Above average — CMS composite of the measures below.
The next survey window likely opens around December 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 Rosepine Retirement & Rehab Center, Llc during CMS and state inspections, most recent first.
Failure to address Resident Council grievances about unauthorized smoking. The facility had a grievance policy requiring prompt investigation and resolution, and a smoking policy limiting smoking to designated areas, but Resident Council minutes showed repeated complaints that residents were smoking at the front entrance instead of the covered pavilion. The Grievance Official knew about the complaints and confirmed the front entrance was not authorized, yet a resident with intact cognition and a history of nicotine dependence was still observed smoking there with no staff redirection and no documented follow-up on the complaints.
A resident’s comprehensive care plan was not revised to match the current advance directive status. The resident’s record and LaPOST showed DNR/Allow Natural Death, but the care plan still listed Full Code. The DON confirmed the discrepancy and stated the care plan should have been updated.
Inaccurate code status documentation was found for two residents. In both cases, the EHR, physician orders, and care plan listed Full Code, while the signed LaPOST documents indicated DNR. Staff, including an LPN and the DON, confirmed the records were not updated to match the LaPOSTs, and one resident had multiple serious diagnoses with moderate cognitive impairment.
A resident with significant weight loss and diagnosed with malnutrition did not receive prescribed mighty shake supplements due to a communication breakdown between nursing and dietary staff. The resident's tray card was not updated, leading to the omission of the supplement from meal trays, despite physician orders.
The facility failed to maintain an effective infection prevention and control program, with staff not adhering to PPE protocols and proper hand hygiene during wound care. A hospice CNA was observed without PPE while caring for a resident on enhanced barrier precautions, and an LPN did not sanitize hands between glove changes or maintain a clean field during wound care for two residents. These deficiencies highlight lapses in infection control practices and communication.
A facility failed to document the usage of a self-administered Albuterol inhaler by a resident, despite having a care plan and physician's orders in place. The resident, who was cognitively intact, confirmed using the inhaler multiple times a week, but the LPN was unaware of its presence, and the usage was not recorded on the MAR. The DON acknowledged the oversight in documentation.
A resident with moderate hearing difficulty did not receive timely follow-up for a hearing aid after a February appointment identified significant hearing loss. The facility's Social Services Director failed to follow up with the hearing aid program, resulting in a delay until October when a new application was submitted.
The facility's QAA committee meeting did not include the required six staff members during its quarterly meeting. Only the Medical Director, Infection Preventionist, a staff RN, and a staff LPN attended, with the DON absent. The Administrator and DON confirmed the absence of required members.
A resident at high risk for falls was improperly transferred without a mechanical lift or two-person assistance, resulting in a fall and fractures. Despite the care plan requiring a lift, a CNA attempted the transfer alone, leading to the resident's knees buckling and subsequent injuries. The facility's investigation revealed the CNA's failure to follow the care plan.
Failure to Address Resident Council Grievances About Unauthorized Smoking
Penalty
Summary
The facility failed to ensure prompt efforts were made to resolve grievances voiced in Resident Council meetings regarding smokers using unauthorized smoking areas. Facility policy stated that upon receipt of a grievance or complaint, the grievance official would ensure prompt investigation and resolution, and the smoking policy stated that smoking was not allowed in resident rooms or any other non-designated smoking area. Resident Council minutes documented complaints that residents were smoking out front when it was a safety hazard and that smokers should stay in the designated area so non-smokers could use the front sitting area, but there was no documentation of complaint follow-up for either meeting. Resident #35 had diagnoses including COPD and Cerebral Palsy and a BIMS score of 15, indicating intact cognition. Resident #21 had diagnoses including Impulse Disorder, Unspecified Mood Disorder, and Nicotine Dependence, and also had a BIMS score of 15. The facility Grievance Official acknowledged awareness of the complaints from the Resident Council and confirmed the front entrance was not an authorized smoking area, yet observations on 01/21/2026 and 01/22/2026 showed Resident #21 smoking in a wheelchair outside the facility entrance with no staff observed redirecting the resident to an authorized smoking area. During the survey, no documented evidence was provided showing the facility addressed the Resident Council complaints about smoking in unauthorized areas.
Care Plan Not Updated to Reflect DNR Status
Penalty
Summary
The facility failed to ensure Resident #11’s comprehensive care plan was revised to reflect the resident’s current advance directive status. Resident #11 was admitted on 09/25/2025 with diagnoses including unspecified mycosis, atherosclerotic heart disease of native coronary artery without angina pectoris, anorexia, and benign prostatic hyperplasia without lower urinary tract symptoms. Review of the resident’s electronic medical record, bed board, orders, and LaPOST document signed on 10/09/2025 by the resident’s physician and personal health care representative showed a DNR (Do Not Attempt Resuscitation/Allow Natural Death) status. However, the current comprehensive care plan still listed the resident as Full Code, with a revised date of 10/02/2025. During interview, the DON confirmed the care plan stated Full Code and acknowledged that the care plan should have been updated to DNR status but was not.
Inaccurate Code Status Documentation
Penalty
Summary
The facility failed to maintain accurate medical records in accordance with accepted professional standards by not ensuring that residents' advanced directive status was correctly reflected in the electronic medical record, physician orders, and care plans for two sampled residents. For one resident, the chart showed Full Code status in the dashboard, physician orders, and care plan, while a LaPOST signed by the physician and personal health care representative indicated a DNR designation. An LPN and the DON both confirmed the electronic record and care plan had not been updated to match the LaPOST. For another resident, the admission record, physician orders, and care plan listed Full Code status, but the LaPOST signed by the resident's RP and physician indicated DNR. The resident had diagnoses including congestive heart failure, pneumonia, UTI, atrial fibrillation, cerebral infarction, difficulty walking, major depressive disorder, and dementia, and the MDS showed a BIMS of 11, indicating moderate cognitive impairment. The RP stated he was the POA and had signed a directive on admission confirming DNR status, and staff confirmed the record contained conflicting code status information and had not been updated to reflect the DNR order.
Failure to Provide Prescribed Nutritional Supplements
Penalty
Summary
The facility failed to ensure that a resident maintained acceptable parameters of nutritional status, specifically by not providing ordered dietary supplements for a resident with significant weight loss. Resident #11, who was diagnosed with Parkinson's Disease, Mild Protein-Calorie Malnutrition, Dysphagia - Oropharyngeal Phase, and Muscle Wasting and Atrophy, experienced a significant weight loss of 12.56% over six months. The resident was cognitively intact and required extensive assistance with eating. Despite physician orders for a mighty shake supplement three times daily, observations revealed that the resident's meal trays did not include the supplement, and the resident confirmed not receiving any shakes or supplements. Interviews with staff revealed a breakdown in communication and process. The LPN stated that the mighty shakes were supposed to be delivered from the kitchen on meal carts, but the dietary manager indicated that the process relied on nurses to communicate updates regarding supplements. The dietary manager confirmed that the resident's tray card, which guides dietary staff on what to include on meal trays, had not been updated since September 2024, resulting in the omission of the mighty shake. This oversight led to the resident not receiving the prescribed nutritional supplement, contributing to the resident's continued weight loss.
Infection Control Deficiencies in PPE and Wound Care Practices
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by multiple deficiencies observed during the survey. Staff did not adhere to proper personal protective equipment (PPE) protocols while providing care to residents. Specifically, a hospice CNA was observed in a resident's room without wearing a gown and gloves, despite the resident being on enhanced barrier precautions due to an indwelling suprapubic catheter and risk for pressure ulcers. The CNA was unaware of the requirement to wear PPE, indicating a lack of communication and training regarding infection control measures. In another instance, an LPN failed to perform proper hand hygiene and maintain a clean technique while conducting wound care for two residents. The LPN did not sanitize hands between glove changes and set up wound care supplies directly on the over-bed table without a clean field, leading to potential contamination. The LPN also used scissors that were not on a clean field to cut dressings, further compromising the sterility of the wound care process. These actions were confirmed by the Director of Nursing (DON), who acknowledged the lapses in infection control practices. The deficiencies were compounded by the absence of enhanced barrier precautions signage on a resident's door, which should have been implemented due to the resident's venous ulcer wound. The DON confirmed that the wound care nurse did not implement the order for enhanced barrier precautions, highlighting a gap in the execution of physician's orders. These failures in infection control practices put residents at risk of infection and indicate a need for improved staff training and adherence to established protocols.
Failure to Document Self-Administered Medication Usage
Penalty
Summary
The facility failed to implement a comprehensive person-centered care plan for a resident who was self-administering medication. The resident, who was cognitively intact, had a care plan and physician's orders allowing them to keep an Albuterol inhaler at their bedside for self-use. The nursing staff was responsible for assisting with recording and monitoring the usage of the inhaler. However, a review of the Medication Administration Record (MAR) revealed no documentation of the inhaler's usage over a period of more than a month. During an observation, the inhaler was found on the resident's bedside table, and the resident confirmed self-administering the inhaler three to four times a week. Interviews with the LPN and the Director of Nursing (DON) revealed that the LPN was unaware of the inhaler's presence and that the usage was not being documented on the MAR. The DON confirmed that the nurses should have been asking the resident about the inhaler's use and documenting it accordingly.
Failure to Provide Hearing Assistance to Resident
Penalty
Summary
The facility failed to ensure that a resident received proper treatment and an assistive device to maintain or improve hearing. Resident #47, who has intact cognition and moderate difficulty hearing, was identified as needing a hearing aid. The resident's care plan included a referral to a hearing center for a hearing aid program, and an appointment was made in February 2024. During this appointment, significant hearing loss was noted, and a trial with an amplifier was recommended. The resident was given a referral to the Louisiana Commission for the Deaf (LCD) hearing aid program. Despite these steps, the resident reported not receiving a follow-up appointment to obtain hearing aids. An interview with the facility's Social Services Director (S11 SSD) revealed that although a call was made to a hearing aid program after the February appointment, there was no follow-up, and the application process was overlooked. It was only on October 15, 2024, that an application was submitted to another program, indicating a significant delay in addressing the resident's hearing needs.
QAA Committee Meeting Lacks Required Members
Penalty
Summary
The facility failed to ensure that the Quality Assessment and Assurance (QAA) committee meeting included the required six staff members for its quarterly meetings. During the 4th Quarterly QAA meeting, the sign-in sheet indicated that only the Medical Director, Infection Preventionist, a staff RN, and a staff LPN were present. The Director of Nursing (DON) was not in attendance, and the staff RN present was acting in place of the DON. In a joint interview, the Administrator and the DON confirmed that the required staff members were not available at the time of the meeting, which was scheduled with the Medical Director, and acknowledged that the necessary personnel should have been present.
Failure to Use Mechanical Lift Results in Resident Injury
Penalty
Summary
The facility failed to ensure that staff used a mechanical lift with two-person assistance during a transfer for a resident who was at high risk for falls. The resident, who had a history of falls and required extensive assistance with activities of daily living, was being transferred from bed to chair by a CNA without the use of the mechanical lift and without the assistance of another staff member. This resulted in the resident sustaining a fall and subsequent injuries, including fractures to the left femur and right tibia, necessitating further medical intervention and surgery. The resident's medical records indicated a high risk for falls, with a comprehensive risk assessment score of 12, and a care plan that required the use of a mechanical lift with two-person assistance for transfers. Despite this, the CNA attempted the transfer without the lift, believing the resident could bear weight based on previous occasions. During the transfer, the resident's knees buckled, and although the CNA and another staff member assisted in getting the resident back to bed, the resident complained of knee pain and was later diagnosed with fractures. Interviews with facility staff revealed that the CNA was aware of the requirement to use a mechanical lift but chose not to follow the care plan. The facility's administrator confirmed that the incident was initially not reported as a fall, as the involved staff denied it occurred. However, upon receiving the resident's X-ray results, the facility began an investigation, which revealed the failure to follow the care plan and the improper transfer attempt.
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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 Rosepine
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Westwood Manor Nursing Home, Inc | 4.9 mi | ★★★★★ | 0 | 0 |
| Deridder Retirement & Rehab Center | 6.1 mi | ★★★★★ | 9 | 0 |
| The Woodlands Healthcare Center | 13.6 mi | ★★★★★ | 12 | 0 |
| Shady Acres Health And Rehabilitation Center | 28.1 mi | ★★★★★ | 14 | 4 |
| The Care Center Of Dequincy | 33.9 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.