Landmark of Acadiana

Inspectors wroteBased on observations, record reviews and interviews, the facility failed to develop and/or implement a comprehensive person-centered plan of care and/or follow physician's orders for 3 (Resident #82, Resident #11, Resident #13) out of 40 sampled residents as evidenced by:1.failing to implement the comprehensive plan of care for a floor mat when in bed for Resident #82;2.failing to develop a comprehensive plan of care for antipsychotic use for Resident #11; and3.failing to follow physician's orders for PEG (Percutaneous endoscopic gastrostomy) tube water flush for Resident #13.

Inspectors wroteBased on observations, interviews, record review, and policy review; the facility failed to maintain an effective infection prevention and control program, by failing to ensure:1. Proper infection control techniques were practiced during catheter care for Resident #87; and2. Reusable equipment was sanitized prior to and after resident use. The facility census was 120.

Inspectors wroteBased on observation, record review, and interviews, the facility failed to ensure the minimum data set (MDS) assessment accurately reflected the oral status of 1 (Resident #99) of 40 sampled residents. Review of Resident #99's clinical record revealed he was admitted to the facility on [DATE] with diagnoses that included but were not limited to diabetes mellitus, hypertension, dysphagia and bradycardia. A review of Resident #99's Comprehensive MDS assessment with an ARD (Assessment Reference Date) of 09/30/2025 was conducted. Section C - Cognitive Patterns 0500 revealed Resident #99 had a BIMS (Brief Interview for Mental Status) of 15, which indicated he was cognitively intact. Further review of Resident #99's MDS revealed in section L - Oral/Dental Status - L0200D, Obvious or likely cavity or broken natural teeth, not checked. [...]

Inspectors wroteBased on record reviews and interviews, the facility failed to maintain accurate medical records in accordance with accepted professional standards and practices for 1 (#13) out of 40 sampled residents by failing to ensure EMAR (Electronic Medication Administration Record) was accurately documented for Resident #13.

Inspectors wroteBased on observations and interview, the facility failed to store food in accordance with professional standards for food service, and ensure sanitary conditions were maintained in the kitchen as evidenced by: 1. opened food items in the walk-in freezer, dry storage room, and reach-in cooler not labeled with the date and time; 2. expired food in the dry storage area; and 3. a thick layer of debris on the deep fryer cooking oil collection area. This deficient practice had the potential to affect the 117 residents who consumed food from the kitchen.

Inspectors wroteBased on record reviews, observations, and interviews, the facility failed to call light device was in reach for 2 (#49 and #86) out of 35 sampled residents.

Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's assessment accurately reflected the resident's status by failing to ensure a resident's discharge status was accurately coded for 1 (#117) resident of 35 sampled residents.

Inspectors wroteBased on record reviews and interviews, the facility failed to develop a comprehensive person-centered care plan for 1 (#67) of 35 sampled residents. The facility failed to develop a focus area with interventions related to hospice services for Resident #67. On 01/15/2025, a review of the facility's policy titled, Care Plan Process with a last revision date of 12/2024, read in part, The overall care plan should be oriented towards: 1. Preventing avoidable declines in functioning or functional levels or otherwise clarifying why another goal takes precedence (e.g., palliative approaches in end of life situations. 10. Assess and planning for care to meet the resident's medical, nursing, mental and psychosocial needs. [...]

Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure a resident who was visually impaired received necessary services to maintain good nutrition for 1 (#9) of 2 (#8 and #9) residents investigated for Comm-sensory (communication and sensory) out of a total of 35 sampled residents.

Inspectors wroteBased on record reviews, observations, and interviews, the facility failed to accurately document on the Nurse Data Collection and Screening Form for bed rails for Resident #39 and Resident #49 out of a finalized sample of 35 residents.

Inspectors wroteBased on record reviews and interviews, the facility failed to ensure every resident and/or their representatives had the opportunity to participate in quarterly meetings held for each resident's care planning process for 6 (# 38, #41, #75, # 27, #86, and #56) of 6 residents that were reviewed for participation in care planning, of a total survey sample of 43 residents in a facility with a census of 123 residents.

Inspectors wroteBased on record review and interview, the facility failed to refer residents with a newly diagnosed mental disorder to the appropriate state-designated authority for Level II PASARR (Preadmission Screening and Resident Review) evaluation and determination for 3 (#11, #75, #91) out of 4 (#11, #21, #75, #91) sampled residents investigated for PASARR in a final sample of 43 residents.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure that services were provided as ordered by the physician for 1(#60) of 43 sampled residents by failing to ensure that Resident #60's wound dressing was changed every three days.

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to ensure the nursing staff demonstrated specific competencies and skill sets necessary to provide care to meet the residents' needs safely to attain or maintain the highest practicable physical well-being for 1 (#88) of 43 sampled residents. This was evidenced by S7LPN (Licensed Practical Nurse) finding Resident #88's medication at the bedside.

Inspectors wroteBased on observation and interview, the facility failed to follow their scheduled lunch menu for all residents who received a pureed diet. The deficient practice had the potential to affect all that received a pureed diet.

Inspectors wroteBased on observation and interview, the facility failed to protect confidential information for 1 (Resident #88) out of 43 sampled residents by failing to initiate the computer's privacy screen during a medication pass. The deficient practice had the potential to affect a total census of 123.