Inspection Reports for
Chateau D’ville Rehab and Retirement
401 VATICAN DRIVE, DONALDSONVILLE, LA, 70346
Back to Facility Profile5 Reports
Inspection Report — Feb 12, 2025
Routine CMS
Date: Feb 12, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to Medicare/Medicaid coverage notices, medication storage, infection control, environmental safety, and general facility conditions.
Findings
The facility failed to ensure residents received proper notice of Medicare Part A service termination, stored expired medications properly, maintained cleanliness around dumpsters and parking lots, ensured hand hygiene among staff, covered linen carts, and promptly repaired a loose toilet fixture.
Deficiencies (5)
F 0582: The facility failed to ensure the Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage Form CMS-10055 was given, explained, and signed by residents or responsible parties prior to termination of Medicare Part A services for 3 sampled residents.
F 0761: The facility failed to ensure expired medications were not available for resident use on Treatment Cart A, including a bottle of New Skin liquid bandage and two tubes of Thera Honey gel.
F 0814: The facility failed to prevent discarded waste and personal protective equipment from accumulating around Dumpster C.
F 0880: The facility failed to ensure staff performed hand hygiene while passing ice and failed to keep two of three hallway linen carts covered.
F 0921: The facility failed to promptly repair a loose toilet fixture in Resident #62's bathroom and prevent discarded PPE gloves from accumulating in the parking lot.
Report Facts
Residents reviewed for termination of Medicare Part A services: 3
Expired medications found: 3
Linen carts observed: 3
Residents sampled for environment: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S3 Regional Administrator | Indicated CMS-10055 form should have been signed prior to Medicare Part A termination | |
| S7 Treatment Nurse | Confirmed expired medications were available for resident use | |
| S2 Director of Nursing | Confirmed expired medications should not have been stored and staff should perform hand hygiene | |
| S1 Administrator | Confirmed findings related to discarded PPE gloves around dumpster and parking lot | |
| S4 Maintenance Director | Indicated Resident #62's bathroom toilet base was loose and needed repair | |
| S5 Regional Administrator | Indicated Resident #62's bathroom toilet needed repair | |
| S6 Certified Nursing Assistant (CNA) | Observed not performing hand hygiene while passing ice |
Inspection Report — Feb 29, 2024
Routine CMS
Date: Feb 29, 2024
Visit Reason
Routine inspection survey conducted to assess compliance with regulatory requirements for nursing home care, including resident rights, PASARR evaluations, fall prevention, catheter care, food safety, infection control, and wound care.
Findings
The facility was found deficient in multiple areas including failure to treat residents with dignity during dining, failure to complete required PASARR evaluations, inadequate fall prevention interventions, improper catheter care, unsafe food handling practices resulting in immediate jeopardy, and lapses in infection prevention and control practices.
Deficiencies (6)
F 0550: The facility failed to ensure residents were treated with respect and dignity during dining for 2 of 6 residents observed.
F 0644: The facility failed to ensure a resident with a new diagnosis of Major Depressive Disorder was referred for a PASARR Level II evaluation as required.
F 0689: The facility failed to ensure residents received appropriate interventions to decrease the risk of falls for 2 of 3 residents reviewed for falls.
F 0690: The facility failed to handle a resident's catheter bag and provide catheter care in a manner to prevent urinary tract infections for 1 resident observed.
F 0812: The facility failed to prepare food safely by thawing chicken improperly and serving it, resulting in an Immediate Jeopardy to resident health or safety affecting many residents.
F 0880: The facility failed to maintain an infection prevention and control program, including failure to perform hand hygiene during feeding, medication administration, catheter care, and wound care for multiple residents.
Report Facts
Residents affected: 2
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: 76
Residents affected: 4
Medication dosage: 600
Fall risk score: 13
Fall risk score: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S3 Assistant Director of Nursing | Assistant Director of Nursing | Interviewed regarding dignity during dining and hand hygiene |
| S1 Director of Nursing | Director of Nursing | Interviewed regarding dignity during dining, fall prevention, catheter care, and hand hygiene |
| S2 Director of Nursing | Director of Nursing | Interviewed regarding catheter care and medication administration deficiencies |
| S4 Dietary Manager | Dietary Manager | Interviewed regarding improper food thawing and preparation |
| S6 Social Services | Social Services | Interviewed regarding PASARR evaluation deficiency |
| S7 Certified Nurse Aide | Certified Nurse Aide | Observed and interviewed regarding failure to perform hand hygiene during feeding |
| S9 Certified Nurse Aide | Certified Nurse Aide | Observed and interviewed regarding failure to perform hand hygiene during feeding |
| S18 Certified Nurse Aide | Certified Nurse Aide | Observed and interviewed regarding catheter care and hand hygiene |
| S20 Licensed Practical Nurse | Licensed Practical Nurse | Observed and interviewed regarding medication administration and hand hygiene |
| S14 Treatment Nurse | Treatment Nurse | Observed and interviewed regarding wound care and hand hygiene |
Inspection Report — Nov 15, 2023
Complaint Investigation CMS
Date: Nov 15, 2023
Visit Reason
The inspection was conducted due to complaints and allegations of resident-to-resident physical abuse and failure to protect residents from abuse at Chateau D'Ville Rehab and Retirement.
Complaint Details
The complaint investigation focused on multiple incidents of resident-to-resident physical abuse involving Residents #1, #2, #3, and #4. The facility failed to notify physicians immediately, protect residents during investigations, implement abuse prevention policies, timely report abuse to authorities, and obtain physician orders for resident transfers.
Findings
The facility failed to immediately notify physicians of resident-to-resident physical abuse incidents for multiple residents and failed to protect residents from abuse. The facility also failed to implement policies to prevent abuse, failed to timely report suspected abuse to authorities, and failed to obtain a physician's order prior to transferring a resident to an inpatient psychiatric hospital.
Deficiencies (6)
F 0580: The facility failed to immediately notify a resident's physician following incidents of resident-to-resident physical abuse for 3 of 4 sampled residents investigated for abuse.
F 0600: The facility failed to protect residents from resident-to-resident physical abuse for 3 of 3 sampled residents investigated for abuse.
F 0607: The facility failed to implement policies and procedures to prevent abuse by failing to ensure residents were protected after an allegation of physical abuse for 1 of 4 sampled residents.
F 0609: The facility failed to timely report suspected abuse within 2 hours to the State Survey Agency for 3 of 4 sampled residents reviewed for abuse.
F 0658: The facility failed to obtain a physician's order prior to transferring a resident to an inpatient psychiatric hospital for 1 of 4 sampled residents investigated for abuse.
F 0842: The facility failed to ensure staff did not transcribe an order that was not obtained from a physician for 1 of 4 sampled residents investigated for abuse.
Report Facts
Residents investigated for abuse: 4
Physical altercations documented: 3
Time delay in reporting: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S2 Director of Nursing | Director of Nursing | Confirmed failures in timely notification and abuse prevention policies. |
| S5 Weekend Supervisor | Weekend Supervisor | Involved in documenting abuse incidents and failed to notify DON immediately. |
| S6 Licensed Practical Nurse | Licensed Practical Nurse | Documented incidents and confirmed no physician order for resident transfer. |
| S1 Administrator | Administrator | Confirmed abuse incidents and facility responsibilities. |
| S7 Charge Nurse | Charge Nurse | Notified Resident #3's physician of abuse incident late. |
| S4 Social Services | Social Services | Interviewed residents and confirmed abuse incidents. |
Inspection Report — Mar 1, 2023
Complaint Investigation CMS
Date: Mar 1, 2023
Visit Reason
The inspection was conducted due to a complaint regarding the facility's failure to timely report and thoroughly investigate an injury of unknown origin sustained by Resident #286.
Complaint Details
The complaint involved Resident #286 who sustained a right femoral neck fracture of unknown origin. The facility failed to report the injury within two hours and did not conduct a thorough investigation or timely staff in-service training. The investigation focused on pain and did not rule out abuse or neglect. Interviews and documentation were inadequate.
Findings
The facility failed to timely report an injury of unknown origin resulting in serious bodily injury and did not conduct a thorough investigation. Additionally, in-service training for staff was not conducted timely or comprehensively following the incident.
Deficiencies (2)
F 0609: The facility failed to timely report suspected abuse, neglect, or injury of unknown origin to the proper authorities within the required timeframe.
F 0610: The facility failed to conduct a thorough investigation of an injury of unknown origin and did not provide timely in-service training to all staff to prevent further incidents.
Report Facts
Residents reviewed for accidents: 4
In-service training attendance: 17
In-service training attendance: 5
In-service training attendance: 8
In-service training attendance: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S1 Administrator | Administrator | Stated the injury report should have been entered within two hours and the investigation was focused on pain. |
| S2 Director Of Nursing | Director Of Nursing | Stated lack of documented interviews and incomplete staff in-service compliance. |
| S9 CNA | Certified Nursing Assistant | Reported Resident #286 yelled with pain and was involved in the incident; stated she was in-serviced later but not immediately. |
| S11 Social Services Director | Social Services Director | Did not interview resident or staff related to the incident. |
| S6 Corporate Nurse | Corporate Nurse | Contacted x-ray company for re-read and stated investigation lacked adequate documentation. |
| S12 LPN | Licensed Practical Nurse | Stated she was not immediately in-serviced on abuse and neglect after the incident. |
| S13 Regional Administrator | Regional Administrator | Stated the facility should have investigated the injury as unknown origin and started education immediately. |
Inspection Report — Mar 1, 2023
Annual Inspection CMS
Date: Mar 1, 2023
Visit Reason
The inspection was conducted as a routine annual survey to assess compliance with regulatory standards in the nursing home.
Findings
The facility was found deficient in providing adequate assistance with activities of daily living, proper food storage and sanitation, and proper garbage disposal. Multiple observations and interviews confirmed failures in nail care for a dependent resident, food contamination risks in the kitchen, and improper garbage containment.
Deficiencies (3)
F 0677: The facility failed to ensure a resident dependent on staff for nail care received assistance to keep fingernails clean and trimmed as required by the care plan.
F 0812: The facility failed to ensure proper storage of dry food to prevent cross contamination, cleanliness of food storage containers, and sanitary storage of dishware used for meal service.
F 0814: The facility failed to ensure garbage was properly contained in dumpsters, with multiple large plastic bags left on the ground and dumpsters left open.
Report Facts
Residents reviewed for ADLs: 21
Residents affected by food storage deficiency: 76
Residents affected by garbage disposal deficiency: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S3CNA (Certified Nursing Assistant) | Confirmed Resident #1 relied on staff for ADLs and nail care was supposed to be done during shower | |
| S4CNA Supervisor | Confirmed responsibility for nail care and observed Resident #1's fingernails condition | |
| S7Dietary Manager | Confirmed food storage and sanitation issues in kitchen | |
| S1Administrator | Confirmed food storage and garbage disposal deficiencies |
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