Inspection Reports for
Good Samaritan Living Center
605 HILLTOP AVENUE, FRANKLINTON, LA, 70438
Back to Facility Profile5 Reports
Inspection Report — Jan 7, 2026
Plan of Correction CMS
Date: Jan 7, 2026
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to accurate resident assessments, specifically focusing on the accuracy of the Minimum Data Set coding for residents.
Findings
The facility failed to ensure that Resident #3's Minimum Data Set accurately reflected a recent Urinary Tract Infection diagnosis. The Significant Change Minimum Data Set completed on 10/31/2025 did not correctly code the resident's Urinary Tract Infection within the last 30 days.
Deficiencies (1)
F 0641: The facility failed to ensure Resident #3's Minimum Data Set accurately reflected a Urinary Tract Infection within the last 30 days. The Significant Change Minimum Data Set dated 10/31/2025 was not coded correctly for this condition.
Report Facts
Residents in sample: 5
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S2LPN | Interviewed and confirmed Resident #3's diagnosis and Minimum Data Set coding issue | |
| S1DON | Interviewed and confirmed expectation for accurate Minimum Data Set coding |
Inspection Report — May 14, 2025
Annual Inspection CMS
Date: May 14, 2025
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements and professional standards in the nursing facility.
Findings
The facility was found to have minimal harm deficiencies related to inconsistent documentation of residents' code status, inaccurate transcription and administration of physician medication orders, and improper labeling and storage of food in unit refrigerators.
Deficiencies (3)
F 0578: The facility failed to ensure all medical records regarding Resident #14's code status reflected the resident's wishes, with conflicting Full Code and DNR stickers on physical charts.
F 0658: The facility failed to transcribe physician's medication orders accurately for Resident #2 and failed to follow physician orders for Resident #9, including incorrect IV antibiotic infusion rate and administering medications via PEG tube instead of by mouth.
F 0812: The facility failed to store food under sanitary conditions by not properly labeling and dating food items stored in residents' unit refrigerators, potentially affecting 40 residents.
Report Facts
Residents reviewed for advanced directives: 16
Residents affected by code status deficiency: 1
Residents reviewed for medication administration: 5
Residents reviewed for following physician orders: 12
Residents affected by medication deficiencies: 2
Residents potentially affected by food storage deficiency: 40
Inspection Report — Apr 11, 2024
Routine CMS
Date: Apr 11, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to staffing qualifications, menu accommodations, and infection prevention and control practices at the nursing facility.
Findings
The facility failed to employ a certified dietary manager, did not consistently honor resident dietary preferences, and failed to maintain proper infection control practices including PPE use and hand hygiene during medication administration.
Deficiencies (3)
F 0801: The facility failed to employ staff with appropriate competencies and skills for the food and nutrition service by not having a certified dietary manager on staff. The food service management and safety certification of the dietary manager expired on 08/29/2023.
F 0803: The facility failed to ensure menus met residents' personal dietary choices for 1 of 16 sampled residents. Resident #15 was repeatedly served rice despite documented dislikes and preferences for mashed potatoes.
F 0880: The facility failed to maintain an infection prevention and control program by not ensuring staff wore proper PPE when providing care to a resident on Enhanced Barrier Precautions and by failing to perform appropriate hand hygiene during medication administration to multiple residents.
Report Facts
Residents sampled: 16
Residents affected: 1
Residents observed during medication pass: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S7DM | Dietary manager with expired food service management and safety certification | |
| S1ADM | Administrator interviewed regarding expired certification and food preference issues | |
| S9CNA | Certified nursing assistant who did not offer substitute food to Resident #15 | |
| S6CNA | Certified nursing assistant who failed to wear gown during transfer of Resident #15 on Enhanced Barrier Precautions | |
| S4LPN | Licensed practical nurse observed not performing hand hygiene during medication administration | |
| S3ADON | Assistant director of nursing who confirmed PPE requirements for Resident #15 | |
| S2DON | Director of nursing who confirmed PPE and hand hygiene expectations |
Inspection Report — Nov 9, 2023
Complaint Investigation CMS
Date: Nov 9, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding failure to notify the physician of a significant change in condition for Resident #1 after a fall with head injury, resulting in immediate jeopardy to resident health or safety.
Complaint Details
The investigation was triggered by a complaint regarding failure to notify the physician of Resident #1's significant change in condition after a fall with head injury. The complaint was substantiated, and immediate jeopardy was identified and later removed after corrective actions.
Findings
The facility failed to ensure Resident #1's significant change in condition was communicated to the physician after a fall with head injury. Nursing staff documented increased confusion but did not notify the physician or implement interventions. Resident #1 suffered a large acute on chronic subdural hematoma and expired. The facility's policies on change in condition notification and fall protocols were not followed.
Deficiencies (3)
F580: The facility failed to notify the physician of Resident #1's significant change in condition after a fall with head injury, resulting in immediate jeopardy to resident health or safety.
F600: The facility failed to protect Resident #1 from neglect by not identifying, intervening, or communicating the change in condition after a fall with head injury, resulting in immediate jeopardy.
F835: The facility failed to administer resources effectively to ensure nursing staff identified, intervened, and communicated Resident #1's change in condition, resulting in immediate jeopardy.
Report Facts
Residents affected: 1
Residents at potential risk: 38
Date of survey completion: Nov 9, 2023
Inspection Report — Apr 6, 2023
Complaint Investigation CMS
Date: Apr 6, 2023
Visit Reason
The inspection was conducted following a complaint regarding unsafe transportation practices involving a resident who was not properly secured in a wheelchair during transport in the facility's van.
Complaint Details
The complaint investigation was substantiated based on interviews and record reviews confirming that Resident #8 was not properly secured during transport, leading to an accident. The facility took corrective actions prior to the State Agency's investigation.
Findings
The facility failed to ensure residents were free from accident hazards during transportation, specifically failing to secure a resident safely in a motorized wheelchair in the transport van. Additionally, the facility failed to properly sanitize dishes in the kitchen, risking food safety for 41 residents.
Deficiencies (2)
F 0689: The facility failed to ensure Resident #8 was properly secured in his motorized wheelchair during transport, resulting in the resident sliding out and sustaining a skin tear. The facility replaced the soft belt with the manufacturer's seatbelt and educated staff on proper securement.
F 0812: The facility failed to properly sanitize dishes using the three-compartment sink, as sanitizer was dispensed into the rinse sink instead of the sanitizer sink, risking contamination of dishes served to 41 residents.
Report Facts
Residents affected: 1
Residents affected: 41
Incident date: Mar 23, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S2DON | Director of Nursing interviewed regarding transportation incident | |
| S4LPN | Licensed Practical Nurse assigned to Resident #8 on incident day | |
| S6NT | Transport van driver involved in incident | |
| S7NT | Staff who responded to incident scene | |
| S8FSS | Food service staff who observed sanitizing process | |
| S9DC | Employee responsible for hand washing dishes |
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