| General |
| City |
| Mandeville |
Shreveport |
| State attribute explanation |
| La |
La |
| Street |
| 1820 W. Causeway Approach |
3050 Baird Road |
| Zip Code |
| 70,471 |
71,118 |
| Phone |
| 9,856,264,798 |
3,186,881,010 |
|
Overall Star Rating |
| 2 |
2 |
|
Health Inspections Star Rating |
| 3 |
2 |
|
Nurse Staffing Star Rating |
| 1 |
1 |
|
Quality Measures Star Rating |
| 4 |
5 |
|
RN Only Star Rating |
| 1 |
1 |
|
Number of Certified Beds |
| 145 |
146 |
|
Total Number of Residents |
| 130 |
138 |
|
Percent of Occupied Beds |
| 90 % |
95 % |
| Health Survey Date |
| 10/28/2011 |
9/15/2011 |
| Fire Survey Date |
| 10/28/2011 |
9/15/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Individual |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Both |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 14 |
10 |
|
| Staff Information |
| Number of Residents |
| 130 |
141 |
| Number of RN Hours Per Resident Per Day |
| 0.39 |
0.42 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.84 |
0.65 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.23 |
1.08 |
| Number of CNA Hours Per Resident Per Day |
| 0.04 |
0.07 |
| Number Therapy Hours Per Resident Per Day |
| 0.04 |
0.07 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 04/06/2011date Of Correction: 05/21/2011 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 05/04/2009date Of Correction: 06/18/2009 |
|
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 1deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 06/10/2010date Of Correction: Not Available |
Scope: Fewlevel Of Harm: 4deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 11/03/2011date Of Correction: 11/30/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 10/02/2009date Of Correction: 10/15/2009 |
Scope: Fewlevel Of Harm: 4deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 11/03/2011date Of Correction: 11/30/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 06/15/2010date Of Correction: 07/30/2010 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 05/04/2009date Of Correction: 06/18/2009 |
Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 11/03/2011date Of Correction: 11/30/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.survey Date: 11/03/2011date Of Correction: 11/30/2011 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 06/10/2010date Of Correction: 07/25/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.survey Date: 02/01/2012date Of Correction: 03/02/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 10/02/2009date Of Correction: 10/15/2009 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 08/06/2009date Of Correction: 09/20/2009 |
|
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 05/04/2009date Of Correction: 06/18/2009 |
|
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 04/06/2011date Of Correction: 05/21/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 02/01/2012date Of Correction: 03/02/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 04/06/2011date Of Correction: 05/21/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.survey Date: 11/03/2011date Of Correction: 11/30/2011 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 10/02/2009date Of Correction: 10/15/2009 |
|
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Hire A Qualified Full-time Social Worker In A Facility With More Than 120 Beds.survey Date: 06/10/2010date Of Correction: 07/25/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 06/15/2010date Of Correction: 07/30/2010 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Ensure That All Nurse Aids Who Have Worked Less Than 4 Months Are Enrolled In Appropriate Training Or Have Been Deemed Competent To Provide Nursing And Nursing Related Services.survey Date: 08/06/2009date Of Correction: 09/20/2009 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 07/29/2009date Of Correction: 08/14/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 31.9 % |
27.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
0.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 7.5 % |
4.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.7 % |
5 % |
| Percent of long-stay residents who lose too much weight |
| 3.4 % |
5.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 71.4 % |
76.8 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.2 % |
2.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.2 % |
5.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 7 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 0.8 % |
0.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 75.2 % |
2.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 100 % |
100 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
100 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 9.2 % |
2.5 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 32.1 % |
28 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.4 % |
0.7 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 9 % |
3.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.3 % |
5.6:1 |
| Percent of long-stay residents who lose too much weight |
| 3.4 % |
5.4 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 37.1 % |
71.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.1 % |
1.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.2 % |
8.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.5 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 1.4 % |
2.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 9.2 % |
3.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 8.2 % |
11.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 98.5 % |
98.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
99 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 19.6 % |
11.4 % |