Inspection Reports for
Heritage Manor of Opelousas
7941 I-49 SOUTH SERVICE ROAD, OPELOUSAS, LA, 70570
Back to Facility Profile8 Reports
Inspection Report — Sep 24, 2025
Complaint Investigation CMS
Date: Sep 24, 2025
Visit Reason
The inspection was conducted based on complaints regarding inadequate assistance with activities of daily living, ineffective pain management, and infection control issues related to linen storage.
Complaint Details
The investigation was triggered by complaints about inadequate assistance with activities of daily living, ineffective pain management, and infection control concerns. The complaints were substantiated with observations, record reviews, and interviews confirming the issues.
Findings
The facility failed to provide necessary oral hygiene care to a resident unable to perform ADLs, did not ensure timely physician response to pain management requests, and improperly stored clean linens in the soiled linen area, risking infection spread.
Deficiencies (3)
F 0677: The facility failed to ensure a resident unable to perform activities of daily living received necessary oral hygiene care, as evidenced by food particles and residue on the resident's teeth and the resident stating no teeth brushing occurred that day.
F 0710: The facility failed to ensure the resident's physician timely addressed pain medication requests, resulting in continued use of ineffective Tylenol despite resident complaints and family concerns.
F 0880: The facility failed to prevent infection risk by storing clean items such as chair cushions and boots in the soiled linen area of the laundry department, contrary to infection control policies.
Report Facts
Resident sample size: 38
Pain medication dosage: 1000
Pain rating: 9
Pain rating range: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding oral hygiene and pain management issues | |
| Licensed Practical Nurse | Contacted resident's physician office multiple times regarding pain management | |
| Housekeeping Supervisor | Interviewed about improper linen storage | |
| Assistant Director of Nursing/Infection Preventionist | Interviewed about infection control practices and linen storage |
Inspection Report — Jul 2, 2025
CMS
Date: Jul 2, 2025
Visit Reason
The inspection was conducted to assess compliance with care plan implementation and medication administration for sampled residents.
Findings
The facility failed to follow the plan of care for one resident by missing four doses of prescribed Lotrisone cream during the inspection period.
Deficiencies (1)
F0656: The facility failed to develop and implement a complete care plan that meets all the resident's needs, with measurable timetables and actions. Resident #1 missed four doses of Lotrisone cream as ordered.
Report Facts
Missed medication doses: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S1DON | Interviewed and confirmed missed doses of medication for Resident #1. |
Inspection Report — Oct 30, 2024
Complaint Investigation CMS
Date: Oct 30, 2024
Visit Reason
The investigation was conducted due to a complaint regarding inadequate supervision of a cognitively impaired resident during facility transportation, which resulted in the resident falling from a wheelchair and sustaining a severe head injury.
Complaint Details
The complaint investigation substantiated that Resident #2, who was cognitively impaired, was left unattended during transportation, resulting in a fall and severe head injury. The facility corrected the noncompliance and was in substantial compliance by 10/09/2024.
Findings
The facility failed to ensure adequate supervision of Resident #2 during transportation, leading to a fall and severe head injury. Immediate corrective actions were implemented, including suspension of the driver, re-education of staff, and changes to transportation procedures. The facility was found to be in substantial compliance by 10/09/2024.
Deficiencies (1)
F0689: The facility failed to ensure a nursing home area was free from accident hazards and provided adequate supervision to prevent accidents, resulting in an immediate jeopardy to resident health or safety when Resident #2 was left unattended in a wheelchair and fell, sustaining severe head injuries.
Report Facts
Residents affected: 3
Date of fall incident: Oct 8, 2024
Suspension duration: 7
ICU stay duration: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S1DON | Director of Nursing | Interviewed regarding the incident and corrective actions |
| S2D | Driver who left Resident #2 unattended leading to fall |
Inspection Report — Aug 28, 2024
Routine CMS
Date: Aug 28, 2024
Visit Reason
Routine inspection of Heritage Manor of Opelousas nursing home to assess compliance with regulatory requirements including resident care, infection control, medication management, and care planning.
Findings
The facility had multiple deficiencies including failure to provide quarterly financial statements, inadequate cleanliness of resident equipment, untimely and inaccurate resident assessments, incomplete care plans, failure to provide oral care and pain management, improper medication administration practices, unsafe medication storage, failure to follow dietary recipes, lack of hospice coordination, and breaches in infection prevention and control practices.
Deficiencies (14)
F 0568: Facility failed to provide quarterly financial statements to Resident #5 for personal funds as required by policy.
F 0584: Facility failed to ensure cleanliness of Resident #33's wheelchair, which was observed with food residue.
F 0640: Facility failed to complete and transmit Resident #82's discharge MDS assessment within 7 days.
F 0641: Facility failed to accurately complete Resident #56's MDS by incorrectly coding bed rails as restraints without physician order.
F 0656: Facility failed to develop and implement comprehensive care plans for Residents #36, #76, and #105 addressing heel protectors, weight loss, and urinary catheter/UTI respectively.
F 0657: Facility failed to facilitate Resident #5's and representative's participation in care planning and failed to conduct quarterly care plan meetings.
F 0676: Facility failed to provide oral care to Resident #64 as required by care plan and resident report.
F 0695: Facility failed to provide safe respiratory care for Residents #31 and #54 by improper storage and cleaning of nebulizer and BiPAP masks.
F 0697: Facility failed to provide appropriate pain management to Resident #64 who reported pain but did not receive ordered Tylenol.
F 0726: Facility failed to ensure nursing staff competency demonstrated by unsafe insulin pen use on Resident #61 and improper application of bed bolsters for Resident #78.
F 0761: Facility failed to properly store medications as evidenced by loose pills found in medication carts A, B, and C.
F 0805: Facility failed to follow recipe for pureed steamed rice, resulting in improper consistency for 8 residents receiving pureed diets.
F 0849: Facility failed to coordinate hospice care for Resident #99 by not obtaining current hospice certification and nurse visit documentation.
F 0880: Facility failed infection prevention and control by improper use of insulin pens, inadequate cleaning of glucometers, failure to wear PPE for Enhanced Barrier Precautions, improper PPE storage, and failure to wear gown during wound care and high contact activities.
Report Facts
Residents affected: 107
Medication carts with loose pills: 3
Residents sampled: 39
Residents affected by pureed diet deficiency: 8
Units of Novolog Flexpen administered incorrectly: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S27LPN | Licensed Practical Nurse | Administered Resident #6's insulin pen to Resident #61; failed to disinfect glucometer after use |
| S2DON | Director of Nursing | Interviewed regarding insulin pen misuse and infection control practices |
| S3ICP | Infection Control Preventionist | Interviewed regarding infection control deficiencies and PPE use |
| S14AA | Administrative Assistant | Unable to provide evidence of quarterly financial statements given to Resident #5 |
| S15AM | Accounts Manager | Confirmed lack of documentation for financial statements issued to Resident #5 |
| S16SS | Social Services | Failed to provide evidence of quarterly care plan meetings for Resident #5 |
| S7LPN | Licensed Practical Nurse | Failed to administer Tylenol for Resident #64's pain as ordered |
| S21CNA | Certified Nursing Assistant | Confirmed Resident #36 was not wearing bilateral heel protectors as care planned |
| S17AN | Assessment Nurse | Confirmed care plan deficiencies for Residents #76 and #105 and oral care responsibility for Resident #64 |
| S13CNA | Certified Nursing Assistant | Failed to wear gloves and sanitize hands when assisting Resident #44 on Enhanced Barrier Precautions |
| S23CNA | Certified Nursing Assistant | Failed to wear gown during wound care and brief change for Resident #72 on Enhanced Barrier Precautions |
Inspection Report — Jun 25, 2024
Complaint Investigation CMS
Date: Jun 25, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding a resident fall incident in the bathroom where staff allegedly failed to provide adequate supervision.
Complaint Details
The complaint investigation was substantiated. The resident fell on 06/14/2024 in the bathroom after a CNA left her alone despite the resident being a high fall risk. Multiple staff interviews confirmed the resident was left unattended, contrary to facility policy.
Findings
The facility failed to ensure staff followed policy to prevent accidents for one resident at high risk for falls. The resident fell in the bathroom after being left alone by staff, resulting in a hematoma to the left temple.
Deficiencies (1)
F 0689: The facility failed to ensure the nursing home area was free from accident hazards and did not provide adequate supervision to prevent accidents for a high fall-risk resident who fell in the bathroom when left alone by staff.
Report Facts
Resident falls: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S3ADON | Assistant Director of Nursing | Conducted incident investigation and provided statements about the fall |
| S4LPN | Licensed Practical Nurse | Witnessed resident fall and confirmed CNA left resident alone |
| S5CNA | Certified Nursing Assistant | Brought resident to bathroom and left resident alone, involved in fall incident |
| S6MDS | Minimum Data Set Coordinator | Assessed resident as high risk for falls |
| S1Admin | Administrator | Confirmed resident's fall risk and policy requirements |
| S2DON | Director of Nursing | Confirmed resident's fall risk and policy requirements |
Inspection Report — May 8, 2024
Complaint Investigation CMS
Date: May 8, 2024
Visit Reason
The inspection was conducted due to a complaint regarding the facility's failure to timely report an injury of unknown origin sustained by a resident.
Complaint Details
The complaint investigation found that the nursing staff failed to notify the Administrator immediately about a resident's injury of unknown origin. The injury was discovered on 04/15/2024 but was not reported to administration until 04/16/2024 by the resident's responsible party.
Findings
The facility failed to ensure nursing staff immediately notified the Administrator of an injury of unknown origin for one resident. The injury was discovered on 04/15/2024 but was not reported to administration until the next day by the resident's responsible party.
Deficiencies (1)
F 0609: The facility failed to timely report suspected abuse, neglect, or injury of unknown origin to proper authorities as required by policy. Nursing staff did not notify the Administrator of a resident's head injury discovered on 04/15/2024.
Report Facts
Residents affected: 3
Staples used: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Agency Licensed Practical Nurse (S3ALPN) | Nurse who failed to notify administration of resident's injury | |
| Administrator (S1ADM) | Confirmed not being notified of resident's injury | |
| Director of Nursing (S2DON) | Confirmed not being notified of resident's injury |
Inspection Report — Apr 16, 2024
Complaint Investigation CMS
Date: Apr 16, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to provide appropriate pain management to a resident who required such services.
Complaint Details
The complaint was substantiated as the facility failed to administer pain medication to Resident #2 despite clear signs of pain and existing physician orders.
Findings
The facility failed to ensure pain medication was administered to Resident #2 who exhibited nonverbal signs of pain following an unobserved fall. The Licensed Practical Nurse did not give the ordered pain medication despite observing the resident in pain.
Deficiencies (1)
F 0697: The facility failed to provide safe, appropriate pain management for a resident requiring such services. A resident displayed nonverbal indicators of pain but did not receive ordered pain medication.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S2LPN | Licensed Practical Nurse | Named in medication error finding for not administering pain medication to Resident #2. |
| S1DON | Director of Nursing | Interviewed regarding expectations for pain medication administration to Resident #2. |
Inspection Report — Jul 19, 2023
Routine CMS
Date: Jul 19, 2023
Visit Reason
Routine inspection of Heritage Manor of Opelousas nursing home to assess compliance with regulatory requirements including resident care, environment, assessments, and staffing.
Findings
The facility was found deficient in multiple areas including failure to update residents' advance directives accurately, maintain a homelike environment, complete accurate assessments and care plans, provide appropriate accident prevention, ensure proper dialysis care, demonstrate nursing staff competencies, and submit accurate payroll staffing data.
Deficiencies (10)
F 0578: The facility failed to ensure residents' plans of care and clinical records reflected their advance directives accurately for 2 residents.
F 0584: The facility failed to maintain a homelike environment by not ensuring the air conditioner cover was intact for 1 resident.
F 0641: The facility failed to ensure accurate resident assessments including correct PASRR coding and discharge status for multiple residents.
F 0644: The facility failed to incorporate PASARR Level II recommendations into assessments, care planning, and transitions of care for 1 resident.
F 0655: The facility failed to complete a baseline care plan within 48 hours of admission for 1 resident.
F 0656: The facility failed to weigh a resident weekly as per plan of care for nutrition monitoring, affecting 1 resident.
F 0689: The facility failed to ensure staff implemented interventions to prevent or reduce accident risk for 1 resident, including failure to document a choking incident.
F 0698: The facility failed to assess a dialysis resident's shunt site for bruit and thrill as required for 1 resident.
F 0726: The facility failed to ensure nursing staff demonstrated competencies to provide care as ordered for 4 residents, including medication timing, wound care documentation, discontinuation of pneumatic compression devices, and pain medication administration.
F 0851: The facility failed to electronically submit accurate payroll information for direct care staffing as required.
Report Facts
Residents investigated for advance directives: 2
Residents investigated for environment: 7
Residents reviewed for PASARR: 44
Residents reviewed for PASARR with Level II PASRR coding errors: 3
Residents reviewed for nutrition: 4
Residents investigated for accidents: 3
Residents sampled for nursing competencies: 44
Residents with late medication administration: 2
Residents with wound care documentation issues: 1
Residents with pneumatic compression device documentation issues: 1
Residents with dialysis shunt assessment issues: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S13MR | Medical Records | Named in advance directive documentation and update finding |
| S6NCM | Nurse Case Manager | Interviewed regarding advance directives, PASARR coding, dialysis care, and care plan completion |
| S4MAINT | Maintenance Supervisor | Interviewed regarding AC unit cover deficiency |
| S7SSD | Social Services Director | Interviewed regarding PASARR evaluation and psychiatric consults |
| S3ADONIP | Assistant Director of Nurses, Infection Preventionist | Interviewed regarding weight monitoring and medication administration timing |
| S10LPN | Licensed Practical Nurse | Named in medication administration timing deficiency for Resident #12 |
| S8TX | Treatment Nurse | Named in wound care documentation deficiency for Resident #33 |
| S11LPN | Agency Licensed Practical Nurse | Named in choking incident and documentation deficiency for Resident #33 |
| S9SLP | Speech Language Pathologist | Interviewed regarding Resident #33's therapy and evaluation |
| S2DON | Director of Nursing | Interviewed regarding medication administration timing and wound care documentation |
| S14CNA | Certified Nursing Assistant | Interviewed regarding pneumatic compression device use for Resident #61 |
| S15LPN | Licensed Practical Nurse | Interviewed regarding awareness of Resident #61's swelling and device use |
| S5HR | Human Resources | Interviewed regarding Payroll Based Journal staffing data submission |
| S1ADM | Administrator | Interviewed regarding Payroll Based Journal staffing data submission and choking incident documentation |
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