Below average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Metairie Health Care Center during CMS and state inspections, most recent first.
Missed Scheduled Pain Medication: A resident on hospice with a scheduled opioid/APAP order for pain did not receive multiple doses because an LPN documented the resident was asleep. The resident was later observed yelling for the nurse and reporting leg and back pain. The eMAR and progress notes showed no other documented reason for holding the doses, and the DON confirmed the medication was ordered to be given four times daily regardless of sleep status.
Narcotic logs for a resident’s hydrocodone-acetaminophen were not accurately reconciled, with an LPN documenting the same dose twice and conflicting remaining counts. The resident also did not have the ordered pain medication available when due, despite one tablet being observed earlier; later notes stated the med was out and waiting on hospice pharmacy, and the DON confirmed it should have been available.
Unlabeled Opened Food Items in Cooler #1: Surveyors observed several opened food items in Cooler #1, including shredded lettuce, a bag of shredded substance, and sliced ham, without an opened or discard date. The Dietary Manager and Administrator acknowledged that previously opened food packages in the cooler should have been labeled with an opened, use-by, or discard date.
Inaccurate Controlled Substance Documentation: An LPN documented administration of Hydrocodone-Acetaminophen on the eMAR, but the corresponding narcotic and controlled drug record did not show those doses. The DON confirmed the records did not match, and the LPN stated one documented dose was not actually administered and the eMAR entry was incorrect.
The facility failed to provide a timely NOMNC to a resident or the responsible party before Medicare Part A skilled services ended. Therapy discharge records showed the resident had reached the highest practical level and services had ended, but the NOMNC was not signed until after the coverage end date. Social Services and the DON both stated the notice should have been completed before services stopped.
A resident's tube feeding pump and pole were repeatedly observed with a dried beige substance covering the equipment. An LPN, the DON, and the Administrator all confirmed the pump and pole should have been cleaned and should not have had the substance on them.
A review of personnel records and staff interviews revealed that several CNAs did not receive effective communication training since their hire. The CNA supervisor confirmed that such training was not part of orientation or in-service programs, and the DON verified the lack of training for these staff members.
Mandatory QAPI training was not provided to direct care staff, as confirmed by personnel records and staff interviews. Five CNAs had no documentation of receiving QAPI training since hire, and both the CNA Supervisor and DON acknowledged that this training was not included in orientation or in-service sessions.
The facility did not include direct care staff, a resident, or a resident representative in the development of its facility-wide assessment. Documentation and interviews confirmed that an RN, LPN, CNA, a resident, and a resident representative were not involved in the assessment process.
An LPN did not wear gloves or perform hand hygiene as required during PEG tube dressing changes for a resident on Enhanced Barrier Precautions. The LPN handled the dressing and performed site care without proper PPE and failed to wash hands at key points, despite clear facility policies and signage. The DON confirmed these lapses in infection control practices.
The facility did not include the daily census in the posted nurse staffing information at the start of a shift, as required. This was confirmed by both a CNA Supervisor and the Administrator, who was unaware of the requirement.
An LPN left a computer unattended in a hallway with a resident's private medical information visible on the screen while administering medication. Both the LPN and the DON confirmed that the screen should have been locked to protect the resident's confidentiality, and acknowledged this was a HIPAA violation.
Two residents and their representatives were not provided with a summary of the Baseline Care Plan within 48 hours of admission. Although the Baseline Care Plans were completed, there was no documentation or signatures to confirm that the summaries were given, and both residents and the DON confirmed in interviews that the required information was not provided.
Two residents did not have their comprehensive care plans prepared by a full interdisciplinary team, as required. In both cases, only the social worker, MDS coordinator, and in one instance, the rehab director or a resident representative, participated. There was no documentation that the residents, their representatives, or other required IDT members, such as the attending physician, were involved or invited. Staff confirmed that physicians and other designated providers did not participate in care plan preparation.
The facility failed to supervise residents identified as unsafe smokers, leading to multiple instances where residents were found with smoking materials and without required safety devices. A resident with moderate cognitive impairment was observed smoking unsupervised, without a smoking apron, and in possession of a lighter and cigarettes. Staff interviews revealed a lack of awareness and enforcement of safety measures for these residents.
The facility failed to implement its smoking policy effectively, resulting in an Immediate Jeopardy situation when a resident identified as an unsafe smoker was found smoking alone, unsupervised, and in possession of smoking materials. The staff had not been educated on the smoking policy, and the administrator acknowledged responsibility for ensuring smoker safety and policy adherence.
A facility failed to report a resident-to-resident physical abuse incident to the Statewide Incident Management System within the required timeframe. The incident involved a resident entering another resident's room and physically assaulting her. Despite internal reporting to the DON and Administrator, there was no evidence of the incident being reported to the SIMS as required by policy.
A facility failed to investigate an abuse allegation and provide increased supervision after a resident reported being punched by another resident. Despite policy requirements, there was no evidence of a thorough investigation or immediate increased supervision. Visual checks for the involved resident began days later, but no immediate action was taken. Interviews confirmed the lack of documentation and acknowledgment of the oversight.
The facility failed to ensure staff competency in managing unsafe smoking behaviors for three residents identified as unsafe smokers. Observations revealed a resident with impaired cognition was unsupervised with smoking materials, contrary to policy requirements. Interviews indicated staff were unaware of the smoking policy and specific interventions needed for these residents. The administrator confirmed the lack of staff training and policy enforcement.
A facility failed to administer a pneumonia vaccine to a resident despite having obtained consent from the resident's Responsible Party. The medical record showed that consent was signed, but there was no documentation of the vaccine being administered. The DON confirmed the vaccine was not given.
A resident with severe cognitive impairment entered another resident's room and physically assaulted her while she was asleep, despite the facility's zero-tolerance policy for abuse. The incident was reported to the ADON and DON shortly after it occurred, highlighting a failure in protective measures.
A facility failed to properly label an enteral feeding bag for a resident with dysphagia and gastrostomy status. Observations revealed that the feeding and flush bags lacked necessary information such as the resident's name, date and time of initiation, and infusion rate. Staff interviews confirmed the oversight, acknowledging that the bags should have been labeled according to facility policy.
The facility failed to maintain accurate records of controlled drugs for two medication carts, as required by their policy. Missing signatures were found on the controlled drugs-count records for several shifts, indicating a lapse in adherence to the facility's procedures. Staff interviews confirmed these discrepancies, highlighting a failure to ensure the accuracy and security of controlled substances.
A facility failed to monitor a resident's drug regimen for unnecessary medications, specifically Prozac and Buspirone, prescribed for major depressive disorder and anxiety. There was no documented evidence of side-effect or behavior monitoring on several occasions in December 2024. Interviews with the ADON and DON confirmed the lack of documentation, indicating a failure to ensure proper monitoring of the resident's condition and response to medications.
A resident's urinalysis, ordered to investigate aggressive behavior, was delayed by five days, and treatment for a UTI was not initiated until three days after results were available. The DON acknowledged the sample should have been collected and treatment started sooner.
A resident with moderate cognitive impairment reported dissatisfaction with the taste of meals at the facility. Surveyors observed that an alternate meal was not palatable, with lukewarm mashed potatoes and gravy, a thin cod fish patty mostly consisting of breading, and mushy steamed broccoli. The Dietary Manager acknowledged the issues with the meal's palatability and temperature.
The facility failed to label opened food products with dates and maintain kitchen equipment in a sanitary condition. Eight food items were found without open dates, and there was grease buildup on kitchen equipment. The Dietary Manager acknowledged these issues, which are against the facility's policies.
The facility failed to ensure proper hand hygiene between assisting two residents with meals and did not maintain proper handling of a urinary catheter for a resident, as the tubing and collection bag were observed on the floor. These deficiencies were confirmed by staff and violated the facility's infection prevention policies.
The facility failed to adhere to its employment screening policies by hiring a CNA with a charge of aggravated assault with a firearm, a disqualifying offense under state regulations. The facility's policy required pre-employment screenings and barred employment for individuals with certain felony convictions. Despite this, the CNA was hired without documented evidence of a charge disposition, as confirmed by the DON.
A medication room was left unlocked and unattended for over an hour, with a door stop keeping it open. The ADON placed the door stop and left the room, which contained medications, unsecured. The DON and Administrator confirmed the deficiency.
Missed Scheduled Pain Medication
Penalty
Summary
The facility failed to ensure a resident received scheduled pain medication as ordered. Resident #2, who had been admitted to hospice services and had an order for Hydrocodone-Acetaminophen 5-325 mg by mouth four times daily for unspecified pain, was documented on the MDS as being on a scheduled pain management regimen and had a plan of care that included comfort measures and administering pain medications as ordered. During observation, the resident was yelling for the nurse and stated that his legs and back were hurting. Review of the eMAR showed that an LPN did not administer the resident’s scheduled Hydrocodone-Acetaminophen at 8:00 PM on 12/09/2025 and 12/15/2025 because the resident was asleep, and did not administer the 6:00 AM dose on 12/16/2025 for the same reason. Nursing progress notes did not document any other reason the medication was not given. An LPN stated that scheduled pain medications ordered four times daily should be administered as ordered, even if the resident is asleep, unless there is another reason not to give them. The DON confirmed the medication should have been administered four times daily regardless of sleep status and stated that if medications were held due to oversedation or side effects, the nurse should have documented the changes observed and contacted the physician.
Narcotic Count Discrepancy and Missing Pain Medication
Penalty
Summary
Pharmaceutical services were not provided to meet the needs of Resident #2 because the facility failed to accurately reconcile narcotic logs and failed to ensure hydrocodone-acetaminophen was available as ordered. Review of the facility’s controlled drug policy showed controlled drug counts were to be recorded on narcotic records and signed for correctness, and discrepancies were to be investigated by checking resident orders and charting. However, the narcotics and controlled drug records for Resident #2 showed conflicting documentation for hydrocodone-acetaminophen 5-325 mg, with S14 LPN documenting administration of 1 tablet at 9:00 PM on 12/07/2025 in two separate records, one showing 0 tablets remaining and another showing 26 tablets remaining. The DON stated she could not explain the discrepancy and confirmed the narcotic sheet should have been reconciled accurately. Resident #2 also did not have hydrocodone-acetaminophen available for administration when needed. Observation of the medication card showed 1 tablet remaining, while the narcotics and controlled drug record indicated 0 remaining tablets. The eMAR showed scheduled doses due at 5:00 PM and 8:00 PM on 12/16/2025 and 6:00 AM on 12/17/2025, but nursing documentation stated the medication was not available and was waiting on hospice pharmacy. An LPN confirmed the tablet was available earlier, then later documented it was out, and the DON confirmed the medication was not available when it should have been and stated nurses were responsible for notifying hospice when refills were needed.
Unlabeled Opened Food Items in Cooler #1
Penalty
Summary
The facility failed to ensure that all opened food items in Cooler #1 were labeled with an opened date and/or discard date. During kitchen observation, surveyors found one large package of shredded lettuce that was greenish brown in color, one large bag of white shredded substance, and a 2.5 pound bag of sliced ham opened without any opened or discard date documented. Review of the 2022 United States Food and Drug Administration Food Code showed that commercially processed food prepared and packaged by a food processing plant must be clearly marked when the original container is opened and, if held for more than 24 hours, must indicate the date or day by which it should be consumed, sold, or discarded. The Dietary Manager stated that the food packages should have had an opened and/or discard date written on the outside of the packages, and the Administrator stated that previously opened food packages or containers in Cooler #1 should be labeled with an opened or use by or discard date.
Inaccurate Controlled Substance Documentation
Penalty
Summary
The facility failed to maintain accurate documentation of the electronic medication administration record (eMAR) and the narcotic and controlled drug records for one resident. Review of the resident’s December 2025 eMAR showed that an LPN documented administration of Hydrocodone-Acetaminophen 5-325 mg at 8:00 PM on 12/10/2025, 12/13/2025, and 12/14/2025, and at 5:00 PM on 12/16/2025. However, review of the resident’s Hydrocodone-Acetaminophen 5-325 mg narcotic and controlled drugs record showed no evidence that those doses were documented on the narcotic record. During interview, the DON stated the eMAR and narcotic and controlled drug record did not match and the documentation was not accurate. The LPN later stated she did not administer the Hydrocodone-Acetaminophen dose on 12/16/2025 at 5:00 PM and that the eMAR documentation for that dose was incorrect.
Late NOMNC for Medicare Part A Discontinuation
Penalty
Summary
The facility failed to issue a Notice of Medicare Non-Coverage (NOMNC) to Resident #46 or the resident’s responsible party before Medicare Part A skilled nursing facility services ended. Review of the NOMNC showed the coverage end date was 10/30/2025 and that it was signed by Resident #46 on 10/30/2025. However, the resident’s Physical Therapy Discharge Summary showed therapy ended on 09/30/2025 because the resident had achieved the highest practical level. In interviews, Social Services stated the NOMNC should have reflected a service end date of 09/30/2025 and should have been signed no later than 09/28/2025, and the DON stated the NOMNC should have been signed prior to the end of services, but it was not.
Unsanitary Tube Feeding Pump and Pole
Penalty
Summary
The facility failed to maintain Resident #1's tube feeding pump and the pump pole in a sanitary manner. On three separate observations, the tube feeding pump and the bottom of the pole were seen covered with a dried beige substance. During interviews, the LPN stated the pump and pole should have been cleaned and should not have had the dried beige substance on them. The DON confirmed the pump and pole should have been cleaned daily and should not have had the dried beige substance on them, and the Administrator also stated the pump and pole should not have had the dried beige color substance on them and should have been cleaned.
Failure to Provide Effective Communication Training to Direct Care Staff
Penalty
Summary
The facility failed to provide effective communication training to direct care staff, as evidenced by personnel record reviews and staff interviews. Five certified nursing assistants (CNAs) with varying hire dates, ranging from 2011 to 2025, did not receive any effective communication training since their employment began. The CNA supervisor, responsible for new hire orientation, confirmed that effective communication training was not included in orientation or in-service training. The Director of Nursing also confirmed that these CNAs had not received the required training. These findings were based on interviews and record reviews, with no evidence of effective communication training documented for the sampled staff.
Failure to Provide QAPI Training to Direct Care Staff
Penalty
Summary
The facility failed to provide mandatory Quality Assurance and Performance Improvement (QAPI) training to all direct care staff, as evidenced by record reviews and staff interviews. Personnel records for five Certified Nursing Assistants (CNAs) with varying hire dates showed no documentation of QAPI training since their employment began. The CNA Supervisor, responsible for new hire orientation, confirmed that QAPI training was not included in orientation or in-service education. The Director of Nursing also verified that these staff members had not received QAPI training.
Lack of Involvement in Facility Assessment Development
Penalty
Summary
The facility failed to ensure that its facility-wide assessment included active involvement from direct care staff, residents, and residents' representatives in its development. Review of the facility assessment revealed that a resident, a resident representative, and direct care staff—including an RN, LPN, and CNA—were not included in the assessment process. During an interview, the administrator confirmed there was no documentation showing participation from these individuals in the development of the assessment.
Failure to Follow PPE and Hand Hygiene Protocols During PEG Tube Care
Penalty
Summary
Staff failed to follow infection prevention and control protocols during the care of a resident with a percutaneous endoscopic gastrostomy (PEG) tube who was on Enhanced Barrier Precautions (EBP). Facility policy required staff to wear gloves during high-contact care activities for residents with indwelling medical devices and to perform hand hygiene before and after direct resident contact, handling invasive devices, and after removing gloves. Despite these requirements, an LPN entered the resident's room without gloves, removed the PEG tube dressing with bare hands, and only applied gloves after this step without performing hand hygiene. The LPN then cleaned the PEG tube site, removed gloves, and redressed the site with ungloved hands, again failing to perform hand hygiene. The EBP signage on the resident's door clearly indicated that gloves were required for feeding tube care. Both the LPN and the Director of Nursing confirmed that proper glove use and hand hygiene were not followed during the procedure. The resident involved had an active order for PEG tube site care and was on EBP with specific interventions for staff to wear gloves.
Failure to Post Complete Nurse Staffing Information
Penalty
Summary
The facility failed to post the required nurse staffing information at the beginning of each shift, as mandated. On one of the two days observed, the posted nurse staffing information did not include the facility's daily census. This omission was confirmed during an observation and through interviews with the CNA Supervisor and the Administrator, both of whom acknowledged that the daily census should have been included in the posted information. The Administrator also indicated he was unaware of this requirement.
Resident Medical Information Left Visible on Unattended Computer
Penalty
Summary
During a medication pass, a Licensed Practical Nurse (LPN) left a computer unattended in the hallway with the screen visibly displaying a resident's private medical information. This occurred when the LPN stepped away from the computer to administer medication in the resident's room. The facility's policy, which aligns with federal and state laws, requires the privacy and confidentiality of all residents' medical records to be maintained. Both the LPN and the Director of Nursing (DON) confirmed that the computer screen should have been locked to prevent unauthorized access to the resident's information, and acknowledged that leaving the screen unattended constituted a violation of the Health Insurance Portability and Accountability Act (HIPAA).
Failure to Provide Baseline Care Plan Summaries to Residents and Representatives
Penalty
Summary
The facility failed to provide a Baseline Care Plan summary to two residents and their representatives within 48 hours of admission, as required. For one resident with severe cognitive impairment, the Baseline Care Plan was completed on the day of admission, but there was no documentation that the summary was provided to either the resident or their representative. The signature and date boxes for both the resident and representative were left unsigned and undated, and the facility could not produce any evidence that the summary had been given. The resident's representative confirmed in a telephone interview that they had not received the Baseline Care Plan summary. Similarly, for another resident who was cognitively intact, the Baseline Care Plan was completed on the admission date, but again, there was no documentation that the summary was provided to the resident or their representative. The required signature and date boxes were not completed, and both the resident and the DON confirmed in interviews that the summary had not been provided. The facility was unable to present any documentation to show that the Baseline Care Plan summaries were given to either resident or their representatives.
Failure to Include Required Interdisciplinary Team Members in Care Plan Preparation
Penalty
Summary
The facility failed to ensure that comprehensive care plans were prepared by a complete interdisciplinary team (IDT) for two of three residents reviewed. For one resident with severe cognitive impairment, the care plan meeting was attended only by the social worker, MDS coordinator, and rehab director, with no documented evidence that the resident, their representative, or other required IDT members participated or were invited. The resident's representative confirmed not being given the opportunity to attend or participate in the care plan preparation. For another resident who was cognitively intact, the care plan meeting included only the social worker, MDS coordinator, and the resident's representative, with no documentation that the resident or other required IDT members were involved or invited. The resident stated she was not given the opportunity to participate in her care plan preparation. Multiple staff interviews confirmed that attending physicians and other designated providers did not participate in the preparation of individual comprehensive care plans, and there was no documentation to show their involvement.
Failure to Supervise Unsafe Smokers
Penalty
Summary
The facility failed to ensure that residents with a history of unsafe smoking were using safety smoking devices and were supervised while smoking. This deficiency was observed in three residents who were identified as unsafe smokers. Resident #31, who had moderate cognitive impairment, was observed smoking without a smoking apron and without staff supervision, despite his care plan requiring these safety measures. The facility's policy required that unsafe smokers not have smoking paraphernalia in their possession and be supervised while smoking, but this was not enforced. Resident #31 was observed multiple times with burn holes in his shirt and in possession of a lighter and cigarettes, indicating a lack of supervision and adherence to his care plan. Interviews with staff revealed a lack of awareness regarding Resident #31's status as an unsafe smoker and the necessary precautions. Similarly, Resident #15 was found with cigarettes in his possession, contrary to his care plan, which required supervision and the use of a smoker's apron. Staff interviews indicated a lack of awareness of Resident #15's unsafe smoking status. Resident #53, who was cognitively intact, was also identified as an unsafe smoker requiring supervision and a smoker's apron. However, he was found with smoking materials in his possession, and staff interviews confirmed that he should not have had these items. The facility failed to maintain a list of unsafe smokers at the nurses' station, and administrative staff were aware of the lack of supervision and enforcement of safety measures for these residents.
Failure to Implement Smoking Policy Leads to Immediate Jeopardy
Penalty
Summary
The administrative staff at the facility failed to effectively implement the smoking policy and procedures for monitoring and supervision, leading to a deficiency in ensuring the safety of residents identified as unsafe smokers. Specifically, Resident #31, who was on the unsafe smoker list, was observed smoking alone on the smoking patio, in possession of a cigarette and a lighter, and without wearing a smoker's apron or being supervised. This incident occurred despite the facility's policy requiring that residents who continue to smoke be assessed for safety and that designated smoking areas be enforced by the administrator. Interviews revealed that the facility's staff had not been educated on the smoking policy prior to the incident. The S1Administrator acknowledged responsibility for ensuring the safety of smokers and adherence to the facility's smoking policy. The lack of oversight and failure to implement the smoking policy resulted in an Immediate Jeopardy situation, as it posed a likelihood of more than minimal harm to the residents identified as unsafe smokers.
Failure to Timely Report Resident-to-Resident Abuse
Penalty
Summary
The facility failed to report an allegation of physical abuse involving two residents to the Statewide Incident Management System (SIMS) within the required two-hour timeframe. The incident involved Resident #62 entering Resident #5's room and physically assaulting her by punching her in the face while she was asleep. This incident was documented in Resident #5's progress notes and an undated Resident Incident Report, which indicated that Resident #62 had propelled his wheelchair into Resident #5's room and assaulted her. Despite the incident being reported internally to the Director of Nursing (DON) and subsequently to the Administrator, there was no documented evidence that the incident was reported to the SIMS as required by the facility's policy. The Administrator, who was the only staff member authorized to input incidents into the SIMS, failed to provide evidence of such a report being made. This lack of timely reporting constitutes a deficiency in the facility's adherence to its abuse, neglect, and misappropriation of funds program policy.
Failure to Investigate and Supervise After Resident-to-Resident Abuse
Penalty
Summary
The facility failed to conduct a thorough investigation following an allegation of abuse involving two residents. Resident #5 reported being punched in the face by Resident #62 while asleep. Despite the facility's policy requiring immediate investigation and documentation of such incidents, there was no evidence that the Director of Nursing or Administrator conducted a thorough investigation on the date of the incident. The facility's Resident Incident Report lacked documentation indicating whether the allegation was found to be valid or invalid, and there was no 24-hour follow-up recorded. Additionally, the facility did not provide increased supervision for Resident #62 after the incident, as required by their policy in cases of resident-to-resident abuse. Although visual checks for Resident #62 were documented starting several days after the incident, there was no immediate action taken to monitor or separate the involved resident. Interviews with the Director of Nursing and the Administrator confirmed the absence of documented evidence for both the investigation and the increased supervision, acknowledging that these steps should have been completed.
Failure to Ensure Staff Competency in Managing Unsafe Smoking
Penalty
Summary
The facility failed to ensure that staff demonstrated competency in assessing and managing unsafe smoking behaviors for three residents identified as unsafe smokers. The facility's policy required that residents identified as unsafe smokers should not have smoking paraphernalia in their possession and should be supervised while smoking. However, observations revealed that Resident #31, who had moderately impaired cognition and was identified as an unsafe smoker, was found unsupervised with smoking materials and without a required smoker's apron on multiple occasions. Additionally, there was no documented evidence of a list of unsafe smokers at the nurses' station. Interviews with staff members, including the Director of Nursing and Certified Nursing Assistants, indicated a lack of training and awareness regarding the facility's smoking policy and the specific needs of residents identified as unsafe smokers. Staff members were unaware of the interventions required for these residents, such as the need for supervision and the use of a smoker's apron. This lack of training and awareness contributed to the failure to enforce the facility's smoking policy effectively. The facility's administrator confirmed that the responsibility for ensuring staff education and training on the unsafe smoking policy was not fulfilled. The administrator acknowledged that staff training and education were not implemented, and the policy was not enforced as required. This deficiency in staff competency and policy enforcement led to residents being unsafely exposed to smoking materials, contrary to the facility's established procedures.
Failure to Administer Pneumonia Vaccine
Penalty
Summary
The facility failed to ensure that a pneumonia vaccine was administered to a resident, despite having obtained consent from the resident's Responsible Party (RP). The medical record of the resident indicated that the RP signed a consent form on January 10, 2024, authorizing the administration of the pneumonia vaccine. However, there was no documented evidence that the vaccine was administered as per the consent. During an interview on December 17, 2024, the Director of Nursing (DON) confirmed that the pneumonia vaccine had not been administered to the resident after the consent was signed.
Resident-to-Resident Physical Abuse Incident
Penalty
Summary
The facility failed to protect a resident's right to be free from resident-to-resident physical abuse. The incident involved two residents, one with a cognitive mental status and the other with severe cognitive impairment. The resident with severe cognitive impairment entered the room of the other resident and physically assaulted her while she was asleep. This incident was documented in the progress notes of both residents, with the assaulted resident reporting being punched in the face and verbally abused. The facility's Abuse, Neglect, and Misappropriation of Funds Program, which emphasizes zero tolerance for abuse, was not effectively implemented in this case. The incident was reported to the Assistant Director of Nursing and the Director of Nursing via text messages shortly after it occurred. Despite the facility's commitment to ensuring the safety and well-being of residents, the abuse occurred, indicating a lapse in the protective measures that should have been in place to prevent such incidents.
Failure to Label Enteral Feeding Bags
Penalty
Summary
The facility failed to ensure proper labeling of an enteral feeding bag for a resident with dysphagia and gastrostomy status. The resident was readmitted to the facility with specific physician orders for enteral feeding via a PEG tube. The facility's policy required that formula bottles and bags be labeled with the resident's name, date and time of initiation, and rate of administration. However, observations on multiple occasions revealed that the enteral feeding bag and free water flush bag for the resident were not labeled with the required information, including the date and time administered, the resident's name, and the infusion rate. Interviews with staff, including an LPN and the Director of Nursing, confirmed the lack of labeling on the enteral feeding and free water flush bags. The staff acknowledged that the bags should have been labeled according to the facility's policy. Despite the facility's procedures, the deficiency persisted over several days, as observed by surveyors, indicating a failure to adhere to established protocols for enteral feeding management.
Failure to Maintain Accurate Controlled Drug Records
Penalty
Summary
The facility failed to maintain accurate records of controlled drugs for two medication carts, Medication Cart a and Medication Cart b, as required by their Controlled Drug Policy and Procedure. This policy mandates that controlled drugs be counted and recorded by the nurse coming on duty and the nurse going off duty at the end of each shift. However, the review of the December 2024 Controlled Drugs-Count Record for Medication Cart a revealed missing signatures for several shifts, specifically on 12/01/2024, 12/16/2024, 12/17/2024, and 12/18/2024. Similarly, Medication Cart b had an incomplete reconciliation on the shift of 12/17/2024. Interviews with staff confirmed these discrepancies. An LPN acknowledged the missing signatures on the controlled drugs-count record for the specified dates for Medication Cart a. The Director of Nursing also confirmed the absence of required signatures for both Medication Cart a and Medication Cart b on the noted dates. These lapses indicate a failure to adhere to the facility's policy for controlled drug reconciliation, which is crucial for ensuring the accuracy and security of controlled substances within the facility.
Failure to Monitor Resident's Medication Side Effects and Behaviors
Penalty
Summary
The facility failed to adequately monitor a resident's drug regimen for unnecessary medications, specifically focusing on antidepressants and anti-anxiety medications. Resident #346, who was admitted with diagnoses of major depressive disorder and anxiety, was prescribed Prozac and Buspirone. However, there was no documented evidence of side-effect monitoring for these medications on specific dates in December 2024, particularly during night shifts. This lack of documentation indicates that the facility did not ensure proper monitoring of the resident's response to these medications. Additionally, the facility did not document behavior monitoring for Resident #346 on several occasions throughout December 2024, across various shifts. Interviews with the Assistant Director of Nursing and the Director of Nursing confirmed the absence of documented evidence for both behavior and side-effect monitoring during the specified times. This deficiency highlights a failure in the facility's responsibility to monitor and document the resident's condition and response to prescribed medications, which is crucial for ensuring the resident's safety and well-being.
Delay in Urinalysis Collection and Treatment Initiation
Penalty
Summary
The facility failed to ensure timely collection and processing of a urinalysis for a resident, which was ordered to investigate aggressive behavior potentially linked to a urinary tract infection (UTI). A physician's order for a urinalysis with culture and sensitivity was placed on December 5, 2024, but the urine sample was not collected until December 10, 2024. The Director of Nursing (DON) acknowledged that the sample should have been obtained on the day the order was made, December 5, 2024, but could not explain the delay. The laboratory results, which confirmed a UTI, were available on December 13, 2024, but the resident did not begin receiving the prescribed antibiotic treatment until December 16, 2024. The DON indicated that the physician should have been notified, and treatment should have commenced on December 13, 2024, when the results were received. This delay in both obtaining the sample and initiating treatment represents a failure to follow timely medical orders, potentially impacting the resident's health and well-being.
Deficiency in Food Quality and Temperature
Penalty
Summary
The facility failed to ensure that food was palatable and served at an appetizing temperature, as observed during a survey. A resident with moderate cognitive impairment expressed dissatisfaction with the taste of the food, stating that both the main and alternate meals were unappealing. During an observation, surveyors tasted an alternate meal and found the mashed potatoes and gravy to be lukewarm to room temperature, the cod fish patty to be thin and mostly breading, and the steamed broccoli to be soft and mushy. The Dietary Manager acknowledged that the alternate lunch tray was not palatable and not served at an acceptable temperature.
Deficiency in Food Labeling and Kitchen Sanitation
Penalty
Summary
The facility failed to ensure proper labeling and dating of opened food products, as observed during a survey. Eight food items, including jelly, peanut butter, various spices, and mustard, were found opened without any indication of the date they were opened. This lack of labeling is contrary to the facility's policy, which requires all foods to be labeled with the date they were prepared or opened, the use-by date, and product identification. The absence of such labeling poses a potential risk for foodborne illness, especially for individuals with weakened immune systems. Additionally, the facility did not maintain kitchen cooking equipment in a clean and sanitary condition. Observations revealed a clear to yellow thick substance buildup on the edges of the standing fryer, as well as on the sides of the stove and oven adjacent to the fryer. The Dietary Manager acknowledged the presence of grease buildup and confirmed that the equipment should have been kept in a sanitary manner, indicating a failure to adhere to the facility's standards for cleanliness and food safety.
Inadequate Hand Hygiene and Catheter Care
Penalty
Summary
The facility failed to ensure proper hand hygiene practices were followed by staff when assisting residents with meals. Specifically, a Certified Nursing Assistant (CNA) was observed assisting two residents with their meals without performing hand hygiene in between. This was confirmed by the CNA, a Licensed Practical Nurse, and the Director of Nursing, all acknowledging that hand hygiene should have been performed between assisting residents with meals. The facility's policy from 2009 emphasizes hand hygiene as the primary means to prevent the spread of infections, indicating a clear deviation from established protocols. Additionally, the facility did not maintain proper handling of an indwelling urinary catheter for a resident. The resident's urinary catheter tubing and collection bag were observed lying on the floor on multiple occasions. This was confirmed by the Director of Nursing and the Administrator, who both acknowledged that the catheter tubing and bag should not have been on the floor. The resident had hospice admission orders for a Foley catheter due to urinary retention or incontinence, highlighting the importance of maintaining proper catheter care to prevent infections.
Failure to Adhere to Employment Screening Policies
Penalty
Summary
The facility failed to ensure that a staff member with a charge that barred employment was not allowed to work without a final disposition of the charge. Specifically, the facility's policy for Abuse, Neglect, and Misappropriation of Funds required pre-employment screenings to be completed on all potential employees before offering a position. The policy also stated that employment offers would not be made to individuals with felony convictions listed in state regulations. However, the facility hired a Certified Nursing Assistant (CNA) with a charge of aggravated assault with a firearm, which is a disqualifying offense under Louisiana R.S. 40:1203.3. The personnel record of the CNA revealed a hire date and a completed criminal background check, which showed an arrest for aggravated assault with a firearm. Despite this, there was no documented evidence of a disposition for the charge, and the facility did not provide any such evidence. During an interview, the Director of Nursing confirmed the CNA had a charge that barred employment and acknowledged the lack of a disposition for the charge. This oversight indicates a failure to adhere to the facility's own policies and state regulations regarding the employment of individuals with certain criminal charges.
Medication Room Left Unlocked and Unattended
Penalty
Summary
The facility failed to ensure that a medication room was locked when unattended, which is a violation of the requirement to store drugs and biologicals securely. On the morning of October 8, 2024, the door to Medication Room a was observed to be open and unattended, with a door stop placed at the base of the door. This room contained individual cubby areas with medications. Video surveillance confirmed that the Assistant Director of Nursing entered the room at 9:55 a.m., placed the door stop, and left the room at 10:02 a.m., leaving the door open and unattended until 11:35 a.m. The Director of Nursing and the Administrator confirmed the situation during an interview.
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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 Metairie
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Waldon Health Care Center | 1.6 mi | ★★★★★ | 6 | 0 |
| East Jefferson General Hospital - Snf | 2 mi | ★★★★★ | 3 | 0 |
| Colonial Oaks Living Center | 2 mi | ★★★★★ | 6 | 0 |
| St Anthony Community Care Center | 2.5 mi | ★★★★★ | 9 | 0 |
| Chateau Living Center | 2.8 mi | ★★★★★ | 4 | 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.