Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Bonne Vie during CMS and state inspections, most recent first.
Missed Quarterly MDS Assessment: A resident with dementia and HTN had an admission MDS followed by a quarterly ARD, but the next quarterly MDS was not initiated or completed within the required timeframe. The MDS nurses said the computer system did not trigger the assessment as due, the resident remained on skilled services and managed care, and the missed quarterly assessment was an oversight.
Incomplete and Untimely Discharge MDS Assessment: A resident with anxiety, HTN, HF, and chronic pain was transferred to the hospital, but the discharge MDS was not completed, signed, or transmitted. The MDS Nurse said the assessment had not been completed and was unsure who started it, while the DON and EDO stated MDS assessments were expected to be completed and transmitted timely.
Failure to Provide Routine Nail Care: A resident with paraplegia and dependence for most ADLs had fingernails that were long, jagged, and dirty during observations, despite a care plan directing staff to check, clean, and trim nails during bath care. The resident said staff had not offered nail care during baths, while a CNA later stated she cleaned and trimmed the nails during a bath because they were too long and dirty. The DON and EDO stated staff were expected to provide regular nail care as part of routine hygiene.
Unsecured Narcotic Box in Medication Cart: Medication cart D had a narcotic box that was not attached to the drawer and could be lifted out, leaving the narcotics secured by only one lock instead of the required double lock. An LPN stated she was unaware the drawer was loose, the Maintenance Supervisor said he had not been told about the issue, and the DON said she was unaware the cart had an unsecured narcotic box. The facility policy required controlled substances to be stored under double-lock and key.
Nursing and CNA staff did not assess or document the bowel status of a resident with advanced dementia and recent fecal impaction, despite care plan interventions and physician orders requiring monitoring for constipation due to opioid and sedative use. Multiple shifts failed to complete required assessments and documentation, with staff citing reliance on computer alerts and technical issues. Facility leadership confirmed that required assessments and documentation were not performed according to policy.
The facility failed to develop comprehensive care plans for three residents, including a resident on hospice care, a resident prescribed trazadone, and a PASRR-positive resident refusing services. These omissions could lead to unmet needs and inadequate care.
A resident with dementia and moderate cognitive impairment experienced verbal abuse by an LVN after a fall. The LVN made derogatory remarks and reacted aggressively when the resident attempted to hold on for stability. Witnesses confirmed the abuse, leading to the LVN's termination.
The facility failed to maintain an infection prevention and control program, leading to deficiencies in the care of two residents. CNAs did not follow proper hand hygiene and glove-changing protocols during incontinent care, increasing the risk of infection for residents with significant medical conditions.
Missed Quarterly MDS Assessment
Penalty
Summary
The facility failed to complete a quarterly MDS assessment for one resident who had an admission MDS completed on 10/29/2025 and a subsequent quarterly MDS ARD of 01/29/2026. Record review showed that a quarterly MDS was not initiated or completed within three months of the prior assessment. The resident was a male with diagnoses of dementia and hypertension and had been admitted to the facility on [DATE]. During interview, MDS Nurse A said the resident had been on managed care for over 100 days and that the computer system did not trigger the quarterly MDS as due. She said the resident was still on skilled services and that she would not know when MDSs were overdue unless she reviewed each resident individually, describing the missed quarterly assessment as an oversight. MDS Nurse B confirmed the quarterly MDS was missed for the resident, and both nurses stated they had been educated on MDS accuracy. The DON stated the MDS nurses were responsible for timely completion of each MDS assessment, and the EDO said he expected all MDS assessments to be completed timely per guidelines.
Incomplete and Untimely Discharge MDS Assessment
Penalty
Summary
The facility failed to ensure that Resident #127’s discharge MDS assessment was completed and electronically transmitted. Resident #127 was admitted with diagnoses of anxiety, high blood pressure, heart failure, and chronic pain, and the record showed she was transferred to the local hospital with physician’s orders on 09/09/2025. The discharge MDS assessment for that same discharge date was documented as not completed, signed, or transmitted. Review of the electronic record showed the discharge MDS remained in progress and was 162 days late, and the list of MDS assessments from 08/30/2025 to 09/09/2025 did not show the discharge MDS as completed, signed, or transmitted. During interview, the MDS Nurse said the discharge assessment was not completed, signed, or transmitted and was unsure who started it. The DON stated the MDS nurses were responsible for timely completion and transmission of each MDS assessment, and the EDO said all MDS assessments were expected to be completed timely per guidelines.
Failure to Provide Routine Nail Care
Penalty
Summary
The facility failed to ensure Resident #21 received the necessary assistance with activities of daily living to maintain good nutrition, grooming, and personal and oral hygiene when his fingernails were not cleaned, trimmed, or clipped. Resident #21 was a re-admitted male with diagnoses including injury to an unspecified level of lumbar spinal cord, paraplegia, pain, personal history of traumatic brain injury, and depression. His MDS indicated a BIMS score of 13, showing he was cognitively intact, and he was dependent on staff for most self-care tasks, including oral hygiene, bathing, dressing, footwear, and personal hygiene. His care plan and bedside electronic task record included an intervention to check nail length and trim and clean nails on bath day and as necessary. However, review of his bathing task assignments from 02/03/2026 to 03/02/2026 showed he received bed baths three times a week with no indication that nail care was offered or provided. During observation on 03/02/2026, his fingernails were not clean, trimmed, or cut; they were uneven, jagged edged, about 1.5 cm long, and had brown substance underneath. During interview, he stated he liked his fingernails cleaned and cut, did not like them that long, and said staff had not offered to cut them during baths. On 03/03/2026, his fingernails were still long, jagged, and dirty during another observation. On 03/04/2026, he stated CNA C had provided a bath the prior evening and had cut, cleaned, and trimmed his fingernails, and his nails were then clean, trimmed, and well-manicured. CNA C stated she had provided the bath and trimmed and cleaned his fingernails because they were too long, jagged, and dirty, and that nail care was part of a bath. The DON and EDO stated staff should clean, trim, and cut his nails as desired, and the DON stated this was the CNA's responsibility during routine baths except for brittle diabetic residents.
Unsecured Narcotic Box in Medication Cart
Penalty
Summary
The facility failed to ensure that drugs and biologicals were stored in locked compartments with controlled substances kept under double lock in Medication cart D. During an observation and interview on 03/04/2026 at 10:40 a.m., LVN D identified the cart as Medication cart D, and the narcotic box was observed not attached to the drawer. The narcotic box lifted off the drawer, freely slid out of the medication cart, and exposed the narcotics. The medication cart drawer served as the bottom of the box, leaving the narcotics secured by only one lock on the medication cart. LVN D stated she was unaware the narcotic drawer was loose and not secured, and said narcotics required two locks to prevent the risk of drug diversion. During interviews later that morning, the Maintenance Supervisor said he had not been told the drawer was broken or not attached and did not normally check medication carts routinely. He stated he would have fixed it if nurses had reported a concern. The DON said she had ordered a new medication cart every month for the last few months, but she was unaware this cart had an unsecured narcotic box. The facility policy dated 2025 stated that medications must be stored to ensure proper sanitation, temperature, light, ventilation, moisture control, segregation, and security, and that Schedule II drugs and backup stock of Schedule III, IV, and V medications are stored under double-lock and key.
Failure to Assess and Document Bowel Status for High-Risk Resident
Penalty
Summary
The facility failed to ensure that a resident received treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan. Specifically, nursing staff did not conduct or document comprehensive bowel elimination assessments for a resident with a recent history of fecal impaction and multiple risk factors for constipation, including opioid and sedative medication use, advanced dementia, and bowel incontinence. The care plan required assessment and documentation of the resident's usual bowel movement history, including pattern, frequency, and characteristics, and the facility had physician orders to monitor for constipation every shift due to medication side effects. On multiple shifts over two consecutive days, both licensed nurses (LVNs and RNs) and CNAs failed to assess and/or document the resident's bowel status in the electronic health record. Interviews with staff revealed that some nurses relied on computer alerts, which only function if bowel movement data is entered, and did not perform physical assessments unless prompted by symptoms or alerts. CNAs cited technical issues with computers and did not always inform nurses when documentation was incomplete. The lack of documentation and assessment occurred despite the resident's recent hospital discharge for fecal impaction, ongoing risk factors, and explicit care plan interventions and physician orders. Facility leadership, including the DON, unit manager, and administrator, confirmed that staff were responsible for assessing, monitoring, documenting, and reporting changes in bowel patterns, and that these actions were not carried out as required. The facility's policy required bowel and bladder assessments upon admission, readmission, and as needed, with ongoing documentation and care plan updates. The failure to assess and document the resident's bowel status as required by policy and care plan interventions led to the deficiency cited by surveyors.
Failure to Implement Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to develop and implement comprehensive person-centered care plans for three residents, which could potentially place them at risk of not having their individual needs met. Resident #28, a female with a diagnosis of cerebral infarct, was admitted to hospice services, but her care plan did not include any goals or interventions related to hospice care. During an observation, she was unsure if she received hospice services, indicating a lack of communication and documentation regarding her care. Resident #42, a male with a diagnosis of depression, was prescribed trazadone, an antidepressant medication, but his care plan did not reflect this treatment. During an observation, he was unsure of the medications he received, suggesting a gap in the care planning process that could lead to inadequate monitoring and management of his condition. Resident #87, a female with bipolar disorder and major depressive disorder, was identified as PASRR positive but was refusing PASRR services. Her care plan did not address her PASRR status or her refusal of services, which could result in staff being unaware of her needs and the ongoing quarterly meetings to offer services. Interviews with staff revealed that these omissions were due to oversight, despite their awareness and training on the importance of accurate and complete care planning.
Verbal Abuse Incident by LVN in LTC Facility
Penalty
Summary
The facility failed to protect a resident from verbal abuse by a licensed vocational nurse (LVN A). The incident involved a male resident with multiple diagnoses, including dementia and moderate cognitive impairment, who was found on the floor after a fall. During the incident, LVN A was reported to have yelled, screamed, and made intimidating remarks towards the resident, which was corroborated by another nurse (LVN B) and an outside vendor present at the scene. The resident, although hard of hearing and with moderate cognitive impairment, was reportedly upset during the interaction. The incident occurred when LVN A was called to assist the resident who had fallen. Upon entering the room, LVN A made several derogatory and aggressive comments towards the resident, suggesting he should be restrained and making inappropriate remarks about his personal habits. The resident attempted to hold onto LVN A for stability during the transfer, but LVN A reacted aggressively, further escalating the situation. Witnesses, including LVN B and an outside vendor, confirmed the verbal abuse and reported the incident to the facility's management. The facility's investigation confirmed the verbal abuse, and LVN A was suspended and subsequently terminated. The resident was assessed for physical injury and emotional distress, with no immediate signs noted. However, the incident highlighted a failure in the facility's responsibility to ensure residents are free from abuse, as outlined in their Abuse Prohibition Protocol.
Infection Control Deficiencies During Incontinent Care
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program, leading to deficiencies in the care of two residents. For the first resident, a CNA did not wash or sanitize her hands or change gloves while performing incontinent care. Specifically, after wiping the resident's rectal area and removing a soiled brief, the CNA put on new gloves without sanitizing her hands and continued to apply a clean brief and Vaseline. This action was against the facility's protocol and was acknowledged by the CNA during an interview. For the second resident, another CNA also failed to follow proper infection control procedures during incontinent care. After removing the resident's soiled brief, the CNA did not change gloves before applying a clean brief and barrier cream. This was observed and confirmed by another CNA and the Director of Nursing, who stated that the staff should have changed gloves and performed hand hygiene as per the facility's protocol. Both residents had significant medical conditions, including indwelling catheters and bowel incontinence, which increased their risk of infection. The facility's failure to adhere to infection control protocols during incontinent care for these residents could place them at risk of exposure to communicable diseases and infections. The staff involved were aware of the proper procedures but did not follow them during the observed incidents.
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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 Port Arthur
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sabine Heights Nursing And Rehabilitation Center | 3 mi | ★★★★★ | 15 | 0 |
| Magnolia Manor | 4 mi | ★★★★★ | 2 | 0 |
| Oak Grove Nursing Home | 4.3 mi | ★★★★★ | 0 | 0 |
| Port Arthur Nursing And Rehabilitation Center | 4.5 mi | ★★★★★ | 5 | 0 |
| Oakwood Manor Nursing Home | 16.1 mi | ★★★★★ | 5 | 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 August 2026) and official state health department websites.