Below average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 West during CMS and state inspections, most recent first.
Failure to follow PEG tube med timing order. A resident with severe cognitive impairment, dysphagia, malnutrition, and a PEG tube had an order for Carafate 1 gm to be given 30 minutes before bolus TF. During observation, an LPN administered the Carafate at the same time as the Isosource 1.5 bolus feeding, and later confirmed the timing.
Failure to provide nail care for a resident with severe cognitive impairment and significant neurologic diagnoses. Observations showed the resident’s fingernails on both hands had grown over the nail bed, and the ADON confirmed the nails needed to be trimmed.
A resident with ESRD and dependence on renal dialysis had an order for hemodialysis three times weekly and a severely impaired BIMS score. The facility failed to complete the dialysis communication sheet for multiple treatments and failed to complete it upon the resident’s return from dialysis on several occasions. An LPN and the DON confirmed the forms should have been completed with each dialysis treatment and were not.
Failure to provide bed hold policy at transfer. The facility did not document that a resident or the resident's representative was given the bed hold notice when the resident was transferred to the hospital. The resident had multiple serious diagnoses, including aneurysm, GI hemorrhage, anemia, COPD, pulmonary edema, and CHF, and the DON confirmed there was no record that the policy was provided during the hospital transfers.
The facility failed to transmit a resident’s discharge MDS assessment to the State within the required timeframe. Record review showed the resident was admitted, later expired and was discharged, and the discharge MDS was signed but not transmitted until after the required 7-day window. The MDS Nurse and Medicare Case Manager both confirmed the late transmission and that it should have been completed earlier.
A resident with dementia and severely impaired cognition had a care plan that still listed a wander/elopement alarm on the left ankle even though the alarm had been removed after an elopement assessment. An RN confirmed the plan was not updated to reflect the change, and the DON agreed the care plan should have been revised.
A resident's narcotic record was not maintained and reconciled when an LPN administered Pregabalin 25 mg but failed to sign it out on the resident's Individual Narcotic Record. During observation, the documented count was 47 while the actual count on the narcotic card was 46, and the LPN confirmed the medication should have been signed out at the time of administration.
A hallway handrail on Hall A was observed without an end cap, leaving a sharp metal piece exposed, and it was not secured to the wall. An S9 service tech confirmed the issue, and the DON later confirmed the handrail should have been repaired.
The facility failed to maintain a clean and sanitary environment for two residents. A resident's wheelchair was found with dried food residue, which was supposed to be cleaned by night shift CNAs. Another resident's restroom had brown stains and splash spots, which were confirmed by housekeeping staff to have not been cleaned daily as required.
A facility failed to implement a care plan by not ensuring a resident's lab work was completed as ordered. The resident, with multiple diagnoses including Alzheimer's and vascular dementia, had a CBC ordered, but the specimen clotted and was not re-drawn. The DON confirmed the lab work was not done.
A resident with diabetes and other chronic conditions reported a black spot on her foot, but the facility failed to provide necessary care. Despite informing the wound care nurse, no action was taken, and the resident was not scheduled to see the podiatrist. The LPN was unaware of the issue, and the CNA reported it without follow-up. This led to a deficiency in care for the resident's foot condition.
A resident with a history of intracranial hemorrhage and requiring total assistance developed a stage 2 pressure ulcer due to the facility's failure to reposition him regularly. Despite having a care plan with interventions like a pressure-relieving mattress, the resident was observed on his back for extended periods, and staff confirmed he had not been repositioned or out of bed as needed.
A facility failed to transmit a resident's MDS assessment to CMS within the required timeframe. The discharge MDS was dated but still in progress and untransmitted, as confirmed by the Nurse Case Manager.
The facility failed to properly label and change enteral feeding bags for residents with gastrostomy status, as observed in three cases. A resident's feeding bag was not labeled with necessary information, and another resident's bag was reused without being changed for several days. LPNs acknowledged these deficiencies, which were against the facility's policy.
The facility failed to maintain proper nail hygiene for two residents requiring total assistance. One resident, in a persistent vegetative state, and another with cognitive deficits, both had long fingernails. LPNs acknowledged the need for trimming, highlighting a lapse in providing necessary daily living assistance.
Failure to Follow PEG Tube Medication Timing Order
Penalty
Summary
Resident #87 had diagnoses including moderate protein-calorie malnutrition, dysphagia, oropharyngeal phase, encounter for attention to gastrostomy, and pneumonitis due to inhalation of other solids and liquids. Physician orders dated 11/05/2025 directed Carafate 1 gm via PEG tube four times daily for anemia, to be given down the tube 30 minutes prior to bolus feeding, and tube feeding formula orders dated 09/15/2025 directed Isosource 1.5 carton bolus twice daily via PEG tube. Review of the quarterly MDS dated 02/03/2026 showed the resident had a BIMS score of 4 out of 15, indicating severely impaired cognition. During observation on 03/10/2026 at 11:10 a.m., an LPN administered Carafate 1 gm at the same time as the Isosource 1.5 bolus feeding, and during interview on 03/10/2026 at 1:50 p.m., the LPN confirmed the medication was given at the time of the bolus feeding.
Failure to Provide Nail Care
Penalty
Summary
The facility failed to ensure that a resident who was unable to complete activities of daily living received necessary grooming services, specifically nail care. The resident had diagnoses including dysphagia following cerebrovascular disease, hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side, and dementia, and the quarterly MDS assessed the resident with a BIMS score of 03 out of 15, indicating severely impaired cognition. During observations, the resident’s fingernails on the right hand were noted to have grown over the nail bed, and a later observation with the ADON showed the fingernails on the left hand had also grown over the nail bed. The ADON confirmed that the fingernails had grown over the nail bed and needed to be trimmed.
Dialysis Communication Forms Not Completed
Penalty
Summary
The facility failed to ensure safe, appropriate dialysis care/services for a resident with end stage renal disease and dependence on renal dialysis by not communicating and collaborating with the dialysis facility and by not monitoring the resident for complications after each dialysis treatment. Resident #5 had an order for hemodialysis on Monday, Wednesday, and Friday at 9:30 a.m. and had a BIMS score of 04 out of 15, indicating severely impaired cognition. Review of the dialysis communication forms for February 2026 showed that the forms were not completed at all on 02/04/2026, 02/06/2026, 02/09/2026, and 02/13/2026, and were also not completed upon the resident's return from dialysis on 02/16/2026, 02/18/2026, 02/23/2026, and 02/25/2026. An LPN reviewed the forms and confirmed they should have been completed with each dialysis treatment and were not, and the DON also confirmed the forms should have been completed on each dialysis treatment and were not.
Failure to Provide Bed Hold Policy at Hospital Transfer
Penalty
Summary
The facility failed to provide Resident #16 and the resident's representative with the facility bed hold policy at the time of transfer to the hospital, as required for one of two residents reviewed for hospitalization. The facility's Bed Hold Policy stated that when a resident is transferred to the hospital or goes out on therapeutic leave, bed hold notice information is to be provided to the resident, including the duration of the bed-hold according to the state plan and the facility's bed-hold policy, and that in an emergency transfer the written notice must be provided within 24 hours. Resident #16 was admitted on 09/04/2025 and later re-entered on 10/20/2025 with diagnoses including non-ruptured cerebral aneurysm, gastrointestinal hemorrhage, iron deficiency anemia, COPD, acute pulmonary edema, and chronic systolic CHF. The resident's MDS showed hospital discharges in February 2026, and during interview the DON reviewed the record and confirmed there was no documentation that Resident #16 or the responsible party was informed of the facility's bed hold policy at the time of transfer on [DATE] and 02/19/2026.
Late Transmission of Discharge MDS Assessment
Penalty
Summary
The facility failed to ensure that Resident #48's assessment data were transmitted to the State within 7 days of assessment. Record review showed the resident was admitted on [DATE], later expired and was discharged on [DATE], and had a discharge MDS assessment with a signed date of [DATE]. During interviews on [DATE] at 8:10 a.m., the MDS Nurse reported that Resident #48 was discharged on [DATE] and that the discharge MDS assessment was not transmitted until [DATE]. The Medicare Case Manager confirmed that the discharge MDS assessment was not transmitted until [DATE] and stated that it should have been completed by [DATE].
Failure to Update Care Plan After Elopement Alarm Removal
Penalty
Summary
The facility failed to revise Resident #14’s plan of care after a change in condition when the resident’s wander/elopement alarm was removed. Resident #14 was admitted on 07/19/2022 with diagnoses including dementia in other diseases, unspecified anxiety disorder, and Alzheimer’s disease, and the Quarterly MDS showed a BIMS score of 6, indicating severely impaired cognition. The comprehensive care plan still listed a wander/elopement alarm on the left ankle as an intervention, but during observation on 03/11/2026 the resident did not have the alarm in place. An RN Medicare Case Manager stated that an elopement assessment had been completed the prior week and the alarm was removed, and she confirmed the care plan was not updated to reflect that removal. The DON also confirmed the care plan should have been revised to reflect the change.
Narcotic Record Not Signed Out for Administered Medication
Penalty
Summary
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist was not met when the facility failed to ensure a resident's narcotic record was maintained and reconciled for 1 resident reviewed. The facility's Drug-Controlled Substances Policy dated 09/2025 stated that controlled medications are to be signed out on the Individual Resident Narcotics Record at the time they are administered. During observation on 03/11/2026 at 9:05 a.m. with an LPN, the resident's Individual Narcotic Record for Pregabalin 25 mg showed a documented count of 47, while the actual count on the narcotic card was 46. In interview at that time, the LPN stated she had given the resident Pregabalin but failed to sign it out on the resident's Individual Narcotic Record and confirmed it should have been signed out at the time of administration.
Incomplete and Unsecured Hallway Handrail
Penalty
Summary
The facility failed to ensure all corridors were equipped with a complete and secure handrail. On Hall A, the handrail was observed without an end cap, leaving a sharp metal piece exposed, and it was not secured to the wall. A service technician confirmed the handrail was missing the end cap and was unsecure, and the administrator later confirmed the Hall A handrail should have been repaired.
Failure to Maintain Clean and Sanitary Environment for Residents
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment for two residents. Resident #15's wheelchair was observed to have dried white food residue on the seat, armrest, and right wheel. This residue was confirmed by the Assistant Director of Nurses (ADON) to be a buildup from the resident spitting, and it was noted that the certified nursing assistants on the night shift were responsible for cleaning the wheelchair but had not done so. Resident #80's restroom was found to be unclean, with brown-colored splash spots on the wall next to and behind the toilet, as well as brown stains on the toilet seat and inside the toilet. The housekeeper confirmed that the restroom was supposed to be cleaned daily but had not been. The Housekeeping Supervisor also confirmed that the restroom was not cleaned daily as it should have been.
Failure to Complete Ordered Lab Work for Resident
Penalty
Summary
The facility failed to implement a complete care plan for a resident, specifically by not ensuring that the resident's lab work was conducted as ordered. The resident, who was admitted with multiple diagnoses including Alzheimer's disease, moderate protein calorie malnutrition, and vascular dementia, had a physician's order for a Complete Blood Count (CBC) to be performed. However, the medical record did not contain the results of the CBC, as the specimen had clotted and the facility did not follow up to ensure the lab was re-drawn. This oversight was confirmed by the Director of Nurses during an interview, acknowledging that the lab work was not completed as ordered.
Failure to Address Resident's Foot Condition
Penalty
Summary
The facility failed to provide necessary care and services for a resident with a diagnosis of diabetes, peripheral vascular disease, and other chronic conditions, specifically regarding a skin condition on her foot. The resident, who had intact cognition, reported a black spot on her right foot to the wound care nurse multiple times, but no action was taken. An observation confirmed the presence of a black spot on the resident's right great toe. The LPN was unaware of the issue, and the CNA reported noticing the black spot and informing the wound care nurse. Despite the presence of a podiatrist who visits the facility, the resident was not scheduled for an appointment. The Social Service Director confirmed that no nurses had requested the resident to be added to the podiatrist's schedule. A nurse practitioner's notes indicated a toenail injury with fungus, but there was no evidence of further action taken to address the resident's foot condition. This lack of response and coordination among the staff led to the deficiency in care for the resident's foot condition.
Failure to Prevent and Treat Pressure Ulcer
Penalty
Summary
The facility failed to provide preventive care and treatment consistent with professional standards for a resident at risk of developing pressure injuries. The resident, who was previously independent, was admitted to the facility after treatment for an intracranial hemorrhage and required total assistance with feeding, bed mobility, incontinent care, and transfers. Despite having a care plan that included interventions such as a pressure-relieving mattress and cushion, daily observation for infection, and weekly wound evaluations, the resident developed a stage 2 pressure ulcer on the right gluteus, which was acquired in the facility. Observations revealed that the resident was not repositioned as required, remaining on his back for extended periods despite a posted turning schedule. Interviews with the resident and staff confirmed that the resident had not been out of bed or repositioned regularly, and there was no documentation of the resident refusing care. The wound care nurse indicated that the resident could be moved with a two-person assist using a lift, yet this was not done, contributing to the development of the pressure ulcer.
Failure to Transmit MDS Assessment Timely
Penalty
Summary
The facility failed to ensure that a resident's Minimum Data Set (MDS) assessment was transmitted to the Centers for Medicare and Medicaid Services (CMS) within the required timeframe. Specifically, the discharge MDS for a resident was dated but remained in progress and had not been transmitted. This was confirmed during an interview with the Nurse Case Manager, who acknowledged that the MDS should have been transmitted.
Failure to Properly Label and Change Enteral Feeding Bags
Penalty
Summary
The facility failed to ensure appropriate treatment and services for residents with enteral feeding tubes, as evidenced by the lack of proper labeling and timely changing of feeding bags. Resident #2, diagnosed with mild protein calorie malnutrition and gastrostomy status, had an enteral feeding bag that was not labeled with the resident's name, date, time, formula, and nurse initials, as observed on December 9, 2024. The LPN acknowledged the absence of labeling, which was against the facility's policy. Similarly, Resident #4, with diagnoses including dysphagia and moderate protein-calorie malnutrition, had an enteral feeding bag with a torn label and dates from December 6 and 7, 2024, indicating the bag had not been changed since then. The LPN confirmed the bag was reused and lacked proper labeling. Resident #5, with a history of dysphagia and moderate protein-calorie malnutrition, also had an unlabeled enteral feeding bag. The LPN acknowledged the missing labels, which should have included the resident's name, date, time, formula, and nurse initials, as per the facility's policy.
Failure to Maintain Nail Hygiene for Dependent Residents
Penalty
Summary
The facility failed to provide necessary assistance with Activities of Daily Living for two residents, specifically in maintaining proper nail hygiene. Resident #2, who was admitted with a diagnosis of cerebral infarction and hemiplegia affecting the right dominant side, was observed to have long fingernails on both hands. This resident's MDS assessment indicated a persistent vegetative state and a requirement for total assistance. During an interview, an LPN acknowledged the need for the resident's nails to be trimmed. Similarly, Resident #5, admitted with hemiplegia and a cognitive communication deficit, was also observed to have long fingernails on both hands. An LPN confirmed that the resident's nails were long and should be trimmed. These observations indicate a failure by the facility to ensure that dependent residents received appropriate care for their daily living needs.
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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) |
|---|---|---|---|---|
| The Guest House Skilled Nursing Rehabilitation | 4.1 mi | ★★★★★ | 0 | 0 |
| Southern Hills Healthcare And Rehabilitation | 4.4 mi | ★★★★★ | 3 | 0 |
| The Bradford Skilled Nursing And Rehabilitation | 4.5 mi | ★★★★★ | 8 | 0 |
| Heritage Manor South | 4.5 mi | ★★★★★ | 4 | 0 |
| Southern Oaks Nursing & Rehabilitation Center | 5.1 mi | ★★★★★ | 0 | 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.