Inspection Reports for St Helena Parish Nursing Home
32 North 2nd St., Greensburg, LA 70441, LA, 70441
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
11.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
193% worse than Louisiana average
Louisiana average: 4 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
56 residents
Based on a April 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Oct 1, 2025
Visit Reason
The inspection was conducted to assess compliance with admission, transfer, discharge requirements and resident assessment data transmission, including review of documentation related to resident transfers and discharge assessments.
Findings
The facility failed to send a copy of the transfer notice to the Office of the State Long-Term Care Ombudsman for one resident and failed to document the transfer on required logs. Additionally, the facility failed to complete and transmit a discharge assessment for one resident as required.
Deficiencies (2)
Failed to send a copy of the transfer notice to the Ombudsman and failed to document resident transfer to hospital emergency room.
Failed to complete and transmit a resident's discharge assessment within required timeframe.
Report Facts
Residents reviewed for admission, transfer, and discharge requirements: 4
Residents reviewed for Resident Assessment: 5
Residents affected by transfer documentation deficiency: 1
Residents affected by discharge assessment deficiency: 1
Days to transmit assessment data: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S1ADM | Interviewed regarding responsibility for updating Emergency Transfer Log and Census Change Sheet | |
| S3BOM | Responsible for updating Ombudsman Emergency Transfer Log | |
| S4LPN | Licensed Practical Nurse | Confirmed failure to complete Census Change Sheet for resident transfer |
| S2DON | Director of Nursing | Expected all resident transfers to be documented on Census Change Sheet |
| S5MDS | MDS Nurse | Confirmed failure to complete and transmit discharge MDS assessment |
| S6ADON | Assistant Director of Nursing | Confirmed discharge MDS assessment should have been completed and transmitted |
Inspection Report
Complaint Investigation
Deficiencies: 6
Date: Aug 28, 2025
Visit Reason
The inspection was conducted based on complaints and investigations related to failure to ensure notifications of changes in residents' conditions, failure to protect residents from sexual and psychosocial abuse, failure to coordinate assessments with PASRR Level II recommendations, and failure to develop and implement comprehensive care plans for residents, including registered sex offenders.
Complaint Details
The complaint investigation revealed failure to notify appropriate parties about increased inappropriate sexual behaviors and sexual abuse incidents involving residents #1 and #2. Resident #2, a cognitively intact sex offender, sexually and psychosocially abused Resident #1, who was severely cognitively impaired. The facility failed to protect Resident #1 and other female residents from abuse, failed to monitor residents after the incident, and failed to notify the responsible psychiatric provider. Immediate Jeopardy was identified and removed after corrective actions. The investigation also found failures in care planning, PASRR coordination, and staff training.
Findings
The facility failed to notify appropriate parties about increased inappropriate sexual behaviors and sexual abuse incidents involving residents, failed to protect a cognitively impaired resident from sexual and psychosocial abuse by a cognitively intact resident with a history of sexually inappropriate behaviors and a sex offender status, failed to implement PASRR Level II recommendations, and failed to develop and revise comprehensive care plans for affected residents. The facility also failed to provide Quality Assurance and Performance Improvement (QAPI) training to staff.
Deficiencies (6)
Failed to ensure notifications of changes in residents' conditions were made for 2 residents reviewed for behavioral services.
Failed to protect residents from all types of abuse including sexual and psychosocial abuse, resulting in an Immediate Jeopardy situation.
Failed to coordinate assessments with the resident's Pre-admission Screening and Resident Review (PASRR) Level II recommendations.
Failed to develop and implement a comprehensive person centered care plan for residents who were registered sex offenders and failed to implement care plan interventions for sexual behaviors.
Failed to revise a resident's care plan after sexual and psychosocial abuse to reflect updated problems, goals, and interventions.
Failed to provide Quality Assurance and Performance Improvement (QAPI) training to staff.
Report Facts
Residents reviewed for behavioral services: 4
Residents affected by sexual and psychosocial abuse: 1
Female residents not assessed after incident: 28
BIMS score Resident #2: 14
BIMS score Resident #1: 2
Date of sexual abuse incident: Aug 1, 2025
Date of survey completion: Aug 28, 2025
Number of staff files reviewed for QAPI training: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S7 LPN | Licensed Practical Nurse | Witnessed and intervened in sexual abuse incident; reported incident to administration and police |
| S9 CNA | Certified Nursing Assistant | Witnessed sexual abuse but failed to separate residents immediately; reported incident to nurse |
| S1 ADM | Administrator | Notified of Immediate Jeopardy; coordinated response and staff training |
| S2 DON | Director of Nursing | Involved in arranging Intensive Outpatient Program; confirmed failures in notification and care planning |
| S12 NP | Nurse Practitioner | Psychiatric evaluator not notified of increased sexual behaviors or abuse incident |
| S4 CP | Care Planner | Aware of sex offender status of residents; involved in care plan development |
| S6 SW | Social Worker | Responsible for arranging psychiatric interventions; was on vacation during critical period |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: May 1, 2025
Visit Reason
The inspection was conducted due to allegations of physical abuse involving residents #1 and #2, and failure to timely report suspected abuse for resident #2.
Complaint Details
The complaint investigation was triggered by allegations that S5CNA physically abused Resident #1 by punching him twice in the face causing a 2.5 cm laceration requiring 4 stitches and a contusion. Resident #2 was injured by Resident #R1 who struck him with a hand grabber causing a 1.5 cm scalp laceration requiring staples. The facility failed to report the abuse involving Resident #2 timely to the State Survey Agency.
Findings
The facility failed to protect residents #1 and #2 from physical abuse, resulting in actual harm including a laceration requiring stitches and a head injury requiring staples. The facility also failed to timely report suspected abuse for resident #2. Additionally, nursing staff failed to document a change in condition for resident #1 after the abuse incident.
Deficiencies (3)
Failure to protect residents from physical abuse resulting in actual harm to residents #1 and #2.
Failure to timely report suspected abuse for resident #2 within 2 hours to the State Survey Agency.
Failure to document a resident's change in condition for resident #1 after abuse incident.
Report Facts
Wound measurement: 2.5
Number of sutures: 4
Pain scale: 9
Wound measurement: 1.5
BIMS score: 14
BIMS score: 9
BIMS score: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S5CNA | Certified Nursing Assistant | Alleged perpetrator who punched Resident #1 in the face |
| S4LPN | Licensed Practical Nurse | Discovered Resident #1's injuries and sent him to emergency room |
| S3LPN | Licensed Practical Nurse | Nurse on duty who failed to document change in Resident #1's condition |
| S6CNA | Certified Nursing Assistant | Reported Resident #1's injuries to S4LPN |
| S1DON | Director of Nursing | Confirmed abuse allegations and facility actions |
Inspection Report
Annual Inspection
Census: 56
Deficiencies: 6
Date: Apr 9, 2025
Visit Reason
The inspection was conducted as part of the facility's recertification survey and annual compliance review to assess regulatory compliance in various areas including posting survey results, resident assessments, staffing, facility assessment, and infection control.
Findings
The facility failed to post the most recent recertification survey results for resident review, did not complete required Significant Change MDS Assessments for residents transferring hospice services, inaccurately coded PASRR status in MDS assessments for several residents, failed to post daily nurse staffing information, did not update the facility-wide assessment annually or include staffing needs for specific shifts and emergencies, and failed to implement proper infection prevention practices during wound care.
Deficiencies (6)
Failed to ensure the results from the most recent recertification survey were readily available for resident review.
Failed to ensure a Significant Change Minimum Data Set (MDS) Assessment was completed within 14 days for residents who transferred hospice services.
Failed to ensure the Minimum Data Set (MDS) assessments accurately reflected the resident's status for PASRR.
Failed to ensure nurse staffing data was posted daily in a prominent location readily accessible to residents and visitors.
Failed to ensure the facility assessment was updated annually and included staffing levels needed for emergencies, weekends, and specific shifts.
Failed to implement and maintain an infection prevention control program; personnel did not consistently remove soiled PPE and perform proper hand hygiene during wound care.
Report Facts
Residents affected: 56
Residents affected: 2
Residents affected: 3
Date of recertification survey: Feb 29, 2024
Date of observation: Apr 7, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S1DON | Director of Nursing | Interviewed and confirmed multiple deficiencies including missing survey results, incomplete MDS assessments, inaccurate PASRR coding, missing staffing data posting, and infection control practices. |
| S2LPN | Wound Care Nurse | Observed performing wound care without proper glove removal and hand hygiene; confirmed the improper practice. |
Inspection Report
Complaint Investigation
Census: 50
Deficiencies: 4
Date: Feb 29, 2024
Visit Reason
The inspection was conducted due to complaints and concerns regarding resident care, including failure to provide appropriate assistance with activities of daily living (ADLs), inadequate supervision to prevent falls, and issues related to medication management.
Complaint Details
The visit was complaint-related due to concerns about inadequate assistance with ADLs, failure to provide scheduled baths, inadequate supervision to prevent falls, and improper medication management. Immediate jeopardy was identified related to failure to perform hourly rounding for fall prevention for Resident #18.
Findings
The facility failed to provide timely assistance with ADLs resulting in a resident fall with injury, failed to provide scheduled personal hygiene care to multiple residents, failed to ensure adequate supervision to prevent falls leading to immediate jeopardy, and failed to document diagnoses for psychotropic medications prescribed to residents.
Deficiencies (4)
Failure to ensure residents received appropriate treatment and services to maintain ability to perform ADLs, resulting in a fall and fracture for Resident #18.
Failure to provide scheduled personal hygiene care (whirlpool or bed baths) to residents as per facility policy and schedules.
Failure to provide adequate supervision and hourly rounding for fall prevention for Resident #18, resulting in immediate jeopardy.
Failure to ensure psychotropic medications had documented diagnoses and were free from unnecessary use for Residents #18 and #38.
Report Facts
Residents reviewed for ADLs: 6
Residents affected by ADL deficiency: 1
Residents affected by hygiene deficiency: 5
Residents affected by fall supervision deficiency: 1
Residents reviewed for unnecessary medications: 5
Residents affected by medication deficiency: 2
Resident census: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S1ADM | Administrator | Reviewed video footage and confirmed failure of hourly rounding for Resident #18 |
| S4CNAS | Certified Nursing Assistant | Interviewed regarding fall risk and failure to perform hourly rounding for Resident #18 |
| S24CNA | Certified Nursing Assistant | Assigned to Resident #18 during fall incident; unaware of hourly rounding requirement |
| S3ADON | Assistant Director of Nursing | Interviewed regarding fall interventions and medication documentation |
| S2DON | Director of Nursing | Interviewed regarding medication orders and documentation responsibilities |
| S6LPN | Licensed Practical Nurse | Interviewed regarding Resident #18's care and medication documentation |
| S31CNA | Certified Nursing Assistant | Interviewed regarding fall monitoring tasks for Resident #18 |
| S32CNA | Certified Nursing Assistant | Interviewed regarding fall risk and monitoring tasks for Resident #18 |
| S30LPN | Licensed Practical Nurse | Interviewed regarding fall risk and monitoring tasks for Resident #18 |
| S34MD | Primary Care Physician | Interviewed regarding psychotropic medication diagnosis documentation for Resident #18 |
| S35MD | Primary Care Physician | Interviewed regarding psychotropic medication diagnosis documentation for Resident #38 |
| Consultant Pharmacist | Interviewed regarding lack of diagnosis documentation for psychotropic medications for Residents #18 and #38 |
Inspection Report
Deficiencies: 9
Date: Feb 29, 2024
Visit Reason
The inspection was conducted to investigate allegations of physical abuse, review compliance with physician orders, assess care planning, evaluate fall prevention measures, review medication use, and assess infection control and call light system functionality.
Findings
The facility failed to protect a resident from physical abuse by another resident, did not follow physician orders for compression stockings and tube feedings, failed to provide scheduled baths, did not ensure timely assistance leading to a resident fall with fracture, failed to maintain accurate medication documentation, and had inadequate infection control practices and call light system monitoring.
Deficiencies (9)
Failed to protect Resident #17 from physical abuse by Resident #38.
Failed to implement physician orders for compression stockings for Resident #24 and tube feedings for Resident #39.
Failed to provide scheduled whirlpool or bed baths for multiple residents (#17, #19, #28, #51, #109).
Failed to provide timely assistance to Resident #18 leading to a fall and right humerus fracture.
Failed to ensure hourly rounding for Resident #18 to prevent falls.
Failed to maintain adequate call light system with sufficient pagers and monitoring, resulting in delayed response to Resident #18's call light.
Failed to maintain accurate medication records for Resident #39's tube feeding administration.
Failed to ensure psychotropic medications for Residents #18 and #38 had documented diagnoses.
Failed to maintain infection prevention and control practices including hand hygiene and glove use during incontinence care and toileting for Residents #14, #26, #36, and #45.
Report Facts
Residents reviewed for abuse: 3
Residents affected by abuse deficiency: 1
Residents reviewed for physician orders: 7
Residents affected by physician order deficiency: 2
Residents reviewed for ADLs: 6
Residents affected by ADL care deficiency: 5
Residents affected by fall injury: 1
Residents care planned for hourly rounding: 1
Residents reviewed for medication: 5
Residents affected by psychotropic medication deficiency: 2
Residents reviewed for infection control: 5
Residents affected by infection control deficiency: 4
Residents reviewed for call light system: 23
Residents affected by call light system deficiency: 1
Residents in facility potentially affected by call light system: 54
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S22LPN | Licensed Practical Nurse | Interviewed regarding abuse incident and confirmed physical abuse |
| S1ADM | Administrator | Reviewed video footage and call light system; confirmed failure to round hourly and call light response |
| S4CNAS | Certified Nursing Assistant | Interviewed regarding abuse incident, fall monitoring, and call light system issues |
| S24CNA | Certified Nursing Assistant | Assigned to Resident #18; unaware of hourly rounding requirement; documented fall monitoring inaccurately |
| S7LPN | Licensed Practical Nurse | Interviewed about tube feeding administration and fall incident |
| S3ADON | Assistant Director of Nursing | Reviewed medication records and confirmed lack of documented diagnoses for psychotropic meds |
| S6LPN | Licensed Practical Nurse | Interviewed about psychotropic medication documentation and tube feeding |
| S14CNA | Certified Nursing Assistant | Observed and interviewed regarding improper glove use and hand hygiene during incontinence care |
| S16CNA | Certified Nursing Assistant | Observed and interviewed regarding improper glove use and hand hygiene during incontinence care and toileting |
| S21CNA | Certified Nursing Assistant | Interviewed about lack of pager during shift |
| S23LPN | Licensed Practical Nurse | Observed at nurse's station during call light event; interviewed about call light system |
| S25CNA | Certified Nursing Assistant | Interviewed about lack of pager during shift |
| S26CNA | Certified Nursing Assistant | Interviewed about lack of pager during shift |
| S27CNA | Certified Nursing Assistant | Interviewed about lack of pager during shift |
| S28CNA | Certified Nursing Assistant | Interviewed about lack of pager during shift |
| S29CNA | Certified Nursing Assistant | Interviewed about lack of pager during shift |
| S30LPN | Licensed Practical Nurse | Interviewed about fall monitoring and rounding |
| S31CNA | Certified Nursing Assistant | Interviewed about fall monitoring and rounding |
| S32CNA | Certified Nursing Assistant | Interviewed about fall monitoring and call light system |
| S33WC | Interviewed regarding abuse incident | |
| S34MD | Physician | Interviewed about psychotropic medication diagnosis documentation |
| S35MD | Physician | Interviewed about psychotropic medication diagnosis documentation |
| S6DON | Director of Nursing | Interviewed about physician orders and medication documentation |
| S2DON | Director of Nursing | Interviewed about medication documentation, fall monitoring, and call light system |
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Jan 20, 2023
Visit Reason
The inspection was conducted as a standard annual survey of the St. Helena Parish Nursing Home to assess compliance with regulatory requirements and resident care standards.
Findings
The facility was found deficient in multiple areas including failure to provide adaptive call bells for residents needing them, failure to notify physicians timely of changes in resident conditions, failure to protect residents from physical abuse by another resident, failure to provide adequate interventions to maintain or improve range of motion for residents with limited mobility, and failure to implement registered dietician recommendations to maintain nutritional status for a resident.
Deficiencies (5)
Facility failed to provide an adaptive call bell to Resident #1 who was immobile and unable to press the call light button.
Facility failed to ensure notifications of changes in resident conditions were made timely for Residents #40 and #51.
Facility failed to protect Resident #11 from physical abuse by Resident #42 who slapped Resident #11's head.
Facility failed to provide appropriate care to maintain or improve range of motion for Residents #1 and #8, lacking interventions such as splints or positioning devices.
Facility failed to maintain acceptable nutritional status for Resident #15 by not implementing registered dietician's recommendations for appetite stimulant and nutritional supplements.
Report Facts
Residents sampled: 16
Weight measurements: 169.2
Weight measurements: 145
Skin open area size: 1.6
Skin open area size: 0.4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S7 LPN | Licensed Practical Nurse | Interviewed regarding Resident #1's need for adaptive call bell and immobility |
| S13 CNA | Certified Nursing Assistant | Interviewed regarding Resident #1's care and lack of adaptive call bell |
| S4 DR | Therapy Department Representative | Interviewed about recommendations for adaptive equipment for Resident #1 |
| S14 CNA | Certified Nursing Assistant | Interviewed about Resident #1's care and verbalization of needs |
| S1 DON | Director of Nursing | Confirmed Resident #1's cognitive status and need for adaptive call bell and ROM interventions |
| S11 CNA | Certified Nursing Assistant | Reported open area of skin on Resident #40's sacrum |
| S5 LPN | Licensed Practical Nurse | Assessed Resident #40's sacrum and unaware of open skin area |
| S21 LPN | Licensed Practical Nurse | Confirmed failure to notify physician about Resident #51's refusal to eat |
| S3 MD | Medical Doctor | Interviewed about Resident #51's urine culture and lack of notification |
| S16 WC | Unknown Title | Interviewed about Resident #42's aggressive behavior |
| S2 ADON | Assistant Director of Nursing | Witnessed Resident #42 slap Resident #11 and confirmed physical abuse |
| S17 LPN | Licensed Practical Nurse | Witnessed Resident #42 slap Resident #11 |
| S18 LPN | Licensed Practical Nurse | Interviewed about Resident #42's aggressive behaviors |
| S19 ADM | Administrator | Confirmed slapping as physical abuse |
| S8 LPN | Licensed Practical Nurse | Responsible for care plans of Residents #1 and #8; confirmed lack of ROM interventions |
| S10 RD | Registered Dietician | Recommended appetite stimulant and nutritional supplements for Resident #15 |
| S9 RN | Registered Nurse | Confirmed lack of implementation of dietician recommendations for Resident #15 |
| S15 CNA | Certified Nursing Assistant | Reported Resident #15's decreased appetite and low meal intake |
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