Inspection Reports for
Claiborne Rehabilitation
6942 HIGHWAY 79, HOMER, LA, 71040
Back to Facility Profile5 Reports
Inspection Report — Sep 17, 2025
Annual Inspection CMS
Date: Sep 17, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident rights, medication administration, pharmaceutical services, and notification procedures during resident transfers.
Findings
The facility failed to provide required written notice of bed hold agreements to residents or their responsible parties at the time of transfer, did not verify feeding tube placement before medication administration, and had expired medications readily available for resident use.
Deficiencies (3)
F 0628: The facility failed to provide written notice to residents or responsible parties of the bed hold agreement at the time of transfer and failed to update the emergency transfer log for certain resident transfers.
F 0658: The facility failed to ensure professional standards of quality during medication administration by not verifying feeding tube placement and residual before administering medication via a peg tube.
F 0755: The facility failed to provide current pharmaceutical services by having expired medications and supplies readily available for resident use in medication storage areas and carts.
Report Facts
Expired medication bottles: 3
Expired medication bottles: 9
Expired medication bottles: 2
Expired medication packets: 144
Expired medication bottles: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S3 Business Office Manager | Business Office Manager | Reported failure to send bed hold agreement notifications at time of transfer |
| S2 Corporate Nurse | Corporate Nurse | Reported bed hold notifications were not being sent at time of transfer |
| S1 Administrator | Administrator | Confirmed missing entries in emergency transfer log |
| S6 RN | Registered Nurse | Confirmed failure to check feeding tube placement and residual before medication administration |
| S4 DON | Director Of Nursing | Confirmed expired medications were available for use in medication storage room A |
| S5 LPN | Licensed Practical Nurse | Confirmed expired medication was available in medication cart A |
Inspection Report — Sep 5, 2024
Routine CMS
Date: Sep 5, 2024
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident care, including the use of physical restraints, advance directives, bed rail safety, and infection prevention and control.
Findings
The facility failed to ensure proper use and documentation of physical restraints, including lack of physician orders and assessments for lap trays and bed rails. Additionally, residents' advance directives were inconsistently documented, and the infection prevention program failed to implement enhanced barrier precautions properly, risking transmission of infections.
Deficiencies (4)
F0604: The facility failed to ensure a resident's right to be free from physical restraints without proper physician orders, consent, specific reasons, and assessments for the use of a lap tray restraint.
F0678: The facility failed to ensure residents' medical records reflected consistent advance directive wishes across profile pages, physician orders, medication records, care plans, and LaPost forms.
F0700: The facility failed to assess, care plan, and obtain physician orders for bed rails prior to installation for multiple residents, risking safety and entrapment.
F0880: The facility failed to maintain an infection prevention program by not implementing Enhanced Barrier Precautions, including lack of PPE use, signage, and staff compliance, potentially affecting all 46 residents.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 4
Residents affected: 46
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S2 DON | Director of Nursing | Acknowledged lack of orders, care plans, and assessments for lap tray and bed rails |
| S1 Corporate Nurse | Corporate Nurse | Confirmed lap tray as restraint and lack of PPE/signage for infection control |
| S3 CNA | Certified Nursing Assistant | Reported lap tray use during meals and sometimes left on longer |
| S4 LPN | Licensed Practical Nurse | Acknowledged resident bed rail use without physician orders and PPE noncompliance |
| S5 RN | Registered Nurse | Reported resident bed rail use for repositioning and transfers |
| S6 CNA | Certified Nursing Assistant | Reported resident bed rail use for bed mobility and transfers |
| S7 CNA | Certified Nursing Assistant | Observed exiting resident room with dirty linens and no PPE |
| S8 Medical Records | Medical Records Staff | Confirmed lack of appropriate signage for residents requiring Enhanced Barrier Precautions |
Inspection Report — Dec 28, 2023
Complaint Investigation CMS
Date: Dec 28, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to timely report a resident's elopement and to ensure adequate supervision to prevent elopement of a high-risk resident.
Complaint Details
The complaint investigation substantiated that the facility failed to report a resident's elopement within 24 hours and failed to provide adequate supervision to prevent elopement, resulting in an Immediate Jeopardy situation. The resident was found injured offsite and required emergency medical treatment.
Findings
The facility failed to report a resident's elopement to the State Survey Agency within 24 hours as required by state law. Additionally, the facility failed to provide adequate supervision to prevent a cognitively impaired resident at high risk for elopement from leaving the secured unit, resulting in an Immediate Jeopardy situation. The resident was found injured offsite and required emergency medical care. The facility lacked monitoring systems and documentation prior to the survey team's entry.
Deficiencies (3)
F0609: The facility failed to timely report suspected abuse, neglect, or theft, specifically failing to report a resident's elopement to the State Survey Agency within 24 hours as required by state law.
F0689: The facility failed to ensure adequate supervision to prevent a high-risk resident from eloping, resulting in an Immediate Jeopardy situation when the resident eloped and sustained injuries offsite.
F0835: The facility failed to administer resources effectively and efficiently by lacking an adequate system to supervise and prevent elopement of a high-risk resident, contributing to the Immediate Jeopardy situation.
Report Facts
Residents affected: 1
Residents affected: 2
Date of elopement incident: Dec 18, 2023
Date Immediate Jeopardy removed: Dec 27, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S1 Administrator | Administrator | Interviewed regarding failure to report elopement and lack of monitoring documentation. |
| S2 DON | Director of Nursing | Interviewed about supervision policies and resident placement. |
| S4 CNA | Certified Nursing Assistant | Reported leaving Resident #1 unattended at nurse's station prior to elopement. |
| S5 ADON | Assistant Director of Nursing | Interviewed about supervision of Resident #1 during elopement incident. |
| S6 MDS Coordinator | MDS Coordinator | Interviewed regarding resident risk and supervision. |
| S7 CNA | Certified Nursing Assistant | Confirmed Resident #1 was at risk for elopement and required constant supervision. |
| S9 LPN | Licensed Practical Nurse | Confirmed Resident #1 lived on locked unit due to high elopement risk. |
| S10 Maintenance Director | Maintenance Director | Reported on camera and door lock monitoring systems. |
Inspection Report — Sep 20, 2023
Annual Inspection CMS
Date: Sep 20, 2023
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in multiple areas including failure to complete required MDS assessments after resident discharge and readmission, incomplete significant change assessments, inconsistent and conflicting code status documentation, failure to provide ordered wound care treatments, inadequate infection control practices during meal service, and failure to maintain patient care equipment in safe operating condition.
Deficiencies (6)
F0636: The facility failed to ensure a Discharge MDS Assessment and a readmission MDS Assessment were completed after a resident was discharged and readmitted.
F0637: The facility failed to complete a Significant Change in Status MDS Assessment within 14 days after a resident sustained a right hip fracture and declined in ADLs.
F0678: The facility failed to ensure a resident's code status was correct, with conflicting DNR and CPR orders and no physician order for code status.
F0684: The facility failed to provide wound care as ordered for two residents, including missed treatments and incomplete documentation.
F0880: The facility failed to maintain an effective infection prevention program by not ensuring staff performed hand hygiene between serving residents' meals.
F0908: The facility failed to maintain patient care equipment in safe operating condition, including broken wheelchair arm rests, unsecured arm trays, and broken gerichair brakes.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 46
Residents affected: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S3 LPN | Assistant Director of Nursing | Acknowledged missing MDS assessments and equipment issues |
| S4 MDS Nurse | MDS Nurse | Reported missing Discharge and Readmission MDS assessments |
| S9 LPN | Licensed Practical Nurse | Noted confusion over conflicting code status documents |
| S2 Assistant Administrator | Assistant Administrator | Verified code status errors and wound care omissions |
| S6 CNA | Certified Nursing Assistant | Observed not performing hand hygiene between serving residents |
| S7 Maintenance | Maintenance Staff | Confirmed broken equipment and lack of repair requests documentation |
| S5 LPN | Licensed Practical Nurse | Reported equipment issues with wheelchair arm tray and Geri-Chair brakes |
Inspection Report — Jul 11, 2023
Complaint Investigation CMS
Date: Jul 11, 2023
Visit Reason
The inspection was conducted based on complaints regarding resident grievances and failure to assess fall risks for certain residents.
Complaint Details
The complaint investigation found substantiated issues including failure to document and report a resident grievance and failure to complete required fall risk assessments, leading to multiple falls and injuries.
Findings
The facility failed to document and report a resident's grievance about staff behavior and failed to complete fall risk assessments for multiple residents, resulting in several falls and injuries.
Deficiencies (2)
F 0585: The facility failed to resolve grievances for 1 of 5 residents reviewed and did not document or report the grievance to administration.
F 0689: The facility failed to assess and identify fall risks for 3 of 5 residents, resulting in multiple falls and injuries including skin tears and head injury.
Report Facts
Residents reviewed for grievances: 5
Residents with unresolved grievances: 1
Residents reviewed for fall risk: 5
Residents with failed fall risk assessment: 3
Fall incidents for Resident #1: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S3 CNA Supervisor | Certified Nursing Assistant Supervisor | Named in grievance documentation failure and addressing CNA behavior |
| S2 Social Services | Social Services | Responsible for grievances and acknowledged failure to be notified of complaint |
| S1 Administrator | Administrator | Reported that Director of Nursing should have completed Fall Risk Assessment |
| S4 DON | Director of Nursing | Reported resident's nurse should have completed Fall Risk Assessment |
Viewing
Loading inspection reports...
