Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
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 The Encore Healthcare And Rehabilitation Center during CMS and state inspections, most recent first.
Incomplete Person-Centered Care Plans: The facility failed to complete person-centered comprehensive care plans for 3 residents. One resident’s plan did not reflect hospice status despite an MDS indicating hospice services and an order for hospice admission, and two other residents had incomplete, overdue care plans after admission MDS assessments were completed. The MDS staff member confirmed the plans were not complete.
Dignity During Assisted Feeding: An LPN was observed standing while feeding a resident in the dining room instead of sitting at eye level, contrary to the facility's dining policy. The resident had Alzheimer's disease, dysphagia, GERD, and severely impaired cognition, and the ADON confirmed staff should sit in front of residents while assisting with feeding.
A resident with intact cognition and an order for nasal spray self-administered the medication incorrectly during observation after an LPN handed him the bottle. The resident asked about the dose, was told one spray in each nostril, but then used two sprays in each nostril. The LPN confirmed the resident would not allow her to administer the medication, and the DON and corporate nurse confirmed he had not been assessed, care planned, or given a physician order for self-administration.
Failure to provide needed grooming assistance: A resident with severe cognitive impairment and diagnoses including dementia required staff help with hygiene and grooming, but was observed with multiple long hairs on her chin. The hairdresser, CNA Supervisor, and Corp Nurse all confirmed the facial hair was long and should have been cut, and staff were expected to groom residents needing assistance.
An LPN crushed and administered an extended-release nifedipine tablet to a resident with HTN and hypertensive heart disease, despite the medication being ordered as Procardia XL. In a separate event, a controlled oxycodone-acetaminophen dose given to another resident with cancer diagnoses was documented in the EHR but not entered on the narcotic record, and the LPN confirmed the omission.
Medication Error Rate Exceeded Allowed Threshold: The facility had 2 observed medication errors out of 33 opportunities, resulting in a 6.06% error rate. An LPN crushed an extended-release nifedipine tablet for a resident with HTN and hypertensive heart disease, and another LPN allowed a resident to self-administer ipratropium nasal spray at a dose higher than ordered for allergic rhinitis. Both LPNs confirmed the errors during interview.
Expired Aspirin was found in Med Cart C during an observation with an LPN. The bottle had an expiration date of 06/2025 and was still in the cart when it should have been discarded. The ADON confirmed that no expired medications should be in med carts.
A resident with severe cognitive impairments was allegedly physically abused by a CNA, witnessed by another CNA who delayed reporting the incident. The LPN informed did not notify the resident's family, assuming they would be informed post-investigation. The family learned of the incident via social media, not from the facility, leading to concerns voiced in a meeting with the administrator.
A facility failed to report an alleged staff-to-resident physical abuse incident within the required 2-hour timeframe. A resident with severe cognitive impairment was allegedly handled roughly by a CNA. The incident was reported internally the day after it occurred, but the Administrator delayed reporting it to the state agency for 10 days, resulting in a deficiency.
The facility failed to ensure a Discharge MDS assessment was completed timely for a resident with multiple diagnoses, including Cord Compression and Diabetes Mellitus. The resident was discharged, but the required MDS assessment was not transmitted until several months later, as confirmed by an LPN.
The facility failed to ensure accurate documentation for two residents, including an incorrect entry about a PEG tube and multiple errors in medication administration records, leading to uncertainty about the care provided.
The facility failed to inform a resident's representative of their right to choose a hospice provider, leading to the representative signing up for hospice services without being fully aware of their options. The representative later revoked hospice care and filed a grievance upon learning of their right to choose a different provider.
The facility failed to accurately code all applicable diagnoses on two consecutive comprehensive MDS assessments for a resident. Despite documented diagnoses of Dementia and Schizoaffective Disorder, these were not included in the resident's MDS assessments, as confirmed by the Regional Clinical Educator and the MDS LPN.
The facility failed to refer a resident with a newly diagnosed serious mental disorder for a Level II PASARR evaluation as required by policy. Despite being diagnosed with Schizoaffective Disorder shortly after admission, the necessary paperwork was not submitted, resulting in the resident not receiving timely behavioral health services.
A resident with chronic edema in both lower extremities did not have a comprehensive care plan addressing her condition. Despite documented observations of worsening edema and the need for leg elevation, no interventions were included in the care plan. Interviews with staff and the resident confirmed the lack of assistance and monitoring for leg elevation, contrary to the facility's policy.
A resident with chronic respiratory conditions did not receive oxygen at the ordered rate due to a knot/kink in the tubing, which was confirmed and corrected by an LPN.
The facility failed to ensure medications were labeled to reflect physician-ordered adjustments for a resident with Hypertensive Heart Disease and other conditions. The resident received incorrect dosages of Tramadol on multiple occasions due to improper labeling, as confirmed by an LPN and the Regional Clinical Specialist.
The facility failed to ensure medication was labeled as per physician orders for a resident. During a medication administration observation, it was found that the medication card for Potassium Chloride 20meq was incorrectly labeled, instructing to take 1 & 1/2 tablets (30meq) by mouth once now, then resume 1 tablet by mouth once daily, whereas the physician's orders and MAR indicated to give 2 tablets (40meq) daily. This discrepancy was confirmed by the LPN and DON.
Incomplete Person-Centered Care Plans
Penalty
Summary
The facility failed to develop a person-centered comprehensive plan of care for 3 residents. For Resident #9, the record showed an admission date of 07/23/2020 and diagnoses including hemiplegia and hemiparesis following cerebral infarction, acute kidney failure, and hypertensive heart disease. The resident’s MDS assessments showed a comprehensive assessment completed on 06/05/2025 indicating hospice services, and physician orders included an order to admit to hospice services, but the person-centered care plan did not reflect the resident’s hospice status. For Resident #73, the record showed an admission date of 05/19/2025 with diagnoses including pneumonitis, paroxysmal atrial fibrillation, and anxiety disorder. The admission MDS assessment was completed on 05/30/2025, but the person-centered care plan was incomplete. For Resident #75, the record showed an admission date of 06/16/2025 with diagnoses including pneumonia, sepsis, and paroxysmal atrial fibrillation. The admission MDS assessment was completed on 06/22/2025, but the person-centered care plan was also incomplete. During interview and record review, the MDS staff member confirmed the care plans for Residents #73 and #75 were not complete and were overdue, and confirmed Resident #9’s care plan was overdue and did not include hospice.
Dignity During Assisted Feeding
Penalty
Summary
The facility failed to promote a resident's dignity during dining by having staff stand over the resident while assisting with feeding. The facility's Dining and Meal Service Policy and Procedure stated that dining should be person centered and that staff should sit at eye level with the resident while assisting with feeding to maintain dignity. Resident #67 was admitted with diagnoses including Alzheimer's Disease, dysphagia, and gastro-esophageal reflux disease. The resident's MDS dated 05/20/2025 showed a BIMS score of 04, indicating severely impaired cognition, and the care plan identified a need for assistance with feeding. During an observation on 07/21/2025, an LPN was seen standing while feeding the resident in the dining room as the resident sat in a geri-chair. The LPN later confirmed she was standing while feeding the resident and stated she should have been sitting next to the resident instead of standing over her. The ADON also confirmed that staff should sit down in front of residents and at eye level while feeding them.
Failure to Assess and Order Self-Administration of Nasal Medication
Penalty
Summary
The facility failed to ensure that a resident was safe to self-administer medication for 1 of 4 residents observed for medication administration. The facility’s policy stated that residents may self-administer medications only if the interdisciplinary team determines it is safe, the resident has a prescriber’s order to self-administer, and the resident’s cognitive, physical, and visual ability has been assessed during care planning and verified quarterly or with a significant change in condition. Resident #61 was admitted with diagnoses including allergic rhinitis and had an MDS assessment showing a BIMS score of 15, indicating intact cognition. The resident had a physician order for Ipratropium Bromide nasal solution, 1 spray in both nostrils twice daily. During an observation, an LPN handed the resident his nasal spray, the resident asked whether he was supposed to administer two sprays in each nostril, and the LPN told him one spray in each nostril should be administered. The resident then sprayed two sprays in each nostril. The LPN later confirmed the resident administered the medication incorrectly and stated he would not allow her to administer the nasal spray herself. The DON and corporate nurse confirmed the resident should have been assessed and care planned for self-administration and should have had a physician’s order to self-administer, but did not.
Failure to Provide Needed Grooming Assistance
Penalty
Summary
The facility failed to ensure a resident who was unable to perform activities of daily living received the necessary assistance to maintain good grooming. Resident #25 was admitted with diagnoses including Vascular Dementia, Psychotic Disturbance, Cognitive Communication Deficit, Anxiety, and Major Depression. Her quarterly MDS dated 06/24/2025 showed a BIMS score of 5, indicating severely impaired cognition, and her care plan stated that staff assistance was required for ADLs due to impaired cognition, including help with hygiene and grooming tasks. During observation on 07/22/2025, the resident was seen in the Beauty Shop with multiple hairs on her chin approximately 1/2 inch long. The hairdresser observed the facial hair and confirmed it was long and should have been cut. A CNA Supervisor also confirmed the resident’s chin hair was long and needed to be cut, stating residents received showers on Mondays, Wednesdays, and Fridays and staff should have ensured grooming on those days. A Corp Nurse confirmed the resident had poor cognition and that staff were to groom residents who required assistance, and stated the CNA Supervisor should have ensured the resident did not have overgrown facial hair on her chin.
Improper Administration of Extended-Release Medication and Missing Controlled Drug Documentation
Penalty
Summary
The facility failed to provide pharmaceutical services by not administering a prescribed extended-release nifedipine tablet according to manufacturer recommendations. Resident #9 was admitted with diagnoses including essential hypertension and hypertensive heart disease without heart failure and had an order for Procardia XL 90 mg once daily. During medication administration observation, an LPN was seen giving the nifedipine extended-release tablet after crushing it. The LPN later confirmed she had administered the medication crushed and should not have, and the DON and Corporate Nurse also confirmed that extended-release nifedipine should not have been crushed before administration. The facility also failed to accurately maintain controlled medication reconciliation for Resident #79. The resident was admitted with diagnoses including malignant neoplasm of the colon and secondary malignant neoplasm of the liver and intrahepatic bile duct, and had an order for oxycodone-acetaminophen 7.5-325 mg four times daily for pain. The EHR showed the controlled medication was administered at 12:09 p.m., but the Individual Patient's Narcotic Record did not document that dose. During a controlled drug count and interview, the LPN stated she had just administered the medication and forgot to sign it off because she got busy, and she confirmed it should have been documented before administration.
Medication Error Rate Exceeded Allowed Threshold
Penalty
Summary
The facility failed to ensure the medication error rate remained below 5%, with 33 observed medication administration opportunities and 2 medication errors for a calculated error rate of 6.06%. The facility policy stated that medications are to be administered as prescribed and that long-acting or enteric-coated dosage forms should not be crushed. The report also cited Pfizer Medical information for Procardia XL, which states that the extended-release tablets should be swallowed whole and should not be bitten or divided. Resident #9 had physician orders for Procardia XL 90 mg extended-release nifedipine once daily for diagnoses including essential hypertension and hypertensive heart disease without heart failure. During observation, an LPN administered the nifedipine extended-release tablet after crushing it. The LPN later confirmed that the medication had been crushed and should not have been. Resident #61 had an order for ipratropium bromide nasal solution 0.03%, 1 spray in both nostrils twice daily for allergic rhinitis. During observation, an LPN handed the resident the bottle of nasal spray, and the resident administered two sprays in each nostril instead of the ordered dose. The LPN later confirmed that the resident received two sprays, which was not the correct dose.
Expired Aspirin Found in Medication Cart
Penalty
Summary
Drugs and biologicals were not stored in accordance with currently accepted professional principles when an expired Aspirin 325 mg bottle was found in Med Cart C during observation with an LPN. The bottle had an expiration date of 06/2025 and was still present in the medication cart on 07/23/2025. During interview, the LPN confirmed the medication was expired and stated it should have been discarded and not kept in the med cart. The ADON also confirmed that no expired medications should be in any med carts.
Failure to Report and Notify Family of Alleged Abuse
Penalty
Summary
The facility failed to implement its policy for incident investigation and reporting when staff did not immediately report alleged staff-to-resident physical abuse to administrative staff and failed to notify the resident's responsible party. The incident involved a resident with severe cognitive impairments and multiple diagnoses, including dementia and Parkinson's disease. The alleged abuse occurred when a CNA was observed by another CNA to be rough while combing the resident's hair and slapping the resident's hand. The witnessing CNA did not report the incident until the following day, and the LPN who was informed did not notify the resident's family, assuming they would be informed after the investigation. The incident was discovered a day after it occurred, but it was not entered into the Statewide Incident Management System until several days later. The resident's family learned about the alleged abuse through a social media post rather than being informed by the facility. The facility's administrator confirmed that the witnessing CNA and the LPN did not follow the policy of immediate reporting and family notification. The family expressed their concerns during a meeting with the facility's administrator, highlighting the failure to communicate the incident promptly.
Failure to Timely Report Alleged Abuse
Penalty
Summary
The facility failed to report an allegation of staff-to-resident physical abuse to the State Survey Agency within the required 2-hour timeframe. The incident involved a resident with multiple diagnoses, including malignant neoplasm of the endometrium, unspecified dementia, and Parkinson's disease, who was unable to participate in a mental status interview due to severe cognitive impairment. The alleged abuse occurred when a CNA was observed handling the resident roughly and slapping the resident's hands. The incident was discovered the following day, but the facility did not report it to the state agency until 10 days later. Interviews with facility staff revealed that the CNA who witnessed the incident reported it to an LPN, who then informed the CNA Supervisor. The CNA Supervisor confirmed that the Administrator was notified of the allegation on the same day it was reported by the LPN. Despite this chain of communication, the Administrator did not report the incident to the state agency until several days after the required reporting period, resulting in a deficiency for failing to adhere to the mandated reporting guidelines.
Failure to Timely Complete and Transmit Discharge MDS Assessment
Penalty
Summary
The facility failed to ensure a Discharge Minimum Data Set (MDS) assessment was completed timely for one resident out of 35 sampled residents. The resident was admitted with diagnoses including Cord Compression, Aural Vertigo, Spinal Stenosis, Diabetes Mellitus, Hypertension, and a Displaced Fracture of the Right Femur. The resident was admitted on [DATE] and discharged on 02/19/2024. However, the Discharge MDS assessment, which should have been completed and transmitted within 7 days of discharge, was not transmitted until 06/20/2024. This delay was confirmed during an interview with an LPN who reviewed the resident's record and acknowledged the failure to meet the required timeline.
Documentation Errors in Resident Records
Penalty
Summary
The facility failed to ensure the accuracy of documentation in the resident's records for two residents. For Resident #35, the nursing progress notes inaccurately documented the presence of a PEG tube, which the resident did not have. This error was confirmed by both the resident and the LPN who reviewed the records. The Director of Nursing also confirmed the mistake and noted that the incorrect entry needed to be retracted. For Resident #71, there were multiple documentation errors related to the administration of medication. The resident, who had a UTI and was prescribed Rocephin, did not receive a scheduled dose on one occasion. The LPN responsible for administering the medication documented an incorrect reason for the missed dose, stating it was due to the resident's transfer to the emergency room. However, there was no documentation that the dose was administered upon the resident's return from the hospital. Another LPN later confirmed that the dose was administered but failed to document it in the resident's record. These documentation inaccuracies were confirmed through interviews with the involved staff and a review of the resident's records. The errors led to uncertainty about the administration of critical medications and the presence of medical devices, highlighting significant lapses in maintaining accurate and reliable medical records for the residents.
Failure to Inform Resident's Representative of Hospice Provider Choice
Penalty
Summary
The facility failed to ensure that a resident's representative was fully informed of their right to choose a hospice provider. The resident, who had severe cognitive impairment and multiple serious health conditions, was placed under hospice care by her daughter, who was her responsible party (RP). The RP was not informed of her right to choose a hospice provider and was only presented with the facility's contracted hospice provider. This led to the RP signing up for hospice services without being fully aware of her options or understanding the paperwork involved. The RP later became dissatisfied with the hospice provider's services and revoked hospice care, only to learn from a friend that she had the right to choose a different provider. She filed a grievance with the facility, expressing her frustration that she was not informed of her rights initially. The facility's Social Services Director (S3SSD) and other staff confirmed that there was no documented evidence that the RP was informed of her right to choose a hospice provider. Interviews with the facility's staff, including the Social Services Director, Administrator, and Director of Nursing, revealed that the facility had a policy to inform residents and their representatives of their rights, including the right to choose a hospice provider. However, in this case, the policy was not followed, and the RP was not provided with the necessary information to make an informed decision. This oversight led to the deficiency identified in the report.
Inaccurate Coding of Diagnoses on MDS Assessments
Penalty
Summary
The facility failed to accurately code all applicable diagnoses on two consecutive comprehensive Minimum Data Set (MDS) assessments for one resident. The resident was admitted with diagnoses including Dementia and was later diagnosed with Depression, Dementia without behavior disturbances, and Schizoaffective Disorder. However, the admission MDS assessment and the subsequent quarterly MDS assessment did not include the diagnoses of Non-Alzheimer's Dementia and Schizoaffective Disorder, despite these being documented in the resident's records and billing diagnosis code report. Interviews with the Regional Clinical Educator and the MDS Licensed Practical Nurse confirmed the discrepancies. The Regional Clinical Educator verified that the resident was diagnosed with Schizoaffective Disorder shortly after admission, and the MDS Licensed Practical Nurse acknowledged that the resident's MDS assessments were inaccurate, failing to include the correct diagnoses. This oversight resulted in two of the resident's MDS assessments being incomplete and inaccurate.
Failure to Refer Resident for Level II PASARR Evaluation
Penalty
Summary
The facility failed to refer a resident with a newly evident serious mental disorder to the appropriate state designated authority for a Level II PASARR evaluation and determination. The resident, who was admitted to the facility without a prior diagnosis of a serious mental disorder, was later diagnosed with Schizoaffective Disorder by a psychiatrist. Despite this new diagnosis, the facility did not submit a Level II request to the Office of Behavioral Health (OBH) as required by their policy and state regulations. This oversight was confirmed during interviews with the Social Services Director and the Regional Clinical Educator, who acknowledged that the necessary paperwork had not been submitted. The resident's records revealed that the diagnosis of Schizoaffective Disorder was made shortly after admission, and the facility's policy mandated a Level II evaluation for such diagnoses. However, a review of the resident's file showed no evidence that a Level II request was ever submitted. The Social Services Director confirmed that the facility had not complied with the policy, and the resident currently required an evaluation for services. This failure to follow protocol resulted in the resident not receiving the necessary behavioral health services in a timely manner.
Failure to Develop Comprehensive Care Plan for Resident with Edema
Penalty
Summary
The facility failed to develop a comprehensive resident-centered care plan for a resident with chronic edema in both lower extremities. Despite the resident's admission assessment noting significant swelling and the need for leg elevation, the care plan did not include any interventions to address the edema. The resident's medical history included Chronic Obstructive Pulmonary Disease (COPD), Chronic Diastolic Congestive Heart Failure (CHF), Atrial Fibrillation, and Hypertensive Heart Disease with Heart Failure, all of which contributed to her condition. The resident's progress notes documented varying degrees of pitting edema over several days, with the severity increasing to +4 on multiple occasions. Despite these observations, there were no documented interventions such as leg elevation or other measures to manage the edema. Interviews with the resident, her responsible party, and facility staff revealed that the resident was not assisted in elevating her legs, and no specific instructions were given to the staff to monitor or ensure leg elevation. The facility's policy required a comprehensive person-centered care plan upon admission, but this was not followed. The Director of Nursing (DON) and other staff confirmed that the care plan did not address the resident's edema, and no interventions were implemented to manage the condition. The oversight was acknowledged by the facility's Regional Clinical Educator, who confirmed that nursing interventions should have been included in the care plan based on the resident's initial assessment.
Failure to Ensure Proper Oxygen Delivery
Penalty
Summary
The facility failed to provide necessary respiratory care in accordance with professional standards by not ensuring that oxygen was delivered at the ordered rate for a resident. Resident #42, who has diagnoses including Chronic Respiratory Failure with Hypoxia and Chronic Obstructive Pulmonary Disease, had an order for oxygen at 2 liters per nasal cannula (NC) continuously. During an observation, it was noted that the oxygen tubing had a knot/kink, obstructing the oxygen flow. This was confirmed by an LPN who observed the resident and removed the knot/kink from the tubing, acknowledging that it was obstructing the oxygen flow.
Failure to Ensure Proper Medication Labeling and Administration
Penalty
Summary
The facility failed to ensure medications were labeled to reflect medication adjustments as ordered by the physician for one resident. The resident, who had diagnoses including Hypertensive Heart Disease with Heart Failure, Cognitive Communication Deficits, and Unspecified Pain, had a physician's order for Tramadol ER 100mg to be taken every 12 hours as needed for pain. However, the medication card was labeled incorrectly, indicating Tramadol 50mg, and the resident received incorrect dosages on multiple occasions. Specifically, the resident received only 50mg of Tramadol instead of the prescribed 100mg on several dates, as confirmed by the LPN and the Regional Clinical Specialist during the review of the narcotic records and medication card. The deficiency was identified during a review of the resident's electronic health record and individual narcotics record, which showed discrepancies between the physician's order and the medication administered. The LPN and Regional Clinical Specialist confirmed that the resident should have received 100mg of Tramadol each time the medication was administered, but the resident only received 50mg on multiple occasions. This failure to properly label and administer the medication as ordered by the physician had the potential to affect the resident's pain management and overall health condition.
Incorrect Medication Labeling
Penalty
Summary
The facility failed to ensure that pharmaceutical services provided to meet the needs of each resident were consistent with state and federal requirements and reflected current standards of practice. Specifically, the facility did not ensure that medication was labeled as per physician orders for one resident. During an observation of medication administration, it was found that the medication card for Potassium Chloride 20meq was incorrectly labeled. The label instructed to take 1 & 1/2 tablets (30meq) by mouth once now, then resume 1 tablet by mouth once daily, whereas the physician's orders and the Medication Administration Record (MAR) indicated to give 2 tablets (40meq) daily. This discrepancy was confirmed by the LPN and the Director of Nursing (DON) during a review of the physician orders and MAR. The incorrect labeling of the medication card was identified during a medication administration observation. The LPN reviewed the Electronic Medical Record (EMR) and confirmed that the physician's order dated 05/17/2024 was for Potassium Chloride 20meq to be given as 2 tablets daily. However, the medication card in the storage bin for the resident was labeled incorrectly, and there was no other medication card with the correct label available. This deficiency had the potential to affect the care of 69 residents in the facility.
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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 Crowley
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Southwind Nursing & Rehabilitation Center | 6 mi | ★★★★★ | 9 | 0 |
| Landmark Of Rayne | 6.1 mi | ★★★★★ | 8 | 0 |
| The Ellington | 9.5 mi | ★★★★★ | 0 | 0 |
| Acadia St. Landry Nursing & Rehabilitation Center | 12.7 mi | ★★★★★ | 10 | 0 |
| Eunice Manor | 13.3 mi | ★★★★★ | 2 | 0 |
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