Average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 The Care Center Of Dequincy during CMS and state inspections, most recent first.
A resident who was dependent for showering and bathing did not receive scheduled ADL assistance as required by the care plan and facility policy. CNA charting showed multiple missed baths, and the resident reported difficulty getting bathed on scheduled days. Staff gave conflicting accounts about who was responsible for bathing and documenting the care, and the CNA supervisor confirmed the resident did not receive bathing at least 3 times weekly as scheduled.
Failure to Administer Ordered BP Medication: A resident with hypertensive heart disease had orders for Norvasc at bedtime and Metoprolol BID with specific hold parameters. EMAR review showed the Norvasc dose was repeatedly not given and was documented as held for vitals outside parameters, even though the resident’s BP readings met the Norvasc order; an LPN said she held the meds because the pulse was out of range, and the DON confirmed Norvasc should have been administered.
A resident’s Quarterly MDS was completed but not electronically transmitted to CMS within the required 14-day timeframe. The CMS submission report identified the record as late, and the DON confirmed the assessment was not sent within the required period after completion.
The facility failed to protect residents from physical abuse, resulting in incidents involving two residents. A resident with dementia was physically abused by another resident, leading to skin tears. Another incident involved a resident with mild cognitive impairment being hit in the face by a fellow resident. The facility's policy on abuse prevention was not effectively implemented, resulting in these deficiencies.
The facility failed to implement and maintain an effective QAPI program, as evidenced by the lack of documented measurement or tracking of actions taken to address quality deficiencies. There was also no evidence of data collection and analysis from July 2024 to January 2025. This deficiency had the potential to impact the care and quality of life for 61 residents.
The facility failed to report two incidents of resident-to-resident abuse within the required timeframe. A resident with cognitive and mood disorders was involved in a physical altercation, and another resident sustained a skin tear in a separate incident. Both incidents were not reported to the state agency within the mandated two-hour window, as confirmed by the facility's administrator.
A facility failed to investigate an incident where a resident was struck multiple times by another, resulting in a skin tear. Despite the facility's policy requiring immediate investigation of abuse, no investigation or documentation was conducted. The Administrator confirmed the oversight during interviews.
The facility failed to properly store schedule IV controlled medications, as observed in Room A where a black refrigerator and a safe box containing Valium suppository and diazePAM Rectal Gel were found unlocked. The DON confirmed these medications should have been double locked, violating the facility's policy.
The facility failed to ensure that dietary staff followed recipes for pureed foods, as observed when a Dietary Cook prepared pureed white beans with ham and cornbread muffins without using the provided recipes. The Dietary Manager confirmed that recipes had not been followed since the menu rotation, potentially affecting six residents on a pureed diet.
A resident's dignity was compromised when their urine collection bag was left uncovered and visible from the hallway. Despite the care plan's instructions to keep the bag private, it was observed hanging at the foot of the bed without a privacy cover. Staff confirmed the oversight and acknowledged the need for a privacy bag to maintain dignity.
A facility failed to accurately assess a resident's discharge status, resulting in a deficiency. The resident was transferred to another nursing home, but the Discharge MDS assessment incorrectly indicated a discharge to a short-term general hospital. This error was confirmed by the staff member responsible for MDS assessments.
The facility failed to provide appropriate respiratory care for two residents, with equipment improperly stored on the floor. One resident's oxygen storage bag and another's nebulizer machine and tubing were found on the floor, confirmed by an LPN as inappropriate. The facility lacked a policy for storing such equipment.
A facility failed to update the hospice documentation for a resident with senile degeneration of the brain and vascular dementia. The last certification of terminal illness and plan of care (POC) were outdated, ending on January 4, 2025. The Director of Nursing confirmed the absence of updated documents, indicating a lapse in maintaining current hospice records.
Missed Scheduled Bathing for Dependent Resident
Penalty
Summary
The facility failed to ensure a resident who was dependent for showering and bathing received the necessary ADL assistance to maintain good grooming and personal hygiene. Resident #41 was admitted with diagnoses including chronic diastolic congestive heart failure, anxiety disorder, morbid obesity, bipolar disorder, and generalized muscle weakness. Her MDS showed a BIMS score of 15, indicating intact cognition, and Section GG documented that she was dependent for shower/bathe. Her care plan identified that she was totally dependent for bathing/showering, and the facility policy stated resident baths would be scheduled per resident preference as possible or at least 3 times weekly. Review of CNA electronic bathing task charting from 01/11/2026 through 02/09/2026 showed no documented bath on multiple scheduled bathing days, including 01/12/2026, 01/14/2026, 01/19/2026, 01/23/2026, 01/26/2026, 01/28/2026, 01/30/2026, 02/02/2026, and 02/04/2026. The resident stated she had difficulty getting a bath on her scheduled days and that her bath was not always given when it was supposed to be given. A CNA shower aide reported she provided bed baths on Wednesdays unless the floor CNA had already done them, while the floor CNA stated the shower aide was responsible for bathing all residents and that she only documented a bed bath if it was the resident’s scheduled bath day. The CNA supervisor reviewed the documentation and confirmed the resident did not receive a shower or bath at least every Monday, Wednesday, and Friday as scheduled.
Failure to Administer Ordered Blood Pressure Medication
Penalty
Summary
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist was not met when Resident #42’s physician-ordered blood pressure medications were not administered as ordered. Resident #42 was admitted with diagnoses including hypertensive heart disease and had orders for Norvasc 5 mg at bedtime, to be held only if blood pressure was below 100/60, and Metoprolol Tartrate 25 mg twice daily, to be held if blood pressure was below 100/60 or pulse was below 60. Review of the EMAR for January and February 2026 showed the 9:00 p.m. Norvasc dose was not given on multiple dates and was documented by an LPN as a 4, indicating vitals outside parameters for administration. The recorded blood pressures on those dates were within the ordered parameters for Norvasc. During interview, the LPN stated she held both blood pressure medications because the resident’s pulse was out of parameters, and the DON confirmed that the Norvasc order required holding only for blood pressure below 100/60 and acknowledged the medication should have been administered on the listed dates.
Late Transmission of Quarterly MDS Assessment
Penalty
Summary
The facility failed to electronically transmit a completed Quarterly MDS assessment to the CMS system within 14 days after completion for Resident #56. The resident’s Quarterly MDS had an ARD of 01/02/2026, and Section Z0500B showed the assessment was completed on 01/16/2026. A review of the facility’s CMS Submission Report on 02/05/2026 showed the record was submitted late because the submission date was more than 14 days after Z0500B for this assessment. During an interview and record review on 02/10/2026 at 4:15 p.m., the DON confirmed that Resident #56’s Quarterly MDS was completed on 01/16/2026 and was not transmitted within the required timeframe.
Failure to Protect Residents from Physical Abuse
Penalty
Summary
The facility failed to protect residents from physical abuse, resulting in incidents involving two residents. Resident #8, who has a history of dementia with behavior disturbance and other mental health issues, was physically abused by Resident #3. On the date of the incident, Resident #8 backed his chair into Resident #3 while waiting to go outside to smoke, leading to Resident #3 hitting Resident #8 multiple times. This resulted in skin tears to Resident #8's left forearm and left lower leg. The facility's incident report confirmed the occurrence of resident-to-resident abuse. Resident #3, who has diagnoses including mild cognitive impairment and schizoaffective disorder, was involved in another incident of physical aggression. On a previous occasion, Resident #3 backed his wheelchair into Resident #63 multiple times, prompting Resident #63 to hit Resident #3 in the face three times. Although no injuries were observed at the time, the incident was documented as resident-to-resident abuse. The facility's records indicate that Resident #3 has a history of potential physical aggression due to anger and poor impulse control. The facility's policy on abuse prevention and investigation emphasizes the prohibition and prevention of abuse, including physical abuse such as hitting and slapping. Despite this policy, the facility failed to protect the residents involved from physical harm, as evidenced by the incidents of abuse. The facility's records and interviews with staff confirm these deficiencies, highlighting a failure to ensure the safety and well-being of the residents.
Failure to Implement and Track QAPI Program
Penalty
Summary
The facility failed to effectively implement and maintain a comprehensive Quality Assurance and Performance Improvement (QAPI) program. This deficiency was identified during a review of the facility's QAPI program and an interview with the Director of Nursing (DON). The facility did not provide documented evidence of measuring or tracking the success of actions implemented to address quality deficiencies from July 1, 2024, through January 12, 2025. Additionally, there was no evidence of data collection and analysis during this period. The lack of these critical components in the QAPI program had the potential to affect the care and quality of life for a census of 61 residents.
Failure to Timely Report Abuse Incidents
Penalty
Summary
The facility failed to report alleged violations of abuse to the State Survey Agency within the required timeframe for two residents. The facility's policy mandates that any allegations of abuse must be reported immediately, but not later than two hours after the allegation is made. However, the incidents involving Resident #3 and Resident #8 were not reported as required. Resident #3, who has a history of cognitive and mood disorders, was involved in an incident where he was physically aggressive towards another resident, resulting in a physical altercation. Despite the incident being recognized as abuse, it was not reported to the state agency within the mandated timeframe. Resident #8, who also has a history of cognitive and mood disorders, was involved in a separate incident where he was physically aggressive towards Resident #3. This resulted in Resident #8 sustaining a skin tear. Similar to the previous incident, this was recognized as an incident of resident-to-resident abuse but was not reported to the state agency within the required two-hour window. The facility's records show that no Critical Incident Reports were created during the last six months, indicating a systemic issue in reporting such incidents. Interviews with the facility's administrator confirmed the failure to report these incidents in a timely manner. The administrator acknowledged that the incidents should have been reported immediately, as per the facility's policy and state requirements. This oversight highlights a deficiency in the facility's adherence to its own policies and state regulations regarding the reporting of abuse allegations.
Failure to Investigate Resident-to-Resident Abuse
Penalty
Summary
The facility failed to initiate an investigation into an alleged incident of abuse involving two residents. According to the facility's policy on Abuse Prevention and Investigation, any suspicion or report of abuse requires an immediate investigation, which includes interviewing all involved parties and documenting the findings. On 11/17/2024, an incident occurred where one resident was struck multiple times by another resident, resulting in a skin tear to the victim's left forearm. Despite the incident being documented as physical aggression, no investigation was conducted or documented by the facility. The Director of Nursing (DON) and the Administrator were both involved in the aftermath of the incident. The Administrator, who was responsible for investigating all incidents and creating Critical Incident Reports, confirmed that no investigation was conducted for the incident on 11/17/2024. The lack of documentation and investigation was acknowledged by the Administrator during interviews conducted on 01/28/2025 and 01/29/2025. This failure to investigate and document the incident of resident-to-resident abuse constitutes a deficiency in the facility's adherence to its own policies and regulatory requirements.
Improper Storage of Controlled Medications
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were stored in accordance with currently accepted professional principles, specifically regarding the storage of schedule IV controlled medications. During an observation of medication storage in Room A, it was found that a black refrigerator containing medications was unlocked. Inside the refrigerator, a black safe box was also found to be unlocked, containing schedule IV controlled medications such as Valium suppository 10 mg and diazePAM Rectal Gel 10 mg. The Director of Nursing (S2DON) confirmed that both the refrigerator and the safe box were unlocked and that the medications stored inside were schedule IV controlled substances that should have been double locked. This failure to secure controlled medications properly is a violation of the facility's policy, which mandates that patient-specific controlled substances be stored under double lock until administered to the patient.
Failure to Follow Recipes for Pureed Foods
Penalty
Summary
The facility failed to ensure that recipes for pureed foods were followed by the dietary staff, specifically by the Dietary Cook (S6DC). During an observation, S6DC was seen preparing pureed white beans with ham and cornbread muffins without using the provided recipes. Instead of measuring ingredients according to the recipes, S6DC used a large scoop with no marked measurements and added ingredients such as water, juice, milk, or thickener based on personal judgment. This practice was confirmed by S6DC during an interview, where she admitted to not following recipes and adjusting the consistency of the food as she deemed necessary. The Dietary Manager (S3DM) intervened during the observation, stopping S6DC from proceeding with the puree process and ensuring that the correct measurements were used. However, S3DM admitted that the dietary staff had not been following recipes for pureed foods since the rotation of the menu, and she could not recall when this practice began. S3DM acknowledged that the dietary staff should be following recipes and had only recently printed and organized the recipes into a binder. This deficiency had the potential to affect the six residents in the facility who were on a pureed diet.
Failure to Maintain Resident Dignity by Not Covering Urine Collection Bag
Penalty
Summary
The facility failed to maintain the dignity of a resident by not ensuring that the resident's urine collection bag was covered and private. The resident, who was admitted with acute kidney failure and urine retention, had an indwelling catheter as part of their care plan. The care plan specified that the catheter bag should be positioned below the bladder and away from the entrance room door. However, during an observation, the urine collection bag was found hanging at the foot of the resident's bed without a privacy cover, making it visible from the hallway. Interviews with the Certified Nursing Assistant Supervisor and the Director of Nursing confirmed that the urine collection bag should have been covered with a privacy bag to maintain the resident's dignity. Both staff members acknowledged the oversight and confirmed that the visibility of the urine collection bag from the hallway was not in line with the facility's standards for resident dignity.
Inaccurate Discharge Status in MDS Assessment
Penalty
Summary
The facility failed to ensure an accurate assessment of a resident's discharge status, leading to a deficiency. A review of the discharge transfer summary for a resident revealed that he was transferred to another nursing home. However, the Discharge Minimum Data Set (MDS) assessment inaccurately reflected that the resident was discharged to a short-term general hospital. This discrepancy was confirmed during an interview and record review with the staff member responsible for MDS assessments, who acknowledged the error in coding the discharge status.
Inappropriate Storage of Respiratory Equipment
Penalty
Summary
The facility failed to provide necessary respiratory care in accordance with professional standards for two residents, potentially affecting 23 residents receiving oxygen therapy. Resident #34, who was admitted with diagnoses including Dyspnea, COPD, and CHF, had an order for oxygen therapy to maintain oxygen saturation above 90%. However, during an observation, the oxygen storage bag was found on the floor with the tubing running through it, which was confirmed by an LPN to be inappropriate storage. Similarly, Resident #58, admitted with Acute and Chronic Respiratory Failure with Hypoxia, COPD, and Pneumonia, had orders for nebulizer treatments. An observation revealed that the nebulizer machine and tubing were stored on the floor at the head of the resident's bed. The resident expressed concern about the cleanliness of the equipment, and an LPN confirmed that the equipment should not be stored on the floor. The facility did not provide a policy for the storage of oxygen/nebulizer equipment by the time of the survey exit.
Failure to Update Hospice Documentation for Resident
Penalty
Summary
The facility failed to obtain the most recent recertification of terminal illness and the most recent plan of care (POC) for a resident receiving hospice services. The resident, who was admitted with diagnoses including senile degeneration of the brain and vascular dementia, was under hospice care as indicated in the Minimum Data Set (MDS) and physician's orders. However, the hospice documents in the contracted hospice binder showed that the last certification of terminal illness and POC were signed for a period ending on January 4, 2025. During a record review and interview with the Director of Nursing (DON), it was confirmed that there was no updated recertification of terminal illness or POC in the resident's hospice binder beyond the period ending January 4, 2025. This oversight indicates a lapse in maintaining current hospice documentation, which is essential for ensuring the resident's care aligns with their current medical needs.
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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 Dequincy
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| High Hope Care Center | 11.4 mi | ★★★★★ | 8 | 0 |
| Holly Hill House | 17 mi | ★★★★★ | 15 | 0 |
| Lake Charles Care Center | 21.4 mi | ★★★★★ | 0 | 0 |
| Rosewood Nursing Center | 21.5 mi | ★★★★★ | 1 | 0 |
| Grand Cove Nursing & Rehabilitation Center | 22.5 mi | ★★★★★ | 5 | 0 |
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