Chateau De Notre Dame Community Care Center

Inspectors wroteBased on interviews and record reviews, the facility failed to ensure a Quarterly Minimum Data Set (MDS) accurately reflected medication orders for 1 (Resident #74) of 5 (Resident #11, Resident #53, Resident #55, Resident #74, Resident #102) residents reviewed for medications.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure an enteral feeding bag (bag that contains a formula for the purpose of supplying nutrients directly into the stomach) and the free water flush bag was properly labeled to include the rate of the infusion for 1 (Resident #130) of 1 (Resident #130) sampled residents reviewed for enteral feeding.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to follow a physician's order for oxygen administration for 1 (Resident #52) of 1 (Resident #52) sampled residents reviewed for respiratory care.

Inspectors wroteBased on interviews and record reviews, the facility failed to develop resident-specific approaches and implement a plan of care for a resident with post-traumatic stress disorder (PTSD) for 1 (Resident #52) of 1 (Resident #52) sampled residents reviewed for behavioral/emotional services.

Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to properly secure a resident's wheelchair using the front securement straps in the facility's transportation vehicle for 1 (Resident #1) of 3 (Resident #1, Resident #2, Resident #3) sampled residents reviewed for transportation safety. This deficient practice resulted in an Immediate Jeopardy situation on 05/06/2025 at 11:30AM for Resident #1, when S3Certified Nursing Assistant/Transport Driver (CNA/TD) failed to properly secure Resident #1's wheelchair in the facility's transportation van with the front securement straps. Resident #1's wheelchair tipped over backwards during transport, which caused Resident #1 to strike the back of his head. [...]

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure a Certified Nursing Assistant (CNA) was competent in the facility's procedure for securing a resident's wheelchair in a transport vehicle for 1 (S5CNASupervisor) of 3 (S4Maintenance Staff/Transport Driver [MS/TD], S5CNASupervisor, S6Maintenance Director [MD]) staff members investigated for resident safety competency.

Inspectors wroteBased on interviews and record reviews, the facility failed to ensure: 1. A resident was given a 30 day written notice before a facility-initiated discharge as required; and, 2. A resident's written discharge notice included the name and contact information for Louisiana's Mental Health Advocacy Service. This deficient practice was identified (Resident #1) of 2 (Resident #1, Resident #2) sampled residents investigated for discharge requirements.

Inspectors wroteBased on interviews and record reviews, the facility failed to provide necessary behavioral health care needs for a resident who displayed passive suicidal ideation for 1 (Resident #1) of 3 (Resident #1, Resident #2, Resident #3) sampled residents reviewed for behavioral health care needs.

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to ensure a resident's call light was within reach for 1 (Resident #64) of 4 (Resident #44, Resident #60, Resident #64, and Resident #112) residents reviewed for call devices.

Inspectors wroteBased on record review and interview, the facility failed to ensure that a resident and/or a resident's responsible party was invited to the resident's care planning meeting for 1 (Resident #44) of 1 (Resident #44) resident investigated for participation in care planning.

Inspectors wroteBased on record reviews, observations, and interviews, the facility failed to ensure a resident with limited range of motion received appropriate treatment and services as identified in a therapy screening for 1(Resident #44) of 1 (Resident #44) residents reviewed for limited range of motion.

Inspectors wroteBased on record review and interviews, the facility failed to ensure a resident was monitored for targeted behaviors for 1 (Resident # 138) of 5 sampled residents reviewed for unnecessary medications.

Inspectors wroteBased on interviews, record reviews, and observations, the facility: 1. Failed to ensure a resident (Resident #1), who was assessed as being at risk for wandering/elopement, was supervised and unable to elope off of the facility's grounds; 2. Failed to ensure staff tested the WanderGuard system to ensure the transmitters were properly functioning at ankle level to alert staff and prevent residents from being able to exit the facility unsupervised for 5 (Resident #1, Resident #2, Resident #3, Resident #4, and Resident #5) of 5 residents. This deficient practice was identified for 5 (Resident #1, Resident #2, Resident #3, Resident #4, and Resident #5) of 5 (Resident #1, Resident #2, Resident #3, Resident #4, and Resident #5) sampled residents reviewed for wandering/elopement and accident/hazards. The deficient practice resulted in an Immediate Jeopardy situation on 05/07/2024 at 6:30 p.m. [...]

Inspectors wroteBased on interviews, record reviews, and observations, the facility: 1. Failed to ensure a resident (Resident #1), who was assessed as being at risk for wandering/elopement, was supervised and unable to elope off of the facility's grounds; 2. Failed to ensure staff tested the WanderGuard system to ensure the transmitters were properly functioning at ankle level to alert staff and prevent residents from being able to exit the facility unsupervised for 5 (Resident #1, Resident #2, Resident #3, Resident #4, and Resident #5) of 5 residents. This deficient practice was identified for 5 (Resident #1, Resident #2, Resident #3, Resident #4, and Resident #5) of 5 (Resident #1, Resident #2, Resident #3, Resident #4, and Resident #5) sampled residents reviewed for wandering/elopement and accident/hazards. The deficient practice resulted in an Immediate Jeopardy situation on 05/07/2024 at 6:30 p.m. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure over the counter eye drops were labeled with a resident's name. This deficient practice was identified for 1 medication cart (Cart x) of 2 medication carts (Cart x and Cart y) observed for medication administration.

Inspectors wroteBased on observation, interview, and record review the facility failed to: 1. Ensure foods stored in the facility's kitchen refrigerator were dated; 2. Ensure expired beverages were not available for resident consumption; and 3. Ensure the inside of the facility's kitchen Prep-refrigerator (Fridge c and Fridge d) were free of an unknown thick substance, buildup of an unknown brown substance, and debris.

Inspectors wroteBased on record reviews and interviews, the facility failed to ensure an injury of unknown origin was reported immediately, but not later than 2 hours after the injury was discovered to the State Survey Agency for 1 (Resident #1) of 3 (Resident #1, Resident #2 and Resident #3 ) sampled residents reviewed for abuse.

Inspectors wroteBased on record reviews and interviews, the facility failed to ensure a stat (also known as immediate) x-ray was done in a timely manner, for 1 (Resident #1) of 3 (Resident #1, Resident #2 and Resident #3) sampled residents reviewed for abuse that received diagnostic services.