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 Sabine Retirement And Rehab Center during CMS and state inspections, most recent first.
Expired and undated medications and supplies were found in Med Room B and in two med carts. Surveyors observed an opened, undated bottle of Lidocaine, expired Normal Saline syringes, expired Ipratropium/Albuterol vials in Med Cart B, and multiple expired treatment items in Med Cart E. An ADON, an LPN, the Treatment Nurse, and the DON confirmed the items should not have been available for resident use, and the LPN stated she had already administered expired medication to a resident.
Failure to Promptly Resolve Resident Grievance: A resident’s RP reported repeated complaints about missed showers and dirty hair, and said Corporate was contacted about the issue but only said it would be looked into. The resident had hemiplegia/hemiparesis, was cognitively intact per BIMS, and needed extensive help with bathing and personal hygiene. The ADM confirmed the complaint was relayed to her but had no documented evidence of follow-up.
Failure to report resident-to-resident physical abuse to the State Survey Agency within the required timeframe. A resident with intact cognition and multiple medical diagnoses was struck on the head and back by another resident in the dining room, reported a headache, and was sent to the ER for evaluation. Staff witnessed the assault, but the Admin later stated she did not report it to the state because she did not think it warranted reporting.
A resident with severe cognitive impairment, dysphagia, malnutrition, diabetes, and hemiplegia had PEG tube feedings ordered and observed, but the care plan did not include the PEG tube or appropriate nursing interventions. An LPN/MDS staff member confirmed the resident should have had a PEG tube care plan.
A resident with hemiplegia, contracture, and dependence for shower/bath and personal hygiene did not receive consistent bathing assistance. She reported missing scheduled showers and said staff instead gave bed baths, while the CNA and LPN/MDS confirmed complaints and incomplete documentation of bath type and timing. The bath roster showed many days without documented bathing, and the resident’s RP repeatedly complained about her not receiving showers and having dirty hair.
A resident with chronic atrial fibrillation, CHF, HTN, and CAD missed ordered Amiodarone doses because the medication was unavailable at the facility. The MAR documented the doses as not given, and progress notes stated the facility was awaiting delivery from pharmacy, but an LPN did not contact the pharmacy or the provider about the missed doses. The DON confirmed staff should have contacted both the pharmacy and the prescribing provider, and one LPN acknowledged an error in documentation showing the medication had been given when it had not.
The facility failed to properly dispose of garbage as per its policy, with five large trash bags found on the ground next to dumpsters. The Dietary Manager confirmed the bags should have been placed in the dumpsters.
A facility failed to ensure a Nurse Practitioner documented a clinical rationale for denying a dose reduction of psychoactive medications for a resident with severe cognitive impairment and multiple psychiatric diagnoses. Despite a recommendation from the Pharmaceutical Consultant for a gradual dose reduction, the Nurse Practitioner did not provide a clinical explanation for maintaining the current medication regimen.
The facility did not store food items according to professional standards, as observed in the kitchen's dry storage area. An open bottle of lemon juice and a non-dated open bottle of teriyaki sauce were not refrigerated as required by the manufacturer's labels. The Dietary Manager confirmed the oversight during an interview.
Expired and Undated Medications Found in Storage and Medication Carts
Penalty
Summary
Drugs and biologicals were not stored in accordance with accepted professional principles in Med Room B and in two medication carts. In Med Room B, surveyors observed one opened and undated bottle of 1% Lidocaine 100mg/10ml and six 3 ml prefilled Normal Saline syringes with an expiration date of 05/02/2025. The ADON confirmed the items were expired or not dated and stated they should have been disposed of and not available for resident use. In Med Cart B, surveyors found four packages of five individual prefilled 3 ml vials of Ipratropium/Albuterol Sulfate 3mg with an expiration date of 05/2025. An LPN confirmed the medications were expired and stated she had administered these expired medications to a resident that morning without realizing they were expired. In Med Cart E, surveyors found eleven packets of Iodine with an expiration date of 10/2023, one bottle of Desenex 2% powder with an expiration date of 10/09/2025, three adaptive non-adherent dressings with an expiration of 07/31/2025, and more than 100 individually packaged 3 g Lubricating Jelly packets with an expiration date of 03/03/2025. The Treatment Nurse confirmed these expired medications and supplies were available for resident use, and the DON stated she expected nurses to remove expired medications and treatment supplies from carts and storage rooms.
Failure to Promptly Resolve Resident Grievance
Penalty
Summary
The facility failed to make a prompt effort to resolve a grievance filed by a resident’s representative regarding Resident #3’s care. The facility policy stated that grievances may be filed by a resident or representative and that the administrator or designee would inform the resident or person filing the grievance of the findings and actions taken within 3 working days, with a written summary maintained in the facility. In this case, the resident’s responsible party reported that he had complained numerous times about the resident not receiving showers and about her hair being dirty, and that he had called Corporate Administration about a month earlier and was told the matter would be looked into. Resident #3 was admitted with diagnoses including hemiplegia and hemiparesis following infarction affecting the left non-dominant side, pain unspecified, and contracture of the left hand. Her quarterly MDS showed a BIMS score of 14, indicating intact cognition, and she was dependent for transfers and shower/bath and required substantial to maximal assistance with personal hygiene. The administrator confirmed that Corporate had notified her of the complaint about the resident’s dirty hair and need for washing, but she had no documented evidence of follow-up regarding the complaint.
Failure to Report Resident-to-Resident Physical Abuse
Penalty
Summary
The facility failed to ensure an allegation of resident-to-resident physical abuse was reported to the State Survey Agency immediately, and no later than 2 hours after discovery, for Resident #55. The facility policy stated that alleged abuse involving physical harm must be reported immediately, but the Administrator later confirmed she did not report the incident to the state because she did not believe it warranted reporting. Resident #55 had diagnoses including transient cerebral ischemic attack, major depressive disorder, unspecified mood disorder, cerebral infarction without residual deficits, hypertension, and presence of other specified devices. Her MDS showed a BIMS score of 14, indicating intact cognition. The care plan documented that on 05/13/2025, Resident #55 received physical aggression from another resident, was immediately separated, neurological checks were initiated, and she was sent to the emergency room for further evaluation. The incident report and investigation stated that Resident #110 became physically aggressive in the dining room and struck Resident #55 on the head and back, with staff witnessing the resident strike her on the head with a closed fist. Resident #55 reported a headache after the incident and stated she was hit for no reason.
Missing PEG Tube Care Plan and Nursing Interventions
Penalty
Summary
Facility failed to develop and implement a person-centered care plan for Resident #78 to include PEG tube care and appropriate nursing interventions. The resident was admitted on 10/07/2025 with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the left non-dominant side, mild protein-calorie malnutrition, type II diabetes mellitus, dysphagia following cerebral infarction, and cognitive communication deficit. The significant change MDS with ARD of 11/21/2025 showed a BIMS score of 4, indicating severe cognitive impairment, and documented that the resident was dependent for all ADLs and had food held in the mouth/cheeks or residual food in the mouth after meals. On 01/12/2026, the resident was observed lying in bed with enteral feeding and water infusing via pump. Physician orders in 01/2026 included Diabetisource via PEG tube at 80 mL/hr with water auto flush 45 mL/hr for 22 hours, with feeding turned off at 2 PM and restarted at 4 PM. Review of the care plan showed no documentation of the resident's PEG tube with appropriate nursing interventions, and an LPN/MDS staff member confirmed the resident did not have a PEG tube care plan with appropriate interventions and should have.
Failure to Provide Required Bathing and Hygiene Assistance
Penalty
Summary
The facility failed to ensure that a resident who was unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene. Resident #3 was admitted with diagnoses including hemiplegia and hemiparesis following infarction affecting the left non-dominant side, pain unspecified, and contracture of the left hand. Her quarterly MDS indicated she was dependent for transfers and shower/bath and required substantial to maximal assistance with personal hygiene, and her care plan identified her as at risk for self-care deficit with interventions to provide extensive assistance with bed baths. During observation and interviews, Resident #3 stated she had not received her scheduled shower and reported that staff told her it was because she wiggled on the shower chair. She also stated she received baths in the evenings, but later said she did not receive a shower or bed bath the previous evening and that her preference was for a shower, which she had told staff in the past. The CNA reported the resident had complained about not receiving a shower, the LPN/MDS stated the care plan did not reflect when she received a bath or what type of bath, and the bath roster showed 19 days in one month with no documented evidence of a shower or bath. The resident’s responsible party reported repeated complaints to staff and corporate administration about the resident not receiving showers and her hair being dirty, and the DON and Administrator acknowledged the complaints and lack of documented follow-up.
Missed Amiodarone Doses Due to Medication Unavailability and Lack of Notification
Penalty
Summary
The facility failed to provide pharmaceutical services to ensure the accurate acquiring and administration of prescribed Amiodarone for Resident #37. Resident #37 was admitted on 06/27/2025 with diagnoses including chronic atrial fibrillation, chronic combined systolic and diastolic heart failure, hyperlipidemia, hypertension, atherosclerotic heart disease of native coronary artery without angina pectoris, and hypertensive heart disease. The resident’s MDS with an ARD of 10/30/2025 showed a BIMS score of 13, indicating intact cognition, and the resident was independent or required minimal assistance with activities of daily living. The physician order for January 2026 directed Amiodarone HCl 200 mg by mouth twice daily for chronic atrial fibrillation, and the care plan identified the resident as at risk for altered cardiovascular status with Amiodarone listed as an intervention. The MAR showed Amiodarone was not administered on the morning of 01/10/2026, the evening of 01/10/2026, and the morning of 01/11/2026, with code 9 entered and a directive to refer to progress notes. The progress note stated the medication was unavailable and the facility was awaiting delivery from pharmacy, but there was no documentation that the pharmacy or prescribing provider was contacted about the missed doses. The resident stated the facility was unable to provide the prescribed cardiac medications for several days due to awaiting delivery from pharmacy and expressed concern about the missed medication. The DON confirmed the facility’s process required the nurse to contact the pharmacy and, if the medication could not be obtained, document the reason and notify the prescribing provider. The LPNs involved confirmed they did not contact the pharmacy or the prescribing provider regarding the medication unavailability or the missed doses, and one LPN acknowledged an error in documentation showing the medication had been administered when it had not.
Improper Garbage Disposal
Penalty
Summary
The facility failed to ensure proper disposal of garbage and refuse, as observed during a survey. The facility's policy on trash disposal requires all waste to be placed in sealed containers and all garbage to be placed in a dumpster located conveniently near the facility. However, during an observation on October 7, 2024, at 8:54 a.m., five large trash bags were found on the ground next to the facility dumpsters. The Dietary Manager, identified as S2, was present during the observation and confirmed that the trash bags should have been placed inside the dumpsters rather than left on the ground. This indicates a failure to adhere to the facility's established trash disposal policy.
Lack of Clinical Rationale for Medication Dose Denial
Penalty
Summary
The facility failed to ensure that a Nurse Practitioner documented a clinical rationale for denying a dose reduction of psychoactive medications for a resident. The resident, who was admitted with multiple diagnoses including Alzheimer's Disease, Paranoid Schizophrenia, and Major Depressive Disorder, was on a regimen of several psychoactive medications. The Pharmaceutical Consultant had recommended a gradual dose reduction for these medications, but the Nurse Practitioner denied this request without providing a clinical rationale. During a review of the resident's clinical records and an interview with the Director of Nursing, it was confirmed that the Nurse Practitioner did not document any clinical reasons for not reducing the medication doses. This lack of documentation was identified as a deficiency, as it did not comply with the facility's policies and procedures for medication management and dose reduction recommendations.
Improper Food Storage in Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food service safety by not storing food items in the refrigerator after opening. During an observation of the dry storage area in the kitchen, an open bottle of lemon juice with a handwritten date of 09/15/2024 and a non-dated open bottle of teriyaki sauce were found. The manufacturer's labels on both items indicated that they should be refrigerated after opening. The Dietary Manager confirmed during an interview that these items should have been refrigerated, indicating a lapse in following proper food storage 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 Many
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Many Healthcare And Rehabilitation Center | 1.8 mi | ★★★★★ | 14 | 0 |
| Toledo Retirement And Rehabilitation Center | 13.2 mi | — | 0 | 0 |
| Legacies Nursing And Rehabilitation | 26.1 mi | ★★★★★ | 5 | 0 |
| Courtyard Of Natchitoches | 26.8 mi | ★★★★★ | 14 | 0 |
| Natchitoches Nursing And Rehabilitation Center, Ll | 26.8 mi | ★★★★★ | 17 | 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.