Above average — CMS composite of the measures below.
The next survey window likely opens 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 Spring Lake Skilled Nursing And Rehabilitation during CMS and state inspections, most recent first.
A facility failed to implement a comprehensive person-centered care plan with measurable goals and timeframes for two residents and failed to follow physician orders. One resident with multiple medical conditions did not receive a prescribed antifungal medication for the full ordered course, with the first dose delayed and only part of the 7-day regimen given. Another resident with Parkinson’s disease and dysphagia had a PICC dressing that was overdue, loose, and discolored, and an LPN confirmed it should have been changed.
A resident with diagnoses including peripheral nervous system disorder, reduced mobility, and fibromyalgia had 4 bottles of Xaditor eye drops and 1 bottle of Fluticasone nasal spray at the bedside despite no completed self-administration evaluation and no care plan for self-administration. The resident said the eye drops and nasal spray were kept at the bedside and were being self-administered, while the DON confirmed the medications should not have been there.
Failure to Provide Nail Care and Bathing Assistance: Two residents who were dependent for personal care did not receive required ADL support. One resident with hemiplegia and generalized weakness had untrimmed, jagged fingernails with residue under the nails despite repeated requests for nail care, and the DON confirmed the condition. Another resident with hemiplegia, reduced mobility, and a care plan preference for showers had no documented bathing since admission, no shower log entries, and reported not having received a bath.
Failure to implement RD nutrition recommendations for a resident with muscle wasting, malnutrition, and significant weight loss. The resident lost 17.93% of body weight, and physician orders did not reflect the RD’s house shake supplement recommendations. The DON said the recommendations were not sent to the NP, and the NP said she was not notified of the weight loss or the RD recommendations.
Failure to Store and Date Nebulizer Equipment: A resident with severe persistent asthma and CHF had hand held nebulizer mask and tubing left on the bedside table, undated and not stored in a covered bag. The MAR did not show the respiratory mask and tubing were changed per policy, and an LPN acknowledged the equipment was not properly dated or stored.
A resident with multiple medical conditions, including diabetes, did not receive necessary nail care in a timely manner. The resident's toenails were observed to be long, thick, and yellow, and the resident could not recall the last trimming. The care plan indicated a need for assistance with ADL, and physician orders allowed for licensed nurses to perform nail care. However, the DON confirmed that the resident missed the last scheduled nail care service by an NP.
The facility failed to accurately submit direct care staffing information to CMS for FY Quarter 3 2024, resulting in a One Star Staffing Rating and Excessively Low Weekend Staffing. The administrator, responsible for submitting agency invoices to the corporate office, was unaware of the low staffing trigger.
A facility failed to conduct timely skin and wound evaluations for a resident with multiple health issues, including pressure ulcers. Despite the facility's policy requiring assessments upon admission and weekly updates, the initial evaluation was delayed, and subsequent evaluations were not performed as required. This deficiency was confirmed through staff interviews and a review of the resident's medical records.
A facility failed to develop a comprehensive care plan for a resident with multiple medical conditions, including muscle wasting, arthritis, malnutrition, COPD, and more. The care plan only addressed ADL self-care performance deficit, despite the resident's complex needs. An MDS Nurse acknowledged the care plan's incompleteness during an interview.
A resident with multiple health issues, including arthritis and COPD, did not receive prescribed prn diclofenac sodium for pain management on two occasions, despite reporting a pain level of 7. Interviews with an LPN and the DON confirmed the oversight, highlighting a lapse in following the resident's pain management protocol.
Failure to Follow Orders for Antifungal Therapy and PICC Dressing Care
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan with measurable objectives and timeframes for two residents, and the record review and interviews showed failures to follow physician orders for both residents. For Resident #10, the medical record showed diagnoses including type 2 diabetes mellitus with diabetic polyneuropathy, chronic respiratory failure with hypoxia, and recurrent Clostridium difficile enterocolitis. The resident had a physician order for Fluconazole 50 mg by mouth daily for 7 days, but the November MAR did not show the medication was given for the full ordered course. Further review of Resident #10’s records showed the first dose of Fluconazole was not administered until 11/15/2025, and the resident received only 3 of the 7 ordered days. The Antibiotic Time Out form identified the treatment as Fluconazole 50 mg by mouth once daily for fungal infection, and the NP note described the resident as status post hospitalization with continued weakness and debility, with CT findings of bilateral sinus disease and complete maxillary sinus opacification with hyperdense material suggesting fungal rhinosinusitis versus inspissated secretions. A progress note also stated the resident did not receive the medication until after hours. For Resident #86, the record showed diagnoses including Parkinson’s disease, dysphagia, and need for assistance with personal care. The physician ordered PICC dressing changes every 7 days or sooner if soiled or damaged, with stabilization device and injection cap changes at each dressing change. On observation, the resident’s PICC line dressing was dated 11/13/2025 and was loose and discolored, and the LPN confirmed the dressing should have been changed. The facility’s policy stated transparent semi-permeable membrane dressings should be changed at least every 5 to 7 days and as needed when wet, soiled, or not intact.
Bedside Medications Left Without Self-Administration Evaluation
Penalty
Summary
The facility failed to provide services that met professional standards of quality for Resident #113 by leaving medications at the bedside without a completed self-administration evaluation or a care plan for self-administration. The resident had diagnoses including disorders of the peripheral nervous system, reduced mobility, and fibromyalgia, and the quarterly MDS dated 08/01/2025 showed a BIMS score of 15, indicating the resident was cognitively intact. The physician orders included Fluticasone Propionate nasal spray for seasonal allergies, but the record did not include an order for Xaditor eye drops. Observations on 12/01/2025 at 6:00 a.m., 9:10 a.m., and 1:50 p.m. showed 4 bottles of Xaditor eye drops and 1 bottle of Fluticasone nasal spray at the bedside. During interview, the resident stated the eye drops and nose spray were kept at the bedside and that the resident self-administered the eye drops twice daily and the nose spray at night. The resident also stated a family member brought the four bottles of eye drops, while the Fluticasone was from the facility. The DON stated the resident had not completed a self-administration evaluation and the medications should not have been at the bedside.
Failure to Provide Nail Care and Bathing Assistance
Penalty
Summary
The facility failed to provide ADL care for two dependent residents. Resident #17, admitted with diagnoses including hemiplegia and hemiparesis following cerebral infarction, generalized muscle weakness, and muscle wasting and atrophy of both upper arms, was dependent for oral hygiene, toileting hygiene, and personal hygiene. Although the facility’s policy stated that nail care includes daily cleaning and regular trimming, observations on multiple occasions showed Resident #17’s fingernails were untrimmed, jagged, grown over the tips of both hands, and had brown residue under the nails. The resident reported requesting nail trimming on more than one occasion, and the DON later confirmed the fingernails remained untrimmed and jagged. Resident #131, admitted with diagnoses including hemiplegia and hemiparesis following cerebral infarction, generalized muscle weakness, need for assistance with personal care, and reduced mobility, had a baseline care plan noting a preference for showers and substantial/maximal assistance with bathing. Review of the resident’s records failed to show bathing documentation since admission, and the hall shower log did not show a shower or bath for November or December. The resident stated he had not received a bath since admission, and the DON reported she was unable to find documentation that the resident had received a shower or bath since admission.
Failure to Implement RD Nutrition Recommendations
Penalty
Summary
The facility failed to maintain acceptable nutritional status for one resident by not following up with the physician in a timely manner to implement RD recommendations. Resident #99 was admitted with diagnoses including muscle wasting and atrophy, type 2 diabetes mellitus without complications, mild protein-calorie malnutrition, generalized muscle weakness, and need for assistance with personal care. The resident’s record showed a significant 17.93% weight loss, from 184 pounds on 08/29/2025 to 151 pounds on 11/10/2025. Physician orders from 09/01/2025 through 12/03/2025 did not show implementation of the RD recommendations for house shake supplements: one recommendation for three times daily house shakes for 90 days and a later recommendation for house shakes twice daily to aid oral intake. During interviews, the DON stated the RD recommendations were not sent to the NP, and the NP stated she was not notified of the resident’s weight loss or the RD recommendations.
Failure to Store and Date Nebulizer Equipment
Penalty
Summary
The facility failed to provide specialized respiratory care for Resident #117, who was admitted with severe persistent asthma uncomplicated and chronic systolic congestive heart failure. The resident had a physician order dated 11/25/2025 for Budesonide-Formoterol Fumarate Inhalation Aerosol 160-4.5 mcg, 2 puffs by inhalation twice daily related to asthma. Review of the facility policy for oxygen administration stated that nebulizer tubing should be changed within 7-10 days or if visibly soiled, and nebulizer equipment should be stored in a covered device between uses. However, review of the November 2025 MAR did not show documentation that the respiratory mask and tubing were changed per policy. Observations on 12/02/2025 at 7:00 a.m. and 12/03/2025 at 7:50 a.m. showed the resident’s hand held nebulizer mask and tubing sitting on the bedside table, undated and not stored in a covered bag. During an interview on 12/02/2025 at 7:50 a.m., an LPN acknowledged that the nebulizer mask and tubing were undated and not stored in a covered bag.
Failure to Provide Necessary Nail Care for Resident
Penalty
Summary
The facility failed to provide necessary nail care for a resident who was unable to perform activities of daily living (ADL) independently. The resident, who had medical diagnoses including cerebral infarction, type 2 diabetes mellitus with diabetic neuropathy, and systemic lupus erythematosus, was observed with long, thick, and yellow toenails. The resident confirmed being unable to recall the last time her toenails were trimmed. The resident's care plan indicated a self-care performance deficit requiring assistance with ADL, and physician orders allowed for licensed nurses to clip and trim diabetic nails as needed. However, the Director of Nursing (DON) reported that the resident did not receive nail care during the last service visit by a nurse practitioner (NP) from a local foot care group, who performs nail care every 60 days. The DON confirmed that the resident, being diabetic, should have received nail care by a podiatrist or NP.
Inaccurate Staffing Data Submission to CMS
Penalty
Summary
The facility failed to accurately submit mandatory direct care staffing information to the Centers for Medicare and Medicaid Services (CMS) for the Fiscal Year Quarter 3 2024, covering the period from April 1 to June 31. 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. During an interview, the facility's administrator expressed confusion about the low staffing trigger, noting that he is solely responsible for submitting agency invoices to the corporate office, which in turn submits the PBJ data to the CMS system.
Failure to Conduct Timely Skin and Wound Evaluations
Penalty
Summary
The facility failed to provide necessary treatment and services for a resident with pressure ulcers, consistent with professional standards of practice. The resident, who was admitted with multiple health issues including muscle wasting, arthritis, malnutrition, COPD, muscle weakness, difficulty walking, unsteadiness, peripheral vascular disease, and cellulitis of the right lower limb, did not receive a skin and wound evaluation upon admission. The resident's Minimum Data Set assessment indicated the presence of venous and arterial ulcers, and the baseline care plan noted a current skin integrity issue with cellulitis and ulceration on the right lower extremity. Despite the facility's policy requiring a full assessment of pressure sores upon admission and weekly updates, the initial skin and wound evaluation for the resident was not completed until several days after admission. The evaluation revealed a wound with 100% eschar and no exudate, but there was no documentation of an evaluation upon admission or weekly thereafter. Interviews with facility staff confirmed that the required evaluations were not conducted as per the facility's policy, leading to a deficiency in the care provided to the resident.
Incomplete Comprehensive Care Plan for Resident
Penalty
Summary
The facility failed to develop and implement a comprehensive care plan for a resident, as evidenced by the review of medical records and interviews. The resident, who was admitted and later discharged, had multiple diagnoses including muscle wasting and atrophy, primary generalized arthritis, mild protein-calorie malnutrition, COPD, generalized muscle weakness, difficulty walking, unsteadiness on feet, peripheral vascular disease, and cellulitis of the right lower limb. Despite these complex medical conditions, the comprehensive care plan initiated only addressed a single problem related to activities of daily living (ADL) self-care performance deficit. During an interview, the MDS Nurse acknowledged that the care plan was incomplete, confirming that it included only one problem and approach for ADL care.
Failure in Pain Management for Resident
Penalty
Summary
The facility failed to provide appropriate pain management for a resident, as required by professional standards of practice and the resident's care plan. The deficiency was identified through a review of medical records and interviews, which revealed that a resident with multiple diagnoses, including muscle wasting, arthritis, and chronic obstructive pulmonary disease, was not administered prescribed pain medication. The resident had physician's orders for hydrocodone-acetaminophen, diclofenac sodium, and acetaminophen for pain management, along with an order to assess pain every shift. Despite these orders, the resident was not given the prn diclofenac sodium as needed for pain on two occasions when the resident reported a pain level of 7. Interviews with facility staff, including an LPN and the Director of Nursing, confirmed the oversight. The LPN was unable to explain why the medication was not administered, and the Director of Nursing acknowledged the failure after reviewing the medication administration record. This oversight indicates a lapse in following the prescribed pain management protocol for the resident, leading to inadequate pain relief during the specified times.
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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 Shreveport
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Booker T. Washington Skilled Nursing And Rehabilit | 0.9 mi | ★★★★★ | 0 | 0 |
| Garden Park Nursing & Rehab Ctr, Llc | 1.5 mi | ★★★★★ | 9 | 0 |
| Village Health Care At The Glen | 2 mi | ★★★★★ | 3 | 0 |
| Pierremont Healthcare Center | 2.1 mi | ★★★★★ | 6 | 0 |
| Live Oak | 2.4 mi | ★★★★★ | 0 | 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.