Average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at St. Agnes Healthcare And Rehab Center during CMS and state inspections, most recent first.
Failure to Report Resident Complaint of Possible Abuse: A resident with an intact BIMS and a right shoulder injury reported that a CNA pulled his arm while assisting him out of bed, but the complaint was not consistently documented or escalated to the DON or Administrator. Staff interviews showed the LPN, QA staff, and Administrator had incomplete or no awareness of the allegation, and the grievance log did not reflect the complaint.
Failure to assist a resident in gaining access to hearing services occurred when a resident with intact cognition and documented HOH remained without hearing aids despite being placed on a waiting list for free devices through a social services organization. Staff confirmed the resident had been waiting far longer than the usual 6-9 months and had not realized how long the resident had remained on the list.
Improper food storage and unsafe glove use were observed in the kitchen. Frozen items were found unlabeled, undated, and in one case stored in a bag with a hole, while a cook used the same gloves while handling a food processor, scooping and transferring pureed vegetables, and later serving lunch by touching equipment, plates, scoopers, and meat without changing gloves or using utensils.
A facility failed to follow ordered care for two residents. One resident with ESRD had missing documentation showing daily dialysis access site checks for bleeding or infection, and another resident with CVA, hemiplegia, dysphagia, and a G-tube had missing documentation for ordered right hand splint checks, continuous enteral feedings, and enteral flushes. Review of the TARs and MARs showed multiple missed or undocumented shifts, and the Asst. ADM/MDS/IP confirmed the omissions.
A resident with ESRD, ASHD, and DM had charted DNR status, including a LaPOST and physician order for Do Not Resuscitate-No CPR, but the care plan still stated the resident was Full Code and wanted CPR. The Asst. ADM/MDS/IP confirmed the care plan had not been updated to match the documented DNR status.
The facility failed to follow professional standards for food service safety by not properly dating, sealing, and storing food items. Several items in the dry storage area, including imitation vanilla and banana bottles, corn flakes, quick oats, and grits, were found without opened dates and unsealed. The Dietary Manager confirmed the requirement for all opened items to be sealed and labeled with an opened date.
The facility failed to maintain an effective infection prevention and control program. A CNA handled soiled linen without PPE, and staff did not follow hand hygiene protocols. A Treatment Nurse improperly removed PPE and used unsanitized scissors on clean dressings. The ADONIP confirmed these actions were against facility policies.
A facility failed to assess a cognitively intact resident for self-administration of Miconazole Nitrate 2% powder, as required by policy. The resident's medication was left in his room without an assessment, confirmed by staff interviews and observations. The DON acknowledged the oversight, confirming the medication should not have been left without proper assessment.
A resident with intact cognition reported an incident of sexual abuse by a CNA to multiple staff members, including the Social Service Director and DON, but the facility's administrator was not informed. This failure to report violated the facility's policy and prevented the appropriate authorities from being notified, potentially affecting all residents.
A resident with broken and missing teeth was not offered a visit with the in-house dental consultant, as required by their care plan. Despite the resident's expressed desire for dental services, there was no evidence of an evaluation by the Registered Dental Hygienist, due to a misunderstanding about the resident's insurance status. This oversight led to a failure in providing timely dental care.
A treatment nurse left a medication cup with Miconazole Nitrate powder at the bedside of a cognitively intact resident who was not assessed for self-administration. The resident, admitted with essential hypertension and dermatitis, identified the powder as used for itching. The nurse admitted to possibly leaving the medication in the room, which was confirmed as inappropriate by the DON.
The facility failed to post complete daily nurse staffing information, omitting the resident census and total hours worked. Ward clerks responsible for posting the data were unaware of the requirement, leading to incomplete information being displayed for two consecutive days.
An LPN failed to ensure that all compartments of a medication cart were locked during a medication pass. The bottom compartment, containing medications, was found unlocked and unattended, contrary to facility policy.
A facility failed to ensure CNAs were properly trained to secure residents' wheelchairs in the transportation van according to the manufacturer's instructions. An observation revealed a CNA improperly secured a resident's wheelchair by attaching J-hooks to the wheels instead of the frame. The administrator acknowledged the lack of proper training since the van's purchase in 2016, and training records did not confirm that the correct procedures were covered.
The facility failed to ensure immediate reporting of alleged abuse for two residents. In one case, a resident's complaint of hand injury during a transfer was reported a day later. In another, a resident's daughter observed rough handling by a CNA, but the incident was reported to the administration three days later. Both residents had severe cognitive impairments, and the delays violated the facility's policy.
Failure to Report Resident Complaint of Possible Abuse
Penalty
Summary
The facility failed to identify and correct a situation that could possibly result in actual or suspected abuse by not immediately reporting a resident’s complaint to the Administrator or designee. Resident #92, who had an intact BIMS score of 15 and a diagnosis of incomplete rotator cuff tear or rupture of the right shoulder, reported that a CNA pulled his wrist and arm while assisting him out of bed and that his whole arm was pulled out of socket. He stated he told an LPN about the incident the following week, and the LPN later recalled that the resident complained his right shoulder and arm started hurting after a CNA pulled his arm while helping him get out of bed. The facility’s grievance log from October 2025 through May 2026 did not show a grievance for the resident, and multiple staff interviews showed the complaint was not consistently escalated or documented. The LPN stated she reported the complaint to supervisory staff, but the DON and Asst ADM/MDS/IP stated they were not aware of the resident’s allegation until surveyors brought it to their attention. A QA staff member also stated the resident told her his shoulder was injured when a CNA pulled his arm, but she did not further investigate or report the complaint to the DON or Administrator. The Administrator stated he was aware of a complaint that a CNA moved the resident improperly on 10/09/2025, but he was not aware of the later claims of possible mistreatment and did not follow up to identify which CNA was involved.
Failure to Obtain Hearing Assistive Device
Penalty
Summary
Failure to assist a resident in gaining access to hearing services occurred for Resident #6, who was admitted with diagnoses including major depressive disorder, cognitive communication deficit, and anxiety disorder. Her quarterly MDS dated 02/26/2026 showed a BIMS score of 15, indicating intact cognition, and noted minimal difficulty hearing with no hearing aid or other appliance in use. Progress notes documented that she was slightly hard of hearing and could hear when spoken to in a louder tone, and that she was on a waiting list for free hearing aids through a social services organization. Record review and staff interviews showed that Resident #6 had been placed on the waiting list for free hearing aids on 09/30/2024 after no hearing aid was noted and the assistive device was offered. On 05/04/2026, the resident stated she had trouble hearing and knew the facility was aware she was waiting for hearing aids, but she had not received any further information. On 05/05/2026, S5SSD confirmed the resident remained on the waiting list and stated the wait was usually 6-9 months; the staff member later confirmed the resident had been on the waiting list since 09/30/2024 and stated she had not realized the resident had been waiting that long until the interview.
Improper Food Storage and Unsafe Glove Use in Kitchen
Penalty
Summary
The facility failed to store food in accordance with professional standards and failed to maintain sanitary kitchen conditions. During observation of the freezer, several frozen food items were found improperly stored: a tied plastic bag of frozen meat patties had a hole in the bag and was not labeled with its contents or a use-by date, and multiple other frozen bags containing a brown substance were also not labeled with contents or use-by dates. The facility policy required frozen foods to be covered, labeled, dated, and checked to ensure they were consumed by their use-by dates or discarded. The dietary manager confirmed the items should have been labeled and dated when removed from their original containers, and that the bag with the meat patties should not have had a hole. The facility also failed to ensure kitchen staff used good hygienic practices while preparing and serving food. A cook was observed preparing pureed vegetables while wearing the same pair of single-use gloves throughout the process, including handling a food processor, scooping vegetables from a pot, placing them into the processor, touching the processor to turn it on, and then using the gloved hand to scoop the pureed vegetables into a pan without changing gloves or using a utensil. Later, the same cook was observed serving lunch from the steam table while wearing the same gloves, touching a thermometer, the steam table, plates, scoopers, and cutting meat while holding it with one gloved hand and using a knife with the other. The cook stated she should have used a spoon to remove the vegetables and a fork to hold the meat, and other management staff stated the gloved hand should not have been used to touch residents' food after contacting non-food surfaces.
Failure to Follow Ordered Dialysis, Splint, and Enteral Care
Penalty
Summary
The facility failed to implement physician-ordered care for Resident #3 by not documenting daily observation of the dialysis access site for bleeding or signs of infection. Resident #3 was admitted with diagnoses including end stage renal disease, atherosclerotic heart disease, and diabetes mellitus. Review of the February 2026 and April 2026 physician orders and Hall TARs showed multiple dates with no nurses’ initials or evidence that the dialysis access site was observed as ordered, including several day, evening, and night shifts in both months. The facility also failed to carry out ordered monitoring and treatments for Resident #7, who was admitted with diagnoses including cerebral infarction, hemiplegia and hemiparesis, muscle wasting and atrophy, dysphagia, aphasia, and encounter for attention to gastrostomy. The resident had an order to check the right hand splint every shift for color of limb, movement ability, sensation when touched, and skin temperature, with minus findings to be reported to the physician. The Hall TARs for January, February, and April 2026 showed multiple shifts with no nurses’ initials or evidence that the splint checks were completed as ordered. Resident #7 also had orders for continuous enteral feedings of Diabetasource 60 cc/hr and for enteral flushes with placement and residual checks before administration. Review of the March and April 2026 MARs showed missing documentation or evidence that the enteral feed and enteral flush were administered on specific shifts and times. During interview and record review, the Asst. ADM/MDS/IP confirmed the missing documentation and stated that the resident’s right hand splint was not checked and enteral feed and enteral flush were not done as ordered in January, February, March, and April 2026.
Care Plan Not Updated to Reflect DNR Status
Penalty
Summary
The facility failed to ensure that Resident #3’s care plan was accurately updated to reflect the resident’s current code status. Record review showed the resident was admitted with diagnoses including end stage renal disease, atherosclerotic heart disease, and diabetes mellitus, and the medical record identified the resident as DNR. The record also included a Louisiana Physician Orders for Scope of Treatment (LaPOST) form stating Do Not Attempt Resuscitation (DNR), with goals discussed with the resident’s personal health care representative and signed by the physician and representative. A physician’s order in the resident’s chart also indicated Do Not Resuscitate-No CPR. However, the care plan still stated, “I am a Full Code and want CPR done on me.” During interview and record review, the Asst. ADM/MDS/IP confirmed responsibility for completing and updating care plans and acknowledged that the resident’s care plan had not been updated and/or revised to reflect the DNR status documented in the LaPOST form.
Improper Food Storage and Labeling
Penalty
Summary
The facility failed to adhere to professional standards for food service safety by not properly dating, sealing, and storing food items. During an observation of the dry storage area, several items were found to be non-compliant with the facility's policy on food storage. Specifically, a partially used bottle of imitation vanilla and a bottle of imitation banana were found without an opened date. Additionally, an opened and unsealed bag of corn flakes, a box of quick oats, and a bag of grits were also found without an opened date. The Dietary Manager confirmed that all opened items should be sealed and labeled with an opened date, indicating a lapse in following the established food storage policy.
Infection Control Deficiencies in LTC Facility
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by several deficiencies. Firstly, a Certified Nursing Assistant (CNA) was observed handling soiled bed linen without placing it in a bag and without wearing personal protective equipment (PPE), contrary to the facility's policy. The CNA admitted to not knowing the correct procedure for handling contaminated laundry. Additionally, the Assistant Director of Nursing, Infection Preventionist (ADONIP) confirmed that the CNA should have bagged the laundry at the bedside and treated it as contaminated. Furthermore, the facility's staff did not adhere to proper hand hygiene protocols. A CNA was observed moving between rooms without performing hand hygiene, and a housekeeper was seen changing gloves without washing hands in between. The ADONIP confirmed that these actions were against the facility's hand hygiene policy. Additionally, a Treatment Nurse improperly removed PPE by taking off her gown before her gloves, and she also used unsanitized scissors to cut clean dressings, both actions being contrary to the facility's policies. The ADONIP acknowledged these breaches in protocol.
Failure to Assess Resident for Self-Administration of Medication
Penalty
Summary
The facility failed to assess a resident for self-administration of medication, which is a violation of the facility's policy to support resident self-determination and choice. The resident, who was cognitively intact with a BIMS score of 15, had an order for Miconazole Nitrate 2% powder to be applied to affected areas as needed. However, there was no documented evidence that an interdisciplinary team assessment for self-administration of this medication was conducted, as required by the facility's policy. Observations revealed that a clear medication cup with a white powdery substance was left on the resident's bedside dresser, which the resident identified as the powder he needed to apply for itching. Interviews with the LPN and Treatment Nurse confirmed that the resident had not been assessed for self-administration, and the Treatment Nurse admitted to possibly leaving the medication cup in the resident's room. The Director of Nursing also confirmed the lack of assessment and acknowledged that the medication should not have been left in the resident's room without proper assessment.
Failure to Report Resident's Abuse Allegation
Penalty
Summary
The facility failed to report a resident's claim of sexual abuse to the administrator, which is a violation of their policy on abuse and neglect. The policy requires that any staff member receiving a complaint of abuse, neglect, or an injury of unknown origin should document the details and notify the administrator or their designee as soon as possible. In this case, Resident #85, who had an intact cognitive status as indicated by a BIMS score of 15, reported an incident of sexual abuse involving a CNA to multiple staff members, including the Social Service Director and the Director of Nursing. Despite these reports, the administrator was not informed of the incident, which prevented the appropriate authorities from being notified. Resident #85, who was admitted with diagnoses including cerebral infarction and hemiplegia, reported that a CNA had punched him in the genital area while providing care. The resident's claim was communicated to a CNA and subsequently to an LPN, and the accused CNA was asked to provide a written statement. However, the administrator and assistant administrator were not made aware of the allegations until the survey, indicating a breakdown in the facility's reporting process. This failure to report the incident to the administrator as per the facility's policy had the potential to affect all 95 residents in the facility.
Failure to Follow Dental Care Plan for Resident
Penalty
Summary
The facility failed to follow the care plan for a resident by not offering a visit with the in-house dental consultant. The resident, who had broken and missing teeth, expressed a desire to see a dentist but reported that no one had discussed dental services with him. The resident's clinical record indicated he was admitted with obvious dental issues, including cavities and gum inflammation, which were noted in his Minimum Data Set (MDS) assessment. The care plan included an intervention to offer a visit with the in-house dental consultant if needed or requested, but there was no evidence in the clinical record or social service notes that this was done. Interviews with the Social Service Director (S14SSD) and the Registered Dental Hygienist (S15RDH) revealed a breakdown in the process for providing dental care to residents without dental insurance. S14SSD explained that S15RDH was responsible for seeing residents without dental insurance, but the resident in question was not evaluated until the issue was brought to S15RDH's attention. S15RDH confirmed that he had not evaluated the resident's oral care until after the deficiency was identified, mistakenly believing the resident had dental insurance. This oversight resulted in the resident not receiving timely dental care as outlined in the care plan.
Medication Left at Bedside Without Assessment for Self-Administration
Penalty
Summary
The facility failed to ensure that services were provided to meet professional standards of quality when a treatment nurse left medication at the bedside of a resident who was not assessed for self-administration. The resident, who was cognitively intact with a BIMS score of 15, was admitted with diagnoses including essential hypertension and dermatitis. During an observation, a medication cup containing a white powdery substance was found on the resident's bedside dresser. The resident identified the substance as a powder used for itching. The treatment nurse confirmed that she was responsible for applying Miconazole Nitrate powder to the resident's abdominal or groin area as needed and admitted to possibly leaving the medication cup in the resident's room, which she acknowledged should not have occurred. The Director of Nursing confirmed that the medication should not have been left in the resident's room.
Incomplete Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that the daily posted nurse staffing information included the resident census and the total number of hours worked. On two consecutive days, observations revealed that the staffing data posted for the 6:00 AM to 2:00 PM shift did not include these critical details. Specifically, on March 25, 2025, and March 26, 2025, the posted staffing sheets listed the number of RNs, LPNs, and CNAs along with their respective hours but omitted the resident census and total hours worked. Interviews with the ward clerks responsible for posting the staffing sheets confirmed that they had not included the census and total hours worked, as they were unaware that this information was required. Additionally, the payroll clerk stated that she had to fill in the missing information for the previous days because the ward clerks had not done so. This oversight indicates a lack of understanding or training regarding the complete requirements for posting staffing data, leading to incomplete information being displayed.
Medication Cart Security Lapse
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were stored in locked compartments, as required by their policy. During a medication pass on Hall B, an LPN was observed locking the medication cart. However, a nurse was able to open the bottom compartment of the cart, which contained medications, indicating that it was not properly locked. The LPN admitted to being unaware that the bottom compartment did not lock and confirmed that it should have been secured when the cart was left unattended.
Inadequate Training for Wheelchair Securement in Facility Van
Penalty
Summary
The facility failed to ensure that certified nursing aides (CNAs) responsible for transporting residents in the facility's van were adequately trained and competent in the proper and safe procedure for securing residents' wheelchairs according to the manufacturer's instructions. This deficiency was observed when a CNA improperly secured a resident in the facility's transportation van. The CNA used J-hooks to secure the front wheels of the resident's wheelchair instead of attaching them to the frame or welded junction of the wheelchair, as specified in the manufacturer's instructions. The facility's administrator admitted that the van was purchased in 2016 and that a third-party company had demonstrated the proper securing procedure only once at that time. The administrator was uncertain if the current transportation drivers were trained according to the manufacturer's instructions. A review of the facility's training records showed that the CNA had attended in-service training sessions, but there was no documentation to confirm that the training covered the correct procedures for securing wheelchairs in the van.
Failure to Immediately Report Alleged Abuse
Penalty
Summary
The facility failed to ensure that all alleged violations of abuse were reported immediately to the administrative staff for two out of three sampled residents. For Resident #1, the incident occurred on 03/30/2024 when the resident complained to a CNA that her hands were hurt during a transfer. The CNA did not report this to the charge nurse or supervisor until the next day, delaying the notification to the administrative staff. The resident had a BIMS score indicating severe cognitive impairment, and the delay in reporting violated the facility's policy on immediate reporting of abuse allegations. For Resident #2, the incident occurred on 03/08/2024 when the resident's daughter observed a CNA handling her mother roughly during a transfer. The daughter reported the incident to another CNA and an LPN, but neither reported it to the administrative staff. The administrative staff only became aware of the incident three days later when the resident's daughter reported it directly. The resident had severe cognitive impairment and other medical conditions, and the delay in reporting violated the facility's policy on immediate reporting of abuse allegations. Both incidents highlight a failure in the facility's protocol for immediate reporting of abuse allegations. In both cases, the staff did not follow the facility's policy, resulting in delays in addressing the residents' complaints. The administrative staff confirmed that the incidents were not reported immediately as required, leading to deficiencies in the facility's handling of abuse allegations.
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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 Breaux Bridge
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Amelia Manor Nursing Home | 6.5 mi | ★★★★★ | 5 | 0 |
| Courtyard Manor Nurse Care Center & Assisted Liv | 7 mi | ★★★★★ | 5 | 0 |
| River Oaks Retirement Manor | 7.1 mi | ★★★★★ | 3 | 0 |
| Evangeline Oaks Guest House | 8 mi | ★★★★★ | 14 | 0 |
| J. Michael Morrow Memorial Nursing Home | 8 mi | ★★★★★ | 0 | 0 |
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