Below 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 Summit during CMS and state inspections, most recent first.
A resident with CVA-related hemiplegia, diabetes, cardiomyopathy, and AFib was observed in bed and later in a geri-chair with the call light out of reach because the cord was too short. The resident said he could not reach it most of the time and had to holler for help. An LPN and the DON confirmed the call light was not within reach, despite the care plan and facility policy requiring it to be placed within reach.
A resident with COPD, Type 2 DM with diabetic neuropathy, and acute respiratory failure with hypercapnia was discharged home with HHC after a planned discharge order. The facility's discharge log did not include the resident's discharge, and the Accounts Manager stated she only reported emergency transfers and was unaware that non-emergency transfer/discharges also had to be sent to the Ombudsman Program. The DON confirmed the discharge was planned, and the resident's discharge was not submitted for Ombudsman notification.
A resident was discharged, but the discharge MDS assessment was not completed within the required 14-day timeframe. Record review showed the assessment remained incomplete after discharge, and an MDS LPN confirmed the missed deadline.
Improper Storage of Bi-PAP Equipment: A resident with OSA and Bi-PAP use had his mask repeatedly observed sitting unbagged and unlabeled on his bedside dresser when not in use. The resident said staff applied and removed the mask, and an LPN and the DON confirmed the mask should be cleaned and stored in a labeled bag when not in use.
Expired medications were found available for use on a medication cart, including a resident’s Tramadol 50 mg and another resident’s Cyclobenzaprine 5 mg. An LPN confirmed the medications were expired and should not have been on the cart, and the DON confirmed they had not been properly disposed of per policy.
The facility failed to ensure the DON and infection preventionist attended the QAA committee meeting, and it did not hold QAA meetings at least quarterly. The meeting minutes showed the DON and infection preventionist were absent from the QAA meeting, and the facility had no QAA minutes for one quarter of the prior year.
A resident with multiple complex conditions, including COPD, CVA with aphasia and hemiplegia, abnormal weight loss, and pressure ulcers, was care planned and had physician orders for continuous Fibersource tube feeding at 60 ml/hr. Progress notes documented a recommendation and new order to increase the tube feed to 60 ml/hr, but repeated observations over two days showed the feeding pump consistently set at 55 ml/hr. An LPN confirmed the tube feeding was infusing at 55 ml/hr despite the order for 60 ml/hr, demonstrating that the resident’s enteral feeding was not administered according to the physician’s orders.
A facility failed to adhere to Enhanced Barrier Precautions for a resident with chronic wounds, as staff did not wear gowns during wound care despite clear instructions. An LPN and a CNA were observed performing wound care with only masks and gloves, misunderstanding the requirement for gown use, which led to a deficiency in infection control practices.
Call Light Not Within Reach
Penalty
Summary
The facility failed to ensure Resident #6 had a call light within reach, despite the resident’s care plan directing staff to place the call light within reach and the facility policy stating the call light should be placed within the resident’s reach before leaving the room. Resident #6 was admitted with diagnoses including cerebral infarction, diabetes, cardiomyopathy, paroxysmal atrial fibrillation, intervertebral disc displacement, and hemiplegia and hemiparesis following cerebral infarction affecting the left non-dominant side. The quarterly MDS indicated the resident was dependent on staff for ADLs and could not complete a BIMS because he was rarely or never understood. Observations showed Resident #6 lying in bed with the call light not within reach because the cord was too short, and later sitting upright in a geri-chair with the call light still not within reach for the same reason. The resident stated he could not reach the call light most of the time and instead hollered out for help. An LPN confirmed the call light was not within reach in bed or in the geri-chair due to insufficient cord length, and the DON also confirmed the call light was not within reach and should have been.
Failure to Notify Ombudsman of Planned Discharge
Penalty
Summary
The facility failed to notify the Office of the State Long-Term Care Ombudsman in writing of a resident transfer/discharge for 1 of 1 residents reviewed for transfer/discharge. Facility policy titled, "Discharge Transfer and Planning," stated that the community shall notify the resident, the resident's representative(s), and the representative of the Office of the State LTC Ombudsman of the transfer or discharge, and that notice to the Ombudsman must occur before or as close as possible to the actual time of transfer or discharge except when an emergency transfer occurs. Resident #100 was admitted on 01/09/2026 with diagnoses including COPD with acute exacerbation, Type 2 DM with diabetic neuropathy, and acute respiratory failure with hypercapnia. The resident had a physician order for discharge home with home health on 02/02/2026, and nursing progress notes and the discharge summary documented that the resident was discharged home with home health. Review of the Louisiana Ombudsman Program/Emergency Transfer Log for 02/2026 showed the resident's discharge was not included on the notification report. The DON stated the resident had a planned discharge home with home health, and the Accounts Manager stated she was responsible for transfer/discharge notifications but only submitted emergency transfers and was unaware that non-emergency discharges also had to be reported; she confirmed the resident's discharge was not submitted to the Ombudsman Program.
Failure to Complete Discharge MDS Within Required Timeframe
Penalty
Summary
The facility failed to complete a Discharge Minimum Data Set (MDS) assessment within 14 days for Resident #56. The resident was admitted on 09/02/2025 and discharged on 02/11/2026, but review of the medical record on 04/07/2026 showed the discharge MDS assessment had not been completed after the discharge. During an interview on 04/07/2026 at 3:09 p.m., the S5 MDS LPN confirmed that the discharge MDS assessment for Resident #56 was not completed within the required 14-day timeframe.
Improper Storage of Bi-PAP Equipment
Penalty
Summary
The facility failed to provide necessary respiratory care by not ensuring a resident's Bi-PAP equipment was stored properly when not in use. Resident #7 had diagnoses including obstructive sleep apnea, type 2 diabetes mellitus with diabetic polyneuropathy, and a personal history of TIA, and his quarterly MDS indicated a BIMS of 15 and use of a non-invasive mechanical ventilator (Bi-PAP). His physician orders included removing the Bi-PAP one time a day related to obstructive sleep apnea, and his care plan directed Bi-PAP use every night. During multiple observations, the resident's Bi-PAP mask was found not in use and placed directly on his bedside dresser, unbagged and unlabeled. The resident stated he used the Bi-PAP every evening and that the nurse applied the mask before bedtime and removed it in the morning, but he was unsure whether it was placed in a storage bag after each use. An LPN confirmed the resident did not refuse the Bi-PAP or remove the mask on his own and stated the mask should be cleaned and stored in a labeled bag when not in use. The DON also confirmed that when a resident's Bi-PAP was not in use, the mask should be cleaned with soap and water and stored in a labeled bag.
Expired Medications Left on Medication Cart
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 expired medications were found available for resident use on Cart #2. During observation and interview, two expired medications were identified: Resident #82’s Tramadol 50 mg with an expiration date of 02/08/2026 and Resident #89’s Cyclobenzaprine 5 mg with an expiration date of 01/29/26. The LPN confirmed both medications were on the cart for use and were expired but should not have been. The DON later confirmed the expired medications had not been properly disposed of as required by the facility’s policy for outdated, discontinued, or recalled drugs.
QAA Committee Attendance and Meeting Frequency Deficiency
Penalty
Summary
The facility failed to ensure that the Director of Nursing services and the infection preventionist attended the Quality Assessment & Assurance (QAA) committee's quarterly meeting, and it also failed to conduct QAA meetings at least quarterly for the year 2025. Review of the QAA committee meeting minutes for Quarter 1 of 2026 dated 03/23/2026 showed that the attendance signature sheet did not include the Director of Nursing services or the infection preventionist. In an interview on 04/08/2026, the Administrator confirmed that both individuals did not attend the Quarter 1 of 2026 QAA meeting. The Administrator also acknowledged there were no QAA quarterly meeting minutes for Quarter 3 of 2025, and the Collaborating Home Administrator confirmed the facility did not have QAA meeting minutes for that quarter but should have.
Failure to Administer Tube Feeding at Physician-Ordered Rate
Penalty
Summary
The deficiency involves the facility’s failure to administer tube feeding according to the physician’s ordered rate for a resident receiving enteral nutrition. The resident had multiple significant diagnoses, including COPD, cerebral infarction with aphasia, hemiplegia and hemiparesis, abnormal weight loss, and multiple pressure ulcers, and was dependent on staff for eating with a feeding tube in place. The resident’s comprehensive person-centered care plan and current physician orders dated 02/17/2026 specified Fibersource tube feeding at 60 ml/hr. Departmental progress notes documented a recommendation and a new order on 02/17/2026 to increase the tube feed to Fibersource at 60 ml/hr. Despite these orders, multiple observations on consecutive days showed the resident’s tube feeding infusing at 55 ml/hr via pump. On 02/23/2026 at 10:45 a.m. and 4:08 p.m., and again on 02/24/2026 at 8:25 a.m. and 12:25 p.m., the tube feeding rate remained at 55 ml/hr. During an interview on 02/24/2026 at 12:50 p.m., an LPN confirmed that the tube feeding was set at 55 ml/hr and acknowledged it should have been at 60 ml/hr per the physician’s order. This discrepancy between the ordered rate and the administered rate constituted the failure to ensure the resident’s tube feeding was provided as prescribed.
Failure to Adhere to Enhanced Barrier Precautions
Penalty
Summary
The facility failed to implement and maintain proper infection control practices, specifically Enhanced Barrier Precautions, to prevent the spread of infectious communicable diseases. This deficiency was observed in the care of a resident who was on Enhanced Barrier Precautions due to chronic wounds, including vascular and arterial ulcers. The facility's policy required the use of gowns and gloves during high-contact care activities for residents with such conditions. However, during an observation, it was noted that the staff did not adhere to these precautions. An LPN was observed performing wound care on the resident's left foot while wearing only a mask and gloves, without the required gown. Additionally, a CNA entered the room to assist, also without wearing a gown, despite the signage on the resident's door indicating the necessity of gown use for wound care. The LPN later confirmed that she misunderstood the requirement, believing a gown was only necessary for stage 2 ulcers or worse, despite the clear instructions on the door. This oversight in following the Enhanced Barrier Precautions policy led to a failure in infection control practices.
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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 Alexandria
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Regency House Of Alexandria | 1.1 mi | ★★★★★ | 16 | 0 |
| Belle Grande Nursing And Rehabilitation Center | 2.2 mi | ★★★★★ | 9 | 0 |
| Lexington House | 2.4 mi | ★★★★★ | 3 | 0 |
| Matthews Memorial Health Care Center | 2.5 mi | ★★★★★ | 10 | 0 |
| Legacy Nursing At St. Christina | 3.4 mi | ★★★★★ | 23 | 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.