Shreveport Manor Skilled Nursing & Rehabilitation

Inspectors wroteBased on record review and interview the facility failed to ensure a performance review was completed at least once every 12 months for 1 (S4 CNA [Certified Nursing Assistant]) of 2 CNA personnel files reviewed.

Inspectors wroteBased on record review, observations, and interviews the facility failed to accommodate the needs of 2 (#37 and #48) of 4 (#6, #37, #48, and #78) residents reviewed for environment. The facility failed to ensure the residents' call lights remained in reach.

Inspectors wroteBased on record reviews and interview the facility failed to ensure quarterly statements for residents' personal funds entrusted to the facility were provided for 1 (#41) of 1 resident reviewed for personal funds. The facility failed to provide quarterly statements to Resident #41.

Inspectors wroteBased on record reviews, observations and interviews the facility failed to ensure a resident that was cognitively impaired and at risk for falls had an environment free of accidents hazards for 1 (#48) of 2 (#31, #48) residents reviewed for accidents.

Inspectors wroteBased on record review, observations and interviews the facility failed to provide appropriate infection control practices for 1(#37) of 1 resident reviewed for urinary catheter/ UTI (Urinary Tract Infection). The facility failed to ensure a resident with a supra pubic catheter received the appropriate care and services to prevent urinary tract infections by failing to ensure (1) the suprapubic catheter was properly secured in a manner to promote drainage and (2) the catheter tubing and bag did not come in contact with the floor.

Inspectors wroteBased on record reviews and interview the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. The facility failed to ensure the low temperature dishwasher met wash cycle temperature recommendations. The deficient practice had the potential to affect the 70 residents who received meals from the kitchen as per S4 Housekeeping/Dietary Manager.

Inspectors wroteBased on record reviews, observations and interviews, the facility failed to ensure staff practices were consistent with current infection control principles and practices to prevent infection and cross contamination. The facility failed to ensure:(1) PPE (Personal Protective Equipment) was used during contact with contaminated medical equipment and hand hygiene performed, and(2) Proper cleaning and disinfection of medical equipment

Inspectors wroteBased on interviews and observations, the facility failed to post the correct telephone number of pertinent state agencies in a form and manner accessible and understandable to residents/resident representatives.

Inspectors wroteBased on record reviews and interviews, the facility failed to develop and implement an individualized care plan for 1 (#52) out of 29 total sampled residents reviewed. The facility failed to develop Resident #52's care plan for dependent assistance with activities of daily living (ADL) and refusal to wear socks and shoes.

Inspectors wroteBased on record review and interview the facility failed to ensure nurses had the appropriate competencies and skilled sets to provide nursing and related services necessary to care for resident's needs. The facility failed to ensure lab blood work had been completed as order for 1 (#1) of 3 (#1, #2 and #3) sample residents.

Inspectors wroteBased on record review, observation, and interviews the facility failed to accommodate the needs of 1 (#1) of 3 (#1, #2, and #3) sampled residents. The facility failed to ensure resident #1's call light was within reach.

Inspectors wroteBased on record review, observation and interview the facility failed to ensure 1 (#1) of 3 (#1, #2 and #3) sampled residents who were unable to carry out ADL (activities of daily living) received the necessary services to maintain good grooming and personal hygiene.

Inspectors wroteBased on record reviews, observations, and interviews the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene for 3 (#53, #57, #221) of 4 (#5, #53, #57, #221) residents reviewed for ADLs (activities of daily living). The facility failed to ensure nail care was provided.

Inspectors wroteBased on observations and interview the facility failed to ensure residents' environment remained free of accident hazards on the locked memory unit by failing to ensure all rooms had a door handle. This had the potential to effect 14 residents residing on the memory care unit.

Inspectors wroteBased on observations, record reviews and interview, the facility failed to provide residents necessary respiratory care and services in accordance with accepted professional standards of practice for 2 (#20, #67) of 2 (#20, #67) residents reviewed for respiratory services. The facility failed to ensure resident's hand held nebulizer (HHN) masks and tubing were dated and stored in a plastic bag.

Inspectors wroteBased on record review and interviews the facility failed to accurately submit mandatory direct care staffing information to Centers for Medicare & Medicaid Services (CMS) for Fiscal Year (FY) Quarter 2 2024 (January 1 - March 31).

Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure a resident was cared for with respect and dignity by failing to provide a privacy covering for a urinary catheter bag for 1 resident (#221) out of 4 (#35, #38, #42, #221) residents reviewed for dignity out of a total of 31 sampled residents.

Inspectors wroteBased on observations and interview the facility failed to accommodate the needs of 1 (#57) resident out of 4 (#20, #55, #57, #67) residents reviewed for environment. The facility failed to ensure resident #57's call device was within reach.

Inspectors wroteBased on observations and interview the facility failed to ensure the most current survey results were posted in a place readily accessible to the residents, family members or anyone to review.

Inspectors wroteBased on observations, record reviews and interviews the facility failed to ensure residents with limited range of motion receive appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion for 1 (#35) of 2 (#5, #35) residents reviewed for position and mobility. The facility failed to ensure Resident #35's splint was in place to treat a contracture.

Inspectors wroteBased on record review, observation, and interviews, the facility failed to maintain a clean, comfortable, homelike environment for 1 (#4) of 4 (#1, #2, #3, #4) sampled residents investigated for resident rights. This deficient practice had the potential to affect all the residents residing in the facility. The facility's census was 73.

Inspectors wroteBased on record review and interviews, the facility failed to ensure a resident's Physician/Physician's Representative and Responsible Party (RP) were notified after a fall for 1 (Resident #3) of 3 (Resident #1, #2, and #3) sampled residents.

Inspectors wroteBased on record review, video footage review, and interviews the facility failed to ensure the nursing staff possessed the competency to assess a resident after an unwitnessed fall and complete an internal report in a timely manner for 1 (Resident #3) of 3 (Resident #1, #2, and #3) sampled residents.

Inspectors wroteBased on record review, video footage review and interviews, the facility failed to ensure it operated and provided services in compliance with Federal, State, and local laws by not ensuring a resident's RP (Responsible Party) installed surveillance camera was not hampered with and/or obstructed for 1 (Resident #3) of 3 (Resident #1, #2, and #3) sampled residents.