Pecan Bayou Nursing and Rehabilitation

Inspectors wroteBased on observation, interview and record review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed in that: The facility's kitchen staff failed to practice proper hand hygiene during meal preparations. The facility failed to ensure kitchen staff handled ready to serve food with proper technique. The facility failed to ensure kitchen staff disposed of serving utensils when they became soiled. These failures placed residents at risk for food borne illness and cross-contamination.

Inspectors wroteBased on observation, interview, and record review, the facility failed to implement its policy regarding use and storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling, and consumption for 3 of 8 (Resident #23, Resident #25 and Resident #62) residents reviewed for food and nutrition services. The facility failed to ensure that Resident #23 and Resident #25's personal refrigerator had a temperature log during the month of August 2025. The facility failed to ensure that Resident #62's personal refrigerator had temperature log completed from 08/19/2025 thru 08/26/2025. These failures could place residents at risk for foodborne illnesses.

Inspectors wroteBased on interviews and record review, the facility failed to immediately consult with the physician of a significant change in the resident's physical, mental, psychosocial status; or a need to alter treatment significantly for 1 (Resident #63) of 4 residents reviewed for physician notification. The facility failed to notify the physician of change of condition which led to Resident #63 going into respiratory and cardiac arrest and was pronounced dead after transfer to the hospital on [DATE]. An Immediate Jeopardy was identified on [DATE] at 2:40 pm. The IJ template was provided to the facility on [DATE] at 2:40 pm. While the IJ was removed on [DATE] at 3:18 pm, the facility remained out of compliance at a scope of isolated and a severity level of no actual harm due to the facility's need to continue to monitor the implementation and effectiveness of their corrective systems. [...]

Inspectors wroteBased on interview, and record review the facility failed to ensure a resident received the necessary treatment and services, consistent with professional standards of practice for 1 of 4 residents (Resident #63) reviewed for hospitalizations. LVN A failed to recognize Resident #63 was having a change in condition when her oxygen saturation was low, she required supplemental oxygen, she vomited, and complained of pain, and no additional assessments of her condition were provided including follow-up assessments of her vital signs. The facility failed to provide basic quality of care to prevent Resident #63 from going into respiratory and cardiac arrest. The resident was pronounced dead after transfer to the hospital on [DATE]. An Immediate Jeopardy (IJ) situation was identified on [DATE] at 2:40 PM. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to review and revise resident's comprehensive care plancs by the interdiscplianry team after each assessment 3 (Residents #13, #22 and #33) of 16 residents reviewed for comprehensive care plans. The interdisciplinary team failed to review and revise the plan of care for Residents #13, #22 and #33. These failures could affect residents by placing them at risk for not having their individual needs met.

Inspectors wroteBased on observations, interviews, and record reviews the facility failed to properly store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed. The facility failed to ensure foods were sealed and/or labeled properly in freezer and dry storage. The facility failed to ensure all food was not past expiration date. These failures could place residents that eat out of the kitchen at risk for food borne illnesses.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services to meet the needs of 1 of 16 resident (Resident #118) reviewed for expired medications. The B Hall medication cart contained Promethazine cream with an expiration date of 06/28/2024 for Resident #118 who did not have an order for the medication. This failure could place residents at risk of exposure to medications and/or biologicals that are expired and/or contaminated.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles, and included the appropriate accessory and cautionary instructions for 1 of 3 medication carts (Hall B medication cart) reviewed for medication labeling and storage. The B Hall medication cart contained two Fiasp flex pen insulins for Resident #116 with no pharmacy label. The B Hall medication cart contained one Novolin R flex pen insulin for Resident #23 with no pharmacy label. These failures could place residents at risk of receiving the wrong medications. Findings Included: Review of the electronic face sheet for Resident #116 revealed an admission date of 07/17/2024. Resident was an [AGE] year-old female with a diagnosis of diabetes, dementia, and irregular heartrate. [...]

Inspectors wroteBased on observation, interview and record review the facility failed to adequately provide a communication system that would relay a call directly to staff or a centralized staff work are for 1(Resident #20) of 16 residents reviewed for resident call system. The facility failed to provide a working communication system, that was easily at reach, that would allow Resident #20 the ability to safely call for staff for assistance. This failure could place residents at risk of not having a means of directly contacting caregivers in an emergency or when they need support for daily living.