Inspection Reports for
Mary Anna Nursing Home

125 TURNER STREET, WISNER, LA, 71378

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3 Reports

All CMS 2022–2025

Inspection Report — Jan 28, 2025

Annual Inspection CMS
Date: Jan 28, 2025

Visit Reason
The inspection was conducted as a standard annual survey of Mary Anna Nursing Home to assess compliance with regulatory requirements related to resident care, use of restraints, accident hazards, and bed rail safety.

Findings
The facility failed to ensure residents were free from physical restraints without proper consent, physician orders, and assessments prior to use of bed bolsters. The facility also failed to ensure appropriate interventions after falls and did not assess residents for entrapment risks prior to installing bed rails for several residents.

Deficiencies (3)
F 0604: The facility failed to ensure residents were free from physical restraints without obtaining consent, physician orders, and appropriate assessments prior to placing bolsters on beds for 4 of 5 residents reviewed.
F 0689: The facility failed to ensure a resident was free from accident hazards by not providing appropriate interventions after each fall for 1 resident sampled for falls.
F 0700: The facility failed to assess residents for the risk of entrapment prior to installing bed rails for 3 of 4 residents reviewed for accident hazards.
Report Facts
Residents reviewed for restraints: 5 Residents affected by restraint deficiency: 4 Residents reviewed for accident hazards: 4 Residents affected by entrapment risk assessment deficiency: 3

Employees mentioned
NameTitleContext
S1 AdministratorConfirmed failures to obtain consent, physician orders, and assessments for restraints and bed rails
S2 Director of Nursing (DON)Confirmed interventions for falls were not appropriate for resident #11

Inspection Report — Dec 13, 2023

Annual Inspection CMS
Date: Dec 13, 2023

Visit Reason
The inspection was conducted to evaluate compliance with nursing care competencies, medication administration, drug regimen appropriateness, and medication storage standards at Mary Anna Nursing Home.

Findings
The facility failed to ensure nurses documented insulin injection sites and followed sliding scale insulin parameters for residents #14 and #33. The facility also failed to document justification or parameters for as needed medications for resident #17. Additionally, multiple opened medications and biologicals were not labeled with opened dates and some medications were improperly stored.

Deficiencies (3)
F 0726: Nurses and nurse aides failed to document insulin injection sites and did not follow parameters for insulin sliding scale for residents #14 and #33, risking resident safety.
F 0757: The facility failed to ensure resident #17's drug regimen was free from unnecessary drugs due to lack of documented parameters or justification for as needed medications administered.
F 0761: Drugs and biologicals were not labeled with opened dates and were improperly stored, including medications belonging to discharged residents still available for use.
Report Facts
Times blood sugar >400 not reported: 13 Humalog insulin administrations documented: 56 Humalog insulin administrations documented: 30 As needed medication administrations: 4 Opened Lidocaine vials observed: 4 Opened insulin pens observed: 6

Employees mentioned
NameTitleContext
S3LPNLicensed Practical NurseFailed to document insulin injection sites and notify physician of blood sugar >400 for residents #14 and #33.
S2DONDirector of NursingConfirmed failures in documentation and notification related to insulin administration and medication parameters.
S6Registered NurseRegistered NurseReported lack of documentation for as needed medication parameters for resident #17.
S5LPNLicensed Practical NurseConfirmed opened insulin pens and Lidocaine vials were unlabeled and improperly stored.
S4LPNLicensed Practical NurseConfirmed opened Humalog KwikPens were unlabeled.
S1AdministratorAdministratorNotified of findings related to medication storage and documentation failures.

Inspection Report — Nov 2, 2022

Annual Inspection CMS
Date: Nov 2, 2022

Visit Reason
The inspection was conducted to assess compliance with professional standards of care related to respiratory care, medication regimen reviews, and monitoring of residents receiving anticoagulant medications.

Findings
The facility failed to properly change, label, and store oxygen and nebulizer equipment for residents #4 and #9. Additionally, the pharmacist failed to identify and report irregularities in monitoring resident #5 who was receiving an anticoagulant medication, resulting in inadequate monitoring for signs and symptoms of bleeding.

Deficiencies (3)
F 0695: The facility failed to properly change, label, and store oxygen tubing and nebulizer facemasks for residents #4 and #9 as required by facility policy.
F 0756: The pharmacist failed to perform a monthly drug regimen review and did not identify or report irregularities in monitoring resident #5 receiving an anticoagulant medication.
F 0757: The facility failed to ensure resident #5's drug regimen was free from unnecessary drugs by not adequately monitoring for signs and symptoms of bleeding while on anticoagulant therapy.
Report Facts
Residents reviewed for respiratory care: 2 Residents reviewed for unnecessary medications: 5 Residents affected by respiratory care deficiency: 2 Residents affected by medication monitoring deficiency: 1

Employees mentioned
NameTitleContext
S2DONDirector of NursingNotified and confirmed findings regarding oxygen tubing and anticoagulant monitoring deficiencies
S1AdministratorAdministratorNotified of oxygen tubing and nebulizer storage deficiencies
S5LPNLicensed Practical NurseConfirmed oxygen tubing was not dated, labeled, or stored per policy
S6LPNLicensed Practical NurseIn charge of changing oxygen tubing monthly and confirmed improper storage and labeling
S4LPNLicensed Practical NurseConfirmed oxygen tubing and nebulizer were not dated and not stored properly

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