Below average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Village Health Care At The Glen during CMS and state inspections, most recent first.
A cognitively impaired resident with hemiplegia, Alzheimer’s disease, and dependence for transfers was subjected to physical abuse and unsafe transfer techniques by a CNA. Video showed the CNA entering without greeting, ignoring the resident’s request about food, repeatedly yelling at the resident to “Get up,” and forcefully pulling the resident up by the left upper arm without a gait belt, despite the resident grimacing and saying “Wait.” The CNA roughly manipulated the resident’s arm, rammed the wheelchair into the bed, lifted the resident by the underarms, and dropped the resident into an unlocked wheelchair, after which the resident cried out in pain and rubbed her left arm. Skin assessments later documented multiple reddish-purple areas on the back of the resident’s left upper arm resembling fingerprints. The Administrator and DON confirmed that the CNA’s actions constituted physical abuse and caused psychosocial harm, with the resident appearing frightened during the incident.
A resident with hemiplegia, Alzheimer's disease, muscle weakness, and other coordination deficits had a care plan identifying them as a fall risk, with an intervention requiring fall mats on each side of the bed when in bed. On multiple observations, the resident was found in bed or in their room without fall mats in place, and both a CNA and the ADON confirmed that the room lacked the care-planned fall mats despite the documented intervention.
A resident with dementia, impaired balance and gait, and a history of multiple falls, assessed as high risk for falls and requiring partial assist for transfers and ambulation, was cared for in a room where the floor surface was repeatedly observed to be dry but shiny, slippery, and lacking traction along the entry, walkway, and around the bed and recliner. Staff including a CNA, housekeeping, an LPN, the ADON, the Administrator, and the housekeeping supervisor all acknowledged the floor was slippery and posed a fall risk after it was mopped with the facility’s standard cleaning solution, and the resident reported the floor sometimes felt slippery and at other times like glue, causing shoes to stick. Despite these observations and the resident’s documented fall risk and history of falls in the room and bathroom, the environment was not maintained free of this accident hazard.
A facility failed to evaluate a resident's fall risk and implement necessary interventions, leading to multiple unwitnessed falls. Despite having a high fall risk score, the resident's Baseline Care Plan lacked specific interventions for fall prevention. Interviews with facility staff confirmed that a fall risk assessment should have been conducted upon admission and interventions included in the care plan.
Two residents did not receive medications according to physician's orders or within the facility's liberalized time blocks. One resident's medications were administered late, between 10:45 a.m. and 10:55 a.m., while another's were given at 11:17 a.m. An LPN admitted to not adhering to scheduled times, indicating a failure to follow both physician's orders and facility policy.
A facility failed to implement fall prevention measures for a resident with severe cognitive impairment and a high risk of falls. Observations revealed only one fall mat was in place, contrary to physician orders for two mats. The resident's medical history includes Alzheimer's, impaired mobility, and a history of multiple falls.
Two residents with severe cognitive impairments were found with bed rails raised without a physician's order, risk assessment, or informed consent. Observations confirmed the continuous use of bed rails, and the facility's administrator acknowledged the lack of proper assessments and documentation.
A resident with severe dementia was improperly restrained with a self-releasing seatbelt in a wheelchair without written consent or documentation, contrary to facility policy. Staff interviews revealed a lack of awareness about the resident's ability to remove the seatbelt, and the seatbelt was not perceived as a restraint by the Administrator.
The facility failed to provide appropriate pain management for a resident after a fall, as no initial pain assessment was completed despite multiple injuries. The resident was later diagnosed with a displaced fracture causing significant pain.
The facility failed to comprehensively assess a resident using the CMS-specified Resident Assessment Instrument after the resident was hospitalized following a cerebral infarction and a right femoral head fracture. Despite the significant change in condition, the required significant change MDS was not completed.
The facility failed to ensure that resident assessments were transmitted to the State within the required 7-day timeframe for 10 residents. Multiple instances were found where assessments were either not completed, not submitted, or not accepted within the required timeframe. The Medicare Case Manager acknowledged these failures during an interview, confirming the facility's non-compliance with regulatory requirements.
The facility failed to maintain sanitary conditions in the kitchen, with issues including unlabeled and frostbitten meat, opened and unlabeled jars, unclean equipment, and grease and food residue on various surfaces. Staff confirmed these lapses, which affected food safety for 12 residents.
Physical abuse and unsafe transfer of a cognitively impaired resident by CNA
Penalty
Summary
The deficiency involves the facility’s failure to protect a cognitively impaired resident from physical abuse and psychosocial harm by a CNA. The resident, who resided on a locked memory care unit, had diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side, other lack of coordination, Alzheimer’s disease, and muscle weakness. A quarterly MDS showed a BIMS score of 0, indicating severely impaired cognition, and the resident was dependent on staff for bed-to-chair transfers. The resident’s care plan identified her as a fall risk and required the use of a gait belt for all transfers with assistance from one staff member. On the morning of the incident, surveillance video with audio captured the events in the resident’s room. The video showed housekeeping staff initially conversing with the resident, who was seated on the side of the bed, smiling, laughing, and verbally interacting appropriately. After housekeeping exited, the CNA entered the room carrying linens and clothing, did not greet or acknowledge the resident, and failed to respond when the resident asked about getting something to eat. The CNA then approached the resident and, without using a gait belt, attempted to pull the resident up by her left arm. The CNA yelled “Get up!” and forcefully gripped and pulled the resident’s left upper arm multiple times in an upward motion. The resident was observed grimacing, saying “Wait,” and being unable to stand, while the CNA continued to hold and manipulate the resident’s left upper arm, swinging her back into the bed when she could not maintain a standing position. The video further showed the CNA dropping linens and clothing on the bed, forcefully tossing the resident’s shoes to the floor, and ramming the resident’s wheelchair into the wooden footboard, causing the bed to shake. When the CNA brought the wheelchair to the resident, the resident recoiled, appeared frightened, and verbally stated she could get up if the CNA did not mind, but the CNA did not respond. The CNA placed the unlocked wheelchair in front of the resident, lifted the resident by her underarms without a gait belt, and dropped her into the wheelchair, with an audible impact and the resident exclaiming “Ow!” The resident then rubbed her left arm, moaned, and appeared to express pain. The CNA proceeded to pull the resident backward in the wheelchair, again striking the footboard, and then rolled the resident into an unlit bathroom. Throughout the interaction, the CNA repeatedly yelled at the resident by her first name to “Get up,” handled her roughly, and failed to use safe transfer techniques. Subsequent documentation and interviews linked physical findings to this event. A late entry progress note by the Administrator described a nickel-sized irregular bright purple purpura on the lateral upper left arm near the antecubital space, and a later note documented multiple areas of bright purple purpura on the posterior left upper arm. A weekly skin review by an LPN on 01/11/2026 recorded four small reddish-purple areas on the back of the left upper arm just above the elbow, which the LPN described as looking like fingerprints; the DON reported these could have been from the CNA’s fingerprints. The Administrator and DON both confirmed, based on review of the video, that the CNA physically abused the resident by yelling, grabbing, lifting, twisting, and roughly transferring her without a gait belt, and that the resident appeared frightened during the event. The Administrator further stated that a reasonable person subjected to this physical abuse and verbal aggression would have experienced physical abuse and psychosocial harm, including dehumanization and humiliation.
Failure to Implement Care-Planned Fall Mats for a High Fall-Risk Resident
Penalty
Summary
The facility failed to implement a comprehensive, person-centered care plan intervention for a resident identified as a fall risk. The resident, admitted on 07/03/2025, had diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side, other lack of coordination, Alzheimer's disease, and muscle weakness. The resident’s comprehensive care plan documented, as of 10/22/2025, that fall mats were to be placed on each side of the bed when the resident was in bed. However, observations on 03/09/2026 at 8:27 a.m. and again at 2:20 p.m. showed the resident in bed or in the room without fall mats in place on either side of the bed. During interview at 2:20 p.m., a CNA confirmed that the resident’s room did not have fall mats in place. At 3:05 p.m., the ADON acknowledged that the care plan included the intervention of a fall mat, and a subsequent observation at 3:10 p.m. with the ADON again confirmed that no fall mats were present in the resident’s room despite the care plan requirement. This deficiency centers on the discrepancy between the documented fall-prevention intervention in the resident’s care plan and the lack of implementation of that intervention as evidenced by multiple observations and staff confirmations on the same day.
Failure to Maintain Non-Skid Flooring for High Fall-Risk Resident
Penalty
Summary
The deficiency involves the facility’s failure to maintain a resident’s room environment free from accident hazards by not ensuring the floor surface provided adequate non-skid traction. The facility’s own Falls and Fall Risk, Managing policy identified environmental factors such as wet floors as contributors to fall risk and required staff to identify interventions based on resident-specific risks. Resident #3, admitted with a displaced mid-cervical fracture of the left femur (subsequent encounter) and unspecified dementia, had a BIMS score of 10 indicating moderately impaired cognition and required partial staff assistance for transfers and ambulation. The resident’s care plan documented a history of falls related to impaired balance and gait, with an intervention for frequent observation and supervised placement when out of bed. The medical record showed multiple falls over several dates, and a fall risk assessment identified the resident as high risk for falls. Surveyor observations on multiple occasions found Resident #3’s room floor to be dry but shiny, slippery, and with little traction along the entry, walkway, and around the bed and recliner. A CNA, housekeeping staff, an LPN, the ADON, the Administrator, and the Housekeeping Supervisor each observed or acknowledged that the floor in this resident’s room was slippery, shiny, and posed a fall risk. The housekeeping staff reported mopping the floor with the facility’s standard floor cleaning solution, and the Administrator stated that the floors had never been waxed and were cleaned with house cleaner, while acknowledging the condition of the floor as a fall hazard. The resident reported that at times the floor felt slippery and at other times felt like glue, causing shoes to stick. Despite the resident’s high fall risk, history of falls in the room and bathroom, and multiple staff acknowledgments of the slippery condition, the floor surface remained in a state that did not provide adequate traction, resulting in an environmental accident hazard for this resident.
Failure to Address Fall Risk in Resident Care Plan
Penalty
Summary
The facility failed to ensure a resident's environment was as free of accident hazards as possible by not evaluating the resident's fall risk and implementing necessary interventions. The resident, who had multiple diagnoses including coronary artery disease, hypertension, and major depressive disorder, was admitted without a fall risk assessment being conducted. A fall risk assessment was eventually performed on 02/10/2025, revealing a high risk for falls with a score of 23, but this was after the resident had already experienced multiple unwitnessed falls on 02/01/2025, 02/05/2025, 02/09/2025, and 02/10/2025. The resident's Baseline Care Plan, initiated on 01/31/2025, identified safety concerns such as fall risk but did not include any specific interventions to address this risk. Interviews with the Director of Nursing, Assistant Director of Nursing, and the Administrator confirmed that a fall risk assessment should have been conducted upon admission and that interventions should have been included in the care plan to mitigate the resident's fall risk. The lack of these assessments and interventions contributed to the deficiency identified by the surveyors.
Medication Administration Timing Deficiency
Penalty
Summary
The facility failed to ensure that two residents received medications in accordance with physician's orders and within the established liberalized medication time blocks. For one resident, multiple medications were administered outside the designated time frame of 7:00 a.m. to 10:30 a.m., with administration times recorded between 10:45 a.m. and 10:55 a.m. These medications included folic acid, vitamin C, ferrous sulfate, and several others, all of which were scheduled for earlier administration. The failure to adhere to the prescribed schedule was documented in the Medication Administration Record (MAR). Another resident's medications, which were ordered to be administered at 7:00 a.m., were not given until 11:17 a.m. The medications included Lexapro, Bupropion, Hydralazine, and others. During an interview, an LPN acknowledged that there was no set time for medication administration and admitted to not administering the morning medications on time. This indicates a deviation from both the physician's orders and the facility's policy on liberalized medication administration times.
Failure to Implement Fall Prevention Measures for a High-Risk Resident
Penalty
Summary
The facility failed to ensure that the environment for one of the sampled residents, identified as Resident #3, was as free from accident hazards as possible. Specifically, the facility did not have the required fall mats in place as ordered by the physician to prevent injuries. Observations on two separate occasions revealed that only one fall mat was positioned on the right side of the resident's bed, whereas the physician's orders dated 08/31/2024 specified that two fall mats should be applied, one on each side of the bed, when the resident is in bed. This discrepancy was confirmed during an interview with a Certified Nurse Assistant (CNA), who acknowledged that there should have been two fall mats in place. Resident #3 has a medical history that includes Alzheimer's disease, impaired balance, impaired mobility, muscle weakness, essential hypertension, and an unspecified extrapyramidal and movement disorder. The resident's fall risk assessment indicated a high risk for falls, with a total score of 18, and a history of three or more falls. The Minimum Data Set (MDS) assessment showed severe cognitive impairment with a BIMS score of 3, and the resident requires one-person physical assistance with bed mobility, transfers, eating, and toilet use. The care plan for Resident #3 included monitoring and interventions to reduce the potential for self-injury from falls, with approaches that involve supervision and verbal reminders to control risk factors.
Failure to Ensure Proper Use and Documentation for Bed Rails
Penalty
Summary
The facility failed to ensure the correct use and maintenance of bed rails for two residents, leading to a deficiency in compliance with safety protocols. Resident #1, diagnosed with Parkinson's disease, dementia, schizoaffective disorder, and other conditions, was found with bed rails raised without a physician's order, risk assessment for entrapment, or informed consent. Observations over two days confirmed the continuous use of bed rails without the necessary documentation or assessments. Similarly, Resident #2, with diagnoses including spondylosis, dementia, and muscle weakness, was also observed with bed rails raised without the required physician's order, risk assessment, or informed consent. Interviews with the facility's administrator confirmed the lack of proper assessments and documentation for both residents, acknowledging the oversight in following the necessary procedures for bed rail use.
Improper Use of Physical Restraint Without Consent
Penalty
Summary
The facility failed to ensure that a resident was free from physical restraints that were not required to treat medical symptoms. The resident, who was diagnosed with severe unspecified dementia with mood and behavioral disturbances and muscle weakness, was observed using a self-releasing seatbelt while seated in a high-back wheelchair. The facility's policy requires that any physical restraint must be easily removable by the resident in the same manner it was applied by staff, and consent must be obtained. However, the resident was unable to remove the seatbelt on command due to cognitive impairments, and no written consent for the use of the seatbelt was obtained. Interviews with facility staff revealed a lack of awareness and documentation regarding the resident's ability to remove the seatbelt. An LPN was unsure if the resident could remove the seatbelt and observed that the resident did not understand the request to do so. The Director of Nursing acknowledged the absence of written consent and documentation for the seatbelt's use, and the Administrator admitted that consent was not obtained because the seatbelt was not perceived as a restraint. This oversight led to the improper use of a restraint without the necessary consent and documentation, contrary to the facility's policy.
Failure to Provide Pain Management After Resident Fall
Penalty
Summary
The facility failed to ensure pain management was provided to a resident who required such services after a fall/injury. Specifically, the facility did not complete an initial pain assessment for the resident following the incident. The resident was found on the floor with multiple injuries, including a knot on the back of the head, cuts on the thumb and knee, and a skin tear on the leg. Despite these injuries, there was no documentation of a pain assessment in the initial ID notes, the Incident Report, or the Neurological Evaluation Flow Sheet. The resident was later diagnosed with a displaced fracture of the left femoral neck, which caused significant pain upon manipulation of the left lower extremity, as noted by the Nurse Practitioner the following day. Interviews with the Director of Nursing and an LPN confirmed that a pain assessment should have been completed but was not. The Director of Nursing acknowledged the absence of a pain assessment in the facility's computer system and the Incident Report. The LPN explained that standard procedure involves documenting a head-to-toe assessment and asking residents to rate their pain level, or observing their response if they are unable to communicate. However, the review of the ID notes confirmed that no such assessment was documented for this resident after the fall.
Failure to Complete Significant Change Assessment
Penalty
Summary
The facility failed to ensure that a resident was comprehensively assessed using the CMS-specified Resident Assessment Instrument after experiencing a significant change in condition. Resident #82 was hospitalized following a cerebral infarction and a right femoral head fracture. The resident's diagnosis included hemiplegia following a cerebral infarction affecting the left non-dominant side and a right femoral head fracture. On the date of the incident, the resident was found lying supine on the floor with no movement in her right lower extremity and tremors on the left side of her body. The resident was assessed by a nurse and assisted into her wheelchair by three staff members before being transferred to the emergency room for evaluation. Hospital records confirmed the diagnosis of an acute ischemic left MCA stroke, cytotoxic cerebral edema, and a displaced right femoral head fracture. Despite the significant change in Resident #82's condition, a review of the Minimum Data Set (MDS) for the dates following the incident revealed that a significant change assessment was not completed. During interviews, the Medicare Case Manager confirmed that she did not complete the required significant change MDS, and the Administrator verified that such an assessment should have been completed. This oversight indicates a failure to follow CMS guidelines for assessing residents after a significant change in their condition.
Failure to Transmit Resident Assessments Timely
Penalty
Summary
The facility failed to ensure that resident assessments were transmitted to the State within the required 7-day timeframe for 10 residents out of a total of 35 sampled residents. The review of the Minimum Data Set (MDS) assessments for these residents revealed multiple instances where assessments were either not completed, not submitted, or not accepted within the required timeframe. For example, Resident #3 had an Other State Assessment MDS completed on 02/15/2024 but was only submitted and accepted on 03/21/2024. Similarly, Resident #41 had a Quarterly MDS that was not completed, not submitted, and not accepted. These delays and failures in submission were consistent across all 10 residents reviewed. During an interview on 04/11/2024, the Medicare Case Manager acknowledged that the MDS assessments for the 10 residents had not been completed and transmitted to CMS within the required timeframe. This acknowledgment confirms the facility's failure to adhere to the regulatory requirements for timely submission of resident assessments, which is crucial for maintaining accurate and up-to-date resident care records. The deficiencies were identified through a combination of record reviews and interviews, highlighting a systemic issue in the facility's assessment and submission processes.
Sanitation Deficiencies in Kitchen
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food under sanitary conditions, potentially affecting 12 residents who received trays from the main kitchen. Observations revealed several deficiencies: meat with a frostbitten appearance inside an unlabeled plastic bag in the freezer, opened and unlabeled jars of jalapenos, tartar sauce, pepperoncini, and lime juice in the walk-in refrigerator, and a stand mixer with yellow and white food residue. Additionally, grease and food residue were noted on the outside of both fryers, the floor between the stove and fryers, and the pipes and wall behind the fryer and stove. The walk-in refrigerator also had food and debris on the floor. Interviews with kitchen staff confirmed these observations. The cook acknowledged that the meat should have been removed before going bad and that opened, unlabeled items should have been labeled with an opened date. The chef confirmed that the kitchen and equipment should be cleaned daily by the morning and evening staff, and that the meat and opened items should have been properly managed. These lapses in following the facility's Basic Standards-Food Services-Health Care Policy led to the identified deficiencies.
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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 Shreveport
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Live Oak | 0.9 mi | ★★★★★ | 0 | 0 |
| Heritage Manor Of Stratmore Nursing & Rehab Ctr | 1.8 mi | ★★★★★ | 0 | 0 |
| Spring Lake Skilled Nursing And Rehabilitation | 2 mi | ★★★★★ | 5 | 0 |
| Garden Park Nursing & Rehab Ctr, Llc | 2.7 mi | ★★★★★ | 9 | 0 |
| Booker T. Washington Skilled Nursing And Rehabilit | 3 mi | ★★★★★ | 0 | 0 |
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