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 Ringgold Nursing And Rehabilitation Center, Llc during CMS and state inspections, most recent first.
A resident was discharged from the facility while their appeal of the discharge was still pending, despite facility policy and federal requirements stating that residents must be allowed to remain until a decision on the appeal is made.
Fifteen residents and/or their representatives were not provided with written information about their right to formulate an advance directive, as confirmed by both record review and staff interview. Documentation of this required information was missing from all reviewed medical records.
A resident with chronic pain and multiple comorbidities had an active order for Hydrocodone-Acetaminophen, but the facility failed to include appropriate interventions for chronic pain in the care plan. This omission was confirmed by both the LPN/MDS Coordinator and the DON during interviews.
A facility failed to validate an out-of-state legal guardianship for a resident with severe cognitive impairment, affecting the resident's rights. The resident's guardianship, appointed by a Texas court, was not registered in Louisiana, where the facility is located. Facility staff were unaware of the need for Louisiana court validation, and continued to follow Texas court orders without adjustment.
A resident with moderately impaired cognition reported being slapped by another resident with intact cognition, who admitted to the act. The incident was witnessed by a CNA, and the victim's account was confirmed by the DON. Despite the report, an LPN found no injuries on the victim.
A resident with dementia and diabetes, who required supervision and setup help with eating, did not have a bedside table available. As a result, their breakfast was placed on a rolling walker, contrary to their care plan. An LPN and a CNA confirmed the deficiency during interviews.
A resident's CPAP mask was found to be visibly soiled with black particles and brown stains, yet it was not cleaned or discarded as per the facility's policy. The DON and Administrator acknowledged the oversight, highlighting a lapse in adhering to professional standards for respiratory care.
A discrepancy in the count of Lorazepam tablets for a resident was identified, as an LPN documented administering a dose that was not given. The facility's policy requires accurate documentation and immediate reporting of discrepancies, but this was not followed, leading to an inaccurate count of the controlled substance.
The facility failed to accurately complete the MDS assessment for a resident by not including the use of a wheelchair alarm, despite multiple observations and confirmation from staff that the alarm was in place.
Resident Discharged While Appeal Pending
Penalty
Summary
The facility failed to comply with its own Transfer and Discharge policy and federal requirements by discharging a resident while an appeal of the discharge was still pending. According to the facility's policy and the discharge notice provided to the resident, residents have the right to remain in the facility until a decision on their appeal is rendered. In this case, a resident was issued a 30-day discharge notice and subsequently filed an appeal within the allowed timeframe. Despite being notified of the pending appeal, the facility proceeded to discharge the resident on the effective date listed in the notice, prior to the resolution of the appeal. This action was confirmed through record review and interview with the facility administrator.
Failure to Provide Written Information on Advance Directives
Penalty
Summary
The facility failed to inform and provide written information to residents or their representatives regarding the right to formulate an advance directive. Record reviews for fifteen residents revealed that, upon admission and re-entry, there was no documentation indicating that either the resident or their representative received written information about advance directives. This lack of documentation was consistent across all reviewed cases, regardless of the admission or re-entry date. During an interview, the Business Office Manager confirmed that the medical records for these residents did not contain evidence that the required information about advance directives had been provided. The deficiency was identified through both record review and staff interview, with no indication in the records that the residents or their representatives were informed of their rights concerning advance directives.
Failure to Care Plan for Chronic Pain Management
Penalty
Summary
A deficiency was identified when the facility failed to develop and implement a comprehensive, person-centered care plan addressing chronic pain for a resident admitted with multiple diagnoses, including chronic pain, dependence on supplemental oxygen, heart failure, hypertension, major depressive disorder, and generalized anxiety disorder. Medical record review showed an active physician order for Hydrocodone-Acetaminophen to be administered twice daily for chronic pain. However, review of the resident's care plan revealed that no interventions or approaches for managing chronic pain had been included. This omission was confirmed during interviews with both the LPN/MDS Coordinator and the Director of Nursing, who acknowledged that the care plan lacked appropriate interventions for chronic pain and that it should have been addressed.
Failure to Validate Out-of-State Guardianship
Penalty
Summary
The facility failed to ensure that an out-of-state legal guardian for a resident was validated by the residing state court, which affected the resident's rights. The resident, who was admitted with severe cognitive impairment and multiple mental health diagnoses, was under the guardianship of an individual appointed by a Texas court. The facility's policy restricted the resident's visitation rights to only court-appointed guardians, and the resident's medical record included Texas court documents outlining these restrictions. However, there was no indication that the Texas guardianship had been registered or validated by a Louisiana court, where the facility is located. Interviews with facility staff, including the Director of Nursing and the Administrator, revealed a lack of awareness and understanding regarding the need for Louisiana court validation of the Texas guardianship. The facility's legal representative acknowledged that the out-of-state guardianship had not been processed by Louisiana, and only recently learned from a Louisiana Department of Health attorney that such registration was necessary. Despite this, the facility continued to follow the Texas court orders without questioning their validity or adjusting their policy to comply with Louisiana requirements.
Failure to Protect Resident from Physical Abuse by Another Resident
Penalty
Summary
The facility failed to protect a resident from physical abuse by another resident, which is a violation of their Abuse Prevention policy. The incident involved a resident with moderately impaired cognition, who reported being slapped on the jaw by another resident. The aggressor, who had intact cognition, admitted to entering the victim's room, threatening him, and slapping him on the arm in an attempt to scare him. This incident was witnessed by a CNA who saw the aggressor enter the victim's room and later heard the victim's account of being hit. The victim's medical record indicated multiple health issues, including pressure ulcers, muscle wasting, diabetes, and depression, which may have made him more vulnerable. Despite the report of physical abuse, an LPN assessed the victim and found no evidence of injuries. The Director of Nursing Services was informed of the incident by the CNA and confirmed the victim's report of being slapped. The facility's failure to prevent this incident highlights a breach in their commitment to protect residents from abuse by others.
Failure to Provide Bedside Table for Resident's Meal Setup
Penalty
Summary
The facility failed to accommodate the needs of a resident by not providing a bedside table, which resulted in the resident's breakfast being placed on a rolling walker instead. The resident, who has medical diagnoses of unspecified dementia and type 2 diabetes mellitus, was found to be cognitively intact with a BIMS score of 13 out of 15. The resident required supervision and setup help with eating, as indicated in their care plan. On the morning of the observation, the resident was found in bed with their eyes closed, and their uneaten breakfast tray was placed on a rolling walker beside the bed. Interviews with an LPN and a CNA confirmed that the resident required assistance with meal setup and that the breakfast tray should have been placed on a bedside table, which was not available.
Failure to Maintain Clean CPAP Mask for Resident
Penalty
Summary
The facility failed to provide safe and appropriate respiratory care for a resident by not ensuring the cleanliness of a CPAP mask, as per professional standards and facility policy. The facility's Oxygen Policy and Procedure mandates that CPAP/BIPAP masks should be discarded when visibly soiled, damaged, or inoperable. However, observations revealed that a resident's CPAP mask had black particles inside the nose piece and brown stains on the strap, indicating it was visibly soiled. Despite these observations, the resident continued to use the soiled CPAP mask over several days. Interviews with the Director of Nursing (DON) and the Administrator confirmed the deficiency. The DON acknowledged the presence of black particles and brown stains on the CPAP mask and admitted uncertainty about the frequency of CPAP machine servicing by an external company. The Administrator also acknowledged that the facility's policy requires the CPAP mask to be discarded when visibly soiled, which was not adhered to in this case.
Controlled Medication Count Discrepancy
Penalty
Summary
The facility failed to maintain an accurate count of controlled medications for a resident, leading to a discrepancy in the administration records. According to the facility's Controlled Medications Administration policy, medications classified as controlled substances require special handling, storage, disposal, and record-keeping in compliance with federal and state laws. The policy mandates that any discrepancies in controlled substance counts be reported immediately to the Director of Nursing for investigation. However, during a review of a resident's medication records, it was found that there was a discrepancy in the count of Lorazepam tablets. The Medication Administration Record indicated that a dose was administered, but the physical count of the tablets did not match this record. The discrepancy was acknowledged by an LPN, who admitted to not administering the dose of Lorazepam that was documented as given. This error was further confirmed by the Unit Manager, who also recognized the inconsistency in the available dose count. The resident had a physician's order for Lorazepam to be administered twice daily, but the failure to accurately document and reconcile the medication administration led to an inaccurate count of the controlled substance. This incident highlights a lapse in following the established procedures for handling controlled medications within the facility.
Inaccurate MDS Assessment for Resident with Wheelchair Alarm
Penalty
Summary
The facility failed to ensure the accuracy of the MDS assessment for one of the sampled residents. Specifically, the facility did not include the wheelchair alarm for Resident #2 in the MDS assessment. Resident #2, who had a history of falling and multiple diagnoses including schizoaffective disorder, dementia, and type 2 diabetes mellitus, was observed with a wheelchair alarm in place on multiple occasions. Despite this, the Quarterly MDS dated 04/09/2024 incorrectly indicated that no chair alarm was used. Both the Director of Nursing and the MDS Coordinator confirmed the presence of the chair alarm and acknowledged the error in the MDS assessment.
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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 Ringgold
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Green Meadow Haven | 20.2 mi | ★★★★★ | 6 | 0 |
| Town & Country Health & Rehab | 20.6 mi | ★★★★★ | 0 | 0 |
| Meadowview Health & Rehab Center | 20.9 mi | ★★★★★ | 6 | 0 |
| Cornerstone Post Acute Care Of Bossier | 24.6 mi | ★★★★★ | 1 | 0 |
| Riverview Care Center | 24.6 mi | ★★★★★ | 8 | 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.