Below average — CMS composite of the measures below.
A standard survey is most likely before around November 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 Shreveport Manor Skilled Nursing & Rehabilitation during CMS and state inspections, most recent first.
Call Lights Not Kept Within Reach: Two residents were observed in bed with call lights not accessible. One resident’s call light was on the floor and out of reach on repeated observations, and an LPN confirmed this. Another resident’s call light was not plugged into the wall on repeated observations, and an LPN confirmed it was not accessible and should have been within reach.
The facility failed to provide quarterly statements for a resident’s personal funds held in trust. The admission packet stated residents or their legal representatives would receive confidential quarterly statements, and the resident had intact cognition with a BIMS score of 15. The resident reported the facility held money for her but would not tell her how much was being held, and the BOM stated residents with trust accounts had not been receiving quarterly statements.
A resident with severe cognitive impairment and multiple neurologic and mobility-related diagnoses was observed resting in bed while the fall mat intended for bedside use was leaning against the wall instead of being on the floor next to the bed. The resident’s record identified a history of falls, and an LPN acknowledged the mat was not positioned as it should have been.
A resident with a suprapubic catheter and a history of UTI, bladder-neck obstruction, and other urinary conditions was observed with the catheter tubing and bag on the floor on multiple occasions. The care plan and EMAR directed staff to keep the tubing and bag secured and positioned below the bladder, but an LPN confirmed the tubing was not secured to the thigh and the bag should not have been on the floor.
Dishwasher Wash Temperatures Below Required Minimum: The facility failed to ensure the low-temperature dishwasher met the required wash cycle temperature for food service safety. Records showed repeated wash temperatures below the 120 degrees F minimum for breakfast, lunch, and dinner, and the Housekeeping/Dietary Manager acknowledged that the logs reflected temperatures below the required level.
Staff failed to follow infection control practices when cleaning contaminated shower chairs. Surveyors observed shower chairs with brown, hard, dried residue on Hall A and Hall B, and a housekeeping staff member cleaned one chair without gloves and without hand hygiene afterward. Staff also gave conflicting reports about whether housekeeping or CNAs were responsible for cleaning shower chairs between resident use.
The facility failed to post the correct state complaint hotline number in a form and manner accessible and understandable to residents and resident representatives. The DON said the hotline was posted on the main hallway bulletin board, but surveyors observed that the posted number was incorrect, and the Corporate Nurse verified this by calling it. A later observation found the handwritten hotline number only on the main dining room hallway bulletin board and posted above eye level, and HR stated it should have been posted in other places.
Failure to individualize a resident's care plan for ADL dependence and refusal to wear socks and shoes. The resident's MDS showed dependence for eating, toileting hygiene, bathing, dressing, footwear, and personal hygiene, but the care plan incorrectly listed the resident as independent with multiple ADLs and no assistance required. Staff observed the resident in a wheelchair without socks or shoes, and a CNA and LPN reported the resident would remove socks, refuse footwear, and throw shoes across the room. The care plan nurse acknowledged the care plan was incorrect and that the refusal to wear socks and shoes had not been care planned.
Nurses did not complete required monthly CBCs and an annual lipid panel for a resident with multiple chronic conditions, despite active physician orders. The nurse auditor confirmed that these lab tests were not performed as ordered.
A resident with significant physical limitations and moderate cognitive impairment was found unable to access her call light, which was placed out of reach on the opposite side of the bed. Both the resident and a CNA confirmed the call light was inaccessible, contrary to facility policy requiring call lights to be easily reachable.
A resident with significant mobility and cognitive impairments, who was fully dependent on staff for ADLs, did not receive regular fingernail trimming as ordered by the physician. Observations revealed the resident's nails were long, jagged, and dirty, and the resident reported requests for nail care had not been met. Review of records and staff interviews confirmed the required nail care was not documented or performed.
The facility failed to ensure adequate nail care for three residents with self-care deficits, as observed by an LPN. Each resident, with varying degrees of cognitive impairment and requiring assistance with personal hygiene, was found with fingernails protruding past the nailbeds. The LPN confirmed that the residents' fingernails should have been trimmed, indicating a lapse in maintaining personal hygiene.
The facility failed to maintain a safe environment in the memory care unit by not ensuring all room doors had handles, leaving a sharp edge exposed in room A. This issue was confirmed by the Maintenance Supervisor, who stated the handle had been missing since the unit's establishment, potentially affecting 14 residents.
The facility failed to adhere to its respiratory therapy policy by not properly dating and storing HHN masks and tubing for two residents with respiratory conditions. Observations showed that the equipment was left undated and not stored in plastic bags, contrary to infection control guidelines. An LPN confirmed the oversight.
The facility inaccurately submitted staffing data to CMS for FY Quarter 2 2024, triggering a One Star Staffing Rating and low weekend staffing. Despite overstaffing claims, the PBJ report showed low staffing. The DON and Corporate Nurse were unable to explain the discrepancy.
A resident with moderately impaired cognition and a history of various medical conditions was observed without a privacy cover on their urinary catheter bag, despite physician's orders requiring it. The resident expressed embarrassment, and both a CNA and an LPN confirmed the absence of the cover, acknowledging it should have been in place.
A resident with Alzheimer's and other conditions was found with their call device on the floor, out of reach, despite needing assistance with personal care. An LPN confirmed the device should have been accessible.
The facility did not post the most recent survey results in an accessible location for residents and family members. This was observed and confirmed by the administrator, who acknowledged the oversight.
A facility failed to ensure a resident with a right hand contracture received appropriate treatment, as the prescribed splint was not in place during multiple observations. Despite physician's orders and a care plan indicating the need for a daily orthotic, staff confirmed the absence of the splint, which was necessary to manage the resident's condition.
A resident with medical conditions was found in a room with a strong urine odor and soiled linens, having to change his own gown and bed linens due to delays in CNA assistance. Interviews confirmed the resident's account and the presence of the odor, with staff acknowledging the need for CNA intervention.
A resident with severe cognitive impairment experienced an unwitnessed fall, and the facility failed to notify the resident's physician and responsible party as required by policy. The incident was documented, but interviews confirmed that the responsible party was not informed, and the corporate nurse acknowledged the oversight.
The facility failed to ensure nursing staff assessed a resident after an unwitnessed fall and completed an internal report in a timely manner. The resident, with severe cognitive impairment, experienced a fall and voiced pain when moved, but no thorough assessment or documentation was done until the next day, leading to the discovery of a hip fracture.
A resident with severe cognitive impairment fell, and a CNA obstructed the resident's surveillance camera, violating the Nursing Home Virtual Visitation Act. The obstruction prevented documentation of the care provided after the fall, and the resident was later diagnosed with a fracture.
Call Lights Not Kept Within Reach
Penalty
Summary
The facility failed to reasonably accommodate the needs and preferences of residents by not ensuring call lights remained in reach for 2 of 4 residents reviewed for environment. The facility’s written call light procedure stated that a call light system was in place and operative and that the call light should be easily reachable by the resident. Resident #37 was observed in bed with the call light on the floor and not in reach on two separate observations, and an LPN confirmed the call light was on the floor and not in reach. Resident #48 was observed in bed with the call light not plugged into the wall on two separate observations, and an LPN confirmed the call light was not plugged in and should have been accessible.
Failure to Provide Quarterly Statements for Resident Trust Funds
Penalty
Summary
The facility failed to provide quarterly statements for Resident #41's personal funds that were deposited with the nursing home. The admission packet stated that residents or their legal representatives would receive a confidential quarterly statement of funds for any resident trust fund account. Resident #41 was admitted to the facility and had a 06/12/2025 MDS showing a BIMS score of 15, indicating intact cognition. During an interview, Resident #41 reported that the facility held money for her and would not communicate how much money it was holding. The Business Office Manager stated that she had worked at the facility for 3 years and that residents with personal funds trust accounts had not been receiving quarterly statements.
Fall Mat Not Positioned at Bedside
Penalty
Summary
A resident with significant cognitive impairment and a history of falls was found to have an unsafe bedside environment when the fall mat intended for use beside the bed was not in place. The resident’s record showed diagnoses including sequelae of cerebral infarction, generalized muscle weakness, lack of coordination, psychosis, muscle wasting and atrophy, dementia, mood disturbance, anxiety, insomnia, pain, restless legs syndrome, and Alzheimer’s disease. The annual MDS documented a BIMS score of 03, indicating severely impaired cognition. The facility’s incident report for the resident stated that staff would ensure the bed remained in the lowest position and mats would remain at bedside. However, during observations, the resident was resting in bed while the fall mat was leaning against the wall rather than positioned on the floor next to the bed. An LPN acknowledged that the mat should have been on the floor beside the bed while the resident was in bed.
Suprapubic Catheter Not Secured and Bag Left on Floor
Penalty
Summary
The facility failed to provide appropriate infection control practices for a resident with a suprapubic catheter. Resident #37 was admitted with diagnoses including a history of urinary tract infection, chronic bladder-neck obstruction, benign neoplasm of the prostate, obstructive and reflux uropathy, and benign prostatic hyperplasia without lower urinary tract symptoms. The resident’s care plan directed staff to position the catheter bag and tubing below the level of the bladder and away from the entrance room door, and to check the tubing for kinks while providing care and each shift. The EMAR also directed staff to ensure the urinary catheter tubing anchor and privacy bag were intact and secure every shift. Observations showed the resident resting in bed with the catheter tubing and bag on the floor. This was observed at 7:50 a.m. and again at 10:05 a.m. During a later observation with an LPN, the tubing and catheter bag were still on the floor, and the catheter tubing was not secured to the thigh. The LPN confirmed the tubing should have been secured to the thigh and that the tubing and bag should not have been on the floor.
Dishwasher Wash Temperatures Below Required Minimum
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety because the low temperature dishwasher did not meet the required wash cycle temperature. A policy titled "Mechanical Cleaning and Sanitizing of Utensils and Portable Equipment," approved October 1, 2018, stated that when a machine using chemicals for sanitizing is in use, the wash water temperature must be at least 120 degrees F. On 08/27/2025 at 09:15 a.m., an observation showed a sticker on the front of the kitchen dishwasher listing operating requirements, including a minimum water temperature of 120 degrees F, chlorine residual of 50 PPM minimum, and minimum wash and rinse times. Review of the dishwasher temperature/chemical records showed that the dishwasher wash temperatures were below the required 120 degrees F for breakfast, lunch, and dinner during August 2025, with each documented wash temperature recorded at 110 degrees F. July 2025 records also showed repeated wash temperatures below 120 degrees F, including breakfast, lunch, and dinner cycles documented at 100 degrees F on multiple days and at 50 degrees F on some days. During interview on 08/27/2025 at 8:40 a.m., the Housekeeping/Dietary Manager stated that the July 2025 and August 2025 dishwasher temperature logs included wash temperatures below 120 degrees Fahrenheit and that dishwasher wash temperature should be at least 120 degrees Fahrenheit.
Failure to Follow Infection Control Practices During Cleaning of Shower Chairs
Penalty
Summary
The facility failed to ensure staff practices were consistent with current infection control principles and practices to prevent infection and cross contamination. The deficiency involved failure to use PPE during contact with contaminated medical equipment and failure to perform hand hygiene, as well as failure to properly clean and disinfect medical equipment. Facility policies stated that durable medical equipment must be cleaned and disinfected before reuse by another resident, that hand hygiene is the primary means to prevent the spread of infections, that hand hygiene is the final step after removing PPE, and that gloves should be used when cleaning contaminated items and do not replace hand hygiene. On Hall A, surveyors observed gray and blue shower chairs with brown, hard, dried residue in and on the chairs. An LPN stated the shower chairs should be cleaned between resident use and acknowledged the residue should have been cleaned. On Hall B, surveyors observed a white shower chair with brown, hard, dried residue on top and in holes. A housekeeping staff member confirmed the residue, cleaned the chair with foaming cleaner and a rag, but did not wear gloves and did not perform hand hygiene afterward. The housekeeping staff member stated he should have worn gloves and performed hand hygiene after cleaning the chair. A CNA reported housekeeping is responsible for cleaning shower chairs, while the Care Plan Nurse reported CNAs are responsible for cleaning chairs between residents. The Housekeeping/Dietary Manager stated the housekeeping staff member had multiple discussions concerning hand hygiene and infection control practices and should have worn gloves and performed hand hygiene after cleaning the shower chair.
Incorrect Posting of State Complaint Hotline Information
Penalty
Summary
The facility failed to post the correct telephone number of pertinent state agencies in a form and manner accessible and understandable to residents and resident representatives. During an interview, the DON reported that the state complaint hotline number for nursing homes was posted on the main hallway bulletin board. However, observation with the Corporate Nurse showed that the correct number to file a complaint with the state survey agency was not posted. The Corporate Nurse then verified the number was incorrect by calling the posted number on speaker in the presence of surveyors. A later observation found a handwritten state complaint hotline number posted only on the main dining room hallway bulletin board and placed above eye level while standing. The Human Resources staff member reported that the hotline number was only posted on that bulletin board, should have been posted in other places, and was above eye level.
Failure to Individualize Care Plan for ADL Dependence and Refusal to Wear Socks and Shoes
Penalty
Summary
The facility failed to develop and implement an individualized care plan for one sampled resident, Resident #52, who was admitted on 07/11/2025 with diagnoses including other impulse disorders, other disorders of psychological development, developmental disorder of scholastic skills unspecified, and other specified anxiety disorders. The resident's MDS assessment documented dependent functional status for eating, toileting hygiene, shower/bathe, upper and lower body dressing, putting on/taking off footwear, and personal hygiene, but the comprehensive care plan listed the resident as independent with dressing, eating, personal hygiene, toilet use, bathing, and dressing, with no assistance required. Observations on 08/25/2025 and 08/26/2025 showed the resident sitting in a wheelchair in the common area without socks or shoes, with feet touching the floor. During interviews, a CNA reported the resident would take off socks if they were put on and most times would not allow socks or shoes to be put on, and an LPN reported the resident would not wear shoes or socks and would throw the shoes across the room. The care plan nurse acknowledged the resident was dependent for all ADLs and stated the care plan was incorrect, and also reported being unaware that the resident refused to wear socks and shoes and that this should have been care planned.
Failure to Complete Ordered Lab Work for Resident
Penalty
Summary
Nurses at the facility failed to ensure that required laboratory blood work was completed as ordered for a resident with multiple medical conditions, including iron deficiency anemia, rheumatoid arthritis, muscle weakness, and osteoarthritis. The resident had active physician orders for a monthly complete blood count (CBC) and an annual lipid panel. Record review showed that the only CBC result available was from a hospitalization in December 2024, with no evidence of monthly CBCs for January, February, or March 2025, and no annual lipid panel completed in August 2024 as ordered. During an interview, the nurse auditor confirmed that these lab orders remained active and had not been fulfilled.
Call Light Not Within Reach for Dependent Resident
Penalty
Summary
The facility failed to ensure that a resident's call light was within reach, as required by its own policy and procedures. The resident, who had diagnoses including rheumatoid arthritis, generalized muscle weakness, and required assistance with personal care and bed mobility, was observed sitting in a wheelchair at the bedside. During this observation, the call light was found hanging on the head of the bed on the opposite side from where the resident was seated, making it inaccessible to her. The resident confirmed during an interview that she was unable to reach the call light. A CNA also acknowledged that the call light was not within the resident's reach and speculated that it may have been placed there by herself or therapy staff earlier that morning. The facility's policy specifically states that call lights must be easily reachable by residents to allow them to communicate their needs to nursing staff.
Failure to Provide Required Nail Care for Dependent Resident
Penalty
Summary
A deficiency was identified when a resident with rheumatoid arthritis, generalized muscle weakness, and impaired mobility, who was dependent on staff for all activities of daily living (ADLs), did not receive necessary assistance with personal hygiene. The resident's medical record included a physician's order to have fingernails trimmed every two weeks, and the care plan specified extensive assistance with all ADLs, including personal hygiene. However, review of the Treatment Administration Record (TAR) for March and April did not show documentation that fingernail trimming was performed as ordered. During observation, the resident was found to have long, jagged, and dirty fingernails, and reported having requested nail trimming without receiving it. Interviews with nursing staff confirmed that the resident's fingernails should have been trimmed by the floor nurse every two weeks, and that there was no documentation of this care being provided. The failure to provide this basic hygiene service constituted a lack of necessary care for a resident unable to perform ADLs independently.
Failure to Provide Adequate Nail Care for Residents
Penalty
Summary
The facility failed to provide necessary services for maintaining good grooming and personal hygiene for three residents who were unable to perform activities of daily living (ADLs) independently. Resident #53, diagnosed with unspecified dementia and severe cognitive impairment, was observed with fingernails that protruded past the nailbeds, indicating a lack of nail care. The resident's comprehensive care plan noted a self-care deficit, requiring total assistance with personal hygiene, which was not adequately provided. Similarly, Resident #57, with Alzheimer's disease and a self-care deficit requiring assistance with personal hygiene, was found with untrimmed fingernails. The resident's condition was such that they were rarely or never understood, further emphasizing the need for staff assistance. Resident #221, with moderately impaired cognition and a self-care deficit, also had fingernails protruding past the nailbeds, indicating a failure in providing necessary nail care. In each case, the LPN confirmed that the residents' fingernails should have been trimmed, highlighting a consistent oversight in personal hygiene care.
Failure to Maintain Safe Environment in Memory Care Unit
Penalty
Summary
The facility failed to ensure a safe environment free from accident hazards on the locked memory unit by not maintaining all room doors with handles. Specifically, room A was observed on two separate occasions to lack a door handle, leaving a sharp edge exposed. This condition was noted during observations on 07/28/2024 and 07/29/2024. During an interview on 07/29/2024, the Maintenance Supervisor confirmed that the door handle had been missing since the unit was established and acknowledged that it should have been repaired. This deficiency had the potential to affect 14 residents residing on the memory care unit.
Failure to Properly Store Respiratory Equipment
Penalty
Summary
The facility failed to provide necessary respiratory care and services in accordance with accepted professional standards of practice for two residents who required respiratory services. The facility's Departmental Respiratory Therapy Policy, revised in November 2021, mandates that medication nebulizers and continuous aerosol equipment, such as hand-held nebulizer (HHN) masks and tubing, should be stored in a plastic bag marked with the date and the resident's name between uses to prevent infection. However, observations revealed that the HHN masks and tubing for both residents were not dated and were not stored in plastic bags as required. Resident #20, who was admitted with chronic obstructive pulmonary disease, acute and chronic respiratory failure with hypoxia, and other respiratory conditions, had a physician's order for Acetylcysteine Inhalation Solution to be administered three times a day. During an observation, the resident's HHN was found on the bedside table with the mask and tubing sitting on top of the machine, undated and not stored in a plastic bag. Similarly, Resident #67, admitted with Alzheimer's disease, chronic obstructive pulmonary disease, and acute and chronic respiratory failure with hypoxia, had physician's orders for respiratory medications. The resident's HHN was also observed on the bedside table with the mask and tubing undated and not stored in a plastic bag. An LPN acknowledged that the equipment should have been dated and stored properly.
Inaccurate Staffing Data Submission to CMS
Penalty
Summary
The facility failed to accurately submit mandatory direct care staffing information to the Centers for Medicare & Medicaid Services (CMS) for Fiscal Year Quarter 2 2024. A review of the facility's Payroll Based Journal (PBJ) Staffing Data Report for this period revealed triggers for a One Star Staffing Rating and excessively low weekend staffing. However, a review of the facility's weekend staffing pattern forms indicated that the hours of direct care provided exceeded the required hours of care. During interviews, the Director of Nursing expressed confusion about the low staffing trigger, stating that the facility consistently overstaffs. Similarly, the Corporate Nurse was unable to explain why the PBJ Staffing Data Report indicated low weekend staffing, despite the facility's reported overstaffing practices.
Failure to Provide Privacy Cover for Urinary Catheter Bag
Penalty
Summary
The facility failed to ensure a resident was treated with respect and dignity by not providing a privacy cover for a urinary catheter bag. This deficiency was identified for one resident, who had a medical history including unspecified conversion disorder with seizures, bladder-neck obstruction, urinary tract infection, and schizoaffective disorder bipolar type. The resident had a BIMS score indicating moderately impaired cognition. The physician's orders required that the urinary catheter's tubing anchor and privacy bag be intact and secure every shift. However, observations revealed that the resident's catheter bag lacked a privacy cover while the resident was in his room with the door open. The resident expressed embarrassment about the lack of a privacy cover, especially when in communal areas. A CNA and an LPN confirmed the absence of the privacy cover, acknowledging that it should have been in place.
Failure to Ensure Call Device Accessibility for Resident
Penalty
Summary
The facility failed to accommodate the needs of a resident by not ensuring that the resident's call device was within reach. The resident, who was admitted with diagnoses including Alzheimer's disease, essential hypertension, Parkinson's disease, and anxiety disorder, was observed in bed with a breakfast tray in front of them. The resident's medical record indicated a self-care deficit requiring assistance with various personal care activities. During an observation, it was noted that the resident's call device was on the floor underneath the bed, out of reach. This observation was confirmed by an LPN, who acknowledged that the call device should have been placed within the resident's reach.
Failure to Post Survey Results Accessibly
Penalty
Summary
The facility failed to ensure that the most current survey results were posted in a location that was easily accessible for residents, family members, or anyone wishing to review them. During an observation conducted on July 28, 2024, at 11:45 a.m., it was noted that the survey results were not displayed in a readily accessible area. This observation was confirmed during an interview with the facility's administrator, who acknowledged that the survey results should have been available for review by residents, family, and others.
Failure to Ensure Use of Splint for Resident's Contracture
Penalty
Summary
The facility failed to provide appropriate care for a resident with limited range of motion, specifically in ensuring the use of a splint to treat a contracture in the resident's right hand. The resident, who was admitted with diagnoses including hemiplegia, hemiparesis, and a contracture of the right hand, was observed multiple times without the prescribed splint in place. The comprehensive care plan and physician's orders indicated the necessity of a right hand orthotic to be worn daily as tolerated, yet observations on consecutive days revealed the absence of the splint. Interviews with facility staff, including an LPN and an OT, confirmed that the resident should have had a splint in her right hand to manage the contracture. The OT noted that the resident's right hand was in a tight fist, with nails digging into the palm, indicating a lack of appropriate intervention. This deficiency highlights the facility's failure to adhere to the care plan and physician's orders, potentially exacerbating the resident's condition.
Failure to Maintain a Clean and Homelike Environment
Penalty
Summary
The facility failed to maintain a clean, comfortable, and homelike environment for a resident, which was identified during a survey. The resident, who had a history of heart failure, unsteady gait, and other medical conditions, was observed in a room with a strong urine odor and soiled linens. The resident reported having to change his own gown and bed linens due to delays in assistance from CNAs. He expressed dissatisfaction with the practice of placing soiled linens under a chair in his room, which contributed to the unpleasant smell. Interviews with the resident and staff confirmed the resident's account of changing his own linens and the presence of a urine odor in the room. A CNA acknowledged the need for the linens to be changed and confirmed that the resident was changing his own linens. The Director of Nursing and a Corporate Nurse were informed of the findings and acknowledged that the linens should be changed by the CNA, not the resident. The resident did not willingly want to change his own linens, indicating a failure in providing adequate support and maintaining a homelike environment.
Failure to Notify Physician and Responsible Party After Resident Fall
Penalty
Summary
The facility failed to ensure that a resident's physician and responsible party were notified after a fall. Specifically, Resident #3, who had severe cognitive impairment and required extensive assistance with bed mobility, transfers, and toilet use, experienced an unwitnessed fall on 04/20/2024. The incident was documented by an LPN, but there was no record of notification to the resident's physician or responsible party as required by the facility's policy on assessing falls and their causes. During interviews, it was confirmed that the responsible party was not informed of the fall, and the corporate nurse acknowledged that the physician and responsible party should have been notified. This failure to communicate significant events to the appropriate parties represents a deficiency in the facility's adherence to its own policies and procedures for managing falls and ensuring resident safety.
Failure to Assess and Report Resident's Unwitnessed Fall
Penalty
Summary
The facility failed to ensure that the nursing staff possessed the competency to assess a resident after an unwitnessed fall and complete an internal report in a timely manner. Resident #3, who had severe cognitive impairment and required extensive assistance with mobility, experienced an unwitnessed fall. The nurse on duty, S6LPN, did not perform a thorough head-to-toe assessment, take vital signs, or conduct neurological checks after the fall, as required by the facility's policy. Additionally, the internal incident report was not completed until the following day, after the resident's injury was discovered by hospice staff. Resident #3 was found on the floor by a CNA and was assisted back to bed by S6LPN and the CNA. Despite the resident voicing pain when moved, no immediate comprehensive assessment was documented. The next day, hospice staff noted the resident's pain and abnormal leg positioning, leading to the discovery of a right hip fracture through an x-ray. The delay in proper assessment and documentation resulted in a significant oversight in the resident's care. Interviews with facility staff, including the Assistant Director of Nursing and the Corporate Nurse, confirmed that the required assessments and documentation were not completed as per the facility's policy. The failure to perform these critical steps immediately after the fall and the delay in completing the incident report were acknowledged by the staff involved, highlighting a lapse in following established procedures for post-fall assessments and reporting.
Violation of Nursing Home Virtual Visitation Act
Penalty
Summary
The facility failed to comply with the Nursing Home Virtual Visitation Act by allowing a staff member to obstruct a resident's surveillance camera. Resident #3, who has severe cognitive impairment and requires extensive assistance with daily activities, was found on the floor by a CNA. The CNA then turned the resident's surveillance camera towards the wall, obstructing the view of the care provided to the resident after the fall. This action violated the Act, which prohibits tampering with or obstructing monitoring devices installed in nursing homes. The incident was documented in the resident's medical record, and the obstruction of the camera was confirmed through video footage provided by the resident's responsible party. The footage showed that the camera was turned back around by an unidentifiable staff member after a period of obstruction. The resident was later diagnosed with a mildly displaced right great trochanter fracture. Interviews with facility staff confirmed that the camera should not have been tampered with, and the family's right to uninterrupted video surveillance was acknowledged by the corporate nurse.
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Illustrative
What surveyors actually found near you
We read the 112 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
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Illustrative
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Nursing homes near Shreveport
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Roseview Nursing And Rehabilitation Center | 0.1 mi | ★★★★★ | 12 | 1 |
| Progressive Care Center | 0.3 mi | ★★★★★ | 3 | 0 |
| Willis-knighton Extended Care Center | 0.3 mi | ★★★★★ | 0 | 0 |
| Claiborne Healthcare Center | 0.7 mi | ★★★★★ | 7 | 1 |
| Magnolia Manor Nursing And Rehab Ctr, Llc | 0.8 mi | ★★★★★ | 6 | 0 |
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