Bayou Pines Care Center

Inspectors wroteBased on observation, interviews, and record reviews the facility failed to ensure registry verification was received that the individual had met competency evaluation requirements before they were allowed to work as a medication aide for one (Medication Aide A) of four staff employees reviewed for registration verification. The facility failed to ensure Medication Aide A had a current medication aide certification while employed at the facility and actively administering medications to the Residents. This failure could place residents at risk of receiving care from someone unqualified to provide care.

Inspectors wroteBased on observation, interview and record review, 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 and transmission of communicable diseases and infections for 1 out of 2 staff (LVN A) and 2 of 3 residents (Resident#1 and Resident #2) reviewed for infection control. LVN A failed to ensure hand hygiene was performed prior to handling Resident #1's medication(s) and after administering Resident #1's medication(s). LVN A failed to ensure hand hygiene was performed prior to handling Resident #2's medication(s) and after administering Resident #2's medication(s). These failures could place residents at risk for cross contamination, infection and decline in health.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of 1 (Resident #1) of 5 residents reviewed for pharmaceutical services. The facility failed to ensure Resident #1 received her Carbamazepine as prescribed due to her medication being placed in a bin for destruction instead of administered resulting in Resident #1 experiencing a seizure. The facility failed to ensure allegations of Resident #1's medications not being administered and being set aside or destruction were thoroughly investigated resulting in Resident #1's medication being destroyed instead of administered. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure personal privacy and confidentiality of personal and medical records was maintained for 2 (Hall A and Hall B) of 4 halls reviewed for privacy. LVN A and LVN B who worked Hall A and Hall B failed to hide the confidential health information of residents displayed on their work computers once they walked away. This failure could place residents at risk for HIPAA violations and experiencing a lack of privacy.

Inspectors wroteBased on observation, interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, that includes measurable objective and time frames to meet resident's medical, nursing, mental and psychosocial needs for 3 (CR #94, Resident #17, Resident#10) of 24 residents reviewed for care plans. The facility failed to develop and implement CR #94, Resident #17, Resident #10's care plans in a manner that ensured person-centered care, with appropriate interventions aligned to meet the resident's identified goals and needs. The Facility failed to ensure Resident #10's indwelling urinary catheter was care planned. The facility failed to ensure Resident #10's Stage 4 sacral wound was care planned. The facility failed to ensure Resident #10's IV antibiotic was care planned. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident who is unable to carry out activities of daily living receives the necessary services to maintain good nutrition, grooming and personal and oral hygiene for 1 of 5 residents (Resident #9) reviewed for ADL care. The facility failed to provide Resident #9 assistance with timely incontinence care for at least 4 hours for the following time 7:30PM on day 6/12/2025. Resident #9 was incontinent of urine, required assistance with ADL's, and had redness to her buttocks. Resident #9's brief and sheets were saturated with urine and urine soaked through to her mattress. Resident #9 was provided continent care 6 hours later. The facility did not provide Resident #9 with incontinent care for 10 hours and Resident #9 wore soiled brief 10 hours. [...]

Inspectors wroteBased on interview and record review, the facility did not develop baseline care plans that included instructions to provide effective and person-centered care needs for 2 (CR #94, Resident #17) of 24 residents reviewed for baseline care plans. Baseline care plans were not developed for Resident # 17 and CR #94. These failures placed newly admitted residents at risk of not having their care needs addressed. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident who is unable to carry out activities of daily living receives the necessary services to maintain good nutrition, grooming and personal and oral hygiene for 1 of 5 residents (Resident #9) reviewed for ADL care. The facility failed to provide Resident #9 assistance with timely incontinence care for at least 4 hours for the following time 7:30PM on day 6/12/2025. Resident #9 was incontinent of urine, required assistance with ADL's, and had redness to her buttocks. Resident #9's brief and sheets were saturated with urine and urine soaked through to her mattress. Resident #9 was provided continent care 6 hours later. The facility did not provide Resident #9 with incontinent care for 10 hours and Resident #9 wore soiled brief 10 hours. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to have sufficient nursing staff with the appropriate skills set to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental and psychosocial well-being for residents. The facility failed to have sufficient staff on each of the four halls. Based on observation on 6/10/2025 at 8:45 a.m. Hall 100 had 1 CNA and 1 Nurse, Hall 200 had 1 CNA, Hall 300 had 2 CAN's and Hall 400 there were no CNA during rounds. This failure could place resident at risk of decrease quality of life and quality of care. During an interview on 6/11/2025 at 10:00a.m. Resident #1's family member stated, I don't think they have enough staff at night, they have a lot of call ins, and the residents are suffering because of it. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents who were unable to carry out activities of daily living received necessary services to maintain personal hygiene for 1 (Resident #1) of 11 residents reviewed for ADLs. The facility failed to provide timely incontinent care for Resident #1. This failure can place residents at risk for embarrassment, rashes, infections, discomfort, and skin breakdown.

Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment and services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 2 of 8 residents (CR #1 and Resident #2) reviewed for care plans. [...]

Inspectors wroteBased on observations, interviews, and record review the facility failed to conduct initial and periodical and comprehensive, accurate, standardized reproducible assessment of each resident's functional capacity for 3 (Residents #19, #85 and, #87) of 18 residents reviewed for accuracy of resident assessments. Residents #19, #87, and #85 were not assessed accurately on their annual comprehensive MDS assessments. These failures could place residents at risk of not receiving the care needed to maintain their highest, practicable, physical, social, and psychosocial level of well-being.

Inspectors wroteBased on interview and record review the facility failed to refer 1 of 5 residents (Resident #34), reviewed for PASRR screening and evaluations, with a newly evident mental disorder or a related condition for a level II PASRR review, in that: Resident #34 was not referred to the state-designated authority for a PASRR evaluation upon evidence of new treatments for her diagnosis of bipolar disorder, unspecified dated 9/21/2017. This failure placed residents at risk of not receiving adequate services or care related to mental illnesses.

Inspectors wroteBased on observation, interview and record review, the facility failed to develop and implement a comprehensive care plan that included measurable objectives and timetables to meet the resident's medical, nursing, and psychological needs that were identified in the comprehensive assessment for 1 of 19 residents reviewed for care plans (Resident #138), in that: Facility failed to have Resident #138's care plan for PTSD, with goals and interventions to address cognitive behavioral therapy. This failure placed residents at risk of not having accurate care plans to address psychological care.

Inspectors wroteBased on observation and record review, the facility failed to ensure a resident who displayed or diagnosis with a mental disorder or psychosocial adjustment difficulty received appropriate treatment and services to correct the assessed problem or to attain the highest practicable mental and psychosocial well-being for 1 of 5 residents (Resident #42) reviewed for psychosocial concerns, in that: The facility failed to ensure Resident #42 received individualized behavioral health services addressed through a person-centered care plan. The facility failed to ensure that Resident #42 diagnosis of Anxiety was addressed and followed up on per care plan. The facility failed to update Resident #42s care plan to reflect psychological services declined by the responsible party. These failures could put residents at risk for not receiving behavioral health services and a decline in quality of life.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. The facility failed to ensure all expired food products and dented cans were not stored in the kitchen's dry goods shelves and removed from the kitchen. This failure placed residents at risk of foodborne illness.

Inspectors wroteBased on observation, interview, and record review the facility failed to have sufficient nursing staff with the appropriate competencies and skills 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, as determined by resident assessments and individual plans of care and considering the number, acuity and diagnoses of the facility's resident population in accordance with the facility assessment for 3 of 3 days reviewed for sufficient nursing staff. The facility failed to have sufficient nursing staff according to the Facility's Daily Sufficient Staffing Ratio on 4/18/2023, 4/19/2023, and 4/20/23 to esnure residents psychological, physiological, sociological, and safety needs were met. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. The facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. This failure could diminish resident's quality of life.

Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure residents who require dialysis received such services, consistent with professional standards of practice, the comprehensive person-centered care plan and the residents' goals and preferences for 1 of 1 resident (Resident # 243) reviewed for dialysis. The facility failed to ensure Resident #243 would not miss the 6:30AM dialysis appointment as physician ordered and as the resident preferred. This failure could place residents at risk for not receiving proper care or treatment, decline in health and not meeting their needs and preferences.

Inspectors wroteBased on observation, interview, and record review the facility failed to provide pharmaceutical services, which included procedures that assured the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident for 2 of 8 residents (Residents #65 and #243) reviewed for pharmacy services. - The facility failed to administer Resident #65's Lidocaine Patch as ordered by leaving it on for 24 hours. -The facility failed to administer Resident #243's Sevelamer (a phosphate binder) as ordered by not administering with meals. These failures could place residents at risk of not receiving the therapeutic benefit of medications and/or adverse reactions to medications.