Belle Teche Nursing & Rehab Center

Inspectors wroteBased on observations and interviews, the facility failed to distribute, store, and serve food in accordance with professional standards for food service safety by failing to ensure: 1. The food service area remained in a sanitary condition during the meal prep process; and 2. Residents' dishware consisting of plates, plate warmer covers and saucers were stored inverted or covered. This deficient practice had the potential to affect the 93 residents who were served food from the kitchen.

Inspectors wroteBased on interviews and record reviews, the facility failed to notify the Responsible Party (RP), immediately after a change in the resident's physical condition for 1(Resident #91) of 36 sampled residents.

Inspectors wroteBased on interview and record review, the provider failed to transmit MDS (Minimum Data Set) Assessments within 14 days after completion for 3 (#34, #50, #71) out of 3 residents triggered for resident assessment review in a sample of 36 residents.

Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure a person-centered care plan was implemented for each resident, by failing to implement fall interventions for 1 (Resident #55) of 2 residents investigated for accidents of 36 sampled residents.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure a resident who required assistance with personal care received assistance with activities of daily living (ADLs) to maintain good grooming for 1 (Resident #67) of 3 residents investigated for ADL care. FindingsOn 07/09/2026, a review of the CNA (Certified Nursing Assistant) skills training hire packet dated 01/26, read in part, CNA skill Resident Basic Care Review. Shaving: . If your resident needs a shave you are to assist or shave the person regardless of the time of day or shift. On 07/09/2026, a review of the facility's policy titled, Hygiene and Grooming with a last reviewed date of 01/19/2026, read in part, Policy: . Staff will provide resident with whatever assistance is necessary to keep their facial hair properly groomed. Essential Points: . 4. [...]

Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure nurses followed the facility's policy to accurately document the count of controlled medications in Med Cart A for Resident #38 out of 2 medication carts reviewed.

Inspectors wroteBased on observations, interviews and policy review, the facility failed to appropriately store medications in Med Cart B for Resident #23.

Inspectors wroteBased on interviews and record reviews, the facility failed to ensure a resident who required assistance with activities of daily living (ADLs) received good grooming and personal hygiene for 1 (Resident #1) of 4 sampled residents.

Inspectors wroteBased on interviews and record reviews, the facility failed to ensure there was a sufficient number of Certified Nurse Aides (CNAs) to provide services in accordance with resident care plans for 1 (Resident #1) of 4 sampled residents.

Inspectors wroteBased on interviews and record review, the facility failed to protect the resident's rights to be free from neglect evidenced by staff failing to lower the bed of a resident who was a high risk for falls for 1 (#3) resident out of 9 (#1, #2, #3, #R1, #R2, #R3, #R4, #R5 and #R6) sampled residents. This deficient practice resulted in an actual harm for Resident #3 on 03/13/2026 at 6:50 a.m., when S3CNA observed Resident #3's bed was not in the lowest position and failed to intervene by lowering the bed. S3CNA admitted she was aware the resident's bed should have been in the lowest position, but did not lower the bed nor inform the nurse or other staff that resident's bed was not in the lowest position. Resident #3 was found on the floor, 9 minutes after S3CNA identified Resident #3's bed was not in the lowest position. [...]

Inspectors wroteBased on interviews and record review, the facility failed to maintain accurately documented medical records in accordance with accepted professional standards and practices. The facility's CNA (Certified Nursing Assistant) staff failed to accurately document in a resident's electronic medical record for 1 (#1) out of 3 (#1, #2, and #3) sampled residents. The facility's total census was 95.

Inspectors wroteBased on observations, record reviews, and interviews, the facility failed to implement a person-centered care plan for 3 (#11, #65, and #86) out of a total sample of 47 residents as evidenced by: 1. Failing to ensure Resident #11 and #86 wore the appropriate footwear while out of bed. 2. Failing to ensure Resident #65 was provided a [NAME] No Spill 360 Grip and Sip cup at the bedside.

Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure a resident who was unable to carry out Activities of Daily Living (ADLs) received the necessary services to maintain good grooming and personal hygiene for 5 (#11, #52, #64, #67, #86) of 5 (#11, #52, #64, #67 and #86) residents reviewed for ADLs. The facility failed to comb resident's hair.

Inspectors wroteBased on interviews and record reviews, the facility failed to implement appropriate interventions to prevent falls for 1(#56) of 3 (#11, #56, #86) residents investigated for falls.

Inspectors wroteBased on record review and interview, the facility failed to refer a resident with a diagnosed mental disorder to the appropriate state-designated authority for Level II PASARR (Preadmission Screening and Resident Review) evaluation and determination for 1 (#15) of 3 (#15, #32, #49) residents investigated for PASARR in a final sample of 47 residents.

Inspectors wrote2. Resident # 68 On 05/22/2025, a review of the facility's policy titled Comprehensive Resident Care Plans with a review date of 01/15/2025, read in part: Purpose: The resident's comprehensive care plan will be developed utilizing the results of the comprehensive resident assessment instrument (RAI) plus information gained from resident and family interviews, care conferencing and health care professional data to determine daily care needs, and to attain, or maintain the resident's highest functional capacity. Resident # 68 was admitted to the facility on [DATE] with diagnoses which included, but were not limited to, polymyalgia rheumatica, osteoarthritis, and fibromyalgia, dependent to wheelchair. [...]

Inspectors wroteBased on record reviews and interviews, the facility failed to assess/reassess a resident's nutritional needs, monitor for effectiveness of interventions, and ensure coordination of care among the interdisciplinary team for 1 resident (#71) of 4 (#45, #65, #71, #94) residents investigated for nutrition as evidence by: 1. Failing to weigh Resident #71 weekly as ordered, 2. The RD (Registered Dietician) failing to accurately reassess resident #71's nutritional interventions, and 3. Failure of the RD and the facility to coordinate care in response to Resident #71's significant weight loss.

Inspectors wroteBased on record review and interviews, the facility failed to perform laryngectomy care for 1(#14) of 2(#14 and, # 298) residents investigated for Respiratory Care. This had the potential to affect the 1(#14) resident with a laryngectomy in the facility.

Inspectors wroteBased on observations, interviews and policy review, the facility failed to ensure dietary staff prepared, distributed and served food in accordance with professional standards for food service safety as evidenced by 2 dietary assistants (S13DA and S14DA) without a beard restraint.

Inspectors wroteBased on record reviews and interview, the facility failed to obtain the most recent recertification of terminal illness and most recent hospice POC (plan of care) for 1 (#31) out of 1 (#31) resident reviewed for hospice care.

Inspectors wroteBased on interviews and record reviews, the facility failed to ensure it employed a qualified social worker on a full-time basis. The facility had 150 licensed beds.

Inspectors wroteBased on observation, interview and policy review, the facility failed to maintain an effective infection and control program, by failing to ensure laundry staff wore appropriate personal protective equipment (PPE) while sorting soiled laundry.

Inspectors wroteBased on observations and interviews, the facility failed to maintain electrical patient care equipment in safe operating condition by failing to replace an electrical outlet plate for 1 (Resident #7) out of a finalized sample of 47 residents.

Inspectors wroteBased on observations, and interviews, the facility failed maintain professional standards for food service safety by failing to follow appropriate food handling practices as evidenced by: 1. Rust along the wall in the dishwashing area 2. Food residue on the ledge and front of the stove. 3. Two dented cans of Cream of Mushroom in the dry foods storage room 4. Build-up of grease and residue on the lids of storage bins in the dry foods storage room 5. Thick layer of dust along the ceiling tiles. 94 residents receive food and beverages from the kitchen.

Inspectors wroteBased on interview and record review, the facility failed to ensure that residents who required dialysis received such services consistent with professional standards of practice for 1 (#93) out of 1 (#93) residents sampled for dialysis services as evidenced by: 1. Failing to conduct comprehensive post dialysis assessments; and 2. Failing to ensure that communications were received from the dialysis provider.

Inspectors wroteBased on observation, interviews and record review, the facility failed to ensure residents who smoked were free from accident hazards, by failing to ensure that 1 (#23) resident who was assessed as an unsafe smoker received a protective device. The total sample size was 34 residents.

Inspectors wroteBased on record review and interviews the facility failed to develop a person centered care plan for 1 (#2) of 3 (#1, #2, #3) sampled residents assessed for wandering that resided on the Dementia Unit in the facility.

Inspectors wroteBased on record reviews and interviews, the facility failed to ensure the facility-wide assessment included an accurate evaluation of its resident population the resources required to provide care and services for those residents who resided on the secured special care unit. This deficient practice affected 1 resident (#3) with a potential to affect the 21 residents who currently resided on the secured special care unit.