Above 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 Heritage Manor Of Slidell during CMS and state inspections, most recent first.
Failure to provide ordered restorative nursing services for ROM and mobility. Three residents with diagnoses including muscular dystrophy with contractures, dementia with gait impairment, and hemiplegia with debility had physician orders and care plans for PROM, AAROM/AROM, ambulation, dressing/grooming training, and brace use, but task records did not show the services were completed. Residents and staff stated the ROM exercises and brace application were not being provided, and the therapy department reported no RNA had been employed since the prior restorative staff member quit.
Failure to Disinfect Shared Vital Sign Equipment: An LPN used the same wrist BP monitor and fingertip pulse oximeter for four residents during med pass without sanitizing the equipment between residents, even after the cuff contacted a resident’s hand, shirt, and bedside table. The DON and CN confirmed staff did not expect routine disinfection between residents and said the equipment was only cleaned if visibly soiled, with no scheduled routine cleaning in place.
A resident’s call light was repeatedly observed pulled away from the wall with multiple electrical wires exposed, and the maintenance log had no documented repair request related to the issue. Staff reported no repair request had been made, and the ADMIN stated he later observed the unsecured call light and repaired it by securing the enclosure box to the wall.
The facility failed to document the resident census on the daily nurse staffing posting as required by policy. An observation and staff interviews confirmed the staffing sheet was completed without the census entry, and the staff member responsible for the form acknowledged it should have been documented.
A resident with severe cognitive impairment and multiple diagnoses developed a new wound while in the facility. Although documentation indicated that the responsible party was notified, the wound care nurse confirmed that no notification was made. The facility administrator acknowledged the nurse's responsibility to inform the resident's representative, which was not fulfilled.
A resident with severe cognitive impairment was found with a wound on the left inner thigh, initially noted by a CNA and reported to an RN. The resident mentioned spilling hot coffee, but later expressed uncertainty. The wound care RN documented it as a burn, but the facility failed to report the injury to the state agency within the required timeframe.
The facility failed to store food according to professional standards, affecting 93 residents. During a kitchen tour, two open and unlabeled bags of shredded cheddar cheese were found in the refrigerator. This was against the facility's policies, which require labeling of temperature-controlled foods and ensuring no food is left uncovered. Staff confirmed the items should have been sealed and labeled.
The facility failed to maintain proper infection control practices, as staff were observed not wearing PPE correctly for residents with Covid-19 and Enhanced Barrier Precautions. A resident's catheter bag was found on the floor, and staff did not wear gowns during catheter care. Additionally, improper wound care practices were noted, including using a dressing that fell on the floor and not changing gloves after touching contaminated surfaces.
The facility failed to accurately code the MDS for PASRR in two residents with serious mental illnesses. Despite having PASRR Level II Evaluations and state approvals for admission, their MDS assessments were incorrectly marked, with Section A1500 coded as 'No' and Section A1510 left blank. Staff interviews confirmed these errors.
A resident with Neurogenic Bladder had an indwelling catheter, and the care plan required the catheter bag to be positioned below the bladder. However, during an observation, the catheter bag was found secured above waist level, contrary to the care plan. Two CNAs confirmed the incorrect positioning, and the DON stated the expectation was for the bag to hang below the waist.
The facility failed to discard insulin pens 28 days after opening, as required. An LPN confirmed that insulin pens for two residents were still available for use despite being opened on a date beyond the 28-day limit. The DON was informed and acknowledged the oversight.
The facility failed to post daily nurse staffing information as required by their policy. The last completed staffing data sheet was from several days prior, with no documentation for the subsequent days. Interviews with staff confirmed the lapse in posting, acknowledging that the sheets should have been completed daily. This deficiency had the potential to affect any of the 94 residents in the facility.
A CNA transferred a resident without using the required mechanical lift, resulting in the resident sustaining fractures in both the tibia and fibula, as well as a fracture in the great toe. The CNA was aware of the resident's need for a two-person mechanical lift but chose to transfer the resident manually, leading to the injury.
The facility failed to notify a resident's physician and family after identifying a new sacral wound and did not inform the physician when the resident did not have a bowel movement for more than three days, contrary to facility policies.
The facility failed to develop a person-centered care plan for a resident who returned from a hospital stay with a new diagnosis of constipation. Despite being prescribed Senna-docusate for constipation, the resident's care plan was not updated. Staff confirmed that the care plan should have been updated upon the resident's return.
Failure to Provide Ordered Restorative Nursing Services for ROM and Mobility
Penalty
Summary
The facility failed to ensure residents with limited ROM received restorative nursing services as ordered for 3 of 21 residents reviewed. Resident #9 had diagnoses including muscular dystrophy and contractures of both hands and feet, and his physician orders included restorative nursing for dressing/grooming, PROM to both hands, and AAROM to both lower extremities. His care plan also directed staff to assist with ADLs and provide PROM and AAROM, but the task report from 07/20/2025 to 08/19/2025 did not document completion of dressing/grooming training, PROM, or AAROM. During interview, Resident #9 stated his contractures were getting worse and he did not recall receiving restorative services in the past month, while staff confirmed they were not providing the ROM exercises and were unsure how the restorative program was being handled after the prior restorative employee quit. Resident #71 had diagnoses including dementia, gait and mobility abnormalities, muscle wasting and atrophy of the left lower leg, unsteadiness on feet, history of falling, and generalized muscle weakness. Her physician orders included restorative nursing for ambulation and AROM, and her care plan directed ambulation in the hallway and standing exercises. The task report did not document completion of assistive AROM or walking training during the review period. A CNA assigned to her care stated she was not responsible for providing restorative nursing services and confirmed she had never completed active or passive ROM exercises or standing exercises with the resident. Resident #88 had diagnoses including flaccid hemiplegia affecting the left side, age-related physical debility, and sequelae of cerebral infarction, and her MDS showed cognitive intactness with upper and lower extremity impairment on one side. Her physician orders included restorative nursing for splinting, PROM, and AROM, and her care plan directed use of a left lower extremity AFO brace in the morning and removal in the evening with skin checks. The task report did not document AROM, brace/splint use, or PROM. The resident stated she had not worn the brace and did not recall the last time it was applied, and staff confirmed she was not wearing it and that they were not responsible for applying it. The therapy department stated the residents should have received restorative nursing services and were not, and that no RNA had been employed since 07/19/2025.
Failure to Disinfect Shared Vital Sign Equipment
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. During observation of medication administration, staff did not routinely disinfect shared resident care equipment used to obtain vital signs for four sampled residents, including an automatic wrist blood pressure monitor and a fingertip pulse oximeter. The CDC guidance reviewed by surveyors stated that noncritical patient-care devices should be disinfected at a minimum when visibly soiled and on a regular basis, such as after use on each patient or once daily or once weekly. Resident #33 had diagnoses including essential hypertension and COPD; Resident #95 had diagnoses including essential hypertension and atherosclerotic heart disease; Resident #104 and Resident #108 each had essential hypertension. Their MARs showed vital signs were obtained every day shift. On observation, S4LPN used the same wrist blood pressure monitor and fingertip pulse oximeter for Residents #104, #33, #108, and #95 without sanitizing the equipment between residents, even after the cuff contacted a resident’s hand, shirt, and bedside table. S4LPN stated the equipment should be sanitized between each resident and confirmed it was not done. S2DON and S3CN stated they did not expect staff to sanitize the equipment between each resident and said it was only to be cleaned if visibly soiled; S3CN also stated there was no scheduled routine cleaning for the equipment.
Exposed Call Light Wiring Left Unrepaired
Penalty
Summary
Electrical equipment was not maintained in safe operating condition for Resident #97 when the resident’s call light was observed pulled off the wall with multiple electrical wires exposed. The maintenance log from April 2025 to the present had no documented repair request related to the exposed wires. Survey observations on 08/18/2025, 08/19/2025, and 08/20/2025 each found the call light enclosure box unsecured with multiple wires exposed in the resident’s room. During interview, S11MS stated no staff member had reported the need for repair. S1ADMIN stated he observed the call light enclosure box pulled away from the wall with multiple wires exposed while assisting a staff member in the room, and he repaired it by securing the enclosure box against the wall. S1ADMIN also stated he would have expected staff to recognize the need for repair and place a request in the maintenance binder, and that the call light should have been secured to the wall and not hanging with wires exposed.
Missing Resident Census on Daily Nurse Staffing Posting
Penalty
Summary
The facility failed to ensure nurse staffing data requirements were documented on daily postings. Review of the facility policy titled Posting of Nurse Staffing Information showed that the facility was required to post nurse staffing information on a daily basis at the beginning of each shift, including the facility name, date, resident census, and shift times. During an observation on 08/18/2025 at 4:00 p.m., the nurse staffing data sheet for 08/18/2025 was reviewed and found to have no documentation of the facility census. An interview with S3CN on 08/18/2025 at 4:05 p.m. confirmed that the census was not documented and should have been. A later interview with S10CNAS on 08/20/2025 at 9:30 a.m. confirmed she was responsible for completing the nurse staffing data sheet and also verified that the facility census was not documented on the 08/18/2025 sheet.
Failure to Notify Resident Representative of Significant Change
Penalty
Summary
The facility failed to ensure that nursing staff notified the resident representative when a resident experienced a significant change in condition. This deficiency was identified for one of the three sampled residents reviewed. The resident in question was admitted with multiple diagnoses, including severe cognitive impairment, and required extensive assistance for mobility and transfers. During a review of the resident's clinical record, it was found that an initial wound assessment was completed, documenting a new open lesion on the resident's left medial thigh. The wound was acquired in-house, and the documentation indicated that the responsible party was notified of the wound. However, upon further investigation, it was revealed that the wound care nurse, S2RN, had documented the notification of the responsible party but confirmed during an interview that she did not actually notify them. The facility's administrator, S1ADM, also confirmed that it was the responsibility of S2RN to notify the resident's responsible party of the change in condition, which did not occur. This lack of communication represents a failure in the facility's protocol to inform the resident's representative of significant changes in the resident's condition.
Failure to Report Injury of Unknown Origin
Penalty
Summary
The facility failed to report an injury of unknown origin for a resident to the State Agency within the required 24-hour timeframe. The resident, who was severely cognitively impaired with a BIMS score of 01, was found to have a wound on his left inner thigh. The wound was initially noted by a CNA during incontinent care and reported to an RN. The family of the resident was informed, and the resident himself mentioned spilling hot coffee on his leg, although he later expressed uncertainty about the incident. Despite these findings, the facility did not report the injury to the state agency as required. The wound care RN assessed the lesion initially as a small dry lesion and did not suspect it to be a burn or skin injury. However, upon further assessment, the skin had sloughed off, and the wound was documented as a burn after the family claimed it was due to a coffee spill. The resident's cognitive impairment made it difficult to ascertain the exact cause of the injury. The facility's administrator, responsible for filing self-reported incidents, was aware of the injury but confirmed that no report was filed with the state agency, which constituted a failure to comply with reporting requirements.
Failure to Properly Store and Label Food
Penalty
Summary
The facility failed to adhere to professional standards for food storage, which had the potential to affect 93 residents served from the kitchen. During an initial tour of the kitchen, two open and unlabeled bags of shredded cheddar cheese were found in the facility's refrigerator. This observation was confirmed by S5DS, who acknowledged that the items were unsealed and unlabeled, contrary to the facility's policies. The facility's policy on food storage labeling, dated May 2018, requires all temperature-controlled foods to be labeled with the name of the food and the date of storage. Additionally, the policy on the storage of refrigerated food, dated September 2022, mandates that no food should be left uncovered. S1ADM was informed of these findings and confirmed that opened food items should indeed be sealed and labeled.
Infection Control Deficiencies in PPE and Wound Care Practices
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by multiple observations of staff not adhering to proper Personal Protective Equipment (PPE) protocols. In the case of two residents diagnosed with Covid-19, staff members were observed removing their PPE, including masks, in the residents' bathrooms and then exiting the rooms without wearing masks. This practice was confirmed by both the staff involved and the facility administrator as the standard procedure, indicating a systemic issue in the facility's infection control practices. Another deficiency was noted with a resident on Enhanced Barrier Precautions due to a urinary catheter. The resident's catheter bag was repeatedly observed on the floor, which is against the facility's policy. Additionally, staff members failed to wear gowns while performing catheter care, despite clear signage indicating the requirement for gown and glove use during such high-contact activities. Interviews with the staff confirmed a lack of awareness and adherence to the Enhanced Barrier Precautions policy. Further infection control lapses were observed during wound care for a resident with multiple diagnoses, including Peripheral Vascular Disease and Type 2 Diabetes Mellitus. The wound care nurse did not change gloves or perform hand hygiene after touching potentially contaminated surfaces before proceeding with wound care. Additionally, a dressing that fell on the floor was used on the resident's wound, and soiled tape was handled improperly. These actions were contrary to the facility's Dressing Change policy, as confirmed by the Director of Nursing.
Inaccurate MDS Coding for PASRR in Two Residents
Penalty
Summary
The facility failed to ensure that residents' assessments accurately reflected their status, specifically in the coding of the Minimum Data Set (MDS) for PASRR (Pre-admission Screening and Resident Review). Two residents, identified as #21 and #54, were affected by this deficiency. Resident #21, who was admitted with diagnoses including Paranoid Schizophrenia, Bipolar Disorder, Schizoaffective Disorder, and Major Depressive Disorder, had a PASRR Level II Evaluation indicating a serious mental illness. However, her Annual MDS assessment was incorrectly coded, with Section A1500 marked as 'No' and Section A1510 left blank, despite her approval for admission by the state Level II Authority. Similarly, Resident #54, admitted with a diagnosis of Schizophrenia, also had a PASRR Level II Evaluation confirming a serious mental illness. His Annual MDS assessment was similarly miscoded, with Section A1500 marked as 'No' and Section A1510 left blank, despite his approval for admission by the state Level II Authority. Interviews with facility staff, including S6MDS and S4DON, confirmed these coding errors, acknowledging that the MDS assessments for both residents should have been coded correctly to reflect their PASRR evaluations.
Improper Positioning of Urinary Catheter Bag
Penalty
Summary
The facility failed to provide appropriate care for a resident with a urinary catheter, leading to a deficiency. The resident, who was admitted with a diagnosis of Neuromuscular Dysfunction of Bladder, had an indwelling catheter due to Neurogenic Bladder. The care plan for the resident specified that the urine catheter bag should be positioned below the bladder. However, during an observation, it was noted that the catheter bag was secured to the left side of the bed frame above waist level, contrary to the care plan instructions. This was confirmed by two CNAs who acknowledged that the catheter bag should not be positioned above the resident's waist. The Director of Nursing also stated that the expectation was for the catheter bag to hang below the level of the waist.
Failure to Discard Insulin Pens After 28 Days
Penalty
Summary
The facility failed to ensure that drugs and biologicals were labeled and stored according to professional principles, specifically concerning the handling of insulin pens. During an observation of medication Cart A, it was found that insulin pens for two residents were not discarded 28 days after being opened, as required by the NovoLog injection package insert. The insulin pens had an open date of 06/24/2024, but were still available for use on 08/05/2024. An LPN confirmed the oversight, acknowledging that the insulin pens should have been discarded after 28 days. The Director of Nursing was informed of the situation and confirmed that the insulin pens should have been labeled with an open date and discarded accordingly.
Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that nurse staffing data was posted on a daily basis, as required by their policy. The policy, dated June 2024, mandates that the facility must post specific information daily, including the facility name, current date, total number and actual hours worked by RNs, LPNs, and CNAs per shift, and the resident census. This information should be posted at the beginning of each shift. However, a review of the facility's staffing data sheet binder on August 5, 2024, revealed that the last completed staffing data sheet was dated July 29, 2024, with no documentation for the period from July 30, 2024, to August 4, 2024. Interviews conducted on August 5, 2024, with S2AADM and S1ADM confirmed the lapse in posting the staffing data sheets. S2AADM, who was responsible for posting the data sheets, acknowledged that the last fully completed sheet was from July 29, 2024, and confirmed that the sheets should have been completed daily. S1ADM also confirmed awareness of the issue and acknowledged that the staffing data sheets should have been completed daily. This deficiency had the potential to affect any of the 94 residents residing in the facility.
Failure to Use Mechanical Lift Results in Resident Injury
Penalty
Summary
The facility failed to ensure the safety of a resident who required transfer by a mechanical lift. Specifically, a CNA transferred a resident from a Geri Chair to her bed without using the required mechanical lift or assistance, despite being aware that the resident required a two-person mechanical lift for transfers. This action resulted in the resident sustaining commuted, displaced, angulated fractures of the distal shafts of both the tibia and fibula, as well as a mildly displaced intra-articular fracture of the distal aspect of the proximal phalanx of the great toe. The incident was reported when the CNA noticed the resident's right foot was deformed after the transfer. The LPN assessed the resident's right foot and found it to be swollen, bruised, and deformed. The resident was then transferred to a local hospital for further evaluation and treatment. Interviews with the CNA, LPN, and DON confirmed that the resident was assessed to require a two-person mechanical lift for transfers, and the CNA admitted to transferring the resident without the mechanical lift or assistance.
Failure to Notify Physician and Family of Resident's Condition Changes
Penalty
Summary
The facility failed to notify the resident's physician and representative of changes in condition for one resident. Specifically, the facility did not inform the physician and family after identifying a new sacral wound for the resident. The wound was discovered by a CNA and assessed by an RN, but the notification to the family and physician was delayed until the following day. Interviews with staff confirmed that the family and physician should have been notified immediately upon the discovery of the wound, as per the facility's policy on changes in resident medical status. Additionally, the facility did not notify the physician when the resident did not have a bowel movement for more than three days. The resident's records showed no bowel movements between March 8 and March 22, and there was no documentation that the physician had been informed. The Director of Nursing confirmed that the physician should have been notified according to the facility's bowel movement monitoring policy. The physician also verified that he was not informed of the resident's condition during this period.
Failure to Develop Care Plan for New Diagnosis
Penalty
Summary
The facility failed to develop a person-centered care plan for a resident who returned from a hospital stay with a new diagnosis of constipation. The resident, who had diagnoses including Traumatic Subdural Hemorrhage, Rhabdomyolysis, and Constipation, was readmitted to the facility and prescribed Senna-docusate for constipation. However, a review of the resident's care plan revealed that no care plan was developed for the new diagnosis. Interviews with facility staff confirmed that the care plan should have been updated to include the new diagnosis upon the resident's return from the hospital.
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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 Slidell
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lakeshore Manor Nursing & Rehab | 0.7 mi | ★★★★★ | 10 | 2 |
| Greenbriar Community Care Center | 1.2 mi | ★★★★★ | 3 | 0 |
| Lacombe Nursing Centre | 11.8 mi | ★★★★★ | 0 | 0 |
| Picayune Rehabilitation And Healthcare Center | 18.2 mi | ★★★★★ | 1 | 1 |
| Heritage Manor Of Mandeville | 19.4 mi | ★★★★★ | 5 | 0 |
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