Heritage Manor of Ville Platte

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident received a reasonable accommodation of their needs by failing to ensure the call light was accessible to a resident for 1 (Resident #59) of 48 sampled residents. Review of facility policy titled Call Light/Bell with revision date of 01/2024, revealed in part. Purpose: to provide the resident a means of communication with staff members. Procedure: 1. Ensure resident has call light in reach when in resident room or in bathroom/shower room. 7. Leave the resident comfortable. Place the call light within the residents reach before leaving the room. Review of Resident #59's medical record revealed an admission date of 02/27/2025, with diagnoses that included, in part,. [...]

Inspectors wroteBased on observations, interviews and record review, the facility failed to store food in accordance with professional standards for food service safety. The facility failed to ensure food was properly sealed and stored in the stand-alone freezer, walk-in cooler, and walk-in freezer area of the facility's kitchen. This had the potential to affect 108 residents who were served from the kitchen.

Inspectors wroteBased on record review and interview the facility failed to ensure an allegation of verbal abuse was reported immediately, but not later than 2 hours after the allegation was made to the State Survey Agency for 1 (Resident #1) of 3 sampled Residents reviewed for abuse.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the MDS assessments accurately reflected the resident's status for 1 (Resident #1) of 3 sampled residents.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a baseline care plan was developed within 48 hours of admission for 1 (Resident #1) of 3 sampled residents.

Inspectors wroteF657: CARE PLAN TIMING AND REVISION Based on observation, interview, and record review, the facility failed to ensure a resident's comprehensive care plan was revised after a quarterly assessment for 1 (Resident #3) of 3 sampled residents.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide services that met professional standards of quality for 1 (Resident #3) of 3 sampled residents. The facility failed to ensure a swallowing assessment was completed for a resident who exhibited difficulty swallowing and coughing during meals.

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure menus were followed in order to meet the nutritional needs of residents who required a puree diet. The facility failed to follow the recipe in regards to ingredients of the meal for 6 of 6 (#7, #30, #36, #40, #87, and #99) sampled residents who received a puree diet.

Inspectors wroteBased on observation, interview and record review the facility failed to establish and maintain an infection prevention program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of communicable diseases and infections for 2 (Resident #5 and Resident #7) of 33 residents reviewed for infection control. The facility failed to follow proper infection control practices during wound care for Resident #5 and failed to properly isolate Resident #7, as ordered.

Inspectors wroteBased on interview and record review the facility failed to provide services that met professional standards for 2 (Resident #7 and Resident #19) of 33 residents reviewed by failing to administer medications properly.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide the necessary care and services to provide a necessary communication aid for 1 (#80) of 1 Resident reviewed for communication. The total sample size was 33.

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 (#16, #24, and #80) of 4 (#16, #24, #32, and #80) Residents reviewed for ADL's. The total sample size was 33.

Inspectors wroteBased on record review and interview the facility failed to accurately submit mandatory direct care staffing information, based on payroll, to Centers for Medicare & Medicaid Services (CMS) for Fiscal Year (FY) Quarter 3 2024 (April 1- June 30).

Inspectors wroteBased on record review and interview, the facility failed to ensure a resident's right to be free from sexual abuse and psychosocial harm (#1), by another resident (#2), in a total sample of 6 residents (#1, #2, #3, #R1, #R2, and #R3). 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. This failed practice resulted in an actual harm situation on 09/06/2024 at approximately1:42 p.m., when S4 Housekeeper walked by Resident #1's room, and observed Resident #2 remove his hand from beneath Resident #1's covers near her bottom. S4 Housekeeper immediately informed S3 LPN of her observation. S3 LPN immediately went to Resident #1's room, and observed Resident #2 pull back Resident #1's covers, and slide his hand from Resident #1's thigh area into her brief. [...]

Inspectors wroteBased on interview, observation and record review, the facility failed to develop and implement a comprehensive person-centered care plan for services to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 2 (Resident #1 and Resident #2) of 4 sampled residents. The facility had a total census of 114. The facility failed to ensure a person-centered plan of care was: 1. Implemented for 1 resident (Resident #1) reviewed for transfers. The facility failed to ensure Resident #1 who required substantial/ maximal assistance was transferred by 2 person assistance according to his CPOC. 2. Implemented for 1 resident (Resident #2) reviewed for high risk of falls. The facility failed to ensure Resident #2 had proper footwear according to her CPOC.

Inspectors wroteBased on observation, record review, and interview the facility failed to ensure a resident received services in accordance with professional standards. The facility failed to ensure physician's orders were followed for the management of hypoglycemia for 1 (#1) of 1 residents sampled for hospitalization and failed to administer medications as ordered for 1 (#5) of 1 residents sampled for dialysis.

Inspectors wroteBased on observation and interview, the facility failed to ensure medications and biologicals were stored and labeled properly in accordance with currently accepted professional principles. The facility failed to: 1. Ensure blood glucose controls were properly labeled after opening on 2 of 4 medications carts. 2. Properly store vaccines in refrigerator for 1 of 1 medication storage rooms.

Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure that each Resident was treated with respect and dignity in a manner and in an environment that promoted maintenance or enhancement of his or her quality of life for 1 (Resident #97) of 1 residents sampled for dignity, by failing to ensure she was free of facial hair.

Inspectors wroteBased on record review and interviews, the facility failed to develop and implement an effective discharge planning process for 1 (#108) of 1 residents reviewed for choices. The facility failed to update the resident's discharge care plan to reflect the resident's legal inability to make choices related to discharge and failed to update the discharge care plan to accurately reflect the discharge wishes of the resident's POA.

Inspectors wroteBased on interview and record review the facility failed to ensure each Resident's drug regimen was free from unnecessary drugs. The facility failed to provide documentation of a clinical rationale to continue use of psychotropic medications for 2 (#43 and #58) of 6 (#14, #43, #58, #69, #82, and #94) sampled resident's reviewed for psychotropic medication usage.