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 Landmark Of Lake Charles during CMS and state inspections, most recent first.
Kitchen Not Kept Clean and Sanitary: The Dietary Manager observed crumbs on clean tray carts, steam table shelving, and dish storage shelving, along with dried grease on the oven/stove, wet food debris on the dishwasher counter, and residue on the floor and walls behind the dishwasher, microwave, and clean dish shelving. The DM confirmed there was no cleaning schedule in use and none had been established.
The facility failed to notify the State LTC Ombudsman in writing of an emergency transfer for a resident with respiratory failure and CHF. The resident was transferred to a local hospital, but the emergency transfer log did not document the event, and the Accounts Manager confirmed the Ombudsman notification was not made.
Inaccurate MDS coding was found for two residents. One resident with multiple diagnoses, a recent fall with no injury, and daily antipsychotic use was coded incorrectly for fall injury status and antipsychotic receipt, while another resident with end stage Alzheimer's disease and hospice admission was coded as not receiving hospice care. The MDS nurse and DON/IP confirmed the coding errors.
A resident with schizophrenia and major depressive disorder was admitted with a Level I PASARR showing Medicaid medical eligibility approval, but no evidence of a Level II PASARR determination was available. The SSD said she was responsible for PASARRs and could not provide proof that a Level II review had been submitted for the resident’s qualifying diagnoses, and the ADM could not confirm that a Level II PASARR existed.
The facility failed to develop person-centered care plans with measurable goals and time frames for two residents. One resident with bipolar disorder and psychotic disorder was receiving Seroquel XR, but her care plan did not address bipolar disorder. Another resident with end stage Alzheimer's disease had significant weight loss, but her care plan did not address nutrition or weight loss. The MDS nurse and DON both confirmed the missing care plan content.
An LPN performed a blood glucose check on a resident and then returned the glucometer to the med cart without cleaning or disinfecting it per facility policy and the manufacturer's instructions. The LPN confirmed the meter was not disinfected with a germicidal wipe, and the DON/IP and Corporate Nurse confirmed glucometers should be cleaned and disinfected after each use with Sani Cloth Germicidal Wipes.
Two residents with newly identified mental health diagnoses were not referred for required Level II PASARR evaluation after their initial screenings failed to indicate mental illness. The LPN responsible for PASARR confirmed that the necessary resubmission for Level II determination was not completed after the residents received qualifying psychiatric diagnoses.
The facility did not provide documentation verifying that its full-time social worker was qualified, as required for facilities with more than 120 beds. Despite multiple requests, the social worker and facility staff were unable to produce a diploma or transcript confirming the required educational background.
A resident with multiple psychiatric diagnoses and a Level II PASARR determination for intellectual/developmental disability had several MDS assessments incorrectly coded as not having serious mental illness or intellectual disability. An LPN confirmed the PASARR information was inaccurately recorded in the MDS.
The facility's kitchen failed to maintain sanitary conditions, with debris on the deep fryer, expired and unlabeled food items in the walk-in cooler and dry storage, and a dirty food service cart. These issues were confirmed by the Dietary Supervisor and had the potential to affect 87 residents.
A facility failed to accurately code a resident's MDS assessment for hospice care. Despite a physician's order for hospice care due to End Stage Neural Vascular Dementia, the MDS assessment incorrectly indicated the resident was not receiving hospice care. This error was confirmed by an LPN during a review.
A facility failed to refer a resident with Major Depressive Disorder and Psychotic Disorder for a Level II PASARR evaluation. The resident's Level I PASARR screening incorrectly indicated no mental illness, and no Level II PASARR was submitted. An LPN confirmed the oversight during an interview.
A facility failed to properly store a resident's oxygen equipment according to its infection control policy. The resident, with a history of acute respiratory failure and other conditions, had oxygen tubing observed twice laying over the concentrator instead of in a labeled bag. An LPN confirmed the improper storage and could not recall the last use of the oxygen.
Kitchen Not Kept Clean and Sanitary
Penalty
Summary
The facility failed to maintain a clean and sanitary kitchen. During an initial tour of the kitchen, the Dietary Manager observed and confirmed crumbs on the trays and bottom shelf of the rolling cart containing clean trays, crumbs on the bottom shelf of the steam table, and crumbs and dried food debris on the top shelf of clean dish storage shelving. The side of the oven/stove had dried grease, and yellow, wet food debris was observed on the clean counter side of the dishwasher with clean trays drying in a rack placed on top of the debris. Additional observations showed a thick layer of black residue on the floor/baseboard and lower wall behind the dishwasher, brown dried food splatter residue on the wall over and behind the microwave, and thick black dried residue with white debris on the floor behind the clean dishes shelving unit next to the steam table. In interview, the Dietary Manager stated there should be a cleaning schedule for kitchen staff, but there was no cleaning schedule in use and one had not been established.
Failure to Notify Ombudsman of Emergency Transfer
Penalty
Summary
The facility failed to notify the State's Long-Term Care Ombudsman in writing of an emergency transfer for Resident #24, one of two sampled residents reviewed for transfer and discharge requirements. The facility policy titled, Discharge Transfer and Planning, revised 08/2025, stated that the community shall notify the resident, the resident's representative(s), and the representative of the Office of the State LTC Ombudsman of a transfer or discharge. Resident #24 was admitted with diagnoses including respiratory failure with hypoxia and unspecified combined systolic and diastolic CHF, and the EMR showed an emergency transfer to a local hospital. However, the facility's Emergency Transfer Log for transfers dated 05/01/2025-07/31/2025 did not include documentation of Resident #24's transfer, and the Accounts Manager confirmed the resident was not identified on the log and that notification to the Ombudsman was not made.
Inaccurate MDS Coding for Falls, Antipsychotic Use, and Hospice Status
Penalty
Summary
Ensure each resident receives an accurate assessment was not met when the facility failed to complete the Minimum Data Set (MDS) accurately for 2 of 42 sampled residents. The facility policy stated that any healthcare professional completing a portion of the assessment must sign and certify the accuracy of that portion. For Resident #25, the EHR showed diagnoses including type 2 diabetes mellitus with diabetic polyneuropathy, cerebral infarction, bipolar disorder, psychotic disorder with delusions, and history of falling. The resident had a fall on 08/19/2025 with no injuries, and the August 2025 MAR showed daily administration of Rexulti and Seroquel, both antipsychotic medications. However, the Annual MDS with ARD 08/26/2025 coded one fall with major injury in Section J1900C and coded antipsychotic use inconsistently, including N0450A as no despite the MAR showing antipsychotic administration. For Resident #27, the EHR showed a diagnosis of end stage Alzheimer's disease and a physician order dated 08/22/2025 to admit the resident to hospice for that terminal diagnosis. The significant change MDS with ARD 08/28/2025 coded Section OK1 Hospice care while a resident as no, even though hospice services were being received. During record review, the MDS nurse confirmed the incorrect coding for both residents, and the DON/IP also confirmed that Resident #25's MDS was inaccurately coded and that Resident #27 received hospice services but was coded no.
Failure to Obtain Level II PASARR Determination for Resident With Mental Health Diagnoses
Penalty
Summary
The facility failed to refer a resident with diagnosed mental disorders to the appropriate state-designated authority for a Level II PASARR evaluation and determination. Resident #24’s EMR showed diagnoses including schizophrenia, unspecified, and major depressive disorder, unspecified, and the resident had been admitted to the facility with these conditions. Review of the resident’s Level I PASARR dated 07/06/2009 showed approval for Medicaid medical eligibility services effective 06/18/2009, but no documentation or evidence of a Level II PASARR determination was provided. The Social Service Director stated she was responsible for residents’ PASARRs and reported that the admission 142 form had been completed in 2009, but she was unable to provide proof of submission for a Level II PASARR related to the resident’s qualifying diagnoses. The Administrator also could not confirm whether the resident had a Level II PASARR.
Incomplete Care Plans for Bipolar Disorder and Weight Loss
Penalty
Summary
The facility failed to develop person-centered care plans with measurable objectives and time frames for 2 of 42 sampled residents. The facility policy titled, Care Plan Process, stated that the care plan must include measurable objectives and time frames and describe the services to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychological well-being, and that the care plan must be reviewed and revised periodically to reflect services provided or arranged. Resident #25 was admitted with diagnoses including bipolar disorder and psychotic disorder with delusions. Her physician's orders showed Seroquel XR 200 mg at bedtime for bipolar disorder, later discontinued and replaced with Seroquel XR 300 mg at bedtime for bipolar disorder. The resident's health record did not contain any focus areas or interventions related to bipolar disorder. During record review, the MDS nurse confirmed the resident received treatment for bipolar disorder and that the care plan did not address it. The DON/IP also confirmed the resident received treatment for bipolar disorder and that the care plan did not address bipolar disorder. Resident #27 was admitted with end stage Alzheimer's disease and had documented weight loss, from 140 lbs. on 08/07/2025 to 117 lbs. on 09/03/2025, a 16.43% loss. Her care plan did not address nutrition or weight loss. The MDS nurse confirmed the care plan did not address nutrition and should have, and the DON/IP also confirmed it should have.
Glucometers Not Cleaned and Disinfected After Use
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program designed to help prevent the development and transmission of disease and infection. The deficiency was identified because glucometer machines were not cleaned and disinfected according to the facility policy and the manufacturer's guidelines. The facility policy titled, Blood Glucose Quality Control, stated that the meter should always be cleaned after each use with an approved disinfectant wipe, and the manufacturer's instructions for the Assure Platinum Glucose Monitoring System stated that cleaning and disinfecting could be completed using an EPA-registered disinfectant or germicide wipe. During an observation of blood glucose monitoring during medication pass, an LPN checked a resident's blood sugar and then exited the room with the glucometer in hand. The LPN returned to the medication cart, did not obtain any wipes, removed the test strip, and placed the used glucometer in the medication cart drawer without cleaning or disinfecting it. During interview, the LPN confirmed the glucometer was not disinfected after testing the resident's blood sugar before being placed back in the cart, and stated she had wiped it with an alcohol wipe but did not disinfect it with a germicidal wipe. The DON/IP and Corporate Nurse later confirmed glucometers should be cleaned and disinfected after each use, and that Sani Cloth Germicidal Wipes should be used.
Failure to Refer Residents for Level II PASARR Evaluation
Penalty
Summary
The facility failed to refer residents with diagnosed mental disorders to the appropriate state-designated authority for Level II PASARR evaluation and determination. Specifically, two residents were admitted with or later developed diagnoses such as major depressive disorder with severe psychotic symptoms, mood disorder, generalized anxiety disorder, psychotic disorder with delusions, and delirium. Despite these qualifying psychiatric diagnoses, their Level I PASARR screenings indicated 'No' to the presence or suspicion of mental illness, and there was no evidence that a Level II PASARR had been submitted for either resident. Interviews with facility staff revealed that the LPN responsible for PASARR acknowledged the oversight, confirming that both residents had received qualifying diagnoses after the initial PASARR was completed. The staff member further confirmed that the Level I PASARR should have been resubmitted to reflect the new diagnoses for a Level II determination, but this was not done. This failure was identified through record reviews and staff interviews during the survey.
Failure to Provide Qualified Full-Time Social Worker Credentials
Penalty
Summary
The facility failed to ensure that it employed a qualified social worker on a full-time basis, as required for facilities with more than 120 beds. During interviews and record reviews, the administrator and administrative assistant were unable to provide documentation of the social worker's credentials. The individual identified as the facility's social worker stated she had a bachelor's degree in social work but was unable to produce her diploma or an official transcript when requested. Multiple attempts were made to obtain proof of her qualifications, including requests for her diploma and transcript, but no documentation was provided by the time of the survey. The facility, with 130 licensed beds, could not demonstrate that the social worker met the necessary qualifications.
Inaccurate MDS Coding for PASARR Status
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) assessment accurately reflected a resident's status regarding serious mental illness and intellectual or developmental disability. A review of the resident's medical records showed an admission with multiple psychiatric diagnoses, including severe depression with psychotic features, major depressive disorder, persistent mood disorder, borderline personality disorder, anxiety, and bipolar disorder. The resident's Pre-admission Screening and Resident Review (PASARR) indicated a Level II determination, confirming that the individual met state criteria for intellectual/developmental disability. Despite this, multiple MDS assessments for the resident, conducted on three separate dates, were coded as 'no' in section A1500, indicating the resident was not considered by the state Level II PASARR process to have a serious mental illness or intellectual disability. This discrepancy was confirmed during an interview with an LPN, who acknowledged that the PASARR information was incorrectly coded and did not accurately reflect the resident's status as determined by the state process.
Sanitation and Food Storage Deficiencies in Kitchen
Penalty
Summary
The facility failed to maintain sanitary conditions in the kitchen, as evidenced by several observations during a survey. The deep fryer had a thick layer of debris in the cooking oil collection area, which was confirmed by the Dietary Supervisor (S1DS) to have not been cleaned after its last use. Additionally, the walk-in cooler contained expired food items, including unopened squeeze bottles of strawberry jam, a large opened container of Caesar dressing, mayonnaise tartar dressing, and an opened gallon of milk. These items were confirmed by S1DS to be expired and should have been discarded. Furthermore, several opened food items in the cooler, such as a large bag of garlic bread toast, hot dog buns, and sour cream, were not labeled with the date and time they were opened, which S1DS acknowledged should have been done. In the dry storage room, expired food items were also found, including a plastic gallon bag with an opened bag of blueberry muffin mix and two plastic gallon bags with opened bags of white frosting mix. These items were confirmed by S1DS to be expired and should have been discarded. Additionally, during an observation of the food service line, a cart used for tray distribution was found to have multiple areas of sticky residue and food debris. S1DS confirmed that the cart was not cleaned after its previous use, which was against the facility's protocol. These deficiencies had the potential to affect the 87 residents who consumed food from the kitchen.
Inaccurate MDS Coding for Hospice Care
Penalty
Summary
The facility failed to accurately code a resident's Minimum Data Set (MDS) assessment regarding hospice care. The resident, who was admitted to the facility with a terminal diagnosis of End Stage Neural Vascular Dementia, had a physician's order for hospice care dated 06/06/2024. However, the Quarterly MDS assessment with an Assessment Reference Date (ARD) of 09/09/2024 incorrectly indicated that the resident was not receiving hospice care. This discrepancy was confirmed during an interview and record review with an LPN, who acknowledged the resident's hospice admission and the inaccurate coding on the MDS assessment.
Failure to Refer Resident for Level II PASARR Evaluation
Penalty
Summary
The facility failed to refer a resident with a diagnosed mental disorder to the appropriate state-designated authority for a Level II PASARR evaluation. The resident was admitted with diagnoses including Major Depressive Disorder and Dementia, and later had a Psychotic Disorder with Delusion added. Despite these diagnoses, the Level I PASARR screening incorrectly indicated that the resident did not have a mental illness, and no Level II PASARR was submitted. An interview with the LPN responsible for PASARRs confirmed that the diagnoses were not identified on the Level I screening and that a Level II determination should have been sought but was not.
Improper Storage of Oxygen Equipment
Penalty
Summary
The facility failed to provide necessary care and services in accordance with professional standards of practice by not ensuring proper storage of a resident's oxygen equipment. Specifically, the oxygen tubing for a resident with a history of acute respiratory failure with hypoxia, vascular dementia, and dyspnea was observed on two occasions to be improperly stored over the oxygen concentrator instead of in a labeled plastic bag as required by the facility's infection control policy. The resident had a physician's order for oxygen at 2 liters per nasal cannula as needed for dyspnea, and the oxygen was not in use at the time of the observations. An LPN confirmed the improper storage and was unable to recall the last time the resident used the oxygen.
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Illustrative
What surveyors actually found near you
We read the 40 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
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Nursing homes near Lake Charles
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Calcasieu Community Care Center | 1.5 mi | ★★★★★ | 3 | 0 |
| Rosewood Nursing Center | 1.8 mi | ★★★★★ | 1 | 0 |
| Lake Charles Care Center | 2.2 mi | ★★★★★ | 0 | 0 |
| Resthaven Nursing & Rehab Center, Llc | 3.5 mi | ★★★★★ | 4 | 0 |
| Grand Cove Nursing & Rehabilitation Center | 3.9 mi | ★★★★★ | 5 | 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.