Inspection Reports for
Heritage Manor of Slidell
106 MEDICAL CENTER DRIVE, SLIDELL, LA, 70461
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Inspection Report — Aug 20, 2025
Annual Inspection CMS
Date: Aug 20, 2025
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements for Heritage Manor of Slidell nursing home.
Findings
The facility failed to provide restorative nursing program services as ordered for multiple residents, failed to post nurse staffing census data daily, failed to properly disinfect shared resident care equipment, and failed to maintain electrical equipment safely.
Deficiencies (4)
F 0688: The facility failed to provide restorative therapy services as ordered for 3 of 21 residents reviewed, resulting in lack of range of motion exercises and brace application.
F 0732: The facility failed to post nurse staffing data including resident census on daily postings, affecting all 103 residents.
F 0880: The facility failed to implement an infection prevention program by not disinfecting shared resident care equipment between uses for 4 sampled residents.
F 0908: The facility failed to maintain electrical equipment safely when a resident's call light was found with exposed wires and unsecured for multiple days.
Report Facts
Residents reviewed for restorative therapy: 21
Residents affected by restorative therapy deficiency: 3
Residents affected by nurse staffing posting deficiency: 103
Residents sampled for infection control deficiency: 4
Resident affected by call light safety deficiency: 1
Inspection Report — Feb 4, 2025
Complaint Investigation CMS
Date: Feb 4, 2025
Visit Reason
The inspection was conducted due to complaints regarding failure to notify a resident's representative of a significant change in condition and failure to timely report an injury of unknown origin to the state agency.
Complaint Details
The complaint investigation found substantiated failures related to notification of a resident's representative about a significant change in condition and failure to timely report an injury of unknown origin to the state agency for Resident #1.
Findings
The facility failed to ensure nursing staff notified the resident's representative of a significant change in condition and failed to report an injury of unknown origin to the state agency within the required timeframe. Resident #1 had a wound of unknown origin that was not properly reported or communicated.
Deficiencies (2)
F 0580: The facility failed to notify the resident's representative of a significant change in condition for Resident #1 involving a new wound to the left medial thigh.
F 0609: The facility failed to timely report an injury of unknown origin involving Resident #1 to the state agency within 24 hours as required.
Report Facts
Residents affected: 3
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S2RN | Wound Care Nurse | Named in failure to notify resident representative and injury reporting findings |
| S1ADM | Administrator | Confirmed responsibility for notification and reporting failures |
| S3RN | Registered Nurse | Involved in wound assessment and family communication |
| S5CNA | Certified Nursing Assistant | Reported wound discovery to nursing staff |
Inspection Report — Aug 7, 2024
Routine CMS
Date: Aug 7, 2024
Visit Reason
The inspection was conducted as a routine survey to assess compliance with regulatory requirements for nursing home care and safety standards.
Findings
The facility was found deficient in multiple areas including inaccurate resident assessments related to PASRR coding, improper catheter care, failure to post nurse staffing data daily, improper labeling and storage of medications and food, and inadequate infection prevention and control practices.
Deficiencies (6)
F 0641: The facility failed to ensure residents' Minimum Data Set assessments accurately reflected PASRR status for 2 of 6 residents reviewed.
F 0690: The facility failed to ensure Resident #43's urinary catheter bag was positioned below the bladder level during catheter care.
F 0732: The facility failed to post nurse staffing information daily as required, affecting all 94 residents.
F 0761: The facility failed to ensure insulin pens were discarded 28 days after opening; two pens dated 06/24/2024 were still in use.
F 0812: The facility failed to store food properly; two open, unlabeled bags of shredded cheddar cheese were found in the refrigerator.
F 0880: The facility failed to maintain infection prevention and control, including improper PPE use, catheter bag placement on the floor, and improper wound care practices for multiple residents.
Report Facts
Residents affected: 2
Residents affected: 1
Residents affected: 94
Residents affected: 1
Residents affected: 93
Residents affected: 4
Opened insulin pens: 2
Days insulin pens should be discarded after opening: 28
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S8LPN | Confirmed insulin pens were not discarded after 28 days | |
| S4DON | Director of Nursing | Confirmed multiple deficiencies including insulin pen discard, catheter bag placement, and infection control practices |
| S11CNA | Performed catheter care on Resident #43 and confirmed catheter bag placement and PPE use issues | |
| S12CNA | Performed catheter care on Resident #43 and confirmed lack of gown use | |
| S14WC | Performed wound care on Resident #28 and confirmed improper glove use and handling of supplies | |
| S15CNA | Assisted with wound care and confirmed handling of dropped dressing |
Inspection Report — Apr 11, 2024
Complaint Investigation CMS
Date: Apr 11, 2024
Visit Reason
The inspection was conducted due to complaints regarding failure to notify physicians and family of changes in resident condition, failure to develop appropriate care plans, and failure to ensure resident safety during transfers.
Complaint Details
The complaint investigation substantiated failures in notification of changes in condition, care planning, and safe resident transfer. Resident #1's physician and family were not notified of a new sacral wound and prolonged constipation. Resident #3 was transferred without mechanical lift assistance causing fractures.
Findings
The facility failed to notify the physician and family of a new sacral wound and lack of bowel movements for Resident #1, failed to develop a care plan for constipation for Resident #1, and failed to ensure safe transfer of Resident #3 resulting in fractures. Corrective actions were implemented including staff training and disciplinary actions.
Deficiencies (3)
F 0580: The facility failed to notify the resident's physician and family after identifying a new sacral wound and when Resident #1 did not have a bowel movement beyond 3 days.
F 0656: The facility failed to develop a person-centered care plan for constipation for Resident #1 after hospital discharge with a new diagnosis.
F 0689: The facility failed to ensure safe transfer of Resident #3 using a mechanical lift, resulting in fractures and actual harm.
Report Facts
Residents reviewed for notification of change: 6
Residents reviewed for transfer safety: 6
Days without bowel movement for Resident #1: 14
Date of injury incident: Apr 1, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S11 CNA | Certified Nursing Assistant | Admitted transferring Resident #3 without mechanical lift causing injury |
| S10 LPN | Licensed Practical Nurse | Prepared incident report and assessed Resident #3's injury |
| S2 DON | Director of Nursing | Confirmed failures in notification and transfer safety |
| S9 MD | Physician | Notified of Resident #1's condition decline but not bowel movement issue |
| S12 CPN | Care Plan Nurse | Reviewed Resident #1's care plan and confirmed lack of constipation care plan |
Inspection Report — Sep 27, 2023
Annual Inspection CMS
Date: Sep 27, 2023
Visit Reason
The inspection was conducted to assess compliance with physician orders, medication storage, and overall care plan implementation at Heritage Manor of Slidell.
Findings
The facility failed to implement physician orders for two residents, resulting in missed weekly weights and delayed insulin administration. Additionally, expired medications were found in one of the medication storage rooms.
Deficiencies (2)
F 0656: The facility failed to implement a comprehensive person-centered care plan by not following physician's orders for two residents, including missed weekly weights and delayed insulin administration from 08/15/2023 to 08/21/2023.
F 0761: The facility failed to ensure medications were properly stored in one medication storage room, with two expired Daptomycin IV devices found in the locked medication refrigerator.
Report Facts
Residents reviewed for care plans: 32
Residents affected: 2
Expired medication count: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S4 ADON | Responsible for entering resident weights into care plan; confirmed failure to implement weekly weights for Resident #6 | |
| S5 MD | Physician who ordered weekly weights for Resident #6 and Resident #67; confirmed orders were not followed | |
| S8 LPN | Completed medication error education in-service regarding missed insulin order for Resident #67; responsible for admitting Resident #67 and failed to input insulin order | |
| S6 NP | Wrote insulin order for Resident #67 and confirmed failure to implement order timely | |
| S7 PDON | Completed routine chart audit that identified missed insulin order for Resident #67 | |
| S10 LPN | Noticed missed insulin order for Resident #67 during chart audit and notified nursing staff | |
| S9 LPN | Confirmed Resident #67 did not receive insulin from 08/15/2023 to 08/21/2023 | |
| S3 LPN | Confirmed expired medications found in medication storage room | |
| S2 DON | Confirmed expired medications found in medication storage room |
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