Bayou Chateau Nursing Center

Inspectors wroteBased on interviews and record review, the facility failed to ensure direct care staff consulted with the Physician or Nurse Practitioner for 1 (Resident #2) of 3 (Resident #1, Resident #2 and Resident #3) sampled residents reviewed. The facility failed to notify the Physician or Nurse Practitioner when Resident #2 refused medications for the months of May, June, and July 2026.

Inspectors wroteBased on interviews, and record reviews, the facility failed to maintain accurate medical records in accordance with accepted professional standards and practices. The facility failed to ensure documentation on the EMAR Electronic Medication Administration Record was accurate for Resident #2. The facility had a census of 75.

Inspectors wroteBased on observation, record review, and interview the facility failed to follow infection control practices to prevent the development and transmission of infection. The facility failed to implement Enhanced Barrier Precautions for 1 (Resident #1) of 3 (#1, #2, #3) sampled residents.

Inspectors wroteBased on observation and interview the facility failed to ensure drugs and biologicals were labeled and stored appropriately based on current acceptable professional principles. The Facility failed to ensure: 1. Expired medications were not available for administration to residents for 1 (med cart A) of 3 (med cart A, med cart B, and med cart C) medication carts observed. 2. Medications and wound care products were labeled with the date it was opened for 1 (med cart B) of 3 (med cart A, med cart B, and med cart C) medication carts observed. 3. Medications were stored in a locked compartment and not available to unauthorized staff to access for 1 (med cart B) of 3 (med cart A, med cart B, and med cart C) medication carts observed. This deficient practice had the potential to affect any of the 52 residents who resided in the facility.

Inspectors wroteBased on observation, record review, and interview, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development of communicable diseases and infections by: 1. Failed to ensure staff sanitized hands between residents, while providing assistance during mealtime. This deficient practice had the potential to affect 12 residents that are fed by staff in the facility, and; 2. Failed to ensure Enhanced Barrier Precautions were followed for Resident #5 and Resident #33. This deficient practice had the potential to affect all 12 residents that are on EBP. The total sample size was 20. 1. Review of the facility's undated policy titled Dining Room/Meal Time Procedure read in part. Purpose: [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the resident's right to formulate an advanced directive was properly reflected in the resident's medical record for 1 (Resident #30) of 1 resident reviewed for advanced directives. The facility failed to ensure all medical records regarding advanced directive/code status consistently reflected Resident #30's wishes to be a DNR (Do Not Resuscitate). Review of the facility undated policy titled Advanced Directives read in part. Advanced directives will be respected in accordance with state law and facility policy. 4. Information about whether or not the resident has executed an advanced directive shall be displayed prominently in the medical record. [...]

Inspectors wroteBased on record review and interview, the facility failed to ensure residents identified with Mental Disorder and/or Intellectual Disability had an accurately completed PASARR (Pre-admission Screening and Resident Review) Level I and/or Level II for 1(#8) of 1 resident reviewed for PASARR screening.

Inspectors wroteBased on observation and interview the facility failed to dispose of garbage and refuse properly. This deficient practice had to the potential to affect all 52 residents who resided in the facility according to the Resident Census and Conditions of Residents Form dated 09/15/2025.

Inspectors wroteBased on observation, record review and interview, the facility failed to ensure 1 (Resident #2) of 4 ( Resident #1, Resident #2, Resident #3, and Resident #4) sampled residents received the necessary treatment and services to prevent and promote the healing of pressure ulcers by failing to perform hand hygiene during treatment of a pressure ulcer.

Inspectors wroteBased on observation and interview the facility failed to post nurse staffing information on a daily basis that included the resident census, and total number and actual hours worked by RNs, LPNs and CNA staff directly responsible for resident care per shift. The facility census was 47.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident received services in the facility with reasonable accommodation of needs for 1 (#15) of 2 (#15 and #41) sampled residents reviewed for call bell placement. The facility failed to ensure Resident #15 had a call bell in reach in order to call for assistance.

Inspectors wroteBased on observation, record review and interview, the facility failed to ensure ADLs (activities of daily living) were performed for 1 (#40) of 2 (#34 & #40) residents reviewed for ADLs. The facility failed to ensure Resident #40 received nail care.

Inspectors wroteBased on observation, interview, and record review the facility failed to meet the nutritional needs of residents in accordance with established national guidelines. The facility failed to follow the menu to ensure nutritional adequacy for 3 (#15, #19, and #22) of 3 (#15, #19 and #22) residents on a pureed diet.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that food was properly stored, prepared, distributed and served in accordance with professional standards for food service safety. The facility failed to ensure: 1. Food was properly labeled and stored; and 2. Cooked food was maintained at or above 135 degrees Fahrenheit on the serving line.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure that a resident's person-centered plan of care for the use of bright tape to her bathroom door frame was followed for 1 (#2) of 3 (#1, #2, and #3) sampled residents. The facility had a total census of 50.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents who were unable to carry out ADLs (Activities of Daily Living) received the necessary services to maintain good grooming and personal hygiene. The facility failed to provide oral care and nail care to dependent residents for 2 (Resident #1 and Resident #2) of 3 (Resident #1, Resident #2, and Resident #3) residents sampled for ADL's.

Inspectors wroteBased on observation, record review, and interview, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety by failing to: 1) ensure cooking equipment was cleaned after each use, 2) ensure food preparation equipment was cleaned after each use, 3) ensure spices and seasonings containers were placed on the shelf in a sanitary condition, and 4) ensure spices and seasonings stored on the shelf were not expired and were labeled and dated properly. This deficient practice had the potential to affect the 48 residents that received meals prepared in the facility's kitchen.