Below average — CMS composite of the measures below.
A standard survey is most likely before around September 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 St Bernard Nursing & Rehab during CMS and state inspections, most recent first.
A resident sustained an unwitnessed fall resulting in a forehead hematoma and bleeding and was sent to the ER after a physician’s order obtained by an LPN. The LPN documented two unsuccessful attempts to contact the resident’s responsible party at the time of the incident and transfer, but no successful notification occurred. The responsible party later reported learning of the fall and ER visit from hospital staff, and the DON confirmed that the responsible party should have been notified of the fall and transfer.
Two residents with severe cognitive impairment and dementia, both dependent or impaired in mobility, experienced falls while their care plans relied on education and encouragement to use call lights for assistance. One resident had multiple unwitnessed falls and was confused and unable to explain the events, yet interventions focused on asking for help and keeping the call light within reach, despite the physician and ADON noting poor safety awareness and inability to follow commands. The other resident, dependent for transfers, fell while attempting to get into bed alone after being told to wait, and post-fall actions centered on educating him to call for help, even though staff and the physician consistently reported he could not understand or remember how to use a call light.
A resident with known risk for impaired skin integrity due to decreased mobility and bladder/bowel incontinence had a new reddened area on the buttocks identified by an LPN while being prepared for transfer to the hospital. Facility guidelines required that all pressure-related injuries and other skin alterations be documented either in the Skin and Wound Module or in detailed progress notes, but the LPN did not record this new skin condition in the clinical record. The ADON and DON acknowledged that the new reddened area should have been documented, resulting in a deficiency for failure to maintain complete and accurate medical records.
A resident's personal check was taken from an unsecured checkbook by a CNA, who wrote the check to herself for $400 and deposited it into her own account without authorization. The resident confirmed she did not permit the CNA to access or use her financial property, and the facility substantiated the misappropriation.
A resident with moderate cognitive impairment was repeatedly unable to access personal funds due to the facility's failure to maintain available petty cash. Staff confirmed that cash was not always on hand to fulfill resident requests, resulting in multiple unfulfilled requests for money.
Staff did not follow infection prevention protocols, including failure to use PPE during wound care for a resident with pressure ulcers, lack of hand hygiene by an LPN during medication administration to multiple residents, and failure by the Activity Director to perform hand hygiene between feeding two residents. These deficiencies were confirmed by staff and leadership.
Two residents with moderate cognitive impairment were found to have medications at their bedsides and were self-administering them without documented assessment or approval by the interdisciplinary team, contrary to facility policy requiring evaluation and documentation before allowing self-administration.
Surveyors observed that bathrooms in two rooms were not kept clean or sanitary, with visible substances on sinks, foul odors, and paper towels on the floor. The administrator confirmed these conditions should not have occurred.
Two residents' care plans were not accurately updated to reflect new physician orders, including changes to nutritional support via PEG tube and oxygen administration. The care plans did not match the most current orders, and staff interviews confirmed that the process for updating care plans was not followed.
Two residents did not have call lights connected in their rooms, requiring one to walk to the hallway to seek assistance and the other to be unaware of the call light's location. Staff, including an LPN, the DON, and the Administrator, confirmed that call lights should have been available and connected in all resident rooms, but were not for these residents.
A hot water faucet in the bathroom of a resident room was found to be non-functional during two separate observations. The administrator confirmed that the faucet should have been operational.
The facility failed to provide proper care for two residents with indwelling urinary catheters. One resident's catheter bag and tubing were not changed monthly as ordered, and the equipment was found unsanitary and lying on the floor due to a missing hanging clip. Another resident's catheter bag was also found on the floor and in a trashcan, similarly due to a missing clip. Staff interviews confirmed these deficiencies in catheter care and sanitary conditions.
The facility failed to ensure accurate reconciliation of controlled drugs across all medication carts reviewed. LPNs were responsible for reconciling narcotics with the off-going nurse at the beginning of their shift and with the on-coming nurse at the end of their shift, but the Nurses Narcotic Check Lists showed multiple instances of incomplete documentation. Interviews revealed that LPNs were aware of the requirement but did not consistently follow the reconciliation process. The Director of Nursing and the Administrator confirmed the issue.
The facility failed to date and discard insulin vials as required. Observations revealed that insulin vials on three medication carts were either not dated when opened or not discarded after 28 days. Interviews with LPNs and the DON confirmed the oversight, acknowledging that the vials should have been dated and discarded per nursing standards.
A facility failed to properly label and maintain enteral feeding equipment for a resident with a J-tube. The resident's feeding syringe and water bag used for flushes were not labeled or dated, as confirmed by an LPN and the DON. This issue was observed over several days, with the feeding syringe containing a pink liquid at the tip.
A resident with Bipolar and Major Depressive Disorder did not receive the recommended psychological services as per the Level II PASRR. The facility failed to provide Community Psychiatric Support & Treatment (CPST) or psychiatric evaluations since the resident's admission, as confirmed by the psychiatric services provider and social services staff.
A resident's oxygen equipment was not maintained in a sanitary manner, with nasal cannula tubing left uncovered on the floor and the humidifier not changed weekly as required. The resident, who was mildly cognitively impaired, was receiving oxygen therapy to maintain oxygen saturation above 92%. An LPN confirmed these deficiencies, indicating a failure in providing safe respiratory care.
The facility failed to notify physicians of pharmacist recommendations for gradual dose reductions of psychotropic medications for two residents. A pharmacy consultant recommended a GDR for Seroquel for one resident and Risperdal for another, but there was no documentation that these recommendations were reviewed by physicians. The DON confirmed the lack of documentation, highlighting a communication failure.
The facility failed to accurately document the route of medication administration for two residents with feeding tubes. Despite physician orders indicating oral administration, both residents received medications through their feeding tubes, as confirmed by the DON. This discrepancy highlights a failure in maintaining proper medical records.
A resident in a long-term care facility was found to have a non-functional call bell, requiring him to seek assistance in the hallway. Despite being cognitively intact and needing substantial assistance with personal hygiene, the resident's call bell was not operational on multiple tests. Staff, including a CNA and LPN, confirmed the deficiency, acknowledging that the call bell should have been functioning.
A resident with significant mobility issues and requiring two-person assistance was transferred by a single CNA using a mechanical lift, resulting in a fall. The CNA admitted to the improper transfer due to a lack of available staff, despite the resident's care plan and facility policy requiring two-person assistance.
A facility failed to report and investigate an allegation of physical abuse made by a resident to the State agency. The resident's refusal of dialysis and medications due to the abuse allegation was documented, but there was no evidence that the incident was reported. Interviews revealed conflicting accounts among staff, and the Administrator confirmed the lack of reporting.
Failure to Notify Responsible Party of Resident Fall and ER Transfer
Penalty
Summary
The deficiency involves the facility’s failure to ensure a resident’s responsible party was immediately notified following a significant change in condition related to a fall. According to the incident report and nursing notes dated 01/11/2026, the resident experienced an unwitnessed fall that resulted in active bleeding and a large hematoma on the forehead. The LPN obtained physician orders to send the resident to the emergency room for evaluation. Documentation on the incident report and in the nurse’s note showed that the LPN attempted twice, unsuccessfully, to contact the resident’s responsible party/daughter at the time of the incident and transfer. In a subsequent telephone interview, the resident’s responsible party reported that she was not notified by the facility about the fall or the emergency room transfer and instead learned of the event from hospital staff on the same date. During an interview, the LPN confirmed that the date and time documented as responsible party notification on the incident report reflected only the attempted, but unsuccessful, calls. The LPN acknowledged making two unsuccessful attempts to notify the responsible party. The DON later confirmed that the LPN should have notified the resident’s responsible party of the fall and the emergency room transfer, establishing that required immediate notification did not occur.
Failure to Individualize Fall Prevention Care Plans for Residents With Severe Cognitive Impairment
Penalty
Summary
The deficiency involves the facility’s failure to develop and implement individualized, resident-centered fall prevention care plan interventions for two residents with severe cognitive impairment and dementia. One resident had a Brief Interview for Mental Status (BIMS) score of 5, diagnoses of dementia and reduced mobility, and experienced two unwitnessed falls, one in the hallway and one in her room. Despite these events and the resident’s confusion and inability to explain how the falls occurred, the care plan interventions implemented after the falls focused on encouraging the resident to ask for assistance with transfers and ambulation and ensuring the call light was within reach. The resident’s physician stated that the resident was not aware of her physical inabilities, had poor safety awareness, and had difficulty following commands, and the Assistant DON indicated that education and reliance on the call light were not appropriate interventions due to the resident’s impaired cognition and poor safety awareness. The second resident also had a BIMS score of 5, a diagnosis of dementia, and was dependent on staff for transfers, with a care plan identifying a self-care deficit and risk for falls related to dementia and confusion. The care plan directed staff to encourage the resident to use the call light for assistance. This resident had a witnessed fall in his room when he attempted to get into bed on his own after his wife told him to wait for help. Post-fall documentation noted confusion and disorientation, and the immediate action taken was to educate the resident on the importance of calling for staff assistance. Multiple staff, including an LPN, CNA, the Director of Social Services and Recreation, and the Assistant DON, as well as the resident’s physician, indicated that the resident would not understand or remember to use the call light due to poor cognition and progressed dementia, and the resident himself was unable to understand what a call light was used for. Despite this, the care plan interventions remained focused on education and call light use, which were not individualized to the residents’ cognitive limitations.
Failure to Document Newly Identified Skin Breakdown
Penalty
Summary
The deficiency involves the facility’s failure to document a newly identified skin condition in a resident’s clinical record in accordance with its Skin and Wound Management Guidelines. The guidelines required that all pressure-related injuries and moisture-associated skin damage be documented in the Skin and Wound Module, and that other alterations in skin integrity be described in detail in the resident’s progress notes. Resident #6 had a care plan identifying a potential for impaired skin integrity related to decreased mobility and bladder/bowel incontinence. During preparation for transfer of Resident #6 to the hospital for evaluation, an LPN identified a new reddened area on the resident’s buttocks but did not document this change in the resident’s clinical record. The Assistant Director of Nursing and the Director of Nursing both confirmed that the LPN should have documented the newly observed reddened area in the resident’s record. This failure to document the new skin alteration for Resident #6, despite existing facility guidelines and the resident’s identified risk for impaired skin integrity, led to the cited deficiency.
Failure to Protect Resident from Financial Misappropriation by Staff
Penalty
Summary
The facility failed to protect a resident from financial misappropriation by a staff member. According to the facility's incident report and policy review, a Certified Nursing Assistant (CNA) took a personal check from a resident's unsecured checkbook, wrote the check out to herself for $400.00, and deposited it into her own account. The CNA endorsed the check with her signature. The resident confirmed in an interview that she did not authorize the CNA to take, write, or cash a check from her account. The facility substantiated the allegation of misappropriation following its investigation.
Failure to Provide Resident Access to Personal Funds
Penalty
Summary
The facility failed to ensure that a resident was able to access personal funds upon request, as required. Record review showed that the resident had moderate cognitive impairment. Multiple interviews revealed that the resident was frequently denied access to her funds due to the unavailability of cash, including a specific instance when she requested $50 and was told no cash was available. Staff interviews confirmed that there were times when no petty cash was available for resident requests, and that the resident had made multiple unfulfilled requests for cash. The administrator acknowledged that cash under $100 should be available to residents, but admitted that this was not always the case.
Failure to Follow Infection Control Protocols During Resident Care
Penalty
Summary
Staff failed to adhere to infection prevention and control protocols in several instances. During wound care for a resident with an unstageable pressure ulcer and a stage 3 pressure ulcer, the wound care nurse did not don personal protective equipment (PPE) as required for Enhanced Barrier Precautions (EBP). Both the nurse and the Director of Nursing confirmed that PPE should have been used prior to providing wound care to this resident, who was at high risk for multi-drug resistant organism (MDRO) transmission due to their wounds. Additionally, a licensed practical nurse did not perform hand hygiene before and between administering medications to three residents, as observed and later confirmed by both the nurse and the Director of Nursing. Furthermore, the Activity Director fed two residents consecutively without performing hand hygiene between residents. This was acknowledged by the Activity Director and confirmed by the Director of Nursing. These lapses in infection control practices were identified through direct observation, interviews, and record reviews.
Failure to Assess Residents for Self-Administration of Medications
Penalty
Summary
The facility failed to assess two residents for their ability to self-administer medications, as required by facility policy. Both residents had moderate cognitive impairment, as indicated by their Brief Interview for Mental Status scores. Despite this, there was no documented evidence in their medical records or care plans that an interdisciplinary team had evaluated or approved them for self-administration of medications. Facility policy states that such an assessment and documentation are necessary before allowing residents to self-administer any medications. Observations revealed that both residents had various topical medications and eye drops at their bedsides, which they reported using independently. One resident had multiple muscle rubs and creams, while the other had a tube of Aspercream and a bottle of eye drops, both of which were used regularly without staff oversight. Interviews with facility staff confirmed that there was no documentation of assessment or approval for self-administration for these residents, and that medications, whether over-the-counter or prescribed, should not be left at the bedside without proper evaluation.
Failure to Maintain Clean and Sanitary Resident Bathrooms
Penalty
Summary
The facility failed to maintain clean and sanitary bathrooms in two observed rooms, Room C and Room D. On multiple occasions, surveyors observed a dark colored substance on the rim and in the basin of the bathroom sink in both rooms. In Room D, there was a persistent foul urine-like odor, a clear substance on the floor by the toilet, six paper hand towels on the bathroom floor, and dried red and white gel-like substances on the sink. These unsanitary conditions were present over two consecutive days of observation. During an interview, the administrator acknowledged that the bathrooms in both rooms were not clean and confirmed they should have been.
Failure to Update Care Plans Following Physician Order Changes
Penalty
Summary
The facility failed to accurately update the care plans for two residents following changes in their physician's orders. For one resident, physician's orders included specific instructions for nutritional support via PEG tube, including the administration of Ensure Original three times daily and Jevity 1.5 at a specified rate overnight. However, the resident's care plan only noted a mechanically altered therapeutic diet and water flushes and medications via PEG tube, without reflecting the updated nutritional orders. For the second resident, physician's orders required oxygen at 3 liters per minute via nasal cannula as needed to maintain oxygen saturation above 90%. The care plan, however, indicated continuous oxygen at the same rate, not reflecting the as-needed order. Interviews with the MDS Nurse, DON, and Administrator confirmed that the process for updating care plans was not followed, and new or updated physician's orders were not incorporated into the residents' care plans as required by facility policy.
Failure to Provide Accessible Call Light System in Resident Rooms
Penalty
Summary
The facility failed to ensure that a working call light system was available and accessible for residents in their rooms, as required by facility policy. During observations, it was noted that two residents did not have call lights connected to the call light wall system in their rooms. One resident confirmed the absence of a call light and reported having to ambulate to the hallway to seek staff assistance. The other resident also confirmed not having a call light available and was unaware of its location. Interviews with staff, including an LPN, the DON, and the Administrator, confirmed that call lights should be plugged into the call light system in all resident rooms, but this was not the case for the residents observed.
Non-Functional Hot Water Faucet in Resident Room
Penalty
Summary
The facility failed to maintain a functional environment by not ensuring that the hot water faucet in the bathroom of Room B was operational. On two separate observations, the hot water was found to be non-functional in this room. During an interview, the administrator confirmed that the hot water faucet should have been functional in Room B. This deficiency was identified through direct observation and staff interview, with no mention of corrective actions or the condition of any residents at the time.
Deficient Urinary Catheter Care in Residents
Penalty
Summary
The facility failed to ensure proper care for residents with indwelling urinary catheters, specifically regarding the timely changing of catheter tubing and bags and maintaining sanitary conditions. Resident #3 had a physician's order for a monthly change of the catheter bag and tubing, which was not documented as completed in January 2025. Observations revealed that Resident #3's catheter drainage bag and tubing contained rust-colored, cloudy urine with sediment, and the inside of the drainage bag appeared dirty. Additionally, the catheter tubing and collection bag were found lying on the floor under the bed, covered with grey fuzzy debris, due to a missing urinary bag hanging clip. Interviews with the resident and staff confirmed these unsanitary conditions and the failure to adhere to the monthly change order. Similarly, Resident #R4's urinary catheter care was deficient. The resident's catheter bag was observed lying in a bedside trashcan and later on the floor under the bed, also due to a missing hanging clip. Interviews with the resident and staff confirmed that the catheter bag should not have been placed in the trashcan or on the floor. These observations and interviews highlight the facility's failure to maintain proper catheter care and sanitary conditions for residents with indwelling urinary catheters.
Failure to Reconcile Controlled Drugs
Penalty
Summary
The facility failed to ensure accurate reconciliation of controlled drugs across all four medication carts reviewed. The Licensed Practical Nurses (LPNs) were responsible for reconciling narcotics with the off-going nurse at the beginning of their shift and with the on-coming nurse at the end of their shift. However, the Nurses Narcotic Check Lists for Medication Carts A, B, C, and D showed multiple instances of incomplete reconciliation documentation for various shifts throughout February 2025. This lack of documentation indicates that the required reconciliation process was not consistently followed. Interviews with several LPNs revealed that they were aware of the requirement to reconcile controlled substances at the beginning and end of each shift and to document this on the Nurses Narcotic Check List. Despite this, the LPNs admitted to not completing the reconciliation process as required. One LPN even mentioned routinely waiting until after the off-going nurse had left to recount the controlled substances alone before signing the checklist, which is against the facility's protocol. The Director of Nursing and the Administrator confirmed that the Nurses Narcotic Check Lists were not completed as required. The failure to properly document the reconciliation of controlled substances suggests a systemic issue in the facility's medication management practices, as evidenced by the consistent lack of documentation across all medication carts reviewed.
Failure to Properly Date and Discard Insulin Vials
Penalty
Summary
The facility failed to ensure that insulin multi-dose vials were properly dated when opened and discarded as required. During observations, it was found that several insulin vials on Medication Carts a, b, and c were either not dated when opened or were not discarded after the required 28 days. Specifically, on Medication Cart a, insulin vials for Residents #R8, #R9, and #R10 lacked documented opened dates. On Medication Cart b, insulin vials for Residents #R5, #R6, and #R7 were opened beyond the 28-day discard period. Similarly, on Medication Cart c, Resident #R11's insulin vial was not dated when opened. Interviews with the nursing staff, including S4LPN, S5LPN, and S6LPN, confirmed the oversight in labeling and discarding the insulin vials. The Director of Nursing and the Administrator also acknowledged that the insulin vials should have been dated upon opening and discarded after 28 days, as per nursing standards of care. This deficiency in medication management was identified during a survey, highlighting a lapse in adherence to professional principles for drug labeling and storage.
Deficiency in Labeling and Maintenance of Enteral Feeding Equipment
Penalty
Summary
The facility failed to ensure proper labeling and maintenance of enteral feeding equipment for a resident with a jejunostomy tube (J-tube). Specifically, the water used for J-tube flushes and the feeding syringe for a cognitively intact resident were not labeled or dated. This deficiency was observed over several days, with the feeding syringe containing a pink liquid at the tip and the water bag used for flushes consistently lacking proper labeling and dating. Interviews with facility staff confirmed these observations. A Licensed Practical Nurse (LPN) acknowledged the absence of labels and dates on the feeding syringe and water bag. Additionally, the Director of Nursing (DON) indicated that feeding syringes should be labeled with the resident's name, date, and time opened, and that the water used for flushes should also be labeled and dated. These lapses in protocol were identified for one of the three residents sampled for enteral feeding.
Failure to Provide Recommended Psychological Services
Penalty
Summary
The facility failed to ensure that a resident received specialized psychological services as recommended by the Level II Preadmission Screening and Resident Review (PASRR) program. Resident #65, who was admitted to the facility with diagnoses of Bipolar Disorder and Major Depressive Disorder, did not receive the recommended Community Psychiatric Support & Treatment (CPST) or psychiatric/psychosocial/psychological evaluation. The resident's Level II PASRR recommendations, which were received by the facility's social services on June 5, 2024, were not followed, and there was no documented evidence of the required services being provided since the resident's admission. Interviews conducted during the survey revealed that the facility's psychiatric services provider's Practice Manager confirmed that the resident had not received the necessary evaluations or treatments. Additionally, the facility's social services staff indicated that they did not have the Level II PASRR recommendations available upon the survey team's request and had to obtain them from the Louisiana Office of Behavioral Health. This lack of documentation and failure to implement the recommended services resulted in a deficiency in the care provided to Resident #65.
Failure to Maintain Sanitary Oxygen Equipment
Penalty
Summary
The facility failed to ensure that a resident's oxygen equipment was maintained in a sanitary manner and appropriately dated. Resident #92, who was mildly cognitively impaired with a BIMS score of 11, was receiving oxygen therapy as per physician's orders to maintain oxygen saturation above 92%. During observations, it was noted that the nasal cannula tubing for Resident #92's oxygen was left uncovered and lying on the floor, which is not a sanitary practice. Additionally, the humidifier on Resident #92's oxygen concentrator was found to be dated 04/27/2024, indicating it had not been changed weekly as required. This was confirmed by S4LPN, who acknowledged that the nasal cannula tubing should not have been left uncovered on the floor and that the humidifier should have been changed and dated weekly on Sundays. These observations and confirmations highlight the facility's failure to provide safe and appropriate respiratory care for Resident #92.
Failure to Notify Physicians of Pharmacist Recommendations for GDR
Penalty
Summary
The facility failed to ensure that a physician was notified of a pharmacist's recommendation for a gradual dose reduction (GDR) of psychotropic medications for two residents. For Resident #8, the facility's records indicated that a GDR was recommended by the pharmacy consultant for Seroquel 50mg on March 10, 2024. However, there was no documentation to show that this recommendation was reviewed by a physician. Similarly, for Resident #94, a pharmacist recommended a dose reduction of Risperdal 4.5 mg, but there was no documented evidence that the resident's physician was informed of this recommendation. The Director of Nursing confirmed the lack of documentation for both residents, indicating a failure in the communication process between the pharmacy consultant and the physicians responsible for the residents' care.
Inaccurate Medication Administration Documentation for Residents with Feeding Tubes
Penalty
Summary
The facility failed to maintain accurate documentation for the route of medication administration for two residents who were receiving enteral feeding. Resident #64, who had moderate cognitive impairment and a feeding tube, was documented to receive medications orally according to the June 2024 Physician Orders. However, the Director of Nursing (DON) confirmed that all medications were actually administered through the feeding tube, indicating a transcription error in the physician orders. Similarly, Resident #72, who was cognitively intact and also had a feeding tube, was documented to receive medications orally as per the June 2024 Physician Orders. In an interview, both Resident #72 and the DON confirmed that all medications were administered through the feeding tube, revealing another transcription error. These inaccuracies in documentation for both residents highlight a failure in maintaining proper medical records in accordance with accepted professional standards.
Non-Functional Call Bell for Resident
Penalty
Summary
The facility failed to ensure a functional call bell was available for a resident, identified as Resident #77, who was cognitively intact and required substantial assistance with personal hygiene. The deficiency was identified through observation, interview, and record review. On two separate occasions, tests of the resident's call bell revealed it was not functioning, and the indicator light did not illuminate either on the wall of the resident's room or outside above the door. This issue was confirmed by both a Certified Nursing Assistant (CNA) and a Licensed Practical Nurse (LPN), who acknowledged that the call bell should have been operational. Resident #77 reported that due to the non-functioning call bell, he had to go out into the hall to seek assistance. The CNA confirmed that the resident was capable of using the call bell but often resorted to calling for help in the hallway. The Assistant Director of Nurses (ADON) also confirmed that the call bell should have been functioning, indicating a lapse in maintaining essential equipment for resident safety and communication.
Failure to Provide Adequate Assistance During Transfer
Penalty
Summary
The facility failed to ensure that a resident requiring two-person assistance with transfers was transferred with the necessary support, leading to a preventable fall. Resident #1, who had diagnoses including ataxic gait, morbid severe obesity, and muscle wasting atrophy, required extensive assistance and two-person physical assistance with transfers and bed mobility. Despite this, on 04/27/2024, Resident #1 was transferred by a single Certified Nursing Assistant (CNA) using a mechanical lift, which resulted in the resident slipping out of the sling and falling to the floor. The CNA admitted to attempting the transfer alone due to the unavailability of additional staff, acknowledging that the resident required a two-person assist as per the care plan and facility policy. The incident was confirmed by the resident and the facility administrator during subsequent interviews. The facility's policy on accident hazards and supervision mandates that individualized, resident-centered interventions be implemented to minimize risks, including the use of assistive devices according to manufacturer recommendations. The policy also specifies that most lifts require two or more caregivers to operate safely. The failure to adhere to these guidelines and the resident's care plan resulted in the fall, highlighting a lapse in the facility's commitment to providing a safe environment and adequate supervision to prevent accidents. The incident underscores the importance of following established protocols to ensure resident safety, particularly for those with significant mobility and health challenges.
Failure to Report and Investigate Allegation of Physical Abuse
Penalty
Summary
The facility failed to report and investigate an allegation of physical abuse made by Resident #3 to the State agency. On 03/11/2024, Resident #3 refused dialysis and medications due to an allegation of physical abuse, which was documented in the nurse's note and reported to the nurse supervisor, the Director of Nursing (DON), and the doctor. However, there was no documented evidence in the facility's incident reports that the allegation was reported to the State Agency. Interviews revealed conflicting accounts: the Licensed Practical Nurse (LPN) stated she reported the allegation to the Treatment Nurse, who then allegedly informed the DON. Both the Treatment Nurse and the DON denied receiving or reporting the allegation. The Administrator confirmed that the facility did not report the allegation to the State Agency and was unaware of the incident in March.
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What surveyors actually found near you
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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 New Orleans
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St. Margaret's Daughters Home | 2.9 mi | ★★★★★ | 12 | 0 |
| Lafon Nursing Facility Of The Holy Family | 3.6 mi | ★★★★★ | 12 | 0 |
| St Jude's Health & Wellness Center | 3.6 mi | ★★★★★ | 16 | 2 |
| Chateau De Notre Dame Community Care Center | 4.5 mi | ★★★★★ | 0 | 0 |
| Jefferson Healthcare Center | 5.9 mi | ★★★★★ | 6 | 0 |
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