Heritage Manor of Slidell

Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure residents with limited range of motion received appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion by failing to provide restorative therapy for 3 (#9, #71, and #88) of 21 residents reviewed in the final sample. Resident #9 Review of Resident #9's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses, which included Muscular Dystrophy, Right Hand Contracture, Left Hand Contracture, Right Foot Contracture, and Left Foot Contracture. Review of Resident #9's Quarterly Minimum Data Status (MDS) with Assessment Reference Date (ARD) of 07/21/2025 revealed a Brief Interview for Mental Status (BIMS) of 14, which indicated he was cognitively intact. [...]

Inspectors wroteBased on observations, interviews, and record review, the facility failed to implement 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. The facility failed to ensure staff routinely disinfected shared resident care equipment for 4 (#33, #95, #104 and #108) of 4 (#33, #95, #104 and #108) sampled residents observed during medication administration. Review of a Center for Disease Control and Prevention (CDC) article dated 2008, updated 06/12/2024, and titled Recommendations for Disinfection and Sterilization in Healthcare Facilities revealed the following, in part:Guideline for Disinfection and Sterilization in Healthcare Facilities A. [...]

Inspectors wroteBased on record review, observations, and interviews, the facility failed to ensure electrical equipment was maintained in safe operating condition for 1 of 1 (#97) sampled residents reviewed for call light safety.

Inspectors wroteBased on record review, observation, and interviews, the facility failed to ensure nurse staffing data requirements were documented on daily postings. This deficient practice had the potential to affect any of the 103 residents residing in the facility.

Inspectors wroteBased on record review and interviews, the facility failed to ensure nursing staff notified the resident representative when a resident had a significant change in condition for 1 (#1) of 3 (#1, #2, #3) sampled residents reviewed.

Inspectors wroteBased on interviews and record review, the facility failed to ensure alleged injuries of unknown origin were reported to the State Agency within the required time frame for 1 (#1 ) of 3 (#1, #2, and #3) sampled residents. The facility failed to report Resident #1's injury of unknown origin to the state agency within 24 hours of being made aware.

Inspectors wroteBased on observation, interviews, and record review, the facility failed to store food in accordance with professional standards for food service safety. This had the potential to affect 93 residents who were served from the kitchen.

Inspectors wroteBased on observations, interviews and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe and sanitary environment to help prevent the development and transmission of infection for 4 (#2, #28, #43, #149) of 20 resident's reviewed in the final sample. The facility failed to ensure: 1. Staff wore proper Personal Protective Equipment (PPE) while in the room of Resident's #2 and #149, who were on Droplet Precautions; 2. Staff wore proper PPE while providing care to Resident #43, who was on Enhanced Barrier Precautions; 3. Resident #43's urinary catheter bag remained off the floor; and 4. Staff performed proper infection control practices while performing wound care for Resident #28.

Inspectors wroteBased on interviews and record review, the facility failed to ensure residents' assessments accurately reflected the residents' status by failing to ensure a resident's Minimum Data Set was accurately coded for PASRR (Pre-admission Screening and Resident Review) for 2 (#21 and #54) of 6 (#21, #30, #47, #54, #76, and #91) residents reviewed for PASRR.

Inspectors wroteBased on observation, record review, and interview, the facility failed to provide appropriate and sufficient services, treatment and care according to standards of professional practice for 1 (#43) of 1 (#43) residents that were reviewed for urinary catheter. The facility failed to ensure Resident #43's urinary catheter bag was below the level of the resident's bladder.

Inspectors wroteBased on record review, observation, and interview the facility failed to ensure drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles for 1 (Cart A) of 2 (Cart A and Cart B) medication carts observed. The facility failed to ensure Insulin pens were discarded 28 days after the date opened.

Inspectors wroteBased on interviews and record review, the facility failed to ensure nurse staffing data was posted on a daily basis. This deficient practice had the potential to affect any of the 94 residents residing in the facility.

Inspectors wroteBased on record reviews and interviews, the facility failed to ensure the residents remained free of accident hazards for each resident who required transfer by facility's hoyer lift for 1 (#3) of 6 (#1, #3, #R1, #R2, #R3 and #R7) residents reviewed. The facility failed to secure resident's safety during transfer. This deficient practice resulted in a harm on 04/01/2024 when staff transferred Resident #3 from a Geri Chair to her bed without using a mechanical lift. Resulting in Resident #3 sustaining commuted, displaced, angulated fractures distal shafts of both the tibia and fibula and portable mildly displaced intra-articular fracture of the distal aspect of the proximal phalanx of the great toe. 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 interviews and record review, the facility failed to notify the resident's physician and representative of changes in condition for 1 (#1) of 6 (#1, #2, #3, #R1, #R2, and #R3) residents reviewed for notification of change. The facility failed to: 1. Notify the resident's physician and family after identifying a new sacral wound for Resident #1; and 2. Notify the physician when Resident #1 did not have a bowel movement beyond 3 days.

Inspectors wroteBased on record review and interviews the facility failed to develop a residents' plan of care for 1 (#1) out of 10 total sampled residents reviewed. The facility failed to develop a person-centered care plan for constipation for Resident #1 when she returned from a hospital stay on 01/19/2024.

Inspectors wroteBased on interviews and record reviews, the facility failed to implement a comprehensive person-centered care plan by failing to follow physician's orders for 2 (#6 and #67) of 32 sampled residents reviewed for care plans.

Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure medications were properly stored in 1 (Med Room A) of 2 (Med Room A and Med Room B) Medication Storage Rooms observed for medication storage.