Diversicare of Luling

Inspectors wroteBased on interview and record review, the facility failed to ensure the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent accidents for 1 of 4 residents (Resident #35) reviewed for accidents and hazards. The facility failed to ensure Resident #35 received 2 persons assistance during bed mobility using a draw sheet when an unnamed male staff member pulled on his hand and/or arm, resulting in a fracture on or about July 7-10, 2026. This failure could place residents at risk of injury or accidents.

Inspectors wroteBased on observation, interview and record review; the facility failed to ensure all alleged violations involving abuse, neglect, exploitation, or mistreatment were reported immediately but not later than 2 hours after the allegation was made if the events that cause the allegation involved abuse or resulted in serious bodily injury, to other officials (Including the State Agency) for 1 of 6 residents (Resident #1) reviewed for abuse .The facility failed to report an allegation of abuse immediately, but not later than 2 hours, to the state agency, after the allegation that occurred 6/25/26 in that Resident #2 blocked Resident #1's entrance to the facility, grabbed Resident #1's wrist which resulted in a bruise. The facility reported the incident to the state agency on 7/1/2026. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute food in accordance with professional standards for food service safety for one of one kitchen reviewed for kitchen sanitation. The facility failed to ensure Dietary [NAME] G, and Dietary Aide H used proper hand hygiene during food preparation. These failures could place residents who ate food from the kitchen at risk for foodborne illness.

Inspectors wroteBased on observation, interview, and record review the facility failed to dispose of garbage and refuse properly for one of one kitchen. The facility failed to keep overflowing garbage in a container without a lid on the kitchen utility cart away from clean dishes and the food prep area where dietary staff was preparing food for lunch. The failure could place residents at risk for exposure of germs and diseases carried by vermin and rodents.

Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and maintain an 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 for 4 of 10 residents (Resident #27, Resident #22, Resident #32 and Resident #31) reviewed for infection control. 1. The facility failed to ensure MA C cleaned the blood pressure cuff before using it on Residents #27, #22 and #32 during the AM medication pass on 5/07/2025. 2. The facility failed to ensure the ADON, ICP identified a resident who met the criteria for EHP during wound care. The facility failed to ensure RN A and LVN B performed Enhanced Barrier Precaution steps while providing wound care to Resident #31. [...]

Inspectors wroteBased on interviews and record reviews, the facility failed to ensure that the comprehensive care plan was reviewed and revised by the interdisciplinary team after each assessment for 1 (Resident #14) of 6 residents reviewed for care plans. The facility failed to update Resident #14's care plan to reflect current needs for oxygen as needed. This failure placed residents at risk of not receiving the appropriate care and services to maintain the highest practical well-being.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure that a resident who needed respiratory care was provided such care, consistent with professional standards of practice, for 1 of 2 residents (Resident # 93) reviewed for the use of oxygen concentrator. The facility failed to ensure Resident #93 had continuous oxygen therapy. This failure could place residents that receive oxygen therapy at risk for inadequate care and respiratory distress.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 of 1 medication room reviewed for pharmacy services. The facility failed to ensure an expired medication was removed from the medication storage room. This failure could place residents at risk of receiving an expired medication, not reaching the intended therapeutic dose and possible exacerbation of health conditions.

Inspectors wroteBased on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for foods safety for 1 of 1 kitchen reviewed for food safety and sanitation. The facility failed to ensure employees were sanitizing their hands in between tasks. This failure placed residents at risk of foodborne illness.

Inspectors wroteBased on interview, and record review the facility failed to provide a private space for residents' monthly council meetings and the confidential resident group meeting during survey for five of five residents reviewed for resident council. The facility did not provide a private space for resident council meetings. This failure could place residents, who attended resident council meetings, at risk of not being able to exercise their rights of being able to voice their grievances in private without uninvited staff being present. Findings Included: In an interview on 03/19/2024 at 10:12 am, the Activity Director when asked to set up Resident Council meeting revealed the Resident Council meetings were held in the dining room. She stated there was not another area for the residents to meet in private. She stated she would place signs on the privacy curtain. [...]

Inspectors wroteBased on observation, interview and record review the facility failed to ensure residents unable to conduct activities of daily living (ADLs) received the necessary services to maintain good grooming and personal hygiene for three of six residents (Resident # 26, Resident #32, and Resident #140). 1. The facility failed to ensure Resident #26's facial hair was removed. 2. The facility failed to ensure Residents # 32's and #140's nails were cleaned and trimmed. These failures could place residents at risk for poor hygiene, dignity issues, and decreased quality of life.

Inspectors wroteBased on observations, interviews and record review, the facility failed to maintain an Infection Control Program designed to ensure hand hygiene procedures were followed by staff in the direct care of 3 of 3 residents (Resident #10, Resident #26, and Resident #30) reviewed for infection control in that: CNA G and Speech Therapist did not sanitize or wash hands after touching contaminated items before feeding resident or touching residents' food placing residents at risk of food contamination This failure could place all residents at risk of getting sick from staff not performing proper hand hygiene.

Inspectors wroteBased on observation, interview and record review, the facility failed to prepared puree food by methods that conserve nutritive value, flavor, and appearance as evidence by mixing the hamburger meat with water The extent is no actual harm with the possibility of more than minimal harm. The puree diet hamburger meat was mixed with water instead of thickener or a broth with nutrient value. This failure could affect residents on puree diet at risk of receiving inadequate diet that could affect their health.

Inspectors wroteBased on observation, interview and record review, the facility failed to provide the physician prescribed therapeutic diet to 1 of 8 residents (Resident #3) reviewed for therapeutic diets, in that: Resident #3 was given salt when her meal ticket stated no added salt as ordered. This failure could place residents at risk for further health issues.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who were unable to carry out activities of daily living received necessary services to maintain personal hygiene for two (Resident #1 and Resident #2) out of five residents reviewed for showers, in that: The facility failed to provide showers to Resident #1 and Resident #2 in compliance with their shower schedules. This failure placed residents at risk of a decline in hygiene, at risk of skin breakdown, level of satisfaction with life, and feelings of self-worth.