Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Oak Woods Home For The Elderly during CMS and state inspections, most recent first.
The facility did not accurately submit required staffing information to CMS for FY Quarter 4 2024. The PBJ Staffing Report indicated several deficiencies, including a failure to submit data, a one-star staffing rating, low weekend staffing, no RN hours, and lack of 24-hour licensed nursing coverage. The administrator confirmed the former HR Director did not submit payroll-based staffing data.
A facility failed to document enteral feeding and water flushes for a resident with a PEG tube, as per physician's orders. The resident, diagnosed with adult failure to thrive, was to receive Two-Cal high nutrition tube feeding and regular water flushes. However, the medication administration record lacked documentation of these actions, which was confirmed by the DON.
The facility failed to manage respiratory equipment properly for four residents, leading to deficiencies in care. A resident with COPD had oxygen tubing that was not changed timely and was improperly stored. Another resident, dependent on staff for ADLs, had undated and improperly stored oxygen tubing. A third resident with cognitive impairment had similar issues with their oxygen equipment. Lastly, a resident with pneumonia had a nebulizer mask and tubing left uncovered. The DON confirmed these deficiencies.
The facility failed to assess three residents for bed rail entrapment risk before installation. A resident with heart disease and depression, another with muscle weakness and Alzheimer's, and a third with dementia were all affected. The DON confirmed the lack of assessments, indicating a systemic issue in ensuring resident safety.
The facility failed to provide sufficient staffing on multiple occasions, compromising resident care and safety. On specific dates, the actual hours of care provided were significantly less than required, as confirmed by the administrator. The facility's staffing data showed a one-star rating with low weekend staffing and inadequate 24-hour nursing coverage.
The facility did not post daily nurse staffing information as required. Observations showed outdated staffing sheets in a glass case at the entrance, with dates not matching the current day. The administrator confirmed the sheets were not updated daily.
A pharmacist failed to identify and report irregularities in drug regimen reviews for two residents, leading to deficiencies in monitoring for adverse effects of medications. One resident on anticoagulant and diuretic therapy was not monitored for dehydration, edema, and bleeding, while another on Clopidogrel was not monitored for bleeding. The pharmacist did not address these issues in the reviews, as confirmed by the DON.
The facility failed to monitor residents on diuretics and anticoagulants for side effects, as required by their care plans. A resident on Apixaban and Lasix was not monitored for edema or bleeding, while another on Bumetanide lacked edema checks. Additionally, two residents on blood thinners were not monitored for bleeding. The DON confirmed the absence of necessary documentation.
The facility failed to maintain cleanliness in the kitchen, with grease buildup behind the deep fryer, food splatters on the serving counter, and rust on storage shelves. Dust from a circulating fan in the walk-in refrigerator was observed, and lime scale buildup was noted on the three-compartment sink. The Dietary Manager confirmed these issues.
The facility failed to maintain an effective infection control program, as evidenced by the lack of appropriate signage for PPE on the doors of residents who were COVID positive or required Enhanced Barrier Precautions. Additionally, two residents had indwelling catheter tubing touching the floor, which was confirmed by the DON as a lapse in infection control practices.
A facility failed to provide a working call system in a public bathroom accessible to residents. The call light pull cord was wrapped around a grab bar, preventing activation if a resident needed assistance from the floor. This issue was confirmed by the Housekeeping Supervisor, who noted the cord remained unusable.
The facility failed to conduct quarterly assessments for two residents as required. A resident had their last MDS assessment completed in August 2024, and another resident's assessment was also last completed in August 2024. The DON confirmed that the assessments were not completed every 120 days, indicating non-compliance with the mandated schedule.
A resident with severe cognitive impairment and high fall risk experienced multiple falls due to inadequate supervision and failure to implement new interventions. Despite requiring assistance for mobility, the resident was left alone with the door closed, contrary to the care plan. Observations showed the resident crawling out of bed unassisted, indicating a lack of supervision.
Failure to Submit Accurate Staffing Data to CMS
Penalty
Summary
The facility failed to accurately submit mandatory direct care staffing information to the Centers for Medicare & Medicaid Services (CMS) for Fiscal Year Quarter 4 2024, covering the period from July 1 to September 30. A review of the Payroll Based Journal (PBJ) Staffing Report for this quarter revealed several deficiencies, including a failure to submit data for the quarter, a one-star staffing rating, excessively low weekend staffing, no Registered Nurse (RN) hours, and a lack of licensed nursing coverage 24 hours a day. An interview with the facility's administrator confirmed that the former Human Resources Director was not submitting the staffing information based on payroll to CMS.
Failure to Document Enteral Feeding and Water Flushes
Penalty
Summary
The facility failed to ensure appropriate treatment and services were provided to prevent potential complications from enteral feeding for a resident. Resident #7, who was diagnosed with adult failure to thrive, received enteral feedings via a percutaneous endoscopic gastrostomy (PEG) tube. The physician's orders for February 2025 specified that the resident should receive Two-Cal high nutrition tube feeding at 45 milliliters per hour from 6:00 p.m. to 6:00 a.m., and the PEG tube should be flushed with 150 milliliters of water every four hours while the feeding was not infusing from 6:00 a.m. to 6:00 p.m. However, a review of the February medication administration record revealed a lack of documentation for both the PEG tube flushes and the tube feedings. This deficiency was confirmed during an interview with the Director of Nursing, who acknowledged that there should have been documentation of the nighttime feeding and daytime water flushes in the medical record.
Improper Respiratory Equipment Management
Penalty
Summary
The facility failed to provide respiratory care consistent with professional standards for four residents, as observed through improper storage and untimely changes of respiratory equipment. Resident #2, who was cognitively intact, had oxygen tubing dated from several weeks prior, which was improperly stored with parts touching the floor and not kept in a bag. Additionally, the nebulizer equipment for this resident was not dated or stored correctly. Resident #18, who was dependent on staff for all activities of daily living, had oxygen tubing that was not dated and was improperly stored, with parts touching the floor and not kept in a bag. Resident #35, who was moderately cognitively impaired, also had oxygen tubing that was not changed in a timely manner and was improperly stored. Resident #22, who had pneumonia, had a nebulizer mask and tubing that were left uncovered and not stored in a bag, despite a storage bag being available. The Director of Nursing confirmed these deficiencies, acknowledging that the equipment should have been changed and stored properly according to professional standards.
Failure to Assess Bed Rail Entrapment Risk
Penalty
Summary
The facility failed to assess residents for the risk of entrapment from bed rails prior to their installation, affecting three residents. Resident #24, who was admitted with diagnoses including heart disease and depression, had a BIMS score indicating no cognitive impairment and was independent with bed mobility. Despite this, there was no documented evidence of an entrapment risk assessment before the installation of bilateral quarter rails, which were ordered to aid in bed mobility. Observations confirmed the presence of a bed rail on the right side of the bed, and the Director of Nursing (DON) acknowledged the lack of assessment. Similarly, Resident #27, with diagnoses such as muscle weakness and Alzheimer's disease, required extensive assistance with bed mobility and was dependent on staff for transfers. The facility's records showed no assessment for entrapment risk before the installation of a quarter bed rail, which was observed in use. Resident #18, diagnosed with dementia and dependent on staff for all activities of daily living, also had no documented entrapment risk assessment prior to the installation of bilateral quarter rails. The DON confirmed that no assessments were conducted for these residents, highlighting a systemic issue in the facility's process for ensuring resident safety regarding bed rail use.
Insufficient Staffing to Meet Resident Needs
Penalty
Summary
The facility failed to ensure sufficient staffing to meet the needs and safety of residents, compromising their rights and well-being. On three specific dates, 07/21/2024, 07/28/2024, and 08/31/2024, the facility did not provide adequate nursing and related services. The Payroll Based Journal (PBJ) staffing data for fiscal year 2024, Quarter 4, indicated a one-star staffing rating, with notably low weekend staffing and a lack of 24-hour nursing coverage. The facility's staffing patterns showed discrepancies between the hours provided and the required hours, with actual time sheets revealing even fewer hours than reported. On 07/21/2024, the facility provided 106.91 hours of care against the required 129.25 hours for 55 residents. On 07/28/2024, 76.07 hours were provided instead of the required 131.6 hours for 56 residents. On 08/31/2024, 124.02 hours were provided against the required 136.3 hours for 58 residents. Interviews with the administrator confirmed the discrepancies in staffing hours and the lack of additional documentation to account for the shortfall on these dates.
Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that the nurse staffing data was posted daily and was readily accessible to residents and visitors. On multiple occasions, observations revealed that the daily nurse staffing sheets displayed in a glass case at the front entrance were outdated. Specifically, on February 2, 2025, the staffing sheet was dated January 8, 2025, and on February 3 and 4, 2025, the sheet was dated February 1, 2025. An interview with the administrator confirmed that the daily staffing sheets were not being updated and posted as required.
Pharmacist's Failure to Report Monitoring Irregularities
Penalty
Summary
The pharmacist failed to identify and report irregularities in the drug regimen reviews for two residents, leading to deficiencies in monitoring for potential adverse effects of medications. Resident #19, who had multiple diagnoses including atrial fibrillation and heart failure, was on anticoagulant and diuretic therapy. The care plan required daily monitoring for signs of dehydration, edema, and abnormal bleeding. However, there was no documented evidence that such monitoring was conducted, and the pharmacist did not address this lack of documentation in the drug regimen reviews conducted over several months. Similarly, Resident #8, who was receiving Clopidogrel for cerebral infarction, was not monitored for bleeding as required. The pharmacist's monthly drug regimen review failed to identify this oversight. Interviews with the Director of Nursing confirmed the absence of monitoring documentation for both residents and the pharmacist's failure to report these irregularities, contributing to the deficiency in care.
Failure to Monitor Residents on Diuretics and Anticoagulants
Penalty
Summary
The facility failed to ensure that residents' medication regimens were free from unnecessary drugs by not adequately monitoring for side effects associated with diuretics and anticoagulants. Resident #19, who had multiple diagnoses including atrial fibrillation and heart failure, was on Apixaban and Lasix. The care plan required daily monitoring for edema and signs of abnormal bleeding, but there was no documented evidence of such monitoring. Similarly, Resident #2, diagnosed with edema and hypertension, was on Bumetanide, a diuretic, with a care plan that required monitoring for side effects and effectiveness every shift, yet no documentation of edema checks was found. Additionally, Resident #8, who was on Clopidogrel for cerebral infarction, and Resident #46, who was on warfarin for cerebrovascular disease, were not monitored for bleeding as required. Interviews with the Director of Nursing confirmed the lack of documentation for monitoring these residents for bleeding. These oversights in monitoring for potential side effects of medications indicate a failure to adhere to the care plans and physician orders, leading to the deficiency noted in the report.
Deficiency in Kitchen Cleanliness and Food Safety Standards
Penalty
Summary
The facility failed to maintain cleanliness and adhere to professional standards for food service safety in the kitchen. During an initial tour, surveyors observed a significant grease buildup behind and underneath the deep fryer, as well as splattered food on the wall and glass in front of the serving counter where resident meal trays were prepared. Additionally, rust and food particles were found on the storage shelf beneath the serving counter. Inside the walk-in refrigerator, dust and dirt buildup on the circulating fan had resulted in dust being blown onto the ceiling and wall opposite the fan. Furthermore, the three-compartment sink exhibited what appeared to be a lime scale buildup on its top. These observations were confirmed during a subsequent interview with the Dietary Manager, who acknowledged the need for cleaning in these areas.
Inadequate Infection Control and Signage for PPE
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the lack of appropriate signage on the doors of residents who were COVID positive or required Enhanced Barrier Precautions (EBP). Specifically, four residents did not have signage indicating the specific personal protective equipment (PPE) required for staff and visitors. For instance, Resident 43, who tested positive for COVID, did not have any signage on their door to alert staff and visitors of the necessary PPE. Similarly, Resident 154, who had an indwelling catheter, lacked signage for EBP, and Resident 47, also COVID positive, had inadequate signage that failed to specify PPE requirements. Additionally, the facility did not ensure that indwelling catheter tubing was kept off the floor for two residents. Resident 154 was observed with catheter tubing touching the floor, and Resident 35 had both the catheter tubing and bag in contact with the floor. These observations were confirmed by the Director of Nursing, who acknowledged that the catheter tubing and bags should not have been allowed to touch the floor, indicating a lapse in infection control practices.
Inaccessible Call Light in Public Bathroom
Penalty
Summary
The facility failed to ensure that a working call system was available in a public bathroom accessible to residents, which is necessary for residents to call for staff assistance from toileting facilities. During an observation on February 2, 2025, at 8:30 a.m., it was noted that the call light pull cord in the bathroom near the chapel was wrapped several times around a grab bar, preventing it from being activated if a resident needed assistance from the floor. This issue persisted as confirmed by an observation and interview with the Housekeeping Supervisor on February 3, 2025, at 8:10 a.m., who verified that the pull cord remained wrapped around the grab bar, rendering it unusable for residents in need of help.
Failure to Conduct Timely Quarterly Assessments
Penalty
Summary
The facility failed to conduct quarterly assessments for two residents, as required by regulations. Resident #46 was admitted to the facility and remained an active resident, with the last quarterly Minimum Data Set (MDS) assessment completed on August 26, 2024. Similarly, Resident #36, also an active resident, had their most recent quarterly MDS assessment completed on August 14, 2024. During an interview on February 3, 2025, the Director of Nursing confirmed that the MDS quarterly assessments were not completed every 120 days for these residents, indicating a lapse in the facility's compliance with the mandated assessment schedule.
Failure to Implement Fall Prevention Interventions
Penalty
Summary
The facility failed to ensure adequate supervision and implementation of new interventions to prevent falls for a resident with severe cognitive impairment and a high risk for falls. The resident, who had a Brief Interview for Mental Status (BIMS) score of 7, indicating severe cognitive impairment, required two-person assistance for bed mobility and transfers, and one-person assistance for toilet use. Despite being assessed as high risk for falls, the resident experienced two falls within a short period, one of which resulted in a head injury. The interventions following these falls were inadequate, as they did not include new measures to prevent further incidents. Observations revealed that the resident was left alone in the room with the door closed, contrary to the intervention of leaving the door open for ease of monitoring. The resident was also observed crawling out of bed onto a floor mattress and then getting back into bed unassisted, indicating a lack of supervision. The Director of Nursing confirmed that the intervention to leave the door open was not followed, highlighting a failure in implementing and adhering to the care plan designed to prevent falls.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
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What surveyors actually found near you
We read the 67 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
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Mer Rouge
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Legrand Healthcare And Rehabilitation Center | 4.8 mi | ★★★★★ | 1 | 0 |
| Cherry Ridge | 5.1 mi | ★★★★★ | 0 | 0 |
| Lagniappe Healthcare | 5.4 mi | ★★★★★ | 4 | 0 |
| Avalon Place | 20.8 mi | ★★★★★ | 9 | 0 |
| Colonial Manor Nursing & Rehabilitation Home | 21.6 mi | ★★★★★ | 10 | 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.