OAK WOODS HOME FOR THE ELDERLY
Non profit - Corporation
119 Beds
Independent
Data: November 2025
Trust Grade
40/100
#231 of 264 in LA
Photo by Oak Woods Rehab and Wellness
Photo by Oak Woods Rehab and Wellness
Photo by Oak Woods Rehab and Wellness
1 / 5 photos
Last Inspection: February 2025
Within standard 12-15 month inspection cycle. Federal law requires annual inspections.
Overview
Oak Woods Home for the Elderly has a Trust Grade of D, indicating it is below average and has some concerns regarding care. It ranks #231 out of 264 facilities in Louisiana, placing it in the bottom half, and is the lowest-rated option in Morehouse County. The facility is worsening, with the number of issues increasing from 3 in 2024 to 13 in 2025. Staffing is rated as average with a 3/5 star rating and an impressive 0% turnover, which means staff members are staying long-term. However, there are significant concerns, including a lack of documentation for essential care like medication administration and respiratory care, as well as failure to submit required staffing data, which raises questions about overall care standards.
- Trust Score
- D
- In Louisiana
- #231/264
- Safety Record
- Low Risk
- Inspections
- Getting Worse
- Staff Stability ○ Average
- Turnover data not reported for this facility.
- Penalties ⚠ Watch
- $32,087 in fines. Higher than 86% of Louisiana facilities, suggesting repeated compliance issues.
- Skilled Nurses ⚠ Watch
- Each resident gets only 23 minutes of Registered Nurse (RN) attention daily — below average for Louisiana. Fewer RN minutes means fewer trained eyes watching for problems.
- Violations ⚠ Watch
- 19 deficiencies on record. Higher than average. Multiple issues found across inspections.
40/100
Bottom 13%
No red flags
3 → 13 violations
★☆☆☆☆
1.0
Overall Rating
★★★☆☆
3.0
Staff Levels
★☆☆☆☆
1.0
Care Quality
★★☆☆☆
2.0
Inspection Score
↔
Stable
2024: 3 issues
2025: 13 issues
The Good
-
Full Sprinkler Coverage · Fire safety systems throughout facility
-
No fines on record
Facility shows strength in fire safety.
The Bad
1-Star Overall Rating
Below Louisiana average (2.4)
Significant quality concerns identified by CMS
Federal Fines: $32,087
Below median ($33,413)
Moderate penalties - review what triggered them
The Ugly 19 deficiencies on record
Feb 2025
13 deficiencies
CONCERN
(D)
Potential for Harm - no one hurt, but risky conditions existed
Deficiency F0638
(Tag F0638)
Could have caused harm · This affected 1 resident
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record reviews and interview, the facility failed to assess a resident using the quarterly review instrument specified ...
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**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record reviews and interview, the facility failed to assess a resident using the quarterly review instrument specified by the State and approved by CMS (Centers for Medicare and Medicaid Services) not less frequently than once every 3 months for 2 (#36, #46) of 2 (#36, #46) residents reviewed for resident assessment out of a total of 18 sampled residents.
Findings:
Resident #46
Record review revealed resident #46 was admitted to the facility on [DATE] and remained as an active resident at the facility. The most recent quarterly Minimum Data Set (MDS) assessment was completed on 08/26/2024.
Resident #36
Record review revealed resident #36 was admitted to the facility on [DATE] and remained as an active resident at the facility. The most recent quarterly MDS assessment was completed on 08/14/2024.
02/03/2025 at 3:44 p.m., an interview with S2Director of Nursing (DON) confirmed the MDS quarterly assessments had not been completed every 120 days for residents #36 and #46.
CONCERN
(D)
Potential for Harm - no one hurt, but risky conditions existed
Accident Prevention
(Tag F0689)
Could have caused harm · This affected 1 resident
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, interview, and observation, the facility failed to ensure that residents received adequate supervision a...
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**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, interview, and observation, the facility failed to ensure that residents received adequate supervision and assistive devices to prevent accidents by failing to implement a new intervention following a fall for 1 (#51) of 2 (# 24, #51) residents reviewed for falls.
Findings:
Review of resident #51's record revealed an admission date of 12/13/2024 with diagnoses of encephalopathy, unspecified; anxiety disorder, unspecified; unspecified dementia, severe, with other behavioral disturbance; unspecified injury of urethra, initial encounter, fracture of one rib, right side, initial encounter for closed fracture, wedge compression fracture of fourth lumbar vertebra, and initial encounter for closed fracture.
Review of the Minimum Data Set (MDS) dated [DATE] revealed the resident had a Brief Interview for Mental Status (BIMS) score of 7 which indicated that the resident was severely impaired for cognition. Further review of the MDS revealed resident #51 required two person assistance with bed mobility and transfers. He also required one person physical assist for toilet use.
Review of the fall risk assessment dated [DATE] revealed resident #51 was assessed to be at high risk for falls.
Review of the Incident & Accident (I & A) Reports revealed on 01/16/2025 resident #51 had an unwitnessed fall in the room with a head injury and on 01/31/2025 he attempted to stand in the lobby and fell onto a chair.
Review of resident #51's actual fall care plan revealed he had falls on 01/16/2025 and 01/31/2025. Further review revealed the following interventions for falls:
-01/16/2025: Send resident to the emergency room for evaluation and treatment, and
-01/31/2025: Place resident in a geri-chair for increased comfort.
Review of resident #51's current care plan for crawling out of bed revealed following interventions:
-Leave door open for ease of monitoring,
-Set mattress at bedside to increase safety, and
-When significant behaviors exacerbated, have aide sit in room with resident to prevent fall/injury.
Observation on 02/03/2025 at 8:32 a.m. revealed resident #51 was laying on the floor mattress next to the bed. S4Certified Nursing Assistant (S4CNA) instructed resident to get back in bed. Resident #51 then crawled back in bed unassisted from floor mattress. S4CNA then closed the door to his room when exiting.
Observation on 02/04/2025 at 8:45 a.m. revealed the door was closed to resident # 51's room with the resident inside alone.
An interview with S2Director of Nursing (DON) on 02/04/2025 at 9:00 a.m. confirmed resident #51's intervention for falls on 01/15/2025 was to leave his door open.
CONCERN
(E)
Potential for Harm - no one hurt, but risky conditions existed
Tube Feeding
(Tag F0693)
Could have caused harm · This affected multiple residents
Based on record review and interview the facility failed to ensure appropriate treatment and services were provided to prevent potential complications from enteral feeding by failing to record feeding...
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Based on record review and interview the facility failed to ensure appropriate treatment and services were provided to prevent potential complications from enteral feeding by failing to record feedings and water flush amounts for 1 (#7) of 2 (#7 and #22) residents reviewed for tube feedings.
Findings:
Resident #7
Review of the medical record revealed resident #7 received enteral feedings by way of a percutaneous endoscopic gastrostomy (PEG) tube for the diagnosis of adult failure to thrive.
Further review of the February 2025 physician orders revealed an order for Two-Cal high nutrition (HN) tube feeding at 45 milliliters per hour from 6:00 p.m. to 6:00 a.m. There was also an order for the PEG tube to be flushed with 150 milliliters of water every four hours while the feeding was not infusing from 6:00 a.m., to 6:00 p.m.
Review of the February medication administration record revealed there was no documentation of the PEG tube flushes or tube feedings.
On 02/03/2025 at 4:00 p.m., an interview with S2Director of Nursing (DON) confirmed there should have been documentation of the nighttime feeding and daytime water flushes in the medical record.
CONCERN
(E)
Potential for Harm - no one hurt, but risky conditions existed
Respiratory Care
(Tag F0695)
Could have caused harm · This affected multiple residents
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews and record reviews the facility failed to provide respiratory care consistent with professiona...
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**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews and record reviews the facility failed to provide respiratory care consistent with professional standards for 4 (#2, #18, #35, #22) of 4 (#2, #18, #35, #22) sampled residents reviewed for respiratory care.
The facility failed to ensure respiratory equipment was:
1) stored properly for resident #2, #18, #35, and #22,
2) changed in a timely manner for resident #2 and #35 and,
3) dated for resident #2 and #18.
Findings:
Resident #2:
Review of the medical record for sampled resident #2 revealed an admission date of 10/13/2023 with diagnoses including chronic obstructive pulmonary disease, chronic bronchitis, and history of cerebral infarction.
Review of the annual Minimum Data Set (MDS) assessment dated [DATE] revealed resident #2 had a Brief Interview for Mental Status (BIMS) score of 14 which indicated she was cognitively intact for daily decision making.
Review of the physician's orders dated 03/26/2024 revealed administer oxygen (O2) at 2 liters for comfort/shortness of breath every shift as needed (prn).
Review of the current care plan for resident #2 revealed may use oxygen at 2 liters per nasal cannula prn.
On 02/02/2025 at 1:50 p.m., an observation revealed resident #2's nasal cannula tubing was dated 01/12/2025 and the oxygen tubing was draped over the top of the oxygen concentrator and part of the tubing was touching the floor. Further observation revealed the oxygen tubing was not stored in a bag while not in use. Also, resident #2's nebulizer and nebulizer tubing was on the bedside table and was not dated or stored in a bag. An interview with resident #2 revealed the nebulizer tubing was changed the same time as the other oxygen tubing, which was 01/12/2025.
On 02/04/2025 at 2:30 p.m. S2Director of Nursing (DON) confirmed resident # 2's above oxygen equipment was not changed timely and was not stored properly. She further confirmed the nebulizer equipment was not dated or stored properly.
Resident #18:
Review of the medical record for sampled resident #18 revealed an admission date of 10/09/2023 with diagnoses including essential hypertension, paroxysmal atrial fibrillation, unspecified dementia, and anxiety disorder.
Review of the annual MDS assessment dated [DATE] revealed resident #18 had a BIMS score of 99 which indicated they were unable to complete the test. Further review revealed she was dependent on staff for all activities of daily living (ADLs).
Review of the physician's orders dated 12/01/2024 revealed administer oxygen at 2 liters per nasal cannula, titration increased 1 liter until oxygen saturations are 95% or above every 4 hours as needed for hypoxemia.
On 02/02/2025 at 9:00 a.m., 02/03/2025 at 8:49 a.m., and on 02/03/2025 1:00 p.m. observations revealed resident #18's nasal cannula tubing was draped over the top of the oxygen concentrator and part of the tubing was touching the floor. Further observation revealed there was no date noted on the tubing and it was not stored in a bag.
On 02/04/2025 at 2:10 p.m., and interview with S2DON confirmed the facility failed to ensure resident #18's oxygen tubing was dated, and stored properly in a bag when not in use.
Resident #35:
Review of the medical record for sampled resident #35 revealed an admission date of 10/26/2020 with diagnoses including hypertension, and history of myocardial infarction.
Review of the quarterly MDS assessment dated [DATE] revealed resident #35 had a BIMS score of 11 which indicated he was moderately cognitively impaired. Further review revealed he required moderate to maximum assistance for most ADLs.
On 02/02/2025 at 10:18 a.m. and 02/02/2025 at 2:00 p.m., observations revealed resident #35's nasal cannula tubing was dated 01/12/2025. The oxygen tubing was draped over the oxygen concentrator and was not stored in a bag.
On 02/04/2025 at 2:30 p.m. S2DON was informed that resident #35's oxygen nasal cannula tubing was dated 01/12/2025, was not changed timely, and was not stored in a bag. She confirmed the tubing should be changed weekly and stored in a bag when not in use.
Resident #22
Record review revealed resident #22 was admitted to the facility on [DATE] with diagnoses that included pneumonia.
Further review of the medical record revealed an active order written for resident #22 for Ipratropium-Albuterol inhalation solution 0.5-2.5 (3) milligrams (mg)/3 milliliter (ml) (Ipratropium-Albuterol) -1 vial inhale orally four times a day via nebulizer related to pneumonia.
On 02/02/2025 at 8:50 a.m., observation revealed resident #22 had a nebulizer mask uncovered resting on top of the nebulizer machine. The mask and tubing was open to air and not stored in any type of storage container.
On 02/02/2025 at 3:00 p.m., observation revealed resident #22 had a nebulizer mask uncovered resting on top of the nebulizer machine.
On 02/03/2025 at 1:10 p.m., observation revealed resident # 22 had a nebulizer mask uncovered resting on top of the bedside table. The mask and tubing was not stored in the storage bag which was on top of the table next to the nebulizing machine.
On 02/04/2025 at 8:20 a.m., an interview with S2DON, confirmed the nebulizer mask should be kept in a storage bag when not in use.
CONCERN
(E)
Potential for Harm - no one hurt, but risky conditions existed
Deficiency F0700
(Tag F0700)
Could have caused harm · This affected multiple residents
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Resident #18
Review of the medical record for resident #18 revealed an admit date of 05/02/2023with diagnoses of essential hyper...
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**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Resident #18
Review of the medical record for resident #18 revealed an admit date of 05/02/2023with diagnoses of essential hypertension, paroxysmal atrial fibrillation, generalized osteoarthritis, and unspecified dementia with behavioral disturbance.
Review of the annual MDS assessment dated [DATE] revealed resident #18's BIMS score was 99, which indicated they were unable to complete the test. Further review of the MDS revealed she was dependent on staff for all activities of daily living.
Review of the February 2025 physician orders revealed an order dated 01/31/2025 that resident #18 may use bilateral quarter rails to aide in bed mobility.
Review of the current care plan revealed resident #18 required quarter bed rails. Interventions included that resident #18 may use bilateral quarter rails to assist with turning and repositioning.
Review of the medical record revealed no documented evidence that resident #18 was assessed for the entrapment of bed rails prior to installation of the bed rails.
On 02/04/2025 at 2:10 p.m., an interview with S2DON revealed the facility did not assess for the entrapment risk for the bed rails prior to installation.
Based on observations, record reviews and interviews, the facility failed to ensure residents were assessed for the risk of entrapment from bed rails prior to the installation for 3 (#18, #24 and #27) of 3 residents reviewed for accident hazards.
Findings:
Resident 24
Review of the medical record revealed for resident #24 revealed an admit date of 12/10/2024 with diagnoses of heart disease, hypertension, anxiety, coronary artery dissection, osteoarthritis, and depression.
Review of the admission Minimum Data Set (MDS) assessment dated [DATE] revealed resident #24's Brief Interview for Mental Status (BIMS) score was 13 which indicated no cognitive impairment for daily decision making. Further review of the MDS revealed was independent with bed mobility, and required setup help with transfers.
On 02/02/2025 at 10:12 a.m., and 02/03/2025 at 9:00 a.m. observations of resident #24 revealed she was sitting in her room in a wheelchair. Further observations revealed the bed had one quarter rail up on the right side of the bed and the bed rail on the left side was in the down position.
Review of the February 2025 physician orders revealed an order dated 01/31/2025 that resident #24 may use bilateral quarter rails to aide in bed mobility.
Review of the current care plan revealed resident #24 was at high risk for falls. Interventions included that resident #24 may use bilateral quarter rails to aide in mobility.
Review of the medical record revealed no documented evidence that resident #24 was assessed for the entrapment of bed rails prior to installation.
On 02/04/2025 at 2:10 p.m. interview with S2Director of Nursing (DON) revealed the facility did not assess for the entrapment risk for the bed rails prior to installation.
Resident 27
Review of the medical record for sampled resident #27 revealed admit date of 03/06/2018 with diagnoses of muscle weakness, abnormality of gait and mobility, lack of coordination, major depression, pain, psychosis, and Alzheimer's disease.
Review of the quarterly MDS assessment dated [DATE] revealed the facility was unable to determine the resident's BIMS score, and required extensive assistance with bed mobility and was totally dependent on staff for transfers.
On 02/02/2025 at 9:10 a.m., 02/02/2025 at 2:35 p.m., and on 02/04/2025 at 9:45 a.m. observations of resident #27 revealed she was in the bed with one quarter bed rail up on the left side of the bed.
Review of the February 2025 physician orders revealed an order dated 01/31/2025- may use bilateral quarter rails to aide in bed mobility every shift related to muscle weakness.
Review of the current care plan revealed resident #27 needed quarter bed rails to assist with bed mobility. The interventions included to monitor for effectiveness of use of bed rails, monitor quarter rails to ensure no abnormalities are present that could impair skin integrity.
Review of the medical record revealed no documented evidence that resident #27 was assessed for the entrapment of bed rails prior to installation.
On 02/04/2025 at 2:10 p.m., an interview with S2DON revealed the facility did not assess for the entrapment risk for the bed rails prior to installation.
CONCERN
(E)
Potential for Harm - no one hurt, but risky conditions existed
Deficiency F0725
(Tag F0725)
Could have caused harm · This affected multiple residents
Based on record reviews and interview, the facility failed to ensure there was sufficient staff available at all times to provide nursing and related services to meet the resident's needs and safety i...
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Based on record reviews and interview, the facility failed to ensure there was sufficient staff available at all times to provide nursing and related services to meet the resident's needs and safety in a manner that promotes each resident rights, physical, mental and psychosocial well-being. The facility failed to ensure there was sufficient staff on 07/21/2024, 07/28/2024 and on 08/31/2024 to provide care and services to the residents residing in the facility.
Findings:
Review of the Payroll Based Journal (PBJ) staffing data submission for fiscal year 2024, Quarter 4 (July 1 - September 30) revealed one star staffing rating, excessively low weekend staffing and failed to have nursing coverage 24 hours/day triggered.
Review of the facility's staffing patterns provided to the survey team revealed Sunday, 07/21/2024, hours provided to the residents were 135 hours and the required hours were 129.25 with 55 residents.
Review of the actual time sheets for the staff providing care and services to the residents on 07/21/2024 revealed the total hours were 106.91 hours.
Review of the facility's staffing patterns provided to the survey team revealed Sunday, 07/28/2024, hours provided to the residents were 136 hours and the required hours were 131.6 with 56 residents.
Review of the actual time sheets for the staff providing care and services to the residents on 07/28/2024 revealed the total hours were 76.07 hours.
Review of the facility's staffing patterns provided to the survey team revealed Sunday, 08/31/2024, hours provided to the residents were 140 hours and the required hours were 136.3 with 58 residents.
Review of the actual time sheets for the staff providing care and services to the residents on 08/31/2024 revealed the total hours were 124.02 hours.
On 02/04/2025 at 2:30 p.m. interview with S1Administrator confirmed that the hours on the time sheets were less than the required hours on the staffing patterns.
On 02/04/2025 at 3:10 p.m. interview with S1Administrator confirmed she did not have any more time sheets or hours to provide to the surveyor for the dates listed above.
CONCERN
(E)
Potential for Harm - no one hurt, but risky conditions existed
Staffing Information
(Tag F0732)
Could have caused harm · This affected multiple residents
Based on observations and interview the facility failed to ensure the nurse staffing data was posted daily. The facility failed to ensure the nurse staffing data was readily accessible to residents an...
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Based on observations and interview the facility failed to ensure the nurse staffing data was posted daily. The facility failed to ensure the nurse staffing data was readily accessible to residents and visitors.
Findings:
On 02/02/2025 at 7:45 a.m., observation revealed a daily nurse staffing sheet dated 01/8/2025 in a glass case at the front entrance of the facility. The nurse staffing sheet was filled out correctly but was not for the correct day.
On 02/03/2025 at 7:50 a.m., observation revealed a daily staff posting dated 02/01/2025 in a glass case at the front entrance of the facility.
On 02/04/2025 at 7:50 a.m., observation revealed a daily staff posting dated 02/01/2025 in a glass case at the front entrance of the facility.
On 02/04/2025 at 10:01 a.m., an interview with S1Administrator confirmed the daily staffing sheets were not posted daily.
CONCERN
(E)
Potential for Harm - no one hurt, but risky conditions existed
Drug Regimen Review
(Tag F0756)
Could have caused harm · This affected multiple residents
Resident #8
Review of the medical record for resident #8 revealed she received the blood thinner Clopidogrel 75 mg daily with a supporting diagnosis of cerebral infarction.
Review of resident #8's med...
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Resident #8
Review of the medical record for resident #8 revealed she received the blood thinner Clopidogrel 75 mg daily with a supporting diagnosis of cerebral infarction.
Review of resident #8's medication administration record revealed there was no documentation that the facility was monitoring the resident for bleeding.
Review of the monthly drug regimen review revealed consultant pharmacist failed to identify that resident #8 was not being monitored for bleeding.
On 02/03/2025 at 4:00 p.m., interview with S2DON confirmed there was no bleeding monitoring for resident #8 and the consultant pharmacist failed to report the irregularity to the facility.
Based on record reviews and interviews, the pharmacist failed to identify and report irregularities to the attending physician, the facility's medical director and director of nursing (DON) for 2 (#8 and #19) of 6 (#2, #8, #19, #24, #46 and #154) residents reviewed for unnecessary medications.
Findings:
Resident 19
Review of the medical record for resident #19 revealed an admit date of 04/03/2023 with diagnoses including atrial fibrillation, fatty liver, cardiac pacemaker, prosthetic heart valve, heart failure, anxiety, glaucoma, hyperlipidemia and major depression.
Review of the current care plan revealed resident #19 was at risk for fluid volume deficit related to the use of diuretics. Interventions included to assess daily for signs and symptoms of dehydration and over hydration, and to assess for edema every day. Further review of the care plan revealed resident #19 had the potential for abnormal bleeding due to anticoagulant therapy use. Interventions included to monitor for signs and symptoms of abnormal bleeding.
Review of the February 2025 physician's orders revealed an order dated 09/13/2024 for Apixaban (anticoagulant) 5 milligrams (mg), give 1 pill two times a day, and an order dated 09/14/2024 for Lasix (diuretic) 20 mg to be given every day.
Review of the medical record for resident #19 revealed no documented evidence that the nurses monitored for edema and bleeding as stated in the care plan.
Review of the record for resident #19 revealed the pharmacist performed a monthly Drug Regimen Review (DRR) dated 01/08/2025, 12/02/2024 and 11/05/2024. Further review of the DRR revealed no documented evidence that the pharmacist addressed the bleeding and edema monitoring was not documented for the resident.
On 02/04/2025 at 9:00 a.m. an interview with S2Director of Nursing (DON) confirmed there was documentation that edema and bleeding was monitored for resident #19. S2DON further confirmed the pharmacist failed to address that edema and bleeding was not monitored for resident #19 during the monthly DRR.
CONCERN
(E)
Potential for Harm - no one hurt, but risky conditions existed
Deficiency F0757
(Tag F0757)
Could have caused harm · This affected multiple residents
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Resident #8
Review of the medical record revealed resident #8 received the blood thinner Clopidogrel 75mg daily with a supportin...
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**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Resident #8
Review of the medical record revealed resident #8 received the blood thinner Clopidogrel 75mg daily with a supporting diagnosis of cerebral infarction.
Review of resident #8's medication administration record revealed there was no documentation that the facility was monitoring the resident for bleeding.
On 02/03/2025 at 4:00 p.m., interview with S2DON confirmed there was no recorded monitoring for bleeding related to resident #8.
Based on record reviews and interviews, the facility failed to ensure each resident's medication regimen was free from unnecessary medications by failing to 1) monitor edema for a resident who received a diuretic for 2 (#2, and #19), and 2) monitor for bleeding for a resident who received an anticoagulant for 3 (#8, #19 and #46) of 6 (#2, #8, #19, #24, #46 and #154) residents reviewed for unnecessary medications.
Findings:
Resident 19
Review of the medical record for resident #19 revealed an admit date of 04/03/2023 with diagnoses including atrial fibrillation, fatty liver, cardiac pacemaker, prosthetic heart valve, heart failure, anxiety, glaucoma, hyperlipidemia and major depression.
Review of the current care plan revealed resident #19 was at risk for fluid volume deficit related to the use of diuretics. Interventions included to assess daily for signs and symptoms of dehydration and over hydration, and to assess for edema every day. Further review of the care plan revealed resident #19 had the potential for abnormal bleeding due to anticoagulant therapy use. Interventions included to monitor for signs and symptoms of abnormal bleeding.
Review of the February 2025 physician's orders revealed an order dated 09/13/2024 for Apixaban (anticoagulant) 5 milligrams (mg), give 1 pill two times a day, and an order dated 09/14/2024 for Lasix (diuretic) 20 mg to be given every day.
Review of the record for resident #19 revealed no documented evidence of monitoring for bleeding or edema checks as stated in the care plan.
On 02/03/2025 at 4:00 p.m. interview with S2Director of Nursing (DON) confirmed resident #19 received Apixaban and Lasix and there was no documentation of monitoring for bleeding or edema documented for resident #19.
Resident 2
Review of the medical record for resident #2 revealed an admit date of 10/13/2023 with diagnoses including edema, and hypertension.
Review of the February 2025 physician's orders revealed an order dated 01/22/2025 for Bumetanide (diuretic) 1 mg, give by mouth 1 time a day for fluid retention related to edema.
Review of the current care plan revealed resident #2 was on diuretic therapy. Further review revealed an intervention to administer diuretic medications as ordered by physician and monitor for side effects and effectiveness every shift.
Review of the record for resident #2 revealed no documented evidence of monitoring for edema checks.
On 02/04/2025 at 2:30 p.m., an interview with S2DON confirmed there was documentation of monitoring resident #2 for edema.
Resident #46
On 02/02/2025 at 10:36 a.m., an interview with resident #46 revealed he took the blood thinner, Coumadin every night since being admitted to the facility in March of 2024.
Record review revealed resident #46 was admitted to the facility on [DATE] with diagnoses that included cerebrovascular disease, cerebral infarction, and myocardial infarction.
Further record review revealed an active order for warfarin sodium (anticoagulant) oral tablet 2 mg to be given by mouth at bedtime related to cerebral infarction.
Review of the January and February 2025 medication administration record revealed resident #46 had been taking warfarin sodium oral tablet 2 mg nightly as ordered. Further review of the medical record revealed no documented evidence of monitoring for bleeding while receiving an anticoagulant.
On 02/03/2025 at 4:10 p.m., an interview with S2DON confirmed resident #46 had not been monitored for bleeding for the months of January and February 2025 while receiving anticoagulant treatment.
CONCERN
(E)
Potential for Harm - no one hurt, but risky conditions existed
Food Safety
(Tag F0812)
Could have caused harm · This affected multiple residents
Based on observations the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety. The failed practice was made evident by unclea...
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Based on observations the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety. The failed practice was made evident by uncleanliness of the kitchen which included the food storage areas, meal serving area, cooking areas and the three compartment sink.
Findings:
On 02/02/2025 at 8:15 a.m., an initial tour of kitchen revealed grease buildup behind and underneath the deep fryer. Splattered food was observed on the wall and glass in front of the serving counter where the resident meal trays were prepared. Rust and food particles were observed on the storage shelf beneath the serving counter. Dust/dirt build up was observed on the circulating fan inside the walk in refrigerator which had blown the dust/dirt onto the ceiling and wall opposite of the fan inside the walk in refrigerator.
Observation of the three compartment sink revealed what appeared to be a lime scale buildup on the top of the three compartment sink.
On 02/02/2025 at 12:17 p.m., a confirmation interview/observation was conducted with S6Dietary Manager (DM). S6DM was shown the grease buildup behind and underneath the deep fryer, the food splattered on the wall and glass in front of the serving line, and the rust on the storage shelf beneath the serving counter. S6DM was also shown the dust/dirt build up on the circulating fan inside the walk in refrigerator. S6DM was shown the uncleanliness of the three compartment sink. S6DM confirmed the areas were in need of cleaning.
CONCERN
(E)
Potential for Harm - no one hurt, but risky conditions existed
Infection Control
(Tag F0880)
Could have caused harm · This affected multiple residents
Based on observations, record reviews and interviews the facility failed to maintain an infection prevention and control program to provide a safe, sanitary and comfortable environment and help to pre...
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Based on observations, record reviews and interviews the facility failed to maintain an infection prevention and control program to provide a safe, sanitary and comfortable environment and help to prevent the development and transmission of communicable diseases and infections by failing 1) to have signage on residents' doors that were COVID positive and/or Enhanced Barrier Precautions (EBP) that included specific personal protective equipment (PPE) required for staff use for 4 (#35, #43, #47, and #154), and 2) to ensure indwelling catheter tubing was not touching the floor for 2 (#35 and #154) of 5 (#14, #35, #43, #47, and #154) residents reviewed for infection control.
Findings:
Resident 43
Review of the medical record for resident #43 revealed the resident tested positive for COVID infection and was placed on isolation on 01/28/2025 through 02/07/2025.
Review of the current care plan for resident #43 revealed the resident was COVID positive and isolation precautions were in place.
Observation on 02/02/2025 at 8:05 a.m. of resident #43's door revealed there was no signage on the outside of the door to alert staff and/or visitors of the specific PPE required prior to entering the resident's room.
On 02/02/2025 at 9: 15 a.m. interview with S2Director of Nursing (DON) confirmed resident #43's door should have signage regarding PPE requirements for the resident on isolation.
Resident 154
Review of the medical record for resident #154 revealed the resident had an indwelling catheter.
Observation on 02/02/2025 at 2:39 p.m. of resident #154's door revealed there was no signage on the outside of the door to alert staff and/or visitors of the specific PPE required for a resident on EBP regarding his indwelling catheter.
On 02/03/2025 at 8:45 a.m. interview with S5Registered Nurse (RN)/Infection Preventionist confirmed resident #154's door should have signage to indicate the specific PPE required for a resident on EBP.
On 02/03/2025 at 9:08 a.m., and on 02/03/2025 at 9:00 a.m. observations of resident #154 revealed he was in his room and an indwelling catheter was observed hanging on his walker and the catheter tubing was directly touching the floor.
On 02/03/2025 at 4:00 p.m., interview with S2DON confirmed resident #154's catheter tubing should not have been allowed to touch the floor.
Resident 35
Review of resident #35's current physician's orders revealed an order dated 12/19/2024 for an indwelling
Foley catheter.
Observation on 02/02/2025 at 10:18 a.m. of resident #35's door revealed the sign on his door read Please see nurse before entering which failed to include which PPE was required for EBP regarding his indwelling catheter.
On 02/04/2025 at 2:30 p.m. an interview with S2DON confirmed resident #35's door should have signage regarding specific PPE requirements for a resident on EBP.
On 02/02/2025 at 10:18 a.m., 02/02/2025 at 2:00 p.m., and 02/03/2025 at 1:15 p.m. observations of resident #35 revealed he was in his room in bed and an indwelling catheter was observed hanging on the left side of his bed. Further observations revealed the catheter tubing and bag were touching the floor.
On 02/04/2025 at 2:30 p.m., an interview with S2DON confirmed resident #35's catheter tubing and bag should not have been allowed to touch the floor.
Resident 47
Review of the medical record for resident #47 revealed the resident tested positive for COVID infection and was placed on isolation on 01/28/2025 through 02/07/2025.
Review of the current care plan for resident #47 revealed the resident was COVID positive and isolation precautions were in place.
Observation on 02/02/2025 at 8:38 a.m. of resident #47's door revealed the sign on her door read Please see nurse before entering which failed to include the specific PPE required before staff entered the resident's room.
On 02/04/2025 at 2:30 p.m., an interview with S2DON confirmed the above sign on the resident's door should have included specific PPE requirements for staff.
CONCERN
(E)
Potential for Harm - no one hurt, but risky conditions existed
Deficiency F0919
(Tag F0919)
Could have caused harm · This affected multiple residents
Based on observation and interview, the facility failed to ensure it was adequately equipped to allow residents to call for staff assistance from toileting facilities. The failed practice was evidence...
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Based on observation and interview, the facility failed to ensure it was adequately equipped to allow residents to call for staff assistance from toileting facilities. The failed practice was evidenced by a public bathroom having a call light pull cord wrapped around a grab bar which prevented it from being available to activate if a resident needed to activate the call light from the floor.
Findings:
On 02/02/2025 at 8:30 a.m., observation during a tour of the facility revealed there was an unlocked bathroom located near the chapel. The bathroom was accessible to residents. Observation of the bathroom revealed the call light pull cord was wrapped several times around the grab bar. The call light could not be activated by pulling on the end of the cord.
On 02/03/2025 at 8:10 a.m., observation/interview with S3Houskeeping Supervisor revealed the bathroom remained unlocked and the pull cord remained wrapped around the grab bar. S3Houskeeping Supervisor also confirmed the call light cord was wrapped around the garb bar and could not be activated by a resident on the floor if they needed to call for assistance.
CONCERN
(F)
Potential for Harm - no one hurt, but risky conditions existed
Staffing Data
(Tag F0851)
Could have caused harm · This affected most or all residents
Based on record review and interview the facility failed to accurately submit mandatory direct care staffing information, based on payroll, to Centers for Medicare & Medicaid Services (CMS) for Fiscal...
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Based on record review and interview the facility failed to accurately submit mandatory direct care staffing information, based on payroll, to Centers for Medicare & Medicaid Services (CMS) for Fiscal Year (FY) Quarter 4 2024 (July 1 - September 30).
Findings:
Review of the PBJ (Payroll Based Journal) Staffing Report for FY Quarter 4 2024 (July 1- September 30) revealed the facility triggered for Failed to Submit Data for the Quarter, One Star Staffing Rating, Excessively Low Weekend Staffing, No Registered Nurse (RN) hours, and failed to have Licensed Nursing Coverage 24 hours/day.
On 02/02/2025 at 11:20 a.m. interview with S1Administrator confirmed the former Human Resources Director was not submitting the staffing information based on payroll to CMS.
Jan 2024
3 deficiencies
CONCERN
(D)
Potential for Harm - no one hurt, but risky conditions existed
MDS Data Transmission
(Tag F0640)
Could have caused harm · This affected 1 resident
Based on record review and interview, the facility failed to electronically transmit encoded, accurate, and complete Minimum Data Set (MDS) data to the Centers for Medicare and Medicaid (CMS) system i...
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Based on record review and interview, the facility failed to electronically transmit encoded, accurate, and complete Minimum Data Set (MDS) data to the Centers for Medicare and Medicaid (CMS) system in a timely manner for 3 (#6, #18, & #25) of 5 (#6, #18, #25, #26, & #37) residents reviewed for the timeliness of MDS submissions. Findings:
On 01/23/2024 at 3:15 p.m., interview with S2Director of Nursing confirmed the MDS assessment for Resident #6 was due on 09/22/2023 but was not transmitted until 09/27/2023. She also confirmed the MDS assessment for Resident #18 was due on 10/20/2023 and was not transmitted until 11/03/2023 and the MDS assessment for Resident #25 was due on 09/22/2023 and it was not transmitted until 09/27/2023.
CONCERN
(D)
Potential for Harm - no one hurt, but risky conditions existed
Deficiency F0655
(Tag F0655)
Could have caused harm · This affected 1 resident
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interviews, the facility failed to develop a baseline care plan for each resident that included the i...
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**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interviews, the facility failed to develop a baseline care plan for each resident that included the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care for 1 (#201) of 1 sampled resident who was recently admitted . Findings:
Review of the medical record for Resident #201 revealed the resident was admitted on [DATE] with diagnoses of anemia, chronic pain, multiple myeloma, closed nondisplaced subtrochanteric fracture of left femur (pathological) and depression.
Review of the medical record revealed there was not a baseline care plan.
An interview with S4Assistant Director of Nursing/Minimum Data Set (ADON/MDS) on 01/23/2024 at 1:50 p.m. revealed she was responsible for the baseline care plans. S4ADON/MDS confirmed there was not a baseline care plan for Resident #201.
An interview with S2Director of Nursing (DON) on 01/23/2024 at 2:10 p.m. confirmed Resident #201 should have a baseline care plan.
CONCERN
(E)
Potential for Harm - no one hurt, but risky conditions existed
ADL Care
(Tag F0677)
Could have caused harm · This affected multiple residents
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record reviews, and interviews, the facility failed to ensure a resident who is unable to carry out activ...
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**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, record reviews, and interviews, the facility failed to ensure a resident who is unable to carry out activities of daily living received the necessary services to maintain grooming and personal and oral hygiene for 2 (#42 and #201) of 2 sampled residents reviewed for activities of daily living. The facility failed to ensure Resident #42's fingernails were cleaned and trimmed in a timely manner and the facility failed to provide oral care for Resident #201. Findings:
Resident #42
Record review revealed Resident #42 was admitted to the facility on [DATE] with diagnoses that include the following: traumatic spinal cord dysfunction, paraplegia unspecified, pressure ulcer of sacral region, type 2 diabetes mellitus, Parkinson's disease, chronic pain related to trauma, essential hypertension, and depression.
Review of admission Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview Mental Status (BIMS) score of 15 which represented the resident was cognitively intact. Resident #42 had range of motion impairment on one side upper extremities and range of motion impairment on bilateral lower extremities. Resident #42 was dependent on staff assistance for all Activities of Daily Living (ADLs) which included personal hygiene.
Review of the active care plans revealed Resident #42 required staff assistance for all ADLs. Scheduled task revealed personal hygiene to be completed by Certified Nursing Assistant.
On 01/22/2024 at 10:00 a.m. an observation and interview with Resident #42 revealed his fingernails on both hands, except for left 4th digit, were long. Resident #42 reported staff told him they could not trim his fingernails because he was diabetic.
On 01/23/2024 at 11:13 a.m. an observation of Resident #42 revealed his fingernails on both hands, except for left 4th digit, were long.
On 01/23/2024 at 3:34 p.m. an observation of Resident #42 with S2Director of Nursing (DON) revealed Resident #42's fingernails on both hands, except for the left 4th digit, were long with dark colored substance under nails. S2DON confirmed Resident #42's fingernails needed to be cleaned and trimmed. Resident #201
Review of the medical record for Resident #201 revealed the resident was admitted on [DATE] with diagnoses of anemia, chronic pain, multiple myeloma, closed nondisplaced subtrochanteric fracture of left femur (pathological) and depression.
Review of the nurses notes dated 01/19/2024 at 2:13 a.m. revealed, in part: the resident is alert and oriented x 3. Requires staff assistance x 1 for transfers, dressing, and bathing. Review of the nurses notes dated 01/21/2024 at 3:44 a.m. revealed, in part: extensive to total care of every level of care.
An interview with Resident #201 on 01/22/2024 at 1:54 p.m. revealed the resident was alert and oriented x 3. Resident stated he needed assistance with activities of daily living including oral care. The resident reported that he had not received oral care since admission. His unopened toothbrush was observed in his shaving bag on his nightstand.
An interview with S7Certified Nursing Assistant (CNA) on 01/23/2024 at 1:22 p.m. revealed Resident #201 required extensive assistance with all activities of daily living except eating.
An interview with S7CNA on 01/23/2024 at 1:50 p.m. revealed she did not brush Resident #201's teeth this am. S7CNA further stated that Resident #201's wife comes to visit and she assumed his wife brushed his teeth.
Review of the medical record revealed there was no documentation of activities of daily living care.
An interview with S2Director of Nursing (DON) on 01/23/2024 at 2:10 p.m. confirmed Resident #201 required set up assistance for oral care. S2DON confirmed the CNA should have offered and provided oral care for Resident #201.
Feb 2023
3 deficiencies
CONCERN
(D)
Potential for Harm - no one hurt, but risky conditions existed
Investigate Abuse
(Tag F0610)
Could have caused harm · This affected 1 resident
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to maintain documentation that an alleged violation of abuse was thoro...
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**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to maintain documentation that an alleged violation of abuse was thoroughly investigated for 1 (#157) of 2 (#26 and #157) residents reviewed for abuse/neglect.
Findings:
Review of resident #157's record revealed a readmission date of 09/07/2022. Resident #157's diagnoses included gout, diabetes mellitus, hypertension, pneumonia, and hyperlipidemia.
Review of the 5 day Minimum Data Set assessment dated [DATE] revealed resident #157 scored an 11 on the BIMS (Brief Interview of Mental Status) which indicated the resident had moderate impairment for cognition and daily decision making.
Review of the state incident report with a discovery date and time of 09/20/2022 at 1:30 p.m. for resident #157 revealed an issue where the resident tested positive for amphetamines.
On 02/08/2023 at 3:00 p.m. an interview with S1Administrator and S2DON (Director of Nursing) revealed on 09/20/2022 when the facility noticed resident #157 was more confused she was sent to a local hospital via ambulance for altered mental status evaluation. S2Director of Nursing revealed she received a phone call from the hospital informing her that resident #157 had a pocketed capsule in her mouth that resembled a controlled drug and her urine was positive for amphetamines. S2DON revealed she immediately inserviced all of the staff and performed toxicology screens on all residents and on the staff that was noted in contact with resident #157. S2DON revealed there were no other positive findings of amphetamines.
Interview with S1Administrator on 02/08/2023 at 3:00 p.m. revealed she had sent the investigation information to state office with her final results of unsubstantiated for abuse; but could not find the investigation information for the surveyor to review.
CONCERN
(D)
Potential for Harm - no one hurt, but risky conditions existed
MDS Data Transmission
(Tag F0640)
Could have caused harm · This affected 1 resident
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to electronically transmit encoded, accurate, and complete MDS (Minimu...
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**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to electronically transmit encoded, accurate, and complete MDS (Minimum Data Set) data to CMS (Centers for Medicare and Medicaid) System in a timely manner for 2 (#14, #46) of 2 (#14, #46) residents reviewed for 14 day assessment submission. Findings:
Resident #14
Review of the electronic health record revealed resident #14 was admitted to the facility on [DATE]. On 02/08/2023 at 2:44 p.m., after reviewing the electronic health records with S2DON (Director of Nursing), she reported resident #14's 12/30/2022 annual minimum data set assessment was submitted to CMS on 01/14/2023. She reported the assessment should have been electronically submitted to CMS by 01/13/2023. S2DON confirmed the MDS data was not electronically submitted to CMS in a timely manner.
Resident #46
Review of the electronic health record revealed resident #46 was admitted to the facility on [DATE]. Further review revealed a PPS (Prospective Payment Systems) 5-day scheduled assessment dated [DATE] and a PPS Part A discharge assessment dated [DATE]. The last quarterly minimum data set was dated 04/20/2022. After reviewing the electronic health records with S2DON, she confirmed a quarterly assessment for resident #46 had not been completed and electronically transmitted to CMS in addition to, and with the PPS 5-day assessment dated [DATE].
CONCERN
(E)
Potential for Harm - no one hurt, but risky conditions existed
Deficiency F0726
(Tag F0726)
Could have caused harm · This affected multiple residents
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record reviews and interviews the facility failed to ensure nursing staff had appropriate competencies and skill sets t...
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**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record reviews and interviews the facility failed to ensure nursing staff had appropriate competencies and skill sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. The facility failed to ensure nurses documented the site of insulin injections for 2 (14, and 156) of 3 (14, 156, and 256) residents reviewed that received insulin.
Findings:
Resident 14
Review of Drugs.com Prescribing Information for Novulog Insulin - Dosage and Administration revealed Route of Administration - Subcutaneous Injection - Rotate injection sites within the same region from one injection to the next to reduce the risk of lipodystrophy, and localized cutaneous amyloidosis.
Review of the medical record for sampled resident #14 revealed an admission date of 10/17/2018 with diagnoses of diabetes mellitus, pain, arthritis, hypertension, dementia, cardiovascular disease, and anxiety.
Review of the quarterly Minimum Data Set, dated [DATE] revealed the resident was cognitively intact for daily decision making and required assistance with activities of daily living.
Review of the care plan revealed the resident has labile blood sugars related to diabetes mellitus, observe for signs and symptoms of hypoglycemia and hyperglycemia, and to administer medications as ordered.
Review of the physician orders dated 11/20/2021 revealed and order for Novolog 100 units/milliliter Flexpen inject 20 units subcutaneous two times a day.
Review of the February 2023 Medication Administration Record (MAR) revealed Novolog 100 units/milliliter Flexpen inject 20 units subcutaneous two times a day was administered at 6:00 a.m. and 8:00 p.m. Further review of the MAR revealed no documented evidence of the insulin injection site.
On 02/07/2023 at 2:30 p.m., interview with S3LPN (Licensed Practical Nurse) revealed the nurses are supposed to document insulin injection sites when they administer the medication.
On 02/08/2023 at 11:15 a.m., interview with S2DON (Director of Nursing) confirmed there was no documented evidence of the site of insulin injection administration noted on the MAR.
Resident #156
Review of Drugs.com Prescribing Information for Glargine Insulin - Dosage and Administration revealed Route of Administration - Subcutaneous Injection - Rotate injection sites within the same region from one injection to the next to reduce the risk of lipodystrophy, and localized cutaneous amyloidosis.
Review of the medical record for sampled resident #156 revealed an admission date of 02/02/2023 with diagnoses of bladder disorder, diabetes mellitus, hyperlipidemia, and hemiplegia following cerebral infarction.
Review of the care plan revealed the resident had diabetes mellitus and to administer medications as ordered.
Review of the physician orders dated 02/02/2023 revealed an order for Glargine insulin 100 units/milliliter give 20 units subcutaneous every night.
Review of the February 2023 Medication Administration Record (MAR) revealed the resident received Glargine insulin 100 units/milliliter 20 units subcutaneous every night. Further review of the MAR revealed no documented evidence of the insulin injection site.
On 02/07/2023 at 2:30 p.m., interview with S3LPN (Licensed Practical Nurse) revealed the nurses are supposed to document insulin injection sites when they administer the medication.
On 02/08/2023 at 11:15 a.m., interview with S2DON (Director of Nursing) confirmed there was no documented evidence of the site of insulin injection administration noted on the MAR.
Understanding Severity Codes (click to expand)
Life-Threatening (Immediate Jeopardy)
J - Isolated
K - Pattern
L - Widespread
Actual Harm
G - Isolated
H - Pattern
I - Widespread
Potential for Harm
D - Isolated
E - Pattern
F - Widespread
No Harm (Minor)
A - Isolated
B - Pattern
C - Widespread
Questions to Ask on Your Visit
- "Can I speak with families of current residents?"
- "What's your RN coverage like on weekends and overnight?"
Our Honest Assessment
Strengths
- • No major safety red flags. No abuse findings, life-threatening violations, or SFF status.
Concerns
- • 19 deficiencies on record. Higher than average. Multiple issues found across inspections.
- • $32,087 in fines. Higher than 94% of Louisiana facilities, suggesting repeated compliance issues.
- • Grade D (40/100). Below average facility with significant concerns.
Bottom line: Trust Score of 40/100 indicates significant concerns. Thoroughly evaluate alternatives.
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About This Facility
What is Oak Woods Home For The Elderly's CMS Rating?
CMS assigns OAK WOODS HOME FOR THE ELDERLY an overall rating of 1 out of 5 stars, which is considered much below average nationally. Within Louisiana, this rating places the facility higher than 0% of the state's 100 nursing homes. A rating at this level reflects concerns identified through health inspections, staffing assessments, or quality measures that families should carefully consider.
How is Oak Woods Home For The Elderly Staffed?
CMS rates OAK WOODS HOME FOR THE ELDERLY's staffing level at 3 out of 5 stars, which is average compared to other nursing homes.
What Have Inspectors Found at Oak Woods Home For The Elderly?
State health inspectors documented 19 deficiencies at OAK WOODS HOME FOR THE ELDERLY during 2023 to 2025. These included: 19 with potential for harm.
Who Owns and Operates Oak Woods Home For The Elderly?
OAK WOODS HOME FOR THE ELDERLY is owned by a non-profit organization. Non-profit facilities reinvest revenue into operations rather than distributing to shareholders. The facility operates independently rather than as part of a larger chain. With 119 certified beds and approximately 51 residents (about 43% occupancy), it is a mid-sized facility located in MER ROUGE, Louisiana.
How Does Oak Woods Home For The Elderly Compare to Other Louisiana Nursing Homes?
Compared to the 100 nursing homes in Louisiana, OAK WOODS HOME FOR THE ELDERLY's overall rating (1 stars) is below the state average of 2.4 and health inspection rating (2 stars) is below the national benchmark.
What Should Families Ask When Visiting Oak Woods Home For The Elderly?
Based on this facility's data, families visiting should ask: "Can I visit during a mealtime to observe dining assistance and food quality?" "How do you handle medical emergencies, and what is your hospital transfer rate?" "Can I speak with family members of current residents about their experience?"
Is Oak Woods Home For The Elderly Safe?
Based on CMS inspection data, OAK WOODS HOME FOR THE ELDERLY has a clean safety record: no substantiated abuse findings (meaning no confirmed cases of resident harm), no Immediate Jeopardy citations (the most serious violation level indicating risk of serious injury or death), and is not on the Special Focus Facility watch list (a federal program monitoring the lowest-performing 1% of nursing homes). The facility has a 1-star overall rating and ranks #100 of 100 nursing homes in Louisiana. While no facility is perfect, families should still ask about staff-to-resident ratios and recent inspection results during their visit.
Do Nurses at Oak Woods Home For The Elderly Stick Around?
OAK WOODS HOME FOR THE ELDERLY has not reported staff turnover data to CMS. Staff turnover matters because consistent caregivers learn residents' individual needs, medications, and preferences. When staff frequently change, this institutional knowledge is lost. Families should ask the facility directly about their staff retention rates and average employee tenure.
Was Oak Woods Home For The Elderly Ever Fined?
OAK WOODS HOME FOR THE ELDERLY has been fined $32,087 across 3 penalty actions. This is below the Louisiana average of $33,400. While any fine indicates a compliance issue, fines under $50,000 are relatively common and typically reflect isolated problems that were subsequently corrected. Families should ask what specific issues led to these fines and confirm they've been resolved.
Is Oak Woods Home For The Elderly on Any Federal Watch List?
OAK WOODS HOME FOR THE ELDERLY is not on any federal watch list. The most significant is the Special Focus Facility (SFF) program, which identifies the bottom 1% of nursing homes nationally based on persistent, serious quality problems. Not being on this list means the facility has avoided the pattern of deficiencies that triggers enhanced federal oversight. This is a positive indicator, though families should still review the facility's inspection history directly.