Inspection Reports for
Heritage Manor of Stratmore Nursing & Rehab Ctr
530 STRATMORE DRIVE, SHREVEPORT, LA, 71115
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Inspection Report — Mar 6, 2025
CMS
Date: Mar 6, 2025
Visit Reason
The inspection was conducted to evaluate compliance with pharmaceutical services regulations, specifically to ensure proper maintenance and reconciliation of individual residents' narcotic records and controlled medication counts.
Findings
The facility failed to ensure accurate reconciliation of controlled medications for two residents, with discrepancies noted between medication counts and narcotic records. Interviews confirmed that controlled medications were not signed out at the time of administration as required by policy.
Deficiencies (1)
F 0755: The facility failed to maintain and reconcile individual residents' narcotic records for two medication carts, resulting in inaccurate counts of controlled medications.
Report Facts
Medication count discrepancy: 1
Medication count discrepancy: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S2 LPN | Licensed Practical Nurse | Administered medication to resident #50 without signing out on narcotic record. |
| S3 LPN | Licensed Practical Nurse | Observed with medication cart and confirmed medication was pre-pulled and not signed out for resident #121. |
| S1 DON | Director of Nurses | Confirmed controlled medications should be signed out at time of administration and counts reconciled. |
Inspection Report — Feb 7, 2024
CMS
Date: Feb 7, 2024
Visit Reason
The document is a statement of deficiencies and plan of correction related to a regulatory survey of Heritage Manor of Stratmore Nursing & Rehab Center.
Findings
No health deficiencies were found during the survey conducted on 2024-02-07.
Inspection Report — Jan 11, 2023
Routine CMS
Date: Jan 11, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, assessment transmissions, care planning, staff training, and food service safety at Heritage Manor of Stratmore Nursing & Rehab Center.
Findings
The facility was found deficient in accommodating resident needs, timely transmission of MDS assessments, development and implementation of care plans, verification of nurse aide training, and monitoring of food temperatures. All deficiencies were noted with minimal harm or potential for harm to residents.
Deficiencies (5)
F 0558: The facility failed to ensure a resident's call button was within reach, compromising reasonable accommodation of needs.
F 0640: The facility failed to transmit two residents' MDS assessments within 14 days of completion as required.
F 0656: The facility failed to ensure x-rays were done as ordered and failed to develop a care plan for a resident's wanderguard bracelet use.
F 0729: The facility failed to complete State Registry verifications prior to hire for two CNAs.
F 0812: The facility failed to monitor and document food temperatures for prepared meals, risking food safety for 114 residents.
Report Facts
Residents receiving meal trays: 114
Residents reviewed for Resident Assessment: 3
Residents with MDS transmission issues: 2
Residents reviewed for accidents: 4
Residents with care plan deficiencies: 2
CNA personnel files reviewed: 5
CNAs with verification deficiencies: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S10 CNA | Certified Nurse Assistant | Confirmed call light should have been within resident's reach in call button deficiency. |
| S7 MDS Nurse | MDS Nurse | Confirmed residents' MDS assessments were not transmitted as required. |
| S9 MDS Nurse | MDS Nurse | Confirmed residents' MDS assessments were not transmitted as required. |
| S8 Corporate Nurse | Corporate Nurse | Confirmed x-rays were not done as ordered for resident #102. |
| S1 Administrator | Administrator | Confirmed resident #126 should have been care planned for wanderguard bracelet use. |
| S2 HR | Human Resources | Acknowledged State Registry verifications were not completed prior to hire for two CNAs. |
| S5 DM | Dietary Manager | Acknowledged food temperatures had not been monitored for prepared meals. |
| S6 ADM | Assistant Dietary Manager | Acknowledged food temperatures had not been monitored for prepared meals. |
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