Above 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 Sage Rehabilitation Hospital Snf during CMS and state inspections, most recent first.
A facility failed to accurately code a resident's discharge MDS, specifically in Section A0410, which was incorrectly marked as 'Unit is neither Medicare nor Medicaid certified.' Interviews with MDS coordinators and the administrator confirmed the error, acknowledging it should have been coded as 'Unit is Medicare and/or Medicaid certified.'
A facility failed to adhere to its infection control policy by not using Enhanced Barrier Precautions (EBP) during a PICC line dressing change for a resident with a central line. Despite the policy requiring gowns and gloves for high-contact activities to prevent multidrug-resistant organism transmission, a nurse did not wear a gown during the procedure. Interviews with nursing leadership confirmed the expectation for gown use, highlighting a lapse in protocol adherence.
The facility did not post the required list of names, addresses, and telephone numbers of pertinent state agencies and advocacy groups, including the State Survey Agency and others. This deficiency was confirmed during observations and a facility tour with S1ADM.
The facility did not ensure that the survey results were accessible to residents and their families. Observations revealed the absence of the survey results binder in the designated area, and it was found behind the nurse's station, which was not easily accessible. The DON and Administrator acknowledged the issue, noting the missing holder where the binder was supposed to be.
The facility did not post daily nurse staffing data in a prominent location accessible to residents and visitors, as required by its policy. Observations and interviews confirmed the absence of staffing data sheets, which should include details like the facility name, date, resident census, and staff hours worked.
A resident with diabetes refused blood sugar checks and diabetic medications over several days, but the facility failed to notify the nurse practitioner of these refusals. Interviews with staff confirmed the lack of communication, highlighting a deficiency in meeting professional standards of care.
The facility failed to ensure that seven staff members completed required training on abuse, neglect, exploitation, and dementia care. Personnel files lacked documentation of these trainings, which are mandated by the facility's policy for new and existing staff. An interview confirmed the absence of training records.
A cognitively intact resident reported being raped by an LPN during a catheter procedure, with a CNA present. The incident was reported internally but not to the state agency until 11 days later, violating the facility's policy to report such allegations within 2 hours. The Administrator confirmed the delay in reporting, acknowledging the deficiency in compliance with abuse reporting regulations.
The facility failed to provide necessary medications for two residents, resulting in missed doses. One resident, with serious conditions, missed multiple doses of Zyvox due to unavailability, extending their stay. Another resident missed doses of Omeprazole because staff misplaced the medication provided by family, causing discomfort. Staff interviews confirmed these deficiencies in medication management.
A resident with a Stage 4 Pressure Ulcer and MRSA experienced significant medication errors due to missed doses of the antibiotic Zyvox. The pharmacy entered an incorrect stop date, leading to a shortage of medication. Despite notifying the pharmacy and on-call NP, the issue was not resolved promptly, resulting in four consecutive missed doses. The resident had to stay an additional two days to complete the treatment. Staff confirmed the error as significant and preventable.
Inaccurate MDS Coding for Resident Discharge
Penalty
Summary
The facility failed to ensure an accurate discharge assessment for a resident, specifically in the coding of the Minimum Data Set (MDS). The resident was admitted to the facility on an unspecified date, and upon discharge, the MDS was completed with an Assessment Reference Date (ARD) of 05/23/2024. The error was identified in Section A0410, which was incorrectly coded as '2. Unit is neither Medicare nor Medicaid certified.' Interviews with two MDS coordinators and the facility administrator confirmed that the section should have been coded as '3. Unit is Medicare and/or Medicaid certified' to accurately reflect the resident's discharge status. This incorrect coding was acknowledged by all interviewed staff members, indicating a failure in the assessment process.
Failure to Adhere to Enhanced Barrier Precautions During Central Line Care
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, specifically in the use of Enhanced Barrier Precautions (EBP) for a resident with an indwelling medical device. The deficiency was identified during an observation where a registered nurse (S5RN) did not wear a gown while performing a peripherally inserted central catheter (PICC) line dressing change for a resident who was on EBP. This was contrary to the facility's policy, which mandates the use of gowns and gloves during high-contact resident care activities, such as device care or use, to prevent the transmission of multidrug-resistant organisms. The resident involved was admitted with a diagnosis of Cervical Spine Osteomyelitis and had a central line, necessitating the use of EBP. The facility's policy, revised in March 2024, clearly outlines the requirement for staff to wear appropriate personal protective equipment (PPE) during such procedures. Interviews with the Assistant Director of Nursing (S3ADON) and the Director of Nursing (S2DON) confirmed that staff should have worn a gown during the dressing change, indicating a lapse in adherence to the established infection control protocols.
Failure to Post Required Agency Information
Penalty
Summary
The facility failed to comply with regulatory requirements by not posting a list of names, addresses, and telephone numbers of pertinent state agencies and advocacy groups. This includes the State Survey Agency, the State licensure office, adult protective services, the protection and advocacy network, home and community-based service programs, and the Medicaid Fraud Control Unit. On two separate occasions, observations and a tour of the facility confirmed the absence of this required information. The deficiency was acknowledged by S1ADM during the facility tour, confirming that the necessary information was not posted as required.
Survey Results Accessibility Deficiency
Penalty
Summary
The facility failed to ensure that the results of the most recent survey were posted in a location that was readily accessible to residents, family members, and legal representatives. During observations on multiple occasions, it was noted that there was no facility binder with survey results available in the designated area. On a tour of the facility, the Director of Nursing (S2DON) was unable to locate the survey results binder, acknowledging that the holder on the wall where it was supposed to be was missing. An interview with another staff member (S4US) revealed that the binder labeled 'SNF Survey Results' was located behind the nurse's station, which was confirmed by the Administrator (S1ADM) to be an inappropriate location as it was not readily accessible to residents and their families.
Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that nurse staffing data was posted daily in a prominent location readily accessible to residents and visitors. The facility's policy, revised in June 2024, mandates that a Nurse Staffing Sheet be posted at the beginning of each shift, containing specific information such as the facility name, current date, resident census, and the total number and actual hours worked by registered nurses, licensed practical nurses, and certified nurse aides. However, during an observation on October 28, 2024, no staffing data sheets were found posted in the facility. Interviews with the Director of Nursing (S2DON) and the Administrator (S1ADM) confirmed that the facility did not adhere to the policy of posting daily staffing data sheets in a prominent location accessible to residents and visitors.
Failure to Notify Nurse Practitioner of Resident's Refusal of Diabetic Care
Penalty
Summary
The facility failed to ensure that services provided met professional standards of quality for a resident with diabetes. The resident, who was admitted with a diagnosis of Diabetes Mellitus, had specific physician's orders for regular blood sugar checks and administration of diabetic medications, including Glimepiride and Insulin Lantus. However, the resident refused these blood sugar checks and medications on multiple occasions over several days. Despite these refusals, there was no documentation indicating that the nurse practitioner was notified of the resident's non-compliance, which is a critical step in managing the resident's diabetes effectively. Interviews with various staff members, including LPNs and the Director of Nursing, confirmed that the nurse practitioners were not informed of the resident's refusals, even though they acknowledged that they should have been. This lack of communication and failure to notify the appropriate medical personnel of the resident's refusals represents a deficiency in the facility's adherence to professional standards of care. This oversight had the potential to affect all residents in the facility, as it indicates a systemic issue in the communication and management of residents' medical needs.
Failure to Complete Required Staff Training on Abuse and Dementia
Penalty
Summary
The facility failed to ensure that required trainings on abuse, neglect, exploitation, and dementia care were completed for seven staff members. The personnel files of these staff members, including the Administrator, Director of Nursing, two Licensed Practical Nurses, a Certified Nursing Assistant, a Recreational Therapist, and a Learning and Development staff member, lacked documentation of the necessary training. The facility's policy mandates that new employees receive education on these topics during orientation and that existing staff receive annual education through planned in-services. Upon review, it was found that two staff members, an LPN and a Recreational Therapist, did not complete the required training on abuse, neglect, and dementia. Additionally, the Administrator, Director of Nursing, another LPN, a CNA, and a Learning and Development staff member did not complete the required dementia training. An interview with the Administrator confirmed the absence of documentation for these trainings, acknowledging that the facility should have maintained such records.
Failure to Timely Report Alleged Sexual Abuse
Penalty
Summary
The facility failed to report an alleged incident of sexual abuse involving a resident to the state survey agency within the required 2-hour timeframe. The facility's policy mandates that all allegations of abuse, including sexual abuse, be reported to the appropriate agencies immediately. However, in this case, the allegation was not reported until 11 days after the incident was first brought to the attention of the staff. The resident, who was cognitively intact, reported being raped by an LPN during a catheter procedure, with a CNA present, to a nurse practitioner during morning rounds. The nurse practitioner immediately informed the Administrator and the Director of Nursing about the allegation. Despite the immediate internal reporting, the facility did not notify the state agency until much later. Interviews with the Assistant Director of Nursing and the Administrator confirmed that the allegation should have been reported within 2 hours as per the facility's policy and federal regulations. The delay in reporting was acknowledged by the Administrator, who was responsible for submitting the required reports to the state agency. This failure to report in a timely manner constitutes a deficiency in the facility's compliance with abuse reporting regulations.
Medication Unavailability Leads to Missed Doses
Penalty
Summary
The facility failed to provide pharmaceutical services that ensured the accurate acquiring, receiving, dispensing, and administering of medications for its residents. Specifically, the facility did not have the prescribed medication Zyvox available for Resident #3, who was admitted with serious conditions including a Stage 4 Pressure Ulcer and MRSA. Despite having a physician's order for Zyvox to be administered every 12 hours, the medication was unavailable on multiple occasions, leading to missed doses on 08/21/2024, 08/22/2024, and 08/23/2024. This resulted in Resident #3 remaining in the facility for an additional two days to complete the antibiotic course. Similarly, Resident #6 experienced missed doses of Omeprazole due to the facility's inability to locate the medication, which was provided by the resident's family. Despite an order allowing the use of home medication, staff misplaced the medication, causing Resident #6 to miss doses and experience acid reflux. The facility's incident log and interviews with staff confirmed these medication errors, highlighting a failure in the facility's medication management system. Interviews with the facility's staff, including the pharmacist, LPNs, and nurse practitioners, confirmed the unavailability of medications and the resulting missed doses. The facility's Assistant Director of Nursing acknowledged the deficiencies, confirming that the medications were not available for administration as ordered, which should not have occurred. These incidents reflect a significant lapse in the facility's responsibility to ensure the availability and administration of prescribed medications to meet the needs of its residents.
Significant Medication Error Due to Missed Antibiotic Doses
Penalty
Summary
The facility failed to ensure that a resident was free from significant medication errors, specifically involving the administration of the antibiotic Linezolid (Zyvox) for a resident with a Stage 4 Pressure Ulcer, Sepsis, and MRSA. The resident was admitted to complete a full course of IVPB antibiotics. However, due to an error in the stop date entered by the pharmacy, the facility did not have the necessary doses of Zyvox on hand for several days, resulting in missed doses on multiple consecutive occasions. The incident log and interviews revealed that the pharmacy had initially sent enough doses to last until an incorrect stop date, leading to a shortage of medication. Despite the facility contacting the pharmacy and notifying the on-call nurse practitioner, the issue was not resolved promptly, and the resident missed four consecutive doses of the antibiotic. This significant medication error was acknowledged by the facility's staff, including the LPN and RN involved, as well as the nurse practitioners who were not made aware of the issue during rounds. The deficiency resulted in the resident having to remain in the facility for an additional two days beyond the planned discharge date to complete the antibiotic course. Interviews with the facility's staff confirmed that the missed doses constituted a significant medication error, which should not have occurred. The error was attributed to a breakdown in communication and documentation, as well as the incorrect entry of the medication stop date by the pharmacy.
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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 Baton Rouge
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Center Point Health Care And Rehab | 0.1 mi | ★★★★★ | 8 | 0 |
| Ollie Steele Burden Manor | 0.4 mi | ★★★★★ | 10 | 0 |
| Jefferson Manor Nursing And Rehab Ctr, Llc | 1.8 mi | ★★★★★ | 5 | 0 |
| Heritage Manor Of Baton Rouge Ii | 1.9 mi | ★★★★★ | 5 | 0 |
| Landmark Of Baton Rouge | 1.9 mi | ★★★★★ | 8 | 0 |
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