Camelot of Broussard

Inspectors wroteBased on interview, record review, and observation, the facility failed to accurately code a resident's MDS (Minimum Data Set) assessment for 1 (#115) out of 38 residents sampled.

Inspectors wroteBased on interviews and record review, the facility failed to develop and implement a comprehensive person-centered care plan for 1 resident (#115) out of 38 sampled residents as evidenced by failing to develop a plan of care for Resident #115's oral/dental health.

Inspectors wroteBased on record review and interview, the facility failed to ensure the resident's care plan was accurately updated to reflect the discontinuation of an anticoagulant, a blood thinner medication, for 1 (#114) out of 38 sampled residents.

Inspectors wroteBased on observations, interviews, record and policy review, the facility failed to ensure staff provided services that meet professional standards, as evidenced by nursing staff:Failing to document administration of a PRN (as needed) medication and the resident response to the medication for Resident #76; andLeaving medications at the bedside of Resident #120 who was not approved to self-administer medications.

Inspectors wroteBased on observations, interviews, record review, and policy and procedures review, the facility failed to ensure a resident who required assistance, received assistance with activities of daily living (ADLs) to maintain good grooming and personal hygiene for 1 (#76) of 38 sampled residents.

Inspectors wroteBased on record review, observation, and interviews, the facility failed to provide oxygen therapy as ordered for 1 (#34) of 38 residents sampled.

Inspectors wroteBased on observations and interview, the facility failed to maintain professional standards for food service safety by failing to wear appropriate hair restraints. The facility had a census of 125 residents.

Inspectors wroteBased on observations, interviews, and record and policy review, the facility failed to maintain an effective infection prevention and control program by failing to ensure:1. Clean, laundered mop heads and blankets were stored away from soiled linens; and2. Resident #81's urinary catheter drainage bag avoided contact with the floor. The facility had a census of 125 residents.

Inspectors wroteBased on observations, interviews and policy review, the facility failed to maintain an effective 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 as evidenced by failing to: 1. perform proper hand hygiene during medication administration; and 2. wear appropriate PPE (Personal Protective Equipment) to care for Resident #13 who was on Enhanced Barrier Precautions (EBP). The facility's census was 121 residents.

Inspectors wroteBased on observations and interviews, the facility failed to maintain professional standards for food service safety by failing to wear appropriate hair restraints. This deficient practice had the potential to affect the 124 residents who consumed food from the kitchen. A review of the facility's policy titled Preventing Foodborne Illness-Employee Hygiene and Sanitary Practices with a last review date of 12/27/2024, read in part, Policy Statement: Food Service employees shall follow appropriate hygiene and sanitary procedures to prevent the spread of foodborne illness. Policy Interpretation and Implementation .12. Hair nets or caps and/or beard restraints must be worn to keep hair from contacting exposed food, clean equipment, utensils and linens. [...]

Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure resident were cared for in a manner and in an environment that maintained or enhanced his or her dignity by placing a sign outside the residents door visible to the public indicating she required feeding assistance for 1 (Resident #14) out of 39 sampled residents, This failure could have caused decreased feeling of self-worth, feelings of embarrassment and a diminished quality of life.

Inspectors wroteBased on record review and interviews, the facility failed to provide care and services that met professional standards of quality by failing to ensure rounding was conducted every two hours for 1 (#99) resident out of a final sample of 39 residents.

Inspectors wroteBased on record review and interview, the facility failed to ensure that services were provided to meet professional standards of quality as evidenced by S2LPN (Licensed Practical Nurse) borrowing medication from one resident to give to 1 (Resident #1) out 3 (Resident #1-3) sampled resident investigated during a complaint survey. This deficient practice had the potential to affect the 127 residents in the nursing home.

Inspectors wroteBased on record review and interview, the facility failed to assure the accurate administering of a medication for 1 (Resident #1) out of 3 (Resident #1-3) sampled residents investigated during a complaint survey. This deficient practice has the potential to affect the 127 resident in the nursing home.

Inspectors wroteBased on record reviews and interviews, the facility failed to maintain accurate medical records in accordance with accepted professional standards and practices for 1 (#1) out of 3 (#2 and #3) sampled residents. S2LPN failed to accurately document on the EMAR (Electronic Medication Administration Record) and/or nurse's notes the administration of a medication. This deficient practice had the potential to affect the 127 residents in the nursing home.

Inspectors wroteBased on record reviews, observations, interviews, and facility policy and procedure review, the facility failed to protect the residents' right to be free from abuse. The facility failed to protect: 1. Resident #2 from verbal abuse and mental abuse by S6CNA (Certified Nursing Assistant), and 2. Resident #1 from physical abuse by Resident #3.

Inspectors wroteBased on record reviews, observations, interviews, and review of facility policy and procedure the facility failed to ensure a resident was provided privacy during personal care for 1 (#2) out of 3 (#1, #2, and #3) sampled residents reviewed for resident rights.

Inspectors wroteBased on record reviews, observations, interviews, and review of facility's manual the facility failed to report to the administrator of the facility an event involving verbal abuse for 1 (#2) out of 3 (#1, #2, and #3) sampled resident reviewed for reporting alleged violations.

Inspectors wroteBased on interviews and record review, the facility failed to ensure a resident's change in condition was immediatley reported for 2 (#1, #2) residents out of 3 (#1, #2, #3) sampled residents as evidenced by: 1. S8VD/CNA (Van Driver/Certified Nursing Assistant) failing to report complaints of pain for Resident #1 and; 2. S6RN (Registered Nurse) failing to notify Resident #2's responsible party (RP) and physician of a significant change in Resident #2's physical condition.

Inspectors wroteBased on record reviews and interviews, the facility failed to develop and/or implement a comprehensive person-centered plan of care and/or physician's orders for 2 (#1 and #3) out of 3 (#1, #2, and #3) sampled resident as evidence by failing to: 1. implement a physician's order to monitor for changes post incident for Resident #1; and 2. develop appropriate interventions to prevent future falls from occurring for Resident #3.

Inspectors wroteBased on interviews and record review, the facility failed to effectively monitor a resident's intake and output, consistent with the resident's assessed needs and goals, to maintain acceptable parameters of hydration status for 1 resident (#2) out of 3 (#1, #2, #3) sampled residents.

Inspectors wroteBased on observations, interviews, and policy and procedure reviews the facility failed to maintain a clean and sanitary kitchen to prevent cross contamination and the likelihood of foodborne illnesses to the 127 residents who ate meals prepared from the facility's kitchen. This deficient practice resulted in an Immediate Jeopardy on 02/26/2024 at 8:45 a.m. when the following was observed in the facility's kitchen: 1. Equipment: a. The six-burner stove and deep fryer was observed with thick layer of debris and grease build-up on the top, front, inside, and sides. Plastic bubble wrap and debris was observed on the floor underneath the six-burner stove. The doors that enclosed the deep fryer noted on the outside was held together by rubber bands. The deep fryer's cooking oil collection area was observed to be full. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to be administered in a manner that enabled it to use its resources effectively and efficiently to ensure the well-being of residents by failing to provide oversight in the kitchen after unsanitary

Inspectors wroteBased on observation and interview the provider failed to post in a prominent place, readily accessible to residents and visitors, the daily nurse staffing data which reflect the current daily totals of the number of hours worked by the nursing staff. The deficient practice had the potential to affect a census of 129.

Inspectors wroteReview of Resident #34's electronic health record revealed he was admitted to the facility on [DATE]. On 02/26/2024 at 11:00 a.m., an observation was made of Resident #34's room. A urinal with 400 ml (milliliter) of dark amber urine was observed standing upright on bedside table. A dark brown ring was observed around the top of the urinal with yellow and brown debris observed in and around the bottom portion of the urinal. On 02/26/2024 at 11:10 a.m., an interview and room observation was conducted with S3ADON (Assistant Director of Nursing). S3ADON confirmed the urinal was on the bedside table, with a dark brown ring around top of urinal, with yellow and brown debris in and around the bottom portion of the urinal. S3ADON stated the urinal should have been discarded and replaced with a new urinal. On 02/26/2024 at 11:34 a.m., an observation was conducted of Resident #103's room. [...]

Inspectors wroteBased on observations, interviews, record and policy and procedure reviews, the facility failed to ensure residents were free from unnecessary physical restraint for 2 (Resident #61 and #86) of 2 (Resident #61 and #86) sampled resident reviewed for restraints.

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 2 (#16, #45) of 4 (#8, #16,#45,#83) residents reviewed for PASARR screening.

Inspectors wroteBased on record review, observations and interviews, the facility failed to develop and implement a person-centered care plan for 3 (#6, #33, # 45) residents out of 3 (#6, #33, #45) sampled residents reviewed by: 1. Failing to follow physician's orders for using SASH (Saline, Administer, Saline, Heparin) after disconnecting a medication infusion from Resident #6's intravenous catheter; 2. Failing to implement an intervention of nebulizer treatment for Resident #33 with a diagnosis of Shortness of Breath; and 3. Failing to develop a care plan for impaired vision for Resident #45.

Inspectors wroteBased on observations and interviews the facility failed to properly store respiratory equipment for 5 residents (#25, #33, #83, #101, and #104) out of 5 residents (#25, #33, #83, #101, and #104) investigated for respiratory care.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure the medication error rate was less than 5% for 2 (#10 and #29) of 5 residents observed during medication administration. A total of 28 opportunities were observed with 5 medication errors, which resulted in a medication error rate of 17.86%. The facility failed to ensure: 1. Resident #10's Ferrous Sulfate and Azelastine HCL (Hydrogen Chloride) Nasal Solution .1% was administered per physician orders. 2. Resident #29's Potassium, Protonix, and Guaifenesin were not administered per manufacturer's recommendations.

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 personal hygiene. The facility failed to provide nail care to dependent residents for 1 (Resident #49) out of 1 (Resident #49) resident sampled for ADLs.

Inspectors wroteBased on observations, interviews, and records reviewed, the facility failed to identify and provide resident centered care and services according to the resident's preferences to self-administer medications in order to attain the highest practicable well-being. This deficient practice was evidenced when facility staff failed to assess and initiate a care plan for Resident #119 to self-administer medications out of a finalized sample of 39 residents.

Inspectors wroteBased on policy review, observations and interview, the facility failed to ensure that a resident's enteral feeding was properly labeled for 2 (#34, #474) residents out of 2 (#34, #474) sampled residents reviewed for tube feeding.

Inspectors wroteBased on observation and interviews, the facility failed to accurately obtain pharmaceutical services, including supplying routine medications with the appropriate strength as ordered by the physician, for 1 (#10) of 5 residents observed during medication administration pass.

Inspectors wroteBased on interview and record review, the facility failed to ensure residents were re-evaluated for the continued use of PRN (as needed) antipsychotic medications after 14 days for 2 (#44, #51) residents out of a final sample of 39 residents.

Inspectors wroteBased on observation and interview, the facility failed to properly store drugs as evidenced by loose pills found in the bottom of medication cart drawers for 1 (Cart A) of 3 medication carts reviewed.

Inspectors wroteBased on observation and interview, the facility failed to ensure food was prepared in a form to meet individual needs for residents who received pureed diets.

Inspectors wroteBased on observation, record review and interview, the facility failed to maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections as evidenced when S17LPN (Licensed Practical Nurse) failed to perform hand hygiene according to accepted standards of practice before, during, and after medication administration for 3 (# 10, # 29 and # 523) of 5 residents observed during medication pass.

Inspectors wroteBased on record review and interview, the facility failed to ensure the nurse notified the RP (Responsible Party) that resident #2 had a fall for 1 (#2) out of 3 (#1, #2, and #3) sampled residents.