Deridder Retirement & Rehab Center

Inspectors wroteBased on observation, interview and record review, the facility failed to maintain a clean and sanitary kitchen to prevent the likelihood of foodborne illnesses and failed to store food in accordance with professional standards for food service safety. This deficient practice had the potential to effect all 58 residents who consumed food from the kitchen. The facility failed to ensure: 1. Expired food items were discarded and not available for usage:2. Food items were properly stored, labeled, and dated;3. Dishware were properly clean and sanitized in accordance with food safety;4. Dietary staff worn hair/facial hair restraints while in the kitchen; and 5. Food temperatures were checked before meal services.

Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure an infection prevention and control program was maintained to provide a safe and sanitary environment and to help prevent the development and transmission of communicable diseases and infections. The facility failed to ensure: 1. Enhanced Barrier Precaution procedures were followed for Resident #54 and Resident #44. 2. Staff decontaminated reusable medical equipment between uses on different residents. Review of an undated facility policy on 12/16/2025 at 8:48 a.m. titled, Enhanced Barrier Precautions revealed the following in part .It is the policy of this facility to implement Enhanced Barrier Precautions (EBP) for the prevention of transmission of multidrug-resistant organisms (MDRO). 2. Enhanced Barrier Precautions- Nursing staff will place residents with any applicable conditions or devices on EBP. [...]

Inspectors wroteBased on interview and record review, the facility failed to complete a Quarterly MDS assessment as required for 1 (Resident #4) of 28 sampled residents.

Inspectors wroteBased on observation, interview, and record review the facility failed to provide respiratory care consistent with professional standards for 1 (Resident #53) of 2 residents reviewed for respiratory care. The facility failed to ensure oxygen was administered at the prescribed flow rate.

Inspectors wroteBased on record review, observation, and interview the facility failed to maintain a medication error rate below 5%. The facility had a 7.41% medication error rate with 2 medication errors out of 27 opportunities. The facility failed to ensure:1. The correct topical medication was applied, in the correct site, and at the correct time for Resident #67; and2. Failure to ensure IV Vancomycin was infused at the correct infusion rate for Resident #44. Findings Observation of medication administration with S5LPN on 12/16/2025 at 9:16 a.m. revealed Desonide 0.05% Cream was applied to Resident #67's Right AKA stump. Review of Resident #67's physician's orders revealed the following, in part. Desonide 0.05% Cream - apply to face topically at bedtime, dated 12/04/2025; and Lidocaine External Cream 5% - apply to right stump area topically one time a day, dated 12/04/2025. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure drugs and biologicals used in the facility were stored in accordance with current accepted professional principles by failing to ensure:1. Unattended treatment cart (Cart C) was locked appropriately;2. Expired medications were not available for use; and3. Drawers containing emergency medications were locked when not in use. This deficient practice had the potential to affect all 63 residents who currently resided in the facility.

Inspectors wroteBased on interview and record review the facility failed to employ staff with appropriate competencies and skill sets to carry out the functions of the food and nutrition services by failing to ensure the dietary manager met the minimum qualifications of a certified dietary manager. This deficient practice had the potential to affect all 58 residents who consumed food from the kitchen.

Inspectors wroteBased on observation and interview the facility failed to ensure garbage and refuse were disposed of properly. This deficient practice had the potential to affect all 63 residents who resided in the facility.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident's right to be free from sexual abuse by another resident for 1 (Resident #1) of 3 (Resident #1, Resident #2, and Resident #3) residents reviewed for abuse. The facility failed to protect Resident #1 from being sexually abused by Resident #2. This deficient practice resulted in an immediate jeopardy situation on 11/22/2024 at 7:50 a.m., when Resident #2, who was cognitively intact, and had a history of inappropriate sexual behaviors entered the room of a cognitively impaired resident (Resident #1), and was found with his mouth on her mouth and his hand in her brief. 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 interview and record review the facility failed to ensure the assessment accurately reflected the resident's status by failing to accurately code the Minimum Data Set (MDS) for Behaviors for 1 (#2) of 3 (#1, #2 and #3) sampled residents. The facility failed to accurately capture Resident #2's inappropriate behavior against Resident #3 during the lookback period.

Inspectors wroteBased on observation, interviews and record reviews, the facility failed to ensure each resident received adequate assistance to prevent accidents for 1 Resident (Resident #43) of 2 (Resident #12 and Resident #43) sampled residents, a total sample of 21. This deficient practice resulted in an actual harm for Resident #43 on 04/28/2024 at 9:15 p.m., when S5 CNA failed to use 2 person assistance, when she transferred Resident #43 from the wheelchair to the bed. S5 CNA dropped Resident #43 onto the floor during transfer. On 04/29/2024 at 8:00 a.m., Resident #43 complained of pain to the left elbow. On 04/29/2024, X-rays were obtained, and Resident #43 was diagnosed with an Impacted Humeral Head Fracture, Acute with Osteopenia.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure Residents who are unable to carry out ADLS (Activities of Daily Living) received the necessary services to maintain good grooming and personal hygiene for 3 (#17, #32 and #52) of 3 (#17, #32 and #52) Residents reviewed for ADL's. The facility failed to ensure a Resident's (#17, #32 and #52) received nail care.

Inspectors wroteBased on observation, interview and record review the facility failed to provide respiratory care consistent with professional standards for 1 (Resident #22) of 2 (Resident #4 and Resident #22) sampled residents reviewed for respiratory care. The facility failed to ensure respiratory equipment was properly stored and labeled.

Inspectors wroteBased on interview and record review, the facility failed to ensure that pain management was provided to residents who require such services, consistent with professional standards of practice and the comprehensive person-centered care plan for 1 (Resident #59) of 1 (Resident #59) resident sampled for pain. The facility failed to ensure Resident #59 who displayed verbal and/or nonverbal indicators of pain received the ordered interventions to alleviate pain.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident's right to be free from sexual abuse by another resident for 1 (Resident #1) of 6 (Resident #1, Resident #2, Resident #3, Resident #4, Resident #5, and Resident #6) sampled residents. The facility failed to protect Resident #1 from being kissed by Resident #2.

Inspectors wroteBased on observation, interview and record review, the facility failed to implement/maintain infection control practices to prevent the development and transmission of infection, by failing to ensure that ice chests used to serve the residents ice were appropriately cleaned and disinfected. This deficient practice had the potential to affect 62 residents who are served ice by the nursing staff.

Inspectors wroteBased on observation, interview and record review the facility failed to promote and facilitate resident self-determination through support of resident choice about aspects of his or her life in the facility that were significant to the resident for 1 (#55) of 19 sampled residents. The facility failed to accommodate Resident #55's choice to get out of bed and to have a shower instead of a bed bath.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a clean, comfortable, and homelike environment by failing to ensure residents' care equipment was maintained in a clean and sanitary condition for 1(Resident #45) of 19 sampled Residents.

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/showers for 2 (Resident #59 and Resident #60) of 19 sampled residents for ADL care.