Above average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Old Brownlee Community Care Center during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and on oxygen therapy did not receive a required quarterly Safe Smoking Assessment, as mandated by facility policy. The resident was observed with cigarettes and a lighter at bedside while receiving oxygen, and staff confirmed the resident was considered an unsafe smoker who should not have had access to smoking materials. The omission of the assessment and failure to secure smoking items were acknowledged by staff and the resident's responsible party.
A resident with impaired cognition and multiple diagnoses was observed using bed side rails for mobility and repositioning without a physician's order or inclusion of the intervention in the care plan. Staff interviews confirmed the absence of required documentation and care planning for the use of side rails.
A resident with intact cognition was found with Lidocaine cream at their bedside without authorization to self-administer, contrary to facility policy requiring secure storage and proper authorization for self-administration. An LPN confirmed the medication should have been locked, and no physician's order for self-administration was present.
A nurse failed to change gloves after touching her face mask during wound care for a resident with a Stage 3 pressure ulcer, continuing the procedure and applying treatments without following proper infection control protocols. This was observed during a dressing change, despite facility policy requiring a clean technique.
Staff failed to don PPE gowns during high-contact wound care for a resident under Enhanced Barrier Precautions, despite facility policy requiring gown and glove use to prevent the spread of MDROs. Both the nurse and CNA performed wound care activities without proper PPE, and acknowledged the lapse during interviews.
A facility failed to protect residents from potential further abuse by not immediately suspending a CNA after a resident alleged physical abuse. The CNA continued to work with other residents until the following morning, contrary to the facility's policy.
A resident with severe cognitive impairment and total dependence on staff was found with injuries and alleged that a CNA had hit him. The facility failed to report the abuse allegation to the State Agency within the required two-hour timeframe, resulting in a deficiency.
Failure to Complete Safe Smoking Assessment and Prevent Access to Smoking Materials for Cognitively Impaired Resident on Oxygen
Penalty
Summary
The facility failed to ensure a safe environment free from accident hazards by not completing a required quarterly Safe Smoking Assessment for a resident with severe cognitive impairment and on oxygen therapy. The facility's smoking policy mandates that all smokers, including those using e-cigarettes, be assessed for safe smoking practices on admission, quarterly, with significant changes, and as needed. However, review of the resident's medical record revealed that the quarterly Safe Smoking Assessment was not completed at the time of the resident's Minimum Data Set (MDS) assessment. The resident had a BIMS score indicating severe cognitive impairment and was receiving oxygen therapy, both of which are significant risk factors for unsafe smoking. Observations showed the resident asleep in bed with oxygen infusing and a pack of cigarettes and a lighter on the over bed table, contrary to facility policy and staff expectations. Staff interviews confirmed that the resident was considered an unsafe smoker due to recent decline and should not have had access to smoking materials, especially while on oxygen. The MDS Coordinator acknowledged the assessment was missed and that residents with severe cognitive impairment require supervision for smoking. The resident's responsible party also reported instructing staff not to store smoking materials in the resident's room due to dementia.
Failure to Obtain Physician Order and Care Plan for Bed Rail Use
Penalty
Summary
The facility failed to ensure that a resident using bed side rails had a physician's order in place and that the use of side rails was incorporated into the resident's care plan. According to the facility's own policy, bed rails require a physician's order specifying the reason for use, and this intervention must be added to the care plan and reviewed regularly by the interdisciplinary team. Record review for a resident with diagnoses including peripheral vascular disease and heart failure, and with moderately impaired cognition, showed that side rails were being used for turning and repositioning in bed. Despite observations confirming the resident's use of upper quarter side rails and staff interviews acknowledging this use, there was no physician's order documented for the side rails, nor was their use addressed in the resident's comprehensive care plan. Multiple staff members, including a CNA, LPN, MDS Coordinator, and DON, confirmed during interviews that the required order and care planning for side rail use were missing.
Medication Storage and Administration Policy Not Followed
Penalty
Summary
A deficiency occurred when a resident was found with 4% Lidocaine external cream on their bedside table, despite not having a physician's order to self-administer medication. The facility's policies require that self-administration of medications be authorized by the interdisciplinary team and that medications be stored securely, either in the resident's room if safe or in a central medication cart or medication room. The resident, who had intact cognition as indicated by a BIMS score of 13, reported that the Lidocaine cream had been at the bedside since the previous day. Review of the medical record confirmed an order for the cream to be applied as needed for pain, but no order for self-administration was present. Observation and interviews confirmed that the medication was not stored in accordance with facility policy, which mandates that medications not authorized for self-administration be turned over to nursing staff and stored securely. An LPN verified that the resident did not have authorization to self-administer and that the medication should have been locked in the medication cabinet. This failure to follow established medication storage and administration protocols resulted in the facility not meeting professional standards of quality for medication safety.
Failure to Maintain Infection Control During Wound Care
Penalty
Summary
The facility failed to maintain an infection prevention and control program during wound care for a resident with a Stage 3 sacrococcygeal pressure ulcer. According to the facility's wound care policy, a clean technique should be used for routine pressure ulcer dressing changes. The resident's medical record included a physician's order for daily wound care, specifying the use of wound cleanser, skin prep, Triad hydrophilic wound dressing, Medihoney, and calcium alginate with silver. During an observed wound care procedure, the treatment nurse adjusted her face mask with her right hand and did not change her gloves before continuing with the wound care, including applying skin prep and Triad cream to the periwound area. The nurse later confirmed in an interview that gloves should have been changed after touching her mask but did not recall doing so during the procedure. This lapse in infection control protocol was directly observed during the care of a resident with multiple diagnoses, including malnutrition, anemia, heart failure, and Alzheimer's disease.
Failure to Ensure Proper PPE Use During Wound Care Under Enhanced Barrier Precautions
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program by not ensuring that staff donned proper Personal Protective Equipment (PPE) during high-contact resident care activities for a resident under Enhanced Barrier Precautions (EBPs). Specifically, during wound care for a resident with a surgical wound on the spine, both the treatment nurse and a certified nursing assistant did not put on PPE gowns before beginning the procedure. The nurse removed the dressing and applied wound cleanser prior to donning a gown, and the CNA assisted by holding a clean dressing without wearing a gown at all. The facility's policy required the use of gowns and gloves during high-contact care activities, such as wound care, for residents under EBPs to prevent the spread of multi-drug resistant organisms. The resident involved had multiple diagnoses, including a spinal fracture, diabetes, and depression, and had physician orders for EBPs and specific wound care procedures. Both staff members acknowledged during interviews that they had not followed the required protocol for PPE gown use during the wound care activity.
Failure to Immediately Suspend CNA After Abuse Allegation
Penalty
Summary
The facility failed to protect five residents from potential further abuse during the investigation of an allegation of physical abuse. Specifically, the facility did not remove a CNA from duties involving resident care after a resident alleged that the CNA had hit him. This failure to act promptly had the potential to affect all residents in the building. The facility's policy mandates that any employee accused of abuse be reassigned or suspended immediately, but this was not followed in this case. The incident began when a resident, who had severe cognitive impairment and was totally dependent on staff for mobility and toileting, alleged that a CNA had hit him, causing his nose to bleed. The LPN on duty did not send the CNA home but instead reassigned her to other residents. The CNA continued to work with other residents until she was suspended the following morning. The LPNs involved were unaware that they should have immediately suspended the CNA, and only removed her from the specific resident's care. Interviews with staff revealed that the CNA had reported the resident was swinging his arm when she attempted to change him, and she left the room to inform the nurse. The DON confirmed that the CNA should have been suspended immediately but was not. The administrator also confirmed that the CNA was allowed to continue working with residents for the remainder of her shift, which was against the facility's policy.
Failure to Timely Report Allegation of Abuse
Penalty
Summary
The facility failed to report an allegation of physical abuse involving a resident to the State Agency within the required timeframe. The resident, who has severe cognitive impairment and is totally dependent on staff for mobility and toileting, was found with a bleeding nostril and abrasions above the upper lip. The incident was reported by an LPN who overheard a CNA yelling about the resident. The resident alleged that the CNA had hit him, causing the injuries. The incident occurred during the night, but the State Agency was not notified until the following morning, exceeding the mandated two-hour reporting window for abuse allegations. Interviews with the resident revealed inconsistent recollections of the event, but the resident eventually described the CNA hitting him. The facility's policy requires immediate reporting of abuse allegations, but the administrator confirmed that the report was delayed. The failure to report the incident in a timely manner constitutes a deficiency in the facility's adherence to abuse reporting protocols.
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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 Bossier City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cypress Point Nursing & Rehabilitation Center | 0.7 mi | ★★★★★ | 0 | 0 |
| Adira Medical Resort | 1.4 mi | ★★★★★ | 4 | 0 |
| Heritage Manor Health & Rehab | 3.6 mi | ★★★★★ | 8 | 0 |
| Pilgrim Manor Skilled Nursing And Rehabilitation | 4.4 mi | ★★★★★ | 8 | 0 |
| Highland Place Rehab And Nursing Center | 7.2 mi | ★★★★★ | 4 | 0 |
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