication carts and storage room monthly for expired medications. The LPN confirmed that the expired medications should have been discarded and not available for use. The Director of Nursing (DON) was also interviewed and confirmed awareness of the expired medications. The DON stated that the medication carts and storage rooms were checked monthly for expired medications and acknowledged that the expired medications should not have been stored in the medication storage room or on Medication Cart A, making them available for use.
Lack of Certified Dietary Manager in Facility
Penalty
Summary
The facility failed to employ staff with the appropriate competencies and skill sets necessary for the food and nutrition service. Specifically, the facility did not have a certified dietary manager on staff. During an interview, a staff member identified as S12DM admitted to not having a current food service management and safety certification. Additionally, another staff member, S3ADM, confirmed that neither he nor any other staff in the facility possessed a certificate or degree in food service or dietary management.
Failure to Document Food Safety Checks
Penalty
Summary
The facility failed to adhere to professional standards for food service safety by not maintaining proper documentation of temperature and chemical sanitation checks. Specifically, there was a lack of recorded daily temperature checks for the walk-in refrigerator, other refrigerators, and the walk-in freezer. Additionally, there were no documented daily wash/rinse cycle temperatures and chemical sanitation checks for the dish machine on multiple consecutive days. Interviews conducted with staff members confirmed the absence of these critical checks. On October 7, 2024, S12DM acknowledged that the required temperature and chemical sanitation checks had not been completed and recorded. Later that day, S3ADM was informed of the incomplete checks and confirmed that these checks should have been documented. This deficiency had the potential to affect 109 residents who were served meals from the facility's kitchen.
Inaccurate Documentation of Compression Stockings on MAR
Penalty
Summary
The facility failed to accurately document a resident's Medication Administration Record (MAR) regarding the use of compression stockings. Resident #69, who was admitted with a diagnosis of Hypertension and Edema, had a physician's order to apply compression stockings in the morning and remove them at bedtime. However, observations on two consecutive days revealed that the resident was not wearing the compression stockings, despite the MAR indicating otherwise. The Licensed Practical Nurse (LPN) responsible for documenting the MAR confirmed that the resident often refused to wear the stockings, but this refusal was not recorded on the MAR as it should have been. Interviews with the LPN and the Director of Nursing (DON) further confirmed the discrepancy. Both acknowledged that the MAR inaccurately reflected that the resident was wearing the compression stockings when, in fact, the resident had refused them. The DON emphasized that it was the nurse's responsibility to ensure the stockings were applied and to document any refusals on the MAR. The failure to document the resident's refusal to wear the compression stockings led to inaccurate medical records, which is a violation of professional standards for maintaining resident-identifiable information.
Untimely Completion of MDS Assessments
Penalty
Summary
The facility failed to implement appropriate plans of action to correct identified quality deficiencies for two residents reviewed for Resident Assessment. The deficiency was identified as multiple Minimum Data Set (MDS) assessments not being completed in a timely manner, as required by CMS guidelines. Specifically, Resident #27's Quarterly MDS with an Assessment Reference Date (ARD) of 09/03/2024 was incomplete and still in progress beyond the required 14-day timeframe. Similarly, Resident #101's Discharge MDS with an ARD of 09/07/2024 was also incomplete and in progress. These delays were attributed to an increased number of MDS assessments required due to a rise in admissions and re-hospitalizations, which the current MDS staff could not manage effectively. Interviews with facility staff, including the MDS coordinator and the Director of Nursing (DON), confirmed the ongoing issue of untimely MDS assessments. The DON acknowledged that the facility had an open Quality Assurance (QA) process to address the timeliness of MDS assessments, but it was not effective by the projected completion date. The facility's Correction Action Plan, dated 07/01/2024, aimed to address these issues by hiring additional staff and increasing hours devoted to MDS completion. However, the plan was not successful in resolving the deficiency by the intended deadline, as evidenced by the 42 resident MDS assessments that were late upon surveyor entrance to the facility.
Inadequate Use of PPE During Resident Care
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the improper use of Personal Protective Equipment (PPE) by staff during high-contact resident care activities. Specifically, a Certified Nursing Assistant (CNA) did not wear a gown while providing peri-care to a resident who was on Enhanced Barrier Precautions (EBP) due to wounds on her legs. The facility's policy required staff to wear both gloves and a gown during such activities, but this protocol was not followed. The deficiency was observed when the CNA provided care to the resident without wearing the required gown, despite the presence of EBP signage on the resident's door and above her bed. The CNA acknowledged the oversight during an interview, confirming awareness of the resident's EBP status and the requirement to wear a gown. The Director of Nursing (DON) also confirmed that staff should adhere to EBP protocols, including wearing a gown during peri-care and brief changes for residents on EBP.
Unsanitary Conditions in Walk-In Cooler
Penalty
Summary
The facility failed to maintain a safe, functional, and sanitary environment in the kitchen area, specifically within the walk-in cooler. During an initial tour, a large amount of cloudy water was observed pooled in the corner of the walk-in cooler, with a saturated towel placed in an attempt to soak up the water. The Dietary Manager (S12DM) acknowledged awareness of the issue and had notified maintenance the previous week. Despite this, the problem persisted, as confirmed by the Maintenance Director (S13MD), who attempted to reseal the weather strip without success. Additionally, the Assistant Administrator (S2AADM) was informed of the issue two weeks prior, confirming that pooling water should not be present in the cooler.
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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 Mandeville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Trinity Trace Community Care Center | 2.1 mi | ★★★★★ | 4 | 0 |
| Pontchartrain Health Care Center | 2.5 mi | ★★★★★ | 3 | 0 |
| Christwood | 6.8 mi | ★★★★★ | 3 | 0 |
| Forest Manor Nursing And Rehabilitation Center | 7.4 mi | ★★★★★ | 4 | 0 |
| Lacombe Nursing Centre | 8.4 mi | ★★★★★ | 0 | 0 |
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