Average — CMS composite of the measures below.
The next survey window likely opens around March 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 Lodge At Tangi Pines during CMS and state inspections, most recent first.
An LPN administered Humalog insulin to three residents and was observed drawing insulin from the vial without sanitizing the stopper first. The facility’s policy required medication administration in a manner that prevents contamination or infection, and the insulin insert stated the rubber stopper on multi-dose vials is not sterile and should be cleaned before use. The LPN confirmed the omission, and the DON stated vial stoppers should always be sanitized before insulin is extracted.
Surveyors observed multiple opened, undated food items stored improperly in the kitchen, including uncovered cups of ranch dressing and another undated food item in the snack/nourishment refrigerator, as well as an opened gallon of teriyaki sauce in the pantry that required refrigeration after opening but was not refrigerated. Staff confirmed opened foods should be covered, labeled with an open date, and refrigerated when required.
Failure to follow a resident's care plan for mechanical lift transfers. A resident with severe cognitive impairment, weakness, and non-ambulatory status required a mechanical lift with 2 staff for all transfers, but after a witnessed fall, a CNA manually transferred the resident back to bed alone before nurse assessment. The LPN and ADON confirmed the resident should have been transferred with the lift and 2 staff.
A resident with a history of falls and a right femur fracture had a witnessed fall in the room, followed by swelling, pain, and an x-ray confirming another fracture. The care plan listed a 2-CNA intervention for all care, but staff did not have that intervention in the CNA POC when assigned, and the MDS nurse stated it was not loaded when it should have been. The facility also had no record, log, or monitoring documentation showing which care plans were reviewed during QA.
Three residents with significant cognitive and physical impairments experienced multiple falls, but their care plans were not updated to include new fall prevention interventions after each incident. Staff confirmed that care plans remained unchanged despite documented falls, as shown in incident reports and nurse's notes.
A resident with severe cognitive impairment and a history of falls was not provided with non-skid socks as required by their care plan. Staff and the DON confirmed the omission, and the resident's representative also noted the absence of non-skid socks, despite this being a documented fall prevention intervention.
The facility failed to maintain accurate medical records for a resident with a Stage 3 pressure ulcer and functional quadriplegia. Multiple instances of missing documentation for wound care, catheter care, and medication administration were confirmed by staff, despite the tasks being performed as ordered.
The facility failed to maintain an infection control program, as staff did not practice proper hand hygiene and cleaning techniques during incontinence care for a resident. Two CNAs were observed handling clean items and touching the resident's belongings with soiled gloves, contrary to the facility's policies. Both CNAs admitted to not following proper procedures, and the DON confirmed that staff were trained to perform hand hygiene correctly.
The facility failed to ensure all complaint surveys since the last annual survey were available for resident review. An observation revealed that the survey results binder only contained the survey dated 05/05/2023, with no documented evidence of the complaint surveys from 07/12/2023, 03/20/2024, and 05/13/2024. The administrator confirmed the missing surveys should have been in the binder.
The facility failed to protect residents from psychosocial harm caused by a cognitively intact resident who exhibited inappropriate sexual behaviors. Despite being aware of the incidents, the staff did not take adequate measures to prevent further harm, resulting in residents feeling unsafe and fearful.
The facility failed to report an allegation of sexual abuse involving a severely cognitively impaired resident and a cognitively intact resident to the state agency as required by policy. Despite being informed of the incident, the DON and Administrator did not report it.
The facility failed to investigate an alleged incident of resident-to-resident sexual abuse. Despite multiple reports of inappropriate behavior by a resident, the DON and Administrator did not take action because they did not witness the incidents and did not believe the reports were credible.
The facility failed to update a resident's care plan to reflect specific inappropriate behaviors and necessary interventions, despite staff discussions highlighting these issues.
Failure to Sanitize Insulin Vial Stoppers During Administration
Penalty
Summary
The facility failed to maintain an infection prevention and control program when nursing staff did not sanitize insulin vial stoppers before drawing up insulin for three residents. The report states that the facility’s medication administration policy required medications to be administered in a manner to prevent contamination or infection, and the insulin manufacturer’s insert stated that the rubber stopper on multi-dose insulin vials is not sterile and should be cleaned before use to reduce contamination risk. Resident #3, Resident #7, and Resident #97 each had active physician’s orders for Humalog Insulin 100 unit/mL subcutaneously before meals and at bedtime per sliding scale. On 04/13/2026, S4LPN was observed administering Humalog insulin to each of the three residents and extracted the insulin from the vial without sanitizing the stopper before use. During interview, S4LPN confirmed she did not sanitize the insulin vial stopper prior to extracting insulin for all three residents. S2DON later stated that insulin vial stoppers should always be sanitized prior to extracting insulin.
Improper Storage and Dating of Opened Food Items
Penalty
Summary
The facility failed to store foods under sanitary conditions by not ensuring that foods requiring refrigeration after opening were refrigerated and that opened food items were dated. During an initial tour of the kitchen, surveyors observed 27 uncovered, undated serving cups of ranch dressing and 1 uncovered, undated large cup containing a dark brown substance in the snack/nourishment refrigerator. In the pantry, surveyors also observed 1 opened, partially used gallon container of teriyaki sauce with no open date, despite a label stating it must be refrigerated after opening. The facility's policy required food to be clearly marked with the date or day by which it must be consumed or discarded, and staff interviews confirmed that opened food items should be covered and labeled with an open date and that foods requiring refrigeration after opening should be refrigerated.
Failure to Follow Mechanical Lift Transfer Care Plan
Penalty
Summary
The facility failed to implement a comprehensive person-centered care plan for Resident #68, who had diagnoses including a fracture of an unspecified part of the neck of the right femur, generalized muscle weakness, and Alzheimer's Disease. The resident's Quarterly MDS showed dependence on staff for chair/bed-to-chair transfers and a BIMS score of 03, indicating severe cognitive impairment. The current care plan stated the resident had self-care deficits related to needing assistance with ADLs, decreased mobility, dementia, and non-ambulatory status, and that a mechanical lift with 2 staff was to be used for all transfers. On 03/24/2026, the resident had a witnessed fall. The incident report included a witness statement indicating the resident rolled out of bed while a staff member was present and was transferred back to bed by that staff member before nurse notification or assessment. During interviews, the CNA stated the resident required a two-person mechanical lift for transfers, confirmed he was the only staff member present, and admitted he manually transferred the resident back to bed by himself and should not have. The LPN stated she responded to the fall and that the CNA transferred the resident from the floor to the bed before she assessed the resident, and the ADON confirmed the resident required the mechanical lift for all transfers with 2 staff members present.
Failure to Track and Communicate Fall Care Plan Interventions
Penalty
Summary
The facility failed to develop and implement appropriate plans of action to correct identified quality deficiencies related to falls for Resident #68. The resident was admitted with diagnoses including a fracture of the unspecified part of the neck of the right femur, and the clinical record showed a witnessed fall on 03/24/2026 in the resident room. On 03/25/2026, nursing notes documented that the resident was screaming from bed, had swelling to the right upper thigh, guarded the area, and could not answer simple questions because of cognitive impairment. An x-ray was ordered and completed, and a fracture of the proximal femoral diaphysis just below the femoral neck was identified, after which the physician ordered transfer to the ER for evaluation and treatment. The resident’s care plan identified a fall risk with interventions including using 2 CNAs for all care and placing the bed against the wall with feet to the door after the fall. The facility’s quality improvement corrective action plan stated that care plans were not being updated and information was not being communicated to CNA staff about care plan changes. Although the facility reported that CNA tasks were entered into point-of-care and that CNAs could sign off on resident care, the documentation survey report showed that the two-CNA intervention was not consistently present in the CNA point-of-care record for Resident #68 until 04/14/2026. During interview, a CNA stated he was assigned to the resident but did not know two-person care was a fall intervention and could not locate that information on the tablet. The MDS nurse stated the intervention should have been loaded earlier and was not, and also stated there was no record, log, or monitoring documentation showing which resident care plans or interventions had been reviewed during the QA process.
Failure to Revise Care Plans After Resident Falls
Penalty
Summary
The facility failed to revise and update the care plans for three residents following multiple documented falls. Each resident experienced one or more falls, as evidenced by incident reports and nurse's notes, but their care plans were not updated to reflect new or revised fall prevention interventions after these incidents. This lack of timely care plan revision was confirmed through record review and staff interviews. One resident with severe cognitive impairment and diagnoses including repeated falls, a progressive neurological condition, and Parkinson's Disease experienced three separate falls. Despite these incidents, the resident's care plan was not revised to address the specific circumstances or to implement new interventions after each fall. Staff interviews confirmed that the care plan remained unchanged prior to the survey. Another resident with Alzheimer's Disease and a history of falls, as well as a third resident with multiple fractures and neuropathy, also experienced falls that were not followed by updates to their respective care plans. In each case, staff acknowledged during interviews that the care plans should have been revised to reflect the falls and to include appropriate interventions, but this was not done prior to the survey team's review.
Failure to Implement Care Planned Fall Prevention Intervention
Penalty
Summary
The facility failed to implement a fall prevention intervention as identified in the care plan for a resident with a history of repeated falls, progressive neurological condition, and Parkinson's Disease with dyskinesia. The resident, who had severe cognitive impairment as indicated by a BIMS score of 3, was care planned to wear non-skid socks as a fall prevention measure following a previous fall incident. However, during observations, the resident was found wearing regular socks without non-skid bottoms. Multiple staff members, including nursing staff and the Director of Nursing, confirmed that the resident was a fall risk and that the care plan required the use of non-skid socks. Staff observed and acknowledged that the resident was not wearing the prescribed non-skid socks at the time of the survey. The resident's representative also reported that the resident does not wear non-skid socks, despite the documented intervention on the care plan.
Failure to Maintain Accurate Medical Records
Penalty
Summary
The facility failed to maintain accurate medical records in accordance with accepted professional standards for a resident reviewed for wound care. Specifically, the resident, who was admitted with diagnoses including a Stage 3 pressure ulcer and functional quadriplegia, had multiple instances where wound care, catheter care, and medication administration were not documented. The missing documentation dates included several days in March and April 2024, despite the tasks being performed as ordered according to staff interviews. Interviews with the Wound Care Nurse and the Director of Nursing confirmed the lack of documentation for the resident's wound care, Foley catheter irrigation, suprapubic catheter care, and Ampicillin administration. Both staff members acknowledged that the tasks were performed but not recorded, which is a violation of the facility's policy that requires timely and accurate documentation of all care services provided.
Infection Control Deficiency During Incontinence Care
Penalty
Summary
The facility failed to maintain an infection control program designed to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infection. Specifically, the facility did not ensure that staff practiced proper hand hygiene and cleaning techniques during incontinence care for one of the residents reviewed. During an observation, two CNAs were seen performing peri-care on a resident without removing soiled gloves or performing hand hygiene at appropriate times. They handled clean items and touched the resident's belongings with soiled gloves, which is against the facility's infection control policies. The facility's policies on perineal care and hand hygiene were not followed by the CNAs during the observed incident. Both CNAs admitted in interviews that they did not remove their soiled gloves or perform hand hygiene as required. The Director of Nursing confirmed that staff were trained to perform hand hygiene correctly and should have done so during the peri-care. The failure to adhere to these policies was observed and confirmed through interviews with the involved staff and the Director of Nursing.
Failure to Provide Complaint Survey Results for Resident Review
Penalty
Summary
The facility failed to ensure all complaint surveys since the last annual survey were available for resident review. An observation on 05/20/2024 at 9:07 a.m. revealed that the survey results binder near the entrance of the facility only contained the survey dated 05/05/2023. There was no documented evidence of the complaint surveys from 07/12/2023, 03/20/2024, and 05/13/2024 being available for review. During an interview on 05/20/2024 at 9:40 a.m., the administrator confirmed that the complaint surveys since the annual recertification survey should have been in the binder but were not.
Failure to Protect Residents from Psychosocial Harm
Penalty
Summary
The facility failed to protect residents from psychosocial harm caused by a cognitively intact resident, Resident #3, who exhibited inappropriate sexual behaviors towards other residents. Resident #3 was observed kissing Resident #1, a severely cognitively impaired resident, on the cheek without consent. Despite being aware of Resident #3's behaviors, the facility's staff, including the Director of Nursing (DON) and the Administrator, did not take adequate measures to prevent further incidents. Interviews with other residents revealed that they felt unsafe and were afraid of Resident #3 due to his inappropriate actions. Resident #1, who has diagnoses including Vascular Dementia and Major Depressive Disorder, was unable to consent to or understand the actions of Resident #3. Multiple incidents were reported where Resident #3 made inappropriate advances towards Resident #1, including leading her towards his room and making inappropriate comments. Staff members, including Licensed Practical Nurses (LPNs) and Registered Nurses (RNs), witnessed these behaviors and reported them to the DON and the Administrator. However, the facility's response was insufficient, and Resident #3 continued his inappropriate actions. Other residents, such as Random Resident #4, Random Resident #5, and Random Resident #7, expressed fear and discomfort due to Resident #3's behavior. They reported feeling unsafe and took measures to protect themselves, such as keeping a walking stick by their bedside. Despite these concerns, the facility did not implement effective supervision or intervention to ensure the safety and well-being of the residents. The failure to address Resident #3's behavior resulted in ongoing psychosocial harm to the affected residents.
Failure to Report Alleged Sexual Abuse
Penalty
Summary
The facility failed to ensure an allegation of sexual abuse was reported immediately to the facility Administrator and the State Survey Agency. The policy required that abuse be reported immediately, but not later than 2 hours after the allegation is made. However, the facility did not report an incident involving Resident #3 and Resident #1. Resident #1, who was severely cognitively impaired with a BIMS of 4, was allegedly kissed by Resident #3, who was cognitively intact with a BIMS of 15. Resident #3 also made inappropriate sexual comments and gestures about Resident #1 to another resident. Despite being informed of these allegations, the Director of Nursing (S2DON) and the Administrator (S1ADM) did not report the incident to the state agency as required by the facility's policy. Interviews revealed that another resident informed the S2DON about the incident, but he did not report it because he did not witness it. Additionally, the S1ADM confirmed he was aware of the allegations but had not reported them. The failure to report the incident immediately as per the facility's policy resulted in a deficiency in ensuring the safety and protection of the residents involved.
Failure to Investigate Alleged Sexual Abuse
Penalty
Summary
The facility failed to ensure an alleged incident of resident-to-resident sexual abuse was thoroughly investigated. The facility's policy mandates an immediate investigation when reports of abuse occur, including identifying and interviewing all involved persons and providing thorough documentation. However, the facility did not complete any investigation documentation for Resident #3, despite multiple reports of sexually inappropriate behavior. Resident #3 allegedly made sexual comments and gestures to another resident and was reported to have kissed Resident #1. These incidents were brought to the attention of the Director of Nursing (DON) and the Administrator, but neither took action to investigate because they did not witness the incidents themselves and did not believe the reports were credible. Interviews with staff and residents confirmed that the inappropriate behaviors were reported to the DON and the Administrator. The DON admitted that he did not report or investigate the incident because he did not witness it and did not believe it happened. Similarly, the Administrator acknowledged being aware of the complaints but dismissed them as exaggerations and did not see a need to investigate. This lack of action and failure to follow the facility's policy resulted in the deficiency noted in the report.
Failure to Develop Comprehensive Care Plan for Resident
Penalty
Summary
The facility failed to develop a comprehensive person-centered care plan for Resident #3, who exhibited inappropriate behaviors. The medical records indicated that Resident #3 was admitted on an unspecified date and had a care plan noting inappropriate behaviors without specifying the types of behaviors or interventions. During a staff meeting, concerns were raised about Resident #3 taunting and blowing kisses at female residents. Despite these discussions, the care plan was not updated to reflect specific behaviors or the agreed-upon interventions, such as increased supervision. Both the Minimum Data Set Coordinator (S3MDS) and the Director of Nursing (S2DON) confirmed that the care plan should have been updated but was not.
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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 Amite
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St. Helena Parish Nursing Home | 10.2 mi | ★★★★★ | 12 | 1 |
| Heritage Healthcare Of Hammond | 16.8 mi | ★★★★★ | 6 | 0 |
| Hammond Nursing Home | 16.9 mi | ★★★★★ | 6 | 0 |
| Landmark Nursing Center Hammond | 18.2 mi | ★★★★★ | 2 | 0 |
| Belle Maison Nursing & Rehabilitation Center, Llc | 18.6 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.