Inspection Reports for
Plantation Oaks Nursing &Amp; Rehabilitation Center
110 MAPLE STREET, WISNER, LA, 71378
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Inspection Report — Sep 24, 2025
Annual Inspection CMS
Date: Sep 24, 2025
Visit Reason
The inspection was conducted as part of the annual survey to assess compliance with regulatory requirements and evaluate the quality of care provided to residents at Plantation Oaks Nursing & Rehabilitation Center.
Findings
The facility was found deficient in multiple areas including the use of unnecessary psychotropic medications without proper gradual dose reduction, failure to implement a comprehensive care plan for an unsafe smoker, inadequate pain management with delayed medication adjustment, insufficient nurse staffing responsiveness to call light requests, and failure to maintain infection prevention and control protocols including oxygen concentrator maintenance and proper disinfectant use.
Deficiencies (5)
F 0605: The facility failed to ensure a resident remained free from chemical restraints and did not implement gradual dose reductions for psychotropic medications as clinically indicated for 1 of 5 residents reviewed.
F 0656: The facility failed to implement a comprehensive person-centered care plan with measurable interventions for an unsafe smoker, resulting in a resident smoking without required safety equipment.
F 0697: The facility failed to provide safe and appropriate pain management, delaying stronger pain medication for a resident despite documented complaints of inadequate pain relief.
F 0726: The facility failed to ensure nursing staff responded timely to call light requests, resulting in delayed assistance for a resident requiring incontinence care.
F 0880: The facility failed to maintain infection prevention and control by not maintaining oxygen concentrator filters and not following disinfectant solution manufacturer's instructions for use in the shower room.
Report Facts
Residents reviewed for unnecessary medications: 5
Residents reviewed for accidents: 3
Residents reviewed for pain management: 1
Residents showered in facility shower room: 40
Medication administrations: 14
Days delay in pain medication adjustment: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S2 Director of Nursing | Director of Nursing | Named in multiple findings including psychotropic medication dose reduction and infection control findings |
| S3 Assistant Director of Nursing | Assistant Director of Nursing | Observed resident smoking without smoking apron and confirmed staff response failure to call light |
| S5 Registered Nurse | Registered Nurse/Wound Care Nurse | Contacted doctor’s nurse regarding pain management delay for Resident #24 |
| S5 Licensed Practical Nurse | Licensed Practical Nurse Charge Nurse | Facility infection preventionist who confirmed failure to maintain oxygen concentrator filters and disinfectant use |
| S4 Housekeeping Supervisor | Housekeeping Supervisor | Reported cleaning procedures and wait times for disinfectant use in shower room |
Inspection Report — Sep 16, 2024
Annual Inspection CMS
Date: Sep 16, 2024
Visit Reason
The inspection was conducted as the annual survey of Plantation Oaks Nursing & Rehabilitation Center to assess compliance with regulatory requirements and resident care standards.
Findings
The facility was found deficient in multiple areas including failure to post the most recent inspection results, maintaining a clean and safe environment, implementing care plans, ensuring proper medication administration, staffing shortages, failure to post nurse staffing data, improper thawing of food, and failure to assess risks related to bed rails and obtain informed consent.
Deficiencies (11)
F 0577: The facility failed to post the most recent state inspection results from 07/08/2024 for resident review.
F 0584: The facility failed to maintain a safe, clean, and homelike environment in 4 resident rooms and the laundry room, including grime, feces, black mold, and improper storage of cleaning supplies.
F 0656: The facility failed to implement the care plan for resident #11 by not covering the urinary catheter bag with a privacy bag when outside the room.
F 0688: The facility failed to provide appropriate care to maintain or improve range of motion for resident #53, who was improperly positioned in a wheelchair with feet dangling.
F 0691: The facility failed to provide colostomy care consistent with the care plan for resident #11 by not having new colostomy bags available for over a week.
F 0700: The facility failed to assess risk, review risks and benefits, and obtain informed consent for bed rails prior to installation for residents #7 and #44.
F 0725: The facility failed to ensure sufficient nursing staff with appropriate skills during weekends from April 1, 2024 through June 30, 2024.
F 0732: The facility failed to post nurse staffing data daily in a location visible and accessible to residents and visitors.
F 0756: The pharmacist failed to identify and report irregular administration of Midodrine outside prescribed parameters for resident #4 in August 2024.
F 0757: The facility failed to ensure resident #4's drug regimen was free from unnecessary drugs by administering Midodrine when systolic blood pressure was above 120.
F 0812: The facility failed to prepare food in accordance with professional standards by thawing frozen sausage using hot water.
Report Facts
Dates of low staffing: 10
Midodrine doses administered outside parameters: 18
Residents reviewed for unnecessary medications: 5
Residents affected by deficiencies: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S1 Administrator | Confirmed failure to post inspection results and cleaning deficiencies. | |
| S2 Director of Nursing | Director of Nursing | Confirmed multiple deficiencies including catheter care, mobility positioning, bed rail assessments, staffing data posting, and pharmacist oversight. |
| S3 Dietary | Observed thawing frozen sausage in hot water. | |
| S4 Business Office Manager | Business Office Manager | Confirmed low staffing on specified weekend dates. |
Inspection Report — Jul 8, 2024
Complaint Investigation CMS
Date: Jul 8, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding physical abuse of a resident by a Certified Nursing Assistant (CNA) at Plantation Oaks Nursing & Rehabilitation Center.
Complaint Details
The complaint investigation substantiated physical abuse of resident #1 by CNA S4 on 06/08/2024. The abuse was witnessed by other staff but was not immediately reported to administration or law enforcement. The CNA continued to work shifts after the incident before being terminated on 06/11/2024. The facility failed to initiate quality assurance monitoring or interview other residents for additional abuse reports.
Findings
The facility failed to protect a resident from physical abuse by staff and failed to immediately report the abuse to administration and law enforcement. The abuse incident occurred on 06/08/2024 and involved a CNA physically abusing resident #1. The facility did not initiate proper monitoring or report the incident timely. The CNA was terminated on 06/11/2024.
Deficiencies (2)
F 0600: The facility failed to protect resident #1 from physical abuse by a CNA who bent the resident's finger and foot back and slapped him in the chest on 06/08/2024.
F 0609: The facility failed to timely report suspected physical abuse of resident #1 to administration and law enforcement within 24 hours as required.
Report Facts
Residents Affected: 1
Dates of abuse incident: Jun 8, 2024
Dates CNA worked after incident: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S4 CNA | Certified Nursing Assistant | Perpetrator of physical abuse to resident #1. |
| S5 CNA | Certified Nursing Assistant | Witnessed abuse and failed to immediately report to administration. |
| S6 LPN | Licensed Practical Nurse | Witnessed abuse and failed to immediately report to administration. |
| S1 Administrator | Administrator | Notified of Immediate Jeopardy on 07/02/2024. |
| S2 Director of Nursing | Director of Nursing | Notified of Immediate Jeopardy on 07/02/2024 and confirmed failures in reporting and monitoring. |
| S3 Assistant Director of Nursing | Assistant Director of Nursing | Received abuse report from S5 CNA and assessed resident. |
Inspection Report — Nov 21, 2023
Complaint Investigation CMS
Date: Nov 21, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to ensure nursing staff had appropriate competencies and followed accident/incident policies when Resident #1 was found on the floor twice on 10/24/2023.
Complaint Details
The complaint investigation found substantiated failure by nursing staff to follow facility accident/incident policies after Resident #1 was found on the floor twice on 10/24/2023. Incident reports were not completed, and notifications to the physician, family, and nursing administration were not made as required.
Findings
The facility failed to ensure nursing staff followed the accident/incident policy and procedures after Resident #1 was found on the floor twice on 10/24/2023. There was no documented evidence of incident reports, nurse notes, or notifications to the physician, family, or nursing administration as required.
Deficiencies (1)
F 0726: The facility failed to ensure nurses and nurse aides had appropriate competencies to care for residents safely. Staff did not follow the accident/incident policy when Resident #1 was found on the floor twice on 10/24/2023, including failure to complete incident reports and notify appropriate parties.
Report Facts
Residents investigated for accidents: 3
Residents affected: Few
Inspection Report — Oct 4, 2023
Complaint Investigation CMS
Date: Oct 4, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to ensure proper medication administration and pharmacist oversight related to unnecessary medications.
Complaint Details
The complaint investigation found that the facility did not follow medication administration parameters for resident #38, and the pharmacist failed to report these irregularities. The issue was substantiated based on record review and interviews.
Findings
The facility failed to ensure that the pharmacist reported irregularities in medication administration and that nurses adhered to medication parameters for resident #38. Specifically, Metoprolol Succinate ER was administered when the resident's pulse was below the ordered threshold.
Deficiencies (2)
F 0756: The facility failed to ensure the pharmacist reported irregularities in medication administration for resident #38. The pharmacist did not address administration of Metoprolol Succinate ER when the resident's pulse was less than 70.
F 0757: The facility failed to ensure resident #38's drug regimen was free from unnecessary drugs. Nurses administered Metoprolol Succinate ER despite the resident's pulse being less than 70, contrary to physician orders.
Report Facts
Medication administrations outside parameters: 7
Residents reviewed for unnecessary medications: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding medication administration and pharmacist oversight failures. |
Inspection Report — May 9, 2023
Annual Inspection CMS
Date: May 9, 2023
Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at Plantation Oaks Nursing & Rehabilitation Center.
Findings
No health deficiencies were found during the inspection.
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