Maison Teche Nursing Center

Inspectors wroteBased on observation and interview, the facility failed to ensure the most recent survey results of the facility were posted in a place readily accessible to residents, family members, and legal representatives of residents. The facility's census was 87.

Inspectors wroteBased on observations, record review, and interviews, the facility failed to develop and implement a person-centered care plan for 2 (#41 and #76) of 34 sampled residents by:not monitoring behaviors and side effects of medications for Resident #41, andnot completing skin checks for Resident #76 per the physician's order and care plan.

Inspectors wroteBased on interviews and record review, the provider failed to revise a resident's care plan for 1 (Resident #42) out of 34 sampled residents as evidenced by the care plan failing to reflect the resident's plans for discharge out of the facility. Findings Review of Resident #42's medical record revealed he was admitted to the facility on [DATE]. Review of Resident #42's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was able to participate in the Brief Interview for Mental Status (BIMS) with a score of 15 indicating the resident was cognitively intact. On 01/11/2026 at 9:34 a.m., an initial interview was conducted with Resident #42. Resident #42 stated he really wanted to get out of the nursing facility and move into his own place. Review of Resident #42's care plan meeting dated 03/19/2025 revealed: [...]

Inspectors wroteBased on record review, observation, and interviews, the facility failed to maintain an effective infection prevention and control program by failing to ensure staff utilized appropriate personal protective equipment (PPE) for a resident on Enhanced Barrier Precautions (EBP) while administering a water flush via feeding tube for 1(Resident #5) sampled resident was reviewed for tube feeding.

Inspectors wroteBased on record review and interviews, the facility failed to ensure residents received mail on Saturdays. This had the potential to affect 90 residents residing in the facility.

Inspectors wroteResident #39 Review of Resident #39's Electronic Medical Record (EMR) revealed she was admitted to the facility on [DATE] with diagnoses of Cerebral Infarction, Heart Failure, Peripheral Vascular Disease, and Overactive Bladder. Review of Resident #39's Brief Interview Mental Status revealed a score of 12, indicating moderately intact cognition. Review of Physician Orders dated 08/01/2024, read in part .compression stocking on daily, remove at night. On 12/02/2024 at 10:12 a.m., an observation of Resident #39 was conducted. The resident was observed sitting in her wheelchair with Christmas socks on bilateral feet, no compression stockings were noted. On 12/02/2024 at 3:00 p.m., a follow up observation and interview was conducted with Resident #39 who stated that staff had not applied her compression stockings that morning. [...]

Inspectors wroteBased on record review, interviews, and observations, the facility failed to ensure a resident's rights to personal privacy for 2 (#2, #39) of 2 (#2, #39) residents out of a total sample of 36 residents investigated for Activities of Daily Living by failing to ensure: 1. Resident #2 had privacy while in the bathroom; and 2. Resident #39 had the room door and bathroom door closed prior to staff providing personal care.

Inspectors wroteBased on observation and interview, the facility failed to provide a homelike environment for 1 (#35) out of 5 (#18, #35, #36, #46 and #60) residents investigated for environment, out of a total sample of 36 residents.

Inspectors wroteBased on record review and interview, the facility failed to refer a resident 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 1 (#31) of 3 (#3, #31, #54) residents investigated for PASARR in a final sample of 36 residents.

Inspectors wroteBased on interview, observation and record review, the facility failed to provide treatment/services to prevent further avoidable reduction of Range of Motion (ROM) and mobility as evidenced by a resident being unable to use his left leg prosthetic limiting his ability to walk for 1 (Resident #60) of 2 (#36 and #60) residents investigated for positioning and mobility in a final sample of 36 residents.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide respiratory care consistent with professional standards of practice for 1 (#42) out of 2 (#8 and #42) residents investigated for respiratory care, by failing to label and properly store Oxygen tubing, and safely store Oxygen tanks. The total sample size was 36 residents.

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to ensure their medication error rate was less than five percent.

Inspectors wroteBased on record review and interviews, the facility failed to initiate a grievance for 1 (Resident #1) of 3 (#1, #2, #3) sampled residents.

Inspectors wroteBased on record review and interviews, the facility failed to ensure as needed narcotic pain medication was documented as administered on the Medication Administration Record (MAR) for 1 (#1) of 3 (#1, #2, #3) residents reviewed for pain management.

Inspectors wroteBased on record review and interview, the facility failed to implement the comprehensive person-centered care plan for 1 (#1) of 3 ( #1, #2, #3) sampled residents as evidenced by staff failing to ensure a third person was available to observe a resident that was transferred back to the bed using a mechanical lift. The facility has a census of 92 residents.

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to ensure that nursing aides possessed the competencies and skill sets necessary to provide nursing services to meet the residents' needs safely and attain or maintain the highest practicable physical well-being as evidenced by S3Transportation failing to demonstrate the correct procedure for securing a resident in the facility's transportation van.

Inspectors wroteBased on record review and interview, the facility failed to maintain a system of accounting of each resident's personal funds entrusted to the facility on the resident's behalf by failing to provide quarterly statements for 1 (# 2) of 1 resident investigated for personal funds. The facility was entrusted with personal funds for 75 residents.

Inspectors wroteBased on observations and interviews, the facility failed to provide a sanitary environment during a meal observation. This deficient practice was evident when the CNA (Certified Nurse Assistant) failed to perform appropriate hand hygiene while feeding residents. This deficient practice had the potential to affect the 10 residents who eat in the dining room that required assistance with feeding.

Inspectors wroteBased on observation, record review and interview, the facility failed to ensure the smoking policy included the use of e (electronic)-cigarettes for 1 (#44) out of a total of 11 smokers who resided in the facility.

Inspectors wroteBased on interviews and observations, the facility failed to maintain a homelike environment for 2 (#8 and #58) out of 4 (#8, #37, #43, and #58) residents investigated for a safe, clean, comfortable, and homelike environment. This deficient practice had the potential to affect all the residents residing in the facility. The facility's census was 83.

Inspectors wroteBased on record review and interview, the provider failed to electronically transmit a completed Minimum Data Set (MDS) Discharge assessment and Modification MDS Entry assessment to the CMS (Center for Medicare and Medicaid Services) system within 14 days after completion for 2 (#55 and #56) out of 2 (#55 and #56) resident's investigated for resident assessment submission activities.

Inspectors wroteBased on observations, records reviewed and interviews the provider failed to ensure 2 (#49 and #50) out of 38 sampled residents received an accurate assessment as evidenced by failing to: 1. indicate Resident #49 required wander/elopement alarm and 2. indicate Resident #50 received hospice services

Inspectors wroteBased on record review and interviews, the facility failed to ensure physician orders were implemented as ordered for weighing resident weekly for 1 (#17) of 38 sampled residents.

Inspectors wroteBased on record review and interview, the facility failed to ensure that a resident's care plan was accurately updated with the appropriate interventions to reflect the resident's current use of an anticoagulant, a blood thinner medication, for 1 (#32) out of 5 (#10, #31, #32, #47 and #49) sampled residents investigated for unnecessary medication review.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who required assistance with activities of daily living received the necessary services to maintain good personal hygiene for 1 (#8) out of 3 residents (#5, #8, and #50) investigated for activities of daily living care out of a total sampled of 38.

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to ensure the resident's environment remained as free of accident hazards as possible and each resident received adequate supervision to prevent avoidable accident hazards for 1 (#49), who was care planned for unsafe smoking, out of 1 (#49) residents investigated for safe smoking.

Inspectors wroteBased on record review and interviews, the facility failed to provide appropriate treatment and care, for 2 (#3 and #43) of 4 residents (#3, #32, #43, and #50) investigated for Urinary Catheter or UTI (Urinary Tract Infection) out of 38 sampled residents.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who needed respiratory care were provided care consistent with professional standards of practice for 3 (#57, #58, #60) out of 3 (#57, #58, #60) residents investigated for respiratory care as evidenced by: 1. Failing to ensure oxygen equipment was stored appropriately when not in use for Resident #57 and Resident #60; 2. Failing to ensure oxygen equipment was changed for Resident #57 and Resident #60 ; 3. Failing to change infection prevention pouch for Resident #60 and; 4. Failing to label oxygen equipment for Resident #58.

Inspectors wroteBased on interview and record review, the facility failed to ensure that the licensed nurses and agency staff have specific competencies and skills sets necessary to care for residents' needs as evidenced by: 1. The nurse failing to demonstrate the correct method to administer the correct dosage of a topical cream medication and; 2. Failing to ensure that agency nurse aides had the required competencies to care for residents' needs.

Inspectors wroteBased on record review and interview, the facility failed to ensure that services were provided as outlined in the comprehensive plan of care by failing to follow physician orders for the administration of IV (Intravenous) fluids for 1 (#1) out of 3 (#1, #2,and #3) sampled residents. Finding Resident #1 was admitted to the facility on [DATE]. Her diagnoses include in part, Peripheral Vascular Disease, Dysphagia, Hypertension, Alzheimer's Disease, amd Aphasia. Review of the Resident #1's plan of care revealed the resident was care planned for dehydration or potential for fluid deficit related to poor intake. Further review revealed an intervention dated 09/08/2023 for IV (intravenous) fluids 1000 cc (cubic centimeter) to be given as ordered. [...]