Below 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 August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Legacy Nursing And Rehabilitation Of Morgan City during CMS and state inspections, most recent first.
A resident who required staff assistance for all ADLs had multiple instances where care provided or refusals were not documented in the electronic medical record. Staff interviews revealed that system limitations prevented CNAs from recording care when it was provided by someone other than the assigned staff or outside of scheduled bath days, resulting in incomplete records. Supervisory staff confirmed the missing documentation and acknowledged no alternative records were available.
Failure to protect a resident from verbal and mental abuse by another resident. A cognitively intact, bed-bound resident who was dependent for all ADLs overheard her roommate using racial slurs and making derogatory comments about African Americans. The roommate, who had a history of aggression, cursing, and racially offensive behavior, later reacted with more racial slurs, cursing, and disruptive behavior when staff discussed the incident. Staff acknowledged the resident was tearful and upset, but there was no documented evidence of assessment or additional interventions to protect her from further abuse.
Expired medications were found on a medication cart, including a resident-specific inhaler and general-use meds, and an LPN and DON confirmed they should not have been available for use. The facility also failed to complete required controlled substance count signatures across multiple shifts, and an LPN administered Ativan to a resident without documenting it on the eMAR, which the DON confirmed should have been recorded.
An ice scoop was observed with its handle submerged in residents’ ice and water in an ice chest, a CNA was seen carrying unbagged soiled linen in the hallway, and an LPN accessed a resident’s PICC line for IV medication without wearing a gown despite EBP signage requiring gloves and gowns. The resident had a PICC line for IV antibiotics due to osteomyelitis.
Failure to report alleged resident-to-resident verbal abuse. Two residents were involved in repeated incidents of derogatory and racial language, including one resident calling the other evil and the devil and using racial slurs during a loud confrontation. Staff, including a CNA, CNA supervisor, social services, DON, and the administrator, were aware of the events, but there was no documented evidence that the allegation was reported to the state agency as required by the facility’s abuse policy.
Failure to document a thorough investigation of alleged resident-to-resident verbal and mental abuse. A resident overheard another resident make derogatory and racial remarks, then later cried after describing the incident to a CNA; the other resident also cursed and yelled at the resident and CNA. Staff reported the events to the supervisor, DON, administrator, and social services, but the facility could not produce documented evidence of a complete abuse investigation.
Failure to Implement Fall-Prevention Interventions: Two residents at high risk for falls had care plan interventions that were not in place. One resident with severe cognitive impairment and impulsive transfer attempts was observed in a wheelchair without the ordered auto-lock brake feature, and the DON confirmed it was missing. Another resident with dementia and a history of falls was observed twice without the planned wheelchair pocket attachment for snacks, while staff reported using other methods to keep items within reach.
Two residents did not receive oxygen at the ordered flow rates, and their oxygen tubing was not dated or documented as changed weekly. One resident with COPD was observed on 3.5 LPM instead of the ordered 2 LPM continuous, while another resident ordered 2 LPM PRN was observed on 2.5 to 3 LPM. Staff, including the DON and an LPN, confirmed the oxygen was above the ordered rate, and both residents’ tubing lacked dates showing when it was last changed.
Surveyors found an opened container of ranch dressing in the refrigerator without an opened date and past its expiration date, and the Dietary Manager confirmed it should have been discarded. Surveyors also observed scoops stored inside the sugar and flour bins with the handles in direct contact with the dry goods, and both the Dietary Manager and DON confirmed this was improper.
Survey Results Not Posted: The facility failed to keep the most recent survey results posted in a location readily accessible to residents. The survey binder in the hallway by the dining room contained only older survey results, and there was no documented evidence that the latest complaint survey was posted. The Administrator confirmed the most recent survey was not in the binder.
The facility did not consistently provide the required number of nursing staff, as shown by staffing records and confirmed by resident and staff interviews. On multiple days, actual LPN and CNA hours fell short of the facility's own staffing requirements, leading to delays in care and reports of staff burnout. Residents and staff reported unmet care needs, especially on the skilled unit, and the administrator could not provide evidence to dispute these findings.
A resident did not receive ordered physical therapy services for a period of time due to the unavailability of a physical therapist following an insurance change. Despite physician orders for PT evaluation and treatment five times per week, the services were not provided as required.
Two residents with cognitive impairments suffered burns from hot coffee due to inadequate supervision in the dining area. One resident, with severe cognitive impairment, sustained a burn on her hand, while another, with moderate impairment, suffered burns on her abdomen and legs. Despite the presence of staff, the coffee dispenser was unsupervised, and the coffee temperature was dangerously high. Staff interviews confirmed the need for assistance, but no effective measures were implemented to prevent such incidents.
The facility failed to ensure proper hand hygiene and infection control practices, as staff did not perform hand hygiene during resident care, handled medication with ungloved hands, and improperly stored clean items in the laundry room. Additionally, a cluster of bacterial urinary tract infections was not identified or addressed by the facility's infection preventionist.
A resident at high risk for skin breakdown was not provided with a pressure-reducing wheelchair cushion, as required by their care plan. Despite having a history of chronic ulcers and diabetes, the resident was observed multiple times without the cushion, and staff interviews confirmed the oversight. The resident reported discomfort, and the DON acknowledged that all residents should have a cushion on their wheelchair.
An LPN failed to properly dispose of a controlled medication after it was removed from its blister pack but could not be administered due to timing. Instead, the LPN placed the medication back into the blister pack, contrary to the facility's policy. The DON confirmed that the medication should have been disposed of once it was removed.
A facility failed to maintain an updated hospice plan of care and recertification of terminal illness for a resident receiving hospice services. The hospice binder contained only an outdated interim plan, and staff were unaware of the contracted hospice agency's responsibilities and the frequency of updates. The administrator was not aware of the lack of current documentation, and the hospice agency confirmed that updates should occur every 60 days and be provided to the facility biweekly.
The facility failed to transmit MDS assessments within the required 14-day period for three residents. The assessments were completed but not transmitted until several days past the deadline, as confirmed by the S4MDS Corporate Nurse.
Incomplete Documentation of Activities of Daily Living for a Resident
Penalty
Summary
The facility failed to maintain complete and accurate medical records for a resident who required staff assistance with all activities of daily living (ADLs), including toileting, showering, and bathing. The resident was cognitively intact and had a care plan indicating dependence on staff for hygiene and grooming, with specific instructions for staff to assist as needed and to document both care provided and refusals. However, review of the resident's documentation for October and November revealed multiple dates with missing entries for morning and evening care, as well as inconsistencies in recording refusals of baths or showers. Interviews with certified nursing assistants (CNAs) and supervisory staff revealed that the resident frequently refused care from certain staff members but would accept care from others. When care was provided by a CNA not assigned to the resident, that CNA was unable to document the care in the electronic medical record due to system limitations. Additionally, the electronic system only allowed documentation on assigned bath days and for the day shift, preventing accurate recording of care provided at other times or by other staff. As a result, care that was provided or refused was often not documented, leaving gaps in the resident's medical record. Supervisory staff, including the Director of Nursing and Assistant Director of Nursing, confirmed the missing documentation and acknowledged that the only record of ADL care was the electronic medical record, with no alternative documentation available. The administrator and previous Director of Nursing also confirmed the deficiency and noted that a change in computer software had occurred during the period in question, but there was no evidence that the documentation issues were identified or corrected. No further documentation was available to address the missing records.
Failure to Protect Resident from Verbal and Mental Abuse
Penalty
Summary
The facility failed to protect a resident from verbal and mental abuse by another resident. Resident #30, who was African American, cognitively intact with a BIMS score of 13, and dependent on staff for all ADLs, shared a room with Resident #15. Resident #15 had diagnoses of generalized anxiety disorder and depression, a BIMS score of 10 indicating moderate cognitive impairment, and a documented history of aggressive and racially derogatory behavior, including prior use of racial slurs and repeated behaviors such as screaming, cursing, spitting, agitation, and physical aggression toward others. On 07/06/2025, Resident #30 overheard Resident #15 on the telephone using racial slurs and making derogatory statements about African Americans. Resident #30 later reported that Resident #15 called her evil and the devil during the same conversation. On 07/07/2025, Resident #30 was observed crying and told staff what she had overheard. When staff discussed the incident in Resident #15's presence, Resident #15 reacted by using racial slurs, cursing, and kicking a trash can. Staff interviews confirmed that Resident #15 continued to curse, yell, and make racially inappropriate remarks toward Resident #30 and staff. Resident #30 stated the behavior made her anxious, nervous, and unable to avoid Resident #15 because she was bed bound. She also stated she kept a grabber within reach to defend herself if Resident #15 became physically aggressive. Multiple staff members acknowledged that Resident #15's conduct was verbally abusive and that Resident #30 was upset and tearful. The facility was aware of the incidents and of Resident #15's ongoing aggressive and racially derogatory behavior, but there was no documented evidence that Resident #30 was assessed or that additional interventions were implemented to protect her from further verbal and mental abuse.
Expired Medications, Missing Narcotic Count Signatures, and Unrecorded Medication Administration
Penalty
Summary
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist was deficient because expired medications were available on Medication Cart A, the controlled substance shift verification count sheet was not completed on multiple shifts, and one resident’s medication administration was not documented on the eMAR. During observation of Medication Cart A, expired medications were found available for resident use, including Advair Diskus prescribed to Resident #36 with an expiration date of 10/11/2024, Famotidine 10 mg tablets for general resident use with an expiration date of 07/2025, and four Hydrocortisone Acetate 25 mg suppositories for general resident use with an expiration date of 07/2025. An LPN confirmed the medications were expired and should not have been on the cart, and the DON also confirmed they should not have been available for resident use. The facility’s narcotics policy required one licensed nurse from the off-going shift and one from the oncoming shift to count and sign the narcotic count sheet in front of the narcotic box, but the Shift Verification of Controlled Substances Count document for Medication Cart A lacked signatures for multiple shifts on several dates. In addition, an LPN stated Resident #83 received Ativan 0.5 mg at approximately 12:30 PM, but the administration was not documented on the resident’s eMAR. The DON confirmed the medication should have been documented and that there was no documented evidence showing the dose was recorded on the eMAR.
Ice Scoop Storage, Soiled Linen Handling, and EBP Noncompliance
Penalty
Summary
The facility failed to ensure the scoop used to serve ice was stored properly in Ice Chest A. On 08/04/2025 at 8:46 AM, surveyors observed a blue and white ice chest in the dining room with the ice scoop handle submerged in the water and ice. During an interview shortly afterward, the DON confirmed the scoop handle was inside the ice chest and submerged in residents’ water and ice, and stated the scoop should have been stored in the scoop holder on the outside of the chest. The facility also failed to ensure proper handling of soiled linen and failed to implement EBP for a resident with a PICC line. On 08/04/2025 at 8:40 AM, a CNA was observed walking in the hallway with unbagged soiled linen, and both the CNA supervisor and DON stated this should not have occurred; the CNA also acknowledged the linen should not have been carried unbagged in the hallway. For Resident #76, who had a PICC line for IV medication due to osteomyelitis, EBP signage on the door indicated gloves and gowns were required. On 08/05/2025 at 8:00 AM, an LPN prepared an IV medication and entered the room without a surgical gown while accessing the PICC line. The IP and DON both confirmed that a gown should have been worn when the PICC line was accessed for medication administration.
Failure to Report Alleged Resident-to-Resident Verbal Abuse
Penalty
Summary
The facility failed to report an allegation of verbal and mental abuse involving two residents to the state agency. The facility’s abuse policy stated that verbal abuse includes disparaging or derogatory language and that alleged abuse must be reported immediately, and no later than 2 hours if it involved abuse or serious bodily injury. The policy also stated the administrator or designee was responsible for ensuring the report was submitted to the mandated state agency within the required guidelines, including completion of the SIMS report within 5 working days of the initial report. Resident #15’s social services note documented that the resident called Resident #30 the devil and made derogatory comments about African Americans during a phone call, after which the two residents argued and Resident #15 was asked to refrain from derogatory remarks. Resident #30 later reported that Resident #15 used racial slurs, called her evil and the devil, and became loud and violent during the interaction. Staff interviews confirmed the incidents were reported up the chain to the CNA supervisor, DON, social services, and the administrator, and the administrator acknowledged awareness of the events before survey. However, there was no documented evidence that the incidents involving Resident #15 and Resident #30 were reported to the state agency.
Failure to Document Investigation of Resident-to-Resident Verbal Abuse
Penalty
Summary
The facility failed to have documented evidence that a thorough investigation was completed after allegations of verbal and mental abuse involving Resident #30 and Resident #15. The facility’s abuse policy stated residents had the right to be free from abuse, including abuse by other residents, and defined verbal abuse as disparaging or derogatory oral, written, or gestured language. The policy also stated an abuse investigation included interviewing employees who worked in the resident’s room, obtaining signed statements, and interviewing the resident if cognitively able. The record showed that staff reported Resident #30 overheard Resident #15 on the phone calling Resident #30 the devil, after which the residents argued, and Resident #15 made derogatory remarks about African Americans. A CNA later observed Resident #30 crying and reported that Resident #30 described the incident and said Resident #15 used racial slurs; the CNA also observed Resident #15 move toward Resident #30 and curse and yell at both the CNA and Resident #30. Staff reported the incidents to the CNA supervisor, administrator, DON, and social services, and social services documented a note about the conflict. However, when asked for the facility’s investigation, the CNO, DON, administrator, and social services could not provide documented evidence of a thorough investigation, and the administrator stated the facility would not present further documentation.
Failure to Implement Fall-Prevention Care Plan Interventions
Penalty
Summary
The facility failed to implement fall-prevention interventions for two residents identified as being at risk for falls. Resident #3 had severe cognitive impairment, a high fall-risk score of 55, and a care plan that included an auto lock brake feature for the wheelchair. A social service progress note stated the resident was up daily in a wheelchair with confusion, impulsivity, and attempts to transfer without assistance, and redirection was unsuccessful. However, when observed, the resident was in a wheelchair that did not have the auto lock brake feature, and the DON confirmed the feature was not present. Resident #7 was admitted with dementia and a history of falls, and the MDS documented two or more falls since admission. The care plan identified fall risk related to prior falls, psychoactive medication use, impaired safety awareness, unsteady gait, dementia, and left-sided weakness, and included an intervention for a wheelchair pocket attachment to store snacks and keep them accessible. Observations on two separate occasions showed the resident in a wheelchair at the nursing station with no pocket attachment present. Staff stated snacks were placed close to the resident or within reach to prevent falls, and the DON later confirmed the resident did not have the wheelchair pocket attachment as listed in the care plan.
Failure to Follow Oxygen Orders and Maintain Tubing
Penalty
Summary
The facility failed to follow physician orders for oxygen administration for two residents. Resident #33 had an order for oxygen at 2 LPM via nasal cannula continuously related to COPD, but during observation the resident was receiving oxygen at 3.5 LPM. The DON confirmed the higher flow rate, and an LPN stated the resident should not have been receiving oxygen at 3.5 LPM because the order was for 2 LPM continuously. Resident #63 had an order for oxygen at 2 LPM via nasal cannula as needed, but was observed receiving oxygen between 2.5 LPM and 3 LPM on two occasions. The LPN confirmed the resident should have been receiving 2 LPM as needed and should not have been receiving oxygen at the higher flow rate. The facility also failed to ensure oxygen tubing was changed and dated weekly for both residents. The facility’s oxygen concentration cleaning policy stated tubing/cannula should be changed weekly and as needed. Resident #33’s oxygen tubing was observed without a date on two occasions, and the DON and Infection Preventionist both confirmed it should have been dated when changed. Resident #63’s oxygen tubing was also observed without a date on two occasions, and the resident stated the tubing had not been changed for approximately 2 weeks. The LPN confirmed the tubing was not dated and should have been, and the facility was unable to provide documented evidence that either resident’s oxygen tubing had been changed weekly.
Food Storage and Sanitation Deficiencies
Penalty
Summary
Food stored in the facility’s refrigerator was not properly labeled or discarded according to the facility’s Food Safety and Sanitation policy. During observation of the kitchen with the Dietary Manager, surveyors found an opened gallon-size container of ranch dressing in the refrigerator that did not have an opened date on it and had an expiration date of 07/24/2025. The Dietary Manager confirmed the container was not labeled with an opened date and acknowledged that it should have been discarded and should not have been available for resident consumption. Surveyors also observed the sugar and flour dry storage bins with scoops stored inside the bins, with the handles of the scoops in direct contact with the flour and sugar. The Dietary Manager confirmed the scoops were stored inside the bins and stated they should not have been. The DON later confirmed that the ranch dressing should have been discarded and that the scoops should not have been stored inside the flour and sugar storage bins.
Survey Results Not Posted
Penalty
Summary
The facility failed to post the most recent survey results in a place readily accessible to residents. Review of the survey history showed the last survey conducted was a complaint survey with an exit date of 04/03/2025. However, observation on 08/05/2025 at 2:27 PM of the past survey results binder in the hallway next to the dining room showed the most recent survey results available were dated 08/22/2024 for the recertification survey. There was no documented evidence, and the facility was unable to provide any documented evidence, that the most recent survey results had been posted as required. In an interview on 08/05/2025 at 3:59 PM, the Administrator confirmed the complaint survey with the 04/03/2025 exit date was not in the survey results binder.
Failure to Meet Required Nursing Staff Levels
Penalty
Summary
The facility failed to provide the required number of nursing staff members on 22 out of 53 days reviewed, as evidenced by staffing records and interviews. The facility's own Facility Assessment outlined specific daily staffing requirements based on an average census of 83 residents, including required hours for LPNs, CNAs, RNs, and behavioral health staff. On multiple dates, the actual nursing staff hours provided fell short of these requirements, with deficits ranging from just over 2 hours to more than 33 hours on certain days. These shortfalls were documented in the facility's staffing pattern reporting forms, which were signed as complete and accurate by the administrator. Resident Council meeting minutes from January and February indicated that residents experienced delays in receiving care, such as not being changed in a timely manner and not being checked on at night. Residents specifically expressed the need for more CNAs. Multiple interviews with residents, family members, and staff corroborated these concerns, with reports of insufficient staffing, particularly on the skilled nursing unit. Staff members, including CNAs and LPNs, described frequent understaffing, increased workload, burnout, and residents having to wait longer for care. The administrator was unable to provide evidence to dispute the findings of insufficient staffing. The deficiency was further supported by direct statements from residents and staff about the negative impact of inadequate staffing on care delivery, including delays in assistance and unmet care needs. The documentation and interviews consistently indicated that the facility did not meet its own established staffing requirements on numerous occasions.
Failure to Provide Ordered Physical Therapy Services
Penalty
Summary
The facility failed to ensure that a resident received the required physical therapy (PT) services as ordered by the physician. Physician's orders dated 02/27/2025 and 03/06/2025 specified that the resident was to be evaluated and treated with PT five times per week for eight weeks. However, review of the electronic medical record showed that the resident did not receive any PT services between 02/27/2025 and 03/06/2025. According to the Director of Rehabilitation, this lapse occurred because a physical therapist was not available to evaluate the resident after her insurance changed during the week of 02/23/2025. The Medical Director confirmed that the resident had been admitted specifically to receive therapy services and acknowledged that a physical therapist should have been available to provide the required evaluation and treatment during this period.
Inadequate Supervision Leads to Resident Burns
Penalty
Summary
The facility failed to ensure adequate supervision and safety measures to prevent thermal burns for two residents. Resident #19, who had severe cognitive impairment and required supervision with eating, sustained a superficial burn from hot coffee on her fingers and palm. The incident occurred when the coffee pot in the main dining area was left unsupervised, as confirmed by a Licensed Practical Nurse. Similarly, Resident #49, with moderately impaired cognition and requiring assistance with eating, suffered burns on her abdomen and legs after spilling hot coffee on herself. Observations revealed that Resident #49 attempted to fill her coffee cup without staff intervention, despite the presence of a staff member whose back was turned to the coffee dispenser. The coffee temperature was measured at 150.8 degrees Fahrenheit, which is within the range that can cause burns. Interviews with staff, including a CNA and the Dietary Supervisor, indicated that Resident #49 needed assistance with the coffee pot due to her cognitive condition, and that the coffee dispenser was not consistently supervised. The Dietary Supervisor acknowledged that although attempts were made to address the hot coffee issue, no effective measures were implemented, and supervision was not increased. The facility administrator admitted that residents should not be burned, highlighting the lack of adequate supervision and safety protocols in place.
Infection Control and Hand Hygiene Deficiencies
Penalty
Summary
The facility failed to ensure proper hand hygiene practices were followed by staff during resident care, leading to multiple deficiencies. A Certified Nursing Assistant (CNA) did not remove gloves or perform hand hygiene after providing incontinence care to a resident, subsequently touching various items in the resident's room with contaminated gloves. Similarly, a Treatment Nurse (TN) failed to perform hand hygiene between handling soiled dressings and applying clean dressings during wound care for two residents, despite using double gloves. A Licensed Practical Nurse (LPN) was observed handling a resident's medication with ungloved hands and failed to perform hand hygiene after removing gloves during medication administration. Additionally, clean items were improperly stored in the contaminated area of the facility's laundry room, with soiled laundry bags leaning against racks of clean clothing. The facility also did not identify or take corrective action when a cluster of bacterial urinary tract infections was found among residents living in close proximity. The Assistant Director of Nursing/Infection Preventionist (ADON/IP) did not recognize the cluster or the common bacteria involved, nor did they conduct audits or provide staff education on infection control practices. This oversight was confirmed by the Director of Nursing (DON), who acknowledged the lack of monitoring and preventative measures.
Failure to Provide Pressure-Reducing Cushion for High-Risk Resident
Penalty
Summary
The facility failed to ensure the use of a pressure-reducing wheelchair cushion for a resident assessed as being at high risk for skin breakdown. Resident #5, who had a history of a non-pressure chronic ulcer, chronic venous hypertension with ulcer and inflammation, and diabetes, was observed multiple times without the necessary cushion in place. The resident's care plan indicated that he remained in his wheelchair all day and often slept in it, which increased his risk for skin breakdown. Despite the special instructions in his care tasks to use a wheelchair cushion, observations on several occasions revealed the absence of the cushion. Interviews with the resident and staff further highlighted the deficiency. Resident #5 reported experiencing discomfort and mentioned it to the CNA during incontinence care. However, the CNA could not recall the last time the cushion was used, and the Director of Nursing confirmed that all residents should have a cushion on their wheelchair. The repeated observations and staff interviews indicate a failure to adhere to the care plan and special instructions, leading to the deficiency in providing appropriate pressure ulcer care for Resident #5.
Improper Disposal of Controlled Medication by LPN
Penalty
Summary
The facility failed to ensure proper disposal of a resident's medication by a Licensed Practical Nurse (LPN), identified as S6LPN, during medication administration. According to the facility's Medication Administration Policy and Procedure, medications should be prepared immediately prior to administration, and if a medication is held, a notation should be made on the resident's medication record. Additionally, wasted controlled drugs must be witnessed and co-signed. However, during an observation, S6LPN assessed a resident who reported a pain level of 8 out of 10 and attempted to administer Oxycodone/Acetaminophen, a controlled medication, but realized it was too early to administer the dose. Instead of disposing of the medication as required, S6LPN placed the tablet back into the blister pack and sealed it with tape. Interviews conducted with S6LPN and the Director of Nursing (DON) confirmed that the medication should have been disposed of once it was removed from the blister pack and could not be administered. The DON indicated that S6LPN's action of placing the medication back into the blister pack was incorrect and not in compliance with the facility's policy. This incident highlights a failure in adhering to medication administration protocols, specifically regarding the handling and disposal of controlled substances.
Failure to Maintain Updated Hospice Plan of Care
Penalty
Summary
The facility failed to ensure that a resident's most recent hospice plan of care and recertification of terminal illness were obtained from the contracted hospice agency. This deficiency was identified for a resident who was receiving hospice services while residing in the facility. The facility's hospice care plan required coordination with the contracted hospice agency, but the only documented hospice plan of care was an interim plan dated several months prior, which did not specify the resident's hospice service needs or the scope and frequency of services. There was no evidence of a current certification of the resident's terminal illness, and the facility was unable to provide any updated hospice information. Additionally, the facility staff were not aware of the contracted hospice agency's responsibilities in implementing the hospice plan of care. Interviews revealed that staff, including the Director of Nursing and a Licensed Practical Nurse, were unsure about the frequency of updates to the resident's hospice binder and the frequency of hospice personnel visits. The facility's administrator, who was responsible for ensuring compliance with the hospice agreement, was unaware that the hospice binder was not up to date. The contracted hospice agency's case manager confirmed that hospice care plans were updated at least every 60 days and should be provided to the facility every two weeks, but this was not reflected in the facility's records.
Delayed Transmission of MDS Assessments
Penalty
Summary
The facility failed to ensure that Minimum Data Set (MDS) assessments were transmitted within 14 days of completion for three residents. Resident #28's Quarterly MDS, with an Assessment Reference Date (ARD) of 07/17/2024, was completed on 07/18/2024 but was not transmitted until 08/20/2024, exceeding the 14-day requirement. Similarly, Resident #44's Quarterly MDS, completed on 07/31/2024, and Discharge MDS, completed on 08/01/2024, were both transmitted on 08/20/2024, beyond the 14-day timeframe. Resident #241's Discharge MDS, completed on 08/03/2024, was also transmitted late on 08/20/2024. The deficiency was confirmed during an interview with the S4MDS Corporate Nurse, who acknowledged that the MDS assessments should have been transmitted within 14 days of their completion. The delay in transmission for these residents' assessments was identified through a review of the facility's MDS 3.0 Nursing Home Final Validation Report, which documented the late transmission dates.
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What surveyors actually found near you
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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 Morgan City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Patterson Healthcare Center | 8.1 mi | ★★★★★ | 11 | 0 |
| Chateau Napoleon Caring, Llc | 19.9 mi | ★★★★★ | 10 | 0 |
| Legacy Nursing And Rehabilitation Of Lafourche | 21.5 mi | ★★★★★ | 4 | 0 |
| Legacy Nursing And Rehabilitation Of Franklin | 21.5 mi | ★★★★★ | 5 | 0 |
| Audubon Health And Rehab | 22.9 mi | ★★★★★ | 2 | 0 |
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