Above average — CMS composite of the measures below.
The next survey window likely opens around January 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 Landmark Of Acadiana during CMS and state inspections, most recent first.
A resident with dementia and a history of falls had a care plan intervention for a floor mat when in bed, but no mat was present in the room during observation, and staff confirmed it was not there. Another resident receiving routine antipsychotics was not care planned for that medication use, despite current orders for quetiapine and risperidone. A third resident with a PEG tube had an order for a 180 cc water flush every 4 hours, but an LPN administered 360 cc instead, and the DON confirmed the order was not followed.
An infection control deficiency occurred when a CNA provided catheter care to a resident with urinary retention, UTI, and overactive bladder without changing gloves or performing hand hygiene between cleansing, rinsing, and drying the perineal area and indwelling catheter, and the catheter drainage bag was observed resting on the floor. In a separate event, an LPN used a reusable BP cuff and pulse oximeter on a resident and returned both items to a cart drawer without cleaning them first.
Inaccurate MDS Oral/Dental Coding: A resident with diabetes, HTN, dysphagia, and bradycardia had a comprehensive MDS that did not accurately reflect his oral status. Although cognitively intact, he reported having only a few teeth and wanting to see a dentist, and the surveyor observed multiple missing teeth along with broken and discolored teeth. The MDS nurse and DON both confirmed the oral/dental coding was inaccurate.
A resident with a PEG tube and diagnoses including cerebral infarction had an EMAR entry showing an enteral feed water flush was given, but an LPN stated she did not administer it because the residual was close to 200 cc and the resident was coughing. The DON confirmed the flush should not have been documented as administered because it was not actually given.
The facility failed to maintain proper food storage and sanitation standards, affecting 117 residents. Observations revealed unlabeled opened food items in the freezer, dry storage, and cooler, and expired food in dry storage. Additionally, the deep fryer had a thick layer of debris, indicating it was not cleaned after use. The Dietary Manager confirmed these issues, acknowledging non-compliance with facility policy.
The facility failed to ensure call light devices were within reach for two residents, both severely cognitively impaired and at risk for falls. One resident's call light was found under bed sheets and on the floor, while another's was behind her on the bed, inaccessible. Staff confirmed the devices were not in reach, despite care plans indicating they should be.
A facility failed to accurately code a resident's discharge status in the MDS assessment. The resident, admitted with a fracture, knee pain, and seizures, was discharged home with home health services. However, the discharge was incorrectly recorded as to a short-term hospital. This error was confirmed by the RN Case Manager during a review.
A facility failed to include hospice services in a resident's care plan, despite a physician's order and the resident's MDS assessment indicating hospice care. Interviews with the LPN MDS and DON confirmed the oversight, which was contrary to the facility's care planning policy.
A visually impaired resident with dementia was not provided necessary assistance during meals, leading to a deficiency in maintaining good nutrition. The resident was observed alone with a disorganized breakfast tray, unable to see or eat independently. Interviews with staff and the resident's responsible party confirmed the need for assistance, which was not consistently provided.
The facility failed to accurately document bed rail use for two residents, despite their care plans indicating the need for assist rails. Observations and interviews confirmed the use of bed rails, but assessments completed by LPNs incorrectly recorded that they were not used.
Failure to Implement Care Plans and Follow Physician Orders
Penalty
Summary
The facility failed to implement the comprehensive plan of care for Resident #82, who was admitted with diagnoses including a left acetabular fracture, dementia, cognitive communication deficit, and hypertension. The resident’s quarterly MDS showed a BIMS score of 06, indicating severe cognitive impairment. The record also showed multiple falls, including falls on 08/10/2025, 08/26/2025, and two falls on 09/13/2025. The care plan identified the resident as at risk for falls and included an intervention for a floor mat when in bed, with the intervention initiated on 09/18/2025. However, on 02/09/2026 the resident was observed lying in bed with no floor mat near the bed or in the room, and both a CNA and an LPN confirmed that no floor mat was present in the resident’s room. The facility also failed to care plan Resident #11 for antipsychotic use and failed to follow the physician’s order for Resident #13’s PEG tube water flush. Resident #11 was admitted with diagnoses including a displaced fracture of the right femur, vascular dementia with behavioral disturbance, and anxiety disorder. The quarterly MDS indicated routine antipsychotic use, and current physician orders included quetiapine and risperidone, but the care plan did not address antipsychotic use; the MDS staff member confirmed it should have been care planned. Resident #13 was admitted with diagnoses including cerebral infarction and attention to gastrostomy, and the physician ordered a PEG tube flush with 180 cc of water every 4 hours. During observation, an LPN administered 360 cc of water through the PEG tube, and both the LPN and the DON confirmed that the order specified 180 cc and that the resident received 360 cc instead.
Infection Control Failures During Catheter Care and Equipment Use
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program when catheter care was observed for a resident admitted with diagnoses including urinary retention, urinary tract infection, and overactive bladder. During perineal and catheter care, a CNA wiped the resident’s perineal area and indwelling catheter with a wet towel containing perineal cleanser, then used a clean wet towel to rinse the area and a clean dry towel to dry it, but did not change gloves or perform hand hygiene between cleansing, rinsing, and drying. During the same observation, the resident’s indwelling catheter drainage bag was seen resting on the floor, and the CNA confirmed it should not have been there. The facility also failed to sanitize reusable equipment after resident use. During medication pass, an LPN removed a reusable blood pressure cuff and reusable pulse oximeter from a medication cart drawer, used them to obtain a resident’s blood pressure and pulse, and then returned both items to the same drawer without cleaning them. The infection preventionist confirmed the equipment should have been cleaned after use and then stored.
Inaccurate MDS Oral/Dental Coding
Penalty
Summary
The facility failed to ensure that Resident #99’s comprehensive MDS assessment accurately reflected his oral status. Resident #99 was admitted with diagnoses including diabetes mellitus, hypertension, dysphagia, and bradycardia. His comprehensive MDS with an ARD of 09/30/2025 showed a BIMS score of 15, indicating he was cognitively intact, but Section L - Oral/Dental Status - L0200D was not checked for obvious or likely cavity or broken natural teeth. During an interview and observation, Resident #99 stated he had only a few teeth in his mouth and wanted to see a dentist, but had never been offered. The surveyor observed multiple missing teeth, three broken and discolored teeth in the upper mouth, and one discolored tooth on the bottom, with no other teeth present. The MDS nurse confirmed that the assessment did not include any missing, broken, or discolored teeth and acknowledged that the MDS was not accurately coded for the resident’s dental status. The DON also confirmed that Resident #99 had missing, broken, and discolored teeth and had been coded inaccurately on the comprehensive MDS assessment.
Inaccurate EMAR Documentation for PEG Tube Flush
Penalty
Summary
The facility failed to maintain accurate medical records in accordance with accepted professional standards for 1 of 40 sampled residents when Resident #13’s EMAR was documented as if an enteral feed flush had been administered even though it had not been given. Resident #13 was admitted with diagnoses including cerebral infarction due to unspecified occlusion or stenosis of an unspecified cerebral artery and encounter for attention to gastrostomy. His physician orders included flushing the PEG tube with 180 cc of water every 4 hours. The February 2026 EMAR showed the PEG tube water flush was administered at 8:15 a.m. by an LPN. During an interview and record review, the LPN stated she did not administer the 8:00 a.m. flush because the resident’s PEG tube residual was close to 200 cc and he was coughing, and she confirmed she should not have signed off that the flush was administered. The DON reviewed the order and EMAR and stated nurses were supposed to document only medications and procedures that were actually administered, and that the entry was inaccurate because the flush had not been given.
Food Storage and Sanitation Deficiencies
Penalty
Summary
The facility failed to adhere to professional standards for food storage and sanitation in the kitchen, which could potentially affect the 117 residents consuming food from the facility. During a kitchen tour, it was observed that several food items in the walk-in freezer, dry storage room, and reach-in cooler were opened but not labeled with the date and time they were opened. Specifically, a large bag of mixed vegetables and a large bag of broccoli in the walk-in freezer, a plastic gallon bag with coconut flakes, and a plastic gallon bag with bread crumbs in the dry storage room, and two opened gallons of milk in the reach-in cooler were not labeled as required by the facility's policy. Additionally, a can of tomato condensed soup in the dry storage area was found to be expired. Furthermore, the deep fryer cooking oil collection area was found to have a thick layer of debris, indicating it was not cleaned after its last use. The Dietary Manager, responsible for the day-to-day management of the kitchen, confirmed these observations and acknowledged that the items should have been labeled and the fryer cleaned according to the facility's policy. These deficiencies highlight a failure to maintain sanitary conditions and proper food storage practices, as outlined in the facility's policy.
Failure to Ensure Call Light Accessibility for Residents
Penalty
Summary
The facility failed to ensure that the call light devices were within reach for two residents, both of whom were severely cognitively impaired and at risk for falls. Resident #49, who had a history of falling and was diagnosed with difficulty in walking and other mobility issues, was observed on two occasions with her call light device not within reach. On the first occasion, the call light was found under the bed sheets and had fallen to the floor, and on the second occasion, it was hanging off the bed, not accessible to the resident. Both a Licensed Practical Nurse (LPN) and a Certified Nursing Assistant (CNA) confirmed that the call light was not in reach and acknowledged that the resident uses the device for assistance. Similarly, Resident #86, who also had a history of falling and was diagnosed with muscle weakness and chronic pain, was observed with her call light device lying on the bed behind her while she was seated in a geri chair, making it inaccessible. A CNA confirmed that the call light was not within reach and should have been, noting that the resident uses the device for assistance. Both residents' comprehensive care plans included interventions to ensure the call light was within reach, highlighting the facility's failure to adhere to these care plans.
Inaccurate Discharge Status Coding
Penalty
Summary
The facility failed to ensure an accurate assessment of a resident's discharge status, leading to a deficiency. Resident #117, who was admitted with diagnoses including a fracture of the right femur, pain in the right knee, and seizures, was discharged from the facility. The discharge MDS assessment inaccurately coded the resident's discharge status as being to a short-term general hospital. However, a review of the physician's orders and progress notes indicated that the resident was actually discharged to home with home health services, including skilled nursing, physical therapy, occupational therapy, and speech therapy. This discrepancy was confirmed during an interview and record review with the RN Case Manager, who acknowledged the incorrect coding of the resident's discharge status.
Failure to Include Hospice Services in Care Plan
Penalty
Summary
The facility failed to develop a comprehensive person-centered care plan for a resident who was receiving hospice services. The deficiency was identified during a review of the resident's records and interviews with facility staff. The resident, who was admitted with diagnoses including type 2 diabetes mellitus with hyperglycemia, hypokalemia, and non-rheumatic aortic valve stenosis, had a Significant Change Minimum Data Set (MDS) assessment indicating hospice care. However, the resident's comprehensive care plan did not include a focus area or interventions related to hospice services, despite a physician's order for hospice care. Interviews with the Licensed Practical Nurse Minimum Data Set (LPN MDS) and the Director of Nursing (DON) confirmed that the resident was receiving hospice services and that these services should have been included in the care plan with specific interventions. The facility's policy on the care plan process emphasized the importance of addressing the resident's medical, nursing, mental, and psychosocial needs, including palliative approaches in end-of-life situations. The omission of hospice services in the care plan was acknowledged by the staff, indicating a lapse in adhering to the facility's care planning policy.
Failure to Assist Visually Impaired Resident with Meals
Penalty
Summary
The facility failed to provide necessary assistance to a visually impaired resident, leading to a deficiency in maintaining good nutrition. Resident #9, who was admitted with diagnoses including legal blindness and unspecified dementia, was observed alone in his room with a breakfast tray set up in front of him. The resident's milk box was in his grits, a metal spoon was immersed in the grits, and his shirt was covered with food crumbs, indicating a lack of assistance. The resident confirmed he could not see the surveyor or his food, highlighting his need for help during meals. Interviews with staff and the resident's responsible party further revealed the deficiency in care. The responsible party stated that the resident, being blind, required assistance with eating and could not eat independently. An LPN confirmed that there was no report of the resident refusing to be fed, contradicting the facility's protocol. Additionally, a CNA was observed feeding the resident, indicating that he always needed supervision during meals. These observations and interviews demonstrate the facility's failure to ensure the resident received the necessary services to maintain good nutrition.
Inaccurate Documentation of Bed Rail Use
Penalty
Summary
The facility failed to accurately document the use of bed rails for two residents, leading to a deficiency in maintaining medical records in accordance with accepted professional standards. Resident #39, who was admitted with conditions such as cerebrovascular disease, aphasia, and a history of falling, had a comprehensive care plan that included the use of an assist rail. However, the Nurse Data and Collection Screening assessment completed by an LPN incorrectly documented that bed rails were not used. Similarly, Resident #49, who had diagnoses including difficulty in walking and a history of falling, was observed with both upper quarter side rails in the upward position. Despite this, the Nurse Data and Collection Screening assessment also inaccurately recorded that bed rails were not used. Interviews with the Assistant Director of Nursing and the Registered Nurse Case Manager confirmed that both residents should have been coded for bed rail use on the assessment forms, but they were not.
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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 Saint Martinville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Camelot Of Broussard | 6.1 mi | ★★★★★ | 8 | 0 |
| New Iberia Manor North | 6.3 mi | ★★★★★ | 0 | 0 |
| Belle Teche Nursing & Rehab Center | 6.9 mi | ★★★★★ | 2 | 0 |
| New Iberia Manor South | 9.6 mi | ★★★★★ | 1 | 0 |
| Consolata Rehab And Wellness Center On The Teche | 10 mi | ★★★★★ | 5 | 0 |
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