Inspection Reports for
St James Place Nursing Care Center
333 LEE DRIVE, BATON ROUGE, LA, 70808
Back to Facility Profile6 Reports
Inspection Report — Jan 8, 2026
Annual Inspection CMS
Date: Jan 8, 2026
Visit Reason
The inspection was conducted to assess compliance with professional standards regarding resident care documentation, specifically focusing on the accuracy of bath and shower records for sampled residents.
Findings
The facility failed to maintain accurate documentation of baths and showers for three sampled residents, with multiple instances of missing or undocumented bathing services despite staff confirming the services were provided.
Deficiencies (1)
F 0842: The facility failed to maintain accurate medical records for three residents regarding baths and showers, with missing documentation on multiple dates despite evidence that care was provided.
Report Facts
Dates with missing bath/shower documentation: 28
Residents sampled: 3
Inspection Report — Jun 25, 2025
Routine CMS
Date: Jun 25, 2025
Visit Reason
Routine inspection to assess compliance with regulatory standards including resident assessments, food safety, medical record accuracy, hospice care, infection control, and immunization documentation.
Findings
The facility was found deficient in multiple areas including inaccurate Minimum Data Set assessments, unsanitary kitchen vent conditions, inaccurate wound care documentation, outdated hospice plans of care, improper catheter care, incomplete immunization documentation, and failure to implement COVID-19 vaccination policies.
Deficiencies (7)
F0641: The facility failed to ensure the Minimum Data Set assessments accurately reflected the resident's medication status for 1 of 15 residents reviewed.
F0812: The facility failed to maintain sanitary conditions by allowing ceiling vents in two kitchen locations to remain covered with thick fluffy gray substance, potentially affecting 58 residents.
F0842: The facility failed to maintain accurate nursing documentation for weekly body audits of pressure ulcers for 1 of 3 residents reviewed.
F0849: The facility failed to maintain a current Hospice Plan of Care in the resident's Hospice Binder for 1 of 2 residents reviewed for hospice care.
F0880: The facility failed to ensure catheter bags and tubing remained off the floor for 1 of 2 residents observed with catheters, increasing infection risk.
F0883: The facility failed to document education and consent regarding pneumococcal and influenza immunizations for 1 of 5 residents reviewed.
F0887: The facility failed to implement policies and procedures for COVID-19 immunizations, including education and documentation, for 1 of 5 residents reviewed.
Report Facts
Residents affected: 58
Residents reviewed for MDS accuracy: 15
Residents reviewed for pressure ulcer documentation: 3
Residents reviewed for hospice care: 2
Residents observed with catheters: 2
Residents reviewed for immunizations: 5
Inspection Report — Oct 4, 2024
Routine CMS
Date: Oct 4, 2024
Visit Reason
The inspection was conducted to assess compliance with documentation standards for nursing care and activities of daily living in the facility.
Findings
The facility failed to maintain accurate documentation of baths and showers for three sampled residents, with multiple instances where care was provided but not recorded as required by facility policy.
Deficiencies (1)
F 0842: The facility failed to safeguard resident-identifiable information and maintain medical records in accordance with accepted professional standards for three residents. Documentation of baths and showers was missing for multiple dates despite care being provided.
Report Facts
Residents affected: 3
Inspection Report — May 31, 2024
Complaint Investigation CMS
Date: May 31, 2024
Visit Reason
The inspection was conducted based on complaints and allegations regarding resident care, including call light response times, notification of significant changes in resident status, medication administration, and infection control practices.
Complaint Details
The visit was complaint-related, triggered by allegations of inadequate call light response, failure to notify physicians and families of changes in resident conditions, improper medication administration, inadequate infection control, and other care deficiencies. Immediate Jeopardy was identified related to hypoglycemic protocol failures resulting in resident death.
Findings
The facility failed to respond timely to call lights for residents, did not notify physicians or families of significant changes in resident conditions, failed to implement hypoglycemic protocols resulting in resident death, did not use proper transfer equipment for residents, failed to label and date oxygen equipment and food items properly, did not post required nurse staffing information, failed to monitor side effects of anticoagulant and psychotropic medications, and failed to ensure proper use of personal protective equipment for residents on Enhanced Barrier Precautions.
Deficiencies (11)
F 0558: The facility failed to respond to call lights in an appropriate time frame for 2 residents, with response times ranging from 37 to 121 minutes.
F 0580: The facility failed to notify physicians or family members of significant changes in condition for 2 residents, resulting in an Immediate Jeopardy situation when hypoglycemic protocol was not followed and a resident died.
F 0684: The facility failed to provide treatment and care according to orders and protocols for a diabetic resident, including failure to follow hypoglycemic protocol and assess an unresponsive resident.
F 0689: The facility failed to ensure a resident was transferred using a Hoyer Lift with two staff members as ordered, instead transferring the resident independently.
F 0695: The facility failed to label and date oxygen tubing and humidifier bottles for a resident receiving oxygen therapy as required.
F 0726: The facility failed to ensure licensed nurses had the competencies to implement hypoglycemic protocols and properly assess unresponsive residents, contributing to an Immediate Jeopardy situation.
F 0732: The facility failed to post required nurse staffing information daily at all nurse stations, omitting resident census and actual hours worked for nursing staff.
F 0757: The facility failed to monitor for side effects of anticoagulant medications for 2 residents, lacking documentation of required monitoring.
F 0758: The facility failed to ensure psychotropic medications were used only with appropriate diagnoses and failed to monitor for effectiveness and side effects for 2 residents.
F 0812: The facility failed to label and date food items properly in storage and failed to discard expired or opened food items, risking food safety for residents.
F 0880: The facility failed to ensure a CNA wore a gown when providing care to a resident on Enhanced Barrier Precautions, violating infection control protocols.
Report Facts
Call light response times: 121
Blood glucose readings: 49
Blood glucose readings: 53
Resident count: 49
Medication doses: 15
Medication doses: 5
Medication doses: 25
Medication doses: 2
Medication doses: 0.5
Medication doses: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S4LPN | Licensed Practical Nurse | Named in failure to implement hypoglycemic protocol and failure to notify physician for Resident #48 |
| S5LPN | Licensed Practical Nurse | Named in failure to assess unresponsive resident and notify physician for Resident #48 |
| S2DON | Director of Nursing | Confirmed findings related to call light response, hypoglycemic protocol failures, and infection control |
| S12CNA | Certified Nursing Assistant | Observed transferring Resident #28 without required Hoyer Lift |
| S15LPN | Licensed Practical Nurse | Confirmed Resident #28 required Hoyer Lift transfers |
| S14RTD | Therapist | Confirmed Resident #28 assessed for Hoyer Lift transfers |
| S17LPN | Licensed Practical Nurse | Confirmed oxygen tubing and humidifier bottle not labeled for Resident #21 |
| S1ADM | Administrator | Not aware of required nurse staffing posting data and confirmed food labeling requirements |
| S8SD | Staff responsible for posting staffing | Confirmed failure to post required nurse staffing information |
Inspection Report — Jun 21, 2023
Annual Inspection CMS
Date: Jun 21, 2023
Visit Reason
Annual inspection of St James Place Nursing Care Center to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report — Apr 13, 2023
Complaint Investigation CMS
Date: Apr 13, 2023
Visit Reason
The inspection was conducted due to a COVID-19 outbreak and concerns regarding infection prevention and control practices, specifically related to mask-wearing by therapy staff and the implementation of a water management program to prevent Legionella and other waterborne pathogens.
Complaint Details
The visit was complaint-related due to a COVID-19 outbreak and concerns about infection control practices. The complaint was substantiated as therapy staff were observed and confirmed not wearing masks during resident treatments, and the facility lacked a water management program.
Findings
The facility failed to ensure therapy staff wore masks during resident treatments amid a COVID-19 outbreak, potentially contributing to infection spread. Additionally, the facility lacked an implemented water management program to control Legionella growth and had not secured a contract for required testing and monitoring.
Deficiencies (2)
F 0880: The facility failed to ensure therapy staff wore masks while treating 15 residents during a COVID-19 outbreak on 04/11/2023 and 04/12/2023, violating infection prevention protocols.
F 0880: The facility did not implement a water management program to prevent Legionella and other waterborne pathogens, lacking assessment, monitoring, and interventions as required.
Report Facts
Residents treated without masks: 15
Total residents in facility: 58
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S3PTA | Physical Therapist Assistant | Observed and confirmed not wearing a mask while treating residents during the COVID-19 outbreak. |
| S4PT | Physical Therapist | Observed and confirmed not wearing a mask while treating residents during the COVID-19 outbreak. |
| S5PT | Physical Therapist | Observed and confirmed not wearing a mask while treating residents during the COVID-19 outbreak. |
| S1ADM | Administrator | Confirmed therapy staff should wear masks during COVID-19 outbreak and verified lack of water management program. |
| S2DON | Director of Nursing | Verified COVID-19 outbreak dates and mask-wearing policies. |
| S6RD | Infection Preventionist | Verified observations and confirmed mask exemption status of therapy staff. |
| S8DBG | Facility Staff Responsible for Water Management Contract | Responsible for obtaining contract for water management program; confirmed no contract secured. |
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