Bayou Vista Nursing and Rehab Center

Inspectors wroteBased on record review and interview the facility failed to electronically submit payroll information for direct care staffing as required. Review of the facility's Payroll Based Journal (PBJ) Staffing Data Report for FY Quarter 1 2025 (October 1 - December 31) revealed triggers for the following: One Star Staffing Rating, Excessively Low Weekend Staffing, No RN Hours, and Failed to have Licensed Nursing Coverage 24 Hours/Day. The facility failed to submit RN hours every day during Quarter 1, which was a total of 92 days. The facility failed to submit documentation of Licensed Nursing Coverage 24 Hours/Day every day during Quarter 1, which was a total of 92 days. Interview with S1ADM on 08/10/2025 at 11:36 a.m. revealed he was responsible for submitting PBJ information. [...]

Inspectors wroteBased on record review and interview, the facility failed to inform each resident of the charges for services for which the residents may be responsible for paying for 3 (Resident #3, Resident #28 and Resident #48) of 3 (Resident #3, Resident #28 and Resident #48) sampled residents who received Advanced Beneficiary Notices of Non-Coverage (ABN).

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the person-centered care plan was implemented for 1 (Resident #47) resident reviewed for tube feeding. Review of Resident #47's medical record revealed an admission date of 12/13/2017 with diagnoses which included, in part. Dysphagia Following Cerebral Infarction, Dementia, Shortness of Breath, Protein-Calorie Malnutrition, Unspecified Gastrostomy Complication, and Gastro-Esophageal Reflux Disease. Review of Resident #47's Quarterly MDS with an ARD of 05/28/2025 revealed a BIMS Score was not provided because the resident was rarely or never understood. Resident #47 received 51% or more of her total nutrition through tube feeding. Review of Resident #47's physician's orders revealed the following, in part. Jevity 1.2 cal at 50mL/hr with 25mL/hr flush, dated 04/24/2024. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to provide respiratory care consistent with professional standards for 2 (Resident #4 and Resident #47) of 3 (Resident #4, Resident #15, and Resident #47) sampled residents reviewed for respiratory care. The facility failed to ensure:The oxygen concentrator's flow meter was set to the proper rate as ordered for Resident #4; andRespiratory equipment was properly labeled for Resident #47. Resident #47 Review of Resident #47's medical record revealed an admit date of 12/13/2017 with diagnoses which included, in part . Shortness Of Breath, Acute Respiratory Failure, Dysphagia, Cerebral Infarction, and Dementia. Review of Resident #47's physician’s orders revealed, in part…may suction as needed related to Dysphagia Following Cerebral Infarction and Shortness of Breath, dated 07/23/2025. [...]

Inspectors wroteBased on interview and record review the facility failed to ensure residents' rights to be free from mental and verbal abuse, for 2 (Resident #1 and Resident #2) of 3 (Resident #1, Resident #2, and Resident #3) sampled residents. The facility failed to protect Resident #1 and Resident #2 from mental and verbal abuse by S3 CNA. The facility implemented corrective actions which were completed prior to the State Agency's Investigation, thus it was determined to be a Past Noncompliance citation.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure each resident's call light, fall mat and bed alarm were in place and/or functioning properly to prevent accidents for 1 (Resident #1) of 3 (Resident #1, Resident #2 and Resident #3) sampled residents at risk for falls. The deficient practice resulted in an actual harm for Resident #1 on 07/14/2024 at 2:25 p.m., when Resident #1 was found on the floor in his room by his bed. At the time of the fall, Resident #1's fall mat was not in place, his call light was not in reach, and his bed alarm was not functioning properly. Resident #1 was hospitalized from [DATE] to 07/17/2024 with a Subdural Hematoma, Left Eye Laceration and Skin Tears to Left Arm and Hand. [...]

Inspectors wroteBased on record review and interviews the facility failed to electronically submit payroll information for direct care staffing as required.

Inspectors wroteBased on observations, interviews, and record reviews the facility failed to ensure residents fed by enteral means received the appropriate treatment and services to prevent complications of enteral feedings as evidenced by failing to ensure enteral feeding tubing/supplies were changed at least every 24 hours in accordance with manufacturer guidelines for 1 (Resident #34) of 1 resident reviewed for tube feeding in a total sample size of 29 residents.

Inspectors wroteBased on interview and record review the facility failed to ensure residents' rights to be free from verbal abuse for 2 (Resident #1 and Resident #3) of 3 (Resident #1, Resident #2, Resident #3) sampled residents. The facility failed to protect Resident #1 and Resident #3 from verbal abuse by Resident #2. The facility implemented corrective actions which were completed prior to the State Agency's Investigation, thus it was determined to be a Past Noncompliance citation.

Inspectors wroteBased on observation and interview the facility failed to post Nurse Staffing Information on a daily basis that included the total number and actual hours worked by RNs, LPNs and CNA staff directly responsible for resident care per shift.

Inspectors wroteBased on observation and interview the facility failed to maintain a clean, sanitary environment and failed to ensure food was stored in accordance with professional standards for food service safety.

Inspectors wroteBased on record review and interviews the facility failed to electronically submit payroll information for direct care staffing as required.

Inspectors wroteBased on observation and interview the Facility failed to ensure that each Resident was treated with respect and dignity in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for 1 (Resident #32) out of a total sample of 30 Residents. The facility failed to ensure staff did not stand while assisting Resident #32 during meal service.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident received services in the facility with reasonable accommodation of resident needs for 1 (#26) of 1 (#26) resident reviewed for environment. The facility failed to ensure Resident #26 had a call light in reach in order to call for assistance. The total sample size was 30.

Inspectors wroteBased on observation and interview the facility failed to protect the Resident's Right to personal information by failing to ensure 3 Resident's (Resident #29, Resident #38 and Resident #39) of 30 sampled residents, name and medical appointments were not posted in a public area within the Facility.

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 baths, shaving, and nail care to dependent residents for 1 (Resident #5) of 1 Residents sampled for ADL's.

Inspectors wroteBased on observation, record reviews, and interview the facility failed to ensure resident's received treatment and care in accordance with professional standards of practice for 1 (#17) of 1 resident reviewed for hospice services, and 1 (#26) of 3 (#12, #26, and #32) residents reviewed for positioning. The facility failed to ensure a resident's (Resident #17) hospice orders for comfort medications were transcribed, and failed to ensure a resident (Resident #26) was repositioned every 2 hours.

Inspectors wroteBased on interview and record review, the facility failed to provide and maintain documentation of offering education on the benefits, and risk of the COVID-19 vaccine for 8 (S9 LPN, S11 Dietary Cook, S12 Housekeeping, S17 CNA, S18 Social Worker, S19 Housekeeping Supervisor, S20 OT, and S21 PTA) of 8 staff who were interviewed for COVID-19 vaccination status.