Inspection Reports for
Lagniappe Healthcare
1408 SUMMERLIN LANE, BASTROP, LA, 71220
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Inspection Report — Dec 11, 2024
Annual Inspection CMS
Date: Dec 11, 2024
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements related to resident care, medication management, infection control, and use of restraints.
Findings
The facility was found deficient in multiple areas including improper use of physical restraints without physician orders or proper monitoring, inaccurate resident assessments, failure to monitor drug regimens for unnecessary medications, and lapses in infection control practices such as failure to wear gowns during wound care.
Deficiencies (4)
F0604: The facility failed to ensure residents were free from physical restraints used for convenience or discipline, lacking physician orders, pre-restraint assessments, and monitoring for resident #276.
F0641: The facility failed to ensure accurate resident assessments including timely medication assessments, skin assessments for pressure ulcers, dental status, and daily nursing assessments for urinary catheters.
F0757: The facility failed to ensure resident #16's drug regimen was free from unnecessary drugs by not monitoring for bleeding risks while on anticoagulant therapy.
F0880: The facility failed to implement infection prevention by not wearing a gown during wound care for resident #33 under Enhanced Barrier Precaution isolation.
Report Facts
Residents reviewed for unnecessary medications: 5
Residents reviewed for pressure ulcers: 3
Residents reviewed for urinary catheter or UTI: 2
Residents observed for Enhanced Barrier Precaution isolation: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S3 Registered Nurse | Minimum Data Set Coordinator | Confirmed lack of assessments and monitoring for residents #35 and #16 |
| S2 Director of Nursing | Director of Nursing | Confirmed issues with lap tray restraint and medication documentation |
| S4 Licensed Practical Nurse | Licensed Practical Nurse | Observed not adjusting lap tray restraint and documented medication errors |
| S5 Licensed Practical Nurse | Licensed Practical Nurse | Documented continued medication administration after discontinuation |
| S9 Wound Care Nurse | Wound Care Nurse | Failed to wear gown during wound care as required by infection control policy |
| S7 Licensed Practical Nurse | Licensed Practical Nurse | Performed dental and nutritional assessments for resident #9 |
| S8 Social Services Director | Social Services Director | Unaware of resident #9's denture issues |
Inspection Report — Oct 25, 2023
Complaint Investigation CMS
Date: Oct 25, 2023
Visit Reason
The inspection was conducted to investigate complaints regarding resident care, medication administration, infection control, and pharmacy oversight at Lagniappe Healthcare.
Complaint Details
The investigation was complaint-driven, focusing on allegations of inadequate resident supervision during transfers, failure to administer prescribed antibiotics, lapses in pharmacy oversight, and poor infection control practices. The complaints were substantiated based on record reviews and staff interviews.
Findings
The facility was found deficient in ensuring safe resident transfers, proper antibiotic administration, medication regimen reviews, infection prevention practices, and environmental cleanliness. Multiple residents experienced lapses in care including failure to use mechanical lifts during transfers, missed antibiotic treatments, and inadequate infection control measures.
Deficiencies (5)
F 0689: The facility failed to ensure a resident was transferred using a mechanical lift as required, resulting in a fall and head laceration.
F 0690: The facility failed to provide appropriate antibiotic treatment for residents with urinary tract infections as ordered by the physician.
F 0756: The pharmacy consultant failed to identify and report that a resident did not receive an annual lipid panel as ordered.
F 0757: The provider failed to ensure a resident's medication regimen was free from unnecessary drugs by not obtaining an annual lipid panel as ordered.
F 0880: The facility failed to maintain an infection prevention program by not disinfecting glucose testing supplies, storing personal items in the clean laundry room, and allowing dust and lint buildup in the laundry area.
Report Facts
Residents sampled for falls: 4
Resident #46 incident date: Apr 27, 2023
Residents reviewed for urinary tract infections: 4
Residents affected by antibiotic treatment failure: 2
Residents reviewed for unnecessary medications: 5
Resident #51 last lipid profile date: Apr 12, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S6 CNA Supervisor | Certified Nurse Aid Supervisor | Named in resident #46 transfer incident |
| S7 CNA Assistant Supervisor | Certified Nurse Aid Assistant Supervisor | Named in resident #46 transfer incident |
| S1 Administrator | Administrator | Confirmed transfer incident and infection control findings |
| S2 Director of Nursing | Director of Nursing | Confirmed antibiotic administration and pharmacy oversight issues |
| S3 Licensed Practical Nurse | Licensed Practical Nurse | Involved in antibiotic order documentation for resident #282 |
| S4 Licensed Practical Nurse | Licensed Practical Nurse | Provided care for resident #282 and confirmed no antibiotic administration |
| S5 Licensed Practical Nurse | Licensed Practical Nurse | Observed not disinfecting glucose testing supplies |
| S8 Laundry Staff | Observed storing personal items in clean laundry room | |
| S9 Laundry Staff | Observed storing personal items in clean laundry room |
Inspection Report — Sep 21, 2022
Annual Inspection CMS
Date: Sep 21, 2022
Visit Reason
The inspection was conducted as a regulatory annual survey to assess compliance with healthcare standards in a nursing home facility.
Findings
The facility was found deficient in implementing comprehensive person-centered care plans, ensuring appropriate treatment and care according to orders, and monitoring drug regimens properly. Specific failures included lack of documented blood glucose rechecks, untreated eye conditions, and failure to monitor vitamin B-12 levels as ordered.
Deficiencies (4)
F 0656: The facility failed to implement a comprehensive care plan for resident #48 by not documenting accu checks as ordered for blood glucose monitoring.
F 0684: The facility failed to provide appropriate treatment for resident #14's eye condition by not assessing or treating redness and drainage until a new order was issued after surveyor intervention.
F 0756: The pharmacist failed to report irregularities in drug regimen monitoring for resident #67 by not ensuring vitamin B-12 levels were drawn as recommended.
F 0757: The facility failed to ensure resident #67's drug regimen was free from unnecessary drugs by not monitoring vitamin B-12 levels every six months as ordered.
Report Facts
Blood sugar levels above 180 without recheck: 30
Residents reviewed for unnecessary medications: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding lack of documented accu check rechecks and vitamin B-12 monitoring. | |
| Licensed Practical Nurse | Interviewed regarding lack of documentation of accu check rechecks and eye condition observations. | |
| Certified Nursing Assistant | Reported observations of resident #14's eye condition. |
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