Inspection Reports for
The Oaks Care Center
50 PINECREST DRIVE, PINEVILLE, LA, 71360
Back to Facility Profile5 Reports
Inspection Report — Sep 18, 2024
Routine CMS
Date: Sep 18, 2024
Visit Reason
The inspection was conducted to evaluate compliance with professional standards of quality in a nursing facility, including clinical care, nutritional services, infection control, and incident reporting.
Findings
The facility failed to notify physicians of significant changes in residents' conditions, did not follow puree diet recipes properly, and failed to implement appropriate infection control precautions for a resident with a surgical wound. Additionally, the facility did not document or notify responsible parties of a resident's fall.
Deficiencies (3)
F 0658: The facility failed to notify the physician when Resident #102 had blood glucose levels greater than 451 mg/dL and when Resident #97 had an unwitnessed fall. Documentation and notification were lacking.
F 0803: The facility failed to follow puree diet recipes regarding ingredients and portion sizes for 9 residents, compromising nutritional adequacy.
F 0880: The facility failed to maintain an effective infection prevention program and did not implement Enhanced Barrier Precautions for Resident #109 with a surgical wound, resulting in potential cross contamination.
Report Facts
Residents on puree diet: 9
Sampled residents: 30
Blood glucose levels: 451
Dates of blood glucose readings above threshold: 12
Inspection Report — Aug 24, 2023
Complaint Investigation CMS
Date: Aug 24, 2023
Visit Reason
The investigation was conducted due to a complaint regarding misappropriation of Resident #81's funds by a certified nursing assistant (S10 CNA).
Complaint Details
The complaint was substantiated. Resident #81 reported unauthorized withdrawal of $200 from his bank account. The facility confirmed the transfer to an account owned by S10 CNA. Police were involved, and the CNA was terminated.
Findings
The facility failed to prevent misappropriation of Resident #81's funds when $200 was transferred from the resident's bank account to a PayPal/CashApp account owned by S10 CNA. The CNA was suspended during the investigation and subsequently terminated.
Deficiencies (1)
F 0602: The facility failed to protect Resident #81 from misappropriation of property when $200 was withdrawn from the resident's account and transferred to a PayPal/CashApp account without consent.
Report Facts
Unauthorized withdrawal amount: 200
Resident sample size: 36
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S10 CNA | Certified Nursing Assistant | Named in misappropriation of Resident #81's funds |
| S5 SSD | Social Services Director | Reported missing card and interviewed Resident #81 |
| S2 DON | Director of Nursing | Interviewed Resident #81 and S10 CNA, suspended S10 CNA |
| S1 Administrator | Facility Administrator | Contacted bank, confirmed transfer, and terminated S10 CNA |
Inspection Report — Aug 24, 2023
Routine CMS
Date: Aug 24, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to resident rights, safety, care, and facility environment at The Oaks Care Center.
Findings
The facility was found deficient in multiple areas including failure to maintain resident dignity, failure to accommodate resident dietary preferences, inadequate maintenance of facility environment, delayed transmission of resident assessments, improper respiratory care, failure to meet nutritional needs through proper portion sizes, and food safety violations in the kitchen.
Deficiencies (7)
F 0550: The facility failed to maintain dignity for Resident #19 by not ensuring she was free of facial hair despite her request.
F 0561: The facility failed to promote and facilitate Resident #47's self-determination by not providing a diet according to his food preferences.
F 0584: The facility failed to maintain a clean, comfortable, and homelike environment by not repairing bathroom wall holes, exposed screws, and a shredded bathroom door in Room A.
F 0640: The facility failed to transmit Minimum Data Set assessments within 14 days for 4 residents, delaying required reporting.
F 0695: The facility failed to provide respiratory care consistent with professional standards for Residents #46 and #211 by not providing humidification and improperly storing respiratory equipment.
F 0803: The facility failed to meet nutritional needs by not following menu portion sizes, serving insufficient protein portions to residents.
F 0812: The facility failed to store, prepare, distribute, and serve food in accordance with professional standards, evidenced by an unsanitary microwave and expired food item in storage.
Report Facts
Residents affected: 36
Residents affected: 31
Residents affected: 4
Residents affected: 2
Residents affected: 113
Portion size: 1.9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S3 Dietary Manager | Confirmed dietary errors including improper food servings and unsanitary kitchen conditions | |
| S4 LPN | Confirmed facial hair issue for Resident #19 and lack of humidification for Resident #46 | |
| S7 Registered Dietician | Reviewed and signed off on menus, acknowledged portion size deficiencies | |
| S11 LPN/MDS Team Leader | Confirmed delayed MDS transmissions | |
| S12 LPN/MDS Coordinator | Confirmed delayed MDS transmissions |
Inspection Report — Apr 4, 2023
Routine CMS
Date: Apr 4, 2023
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident grievance procedures, nutritional adequacy of meals, and meal service timeliness at The Oaks Care Center.
Findings
The facility failed to promptly resolve resident grievances regarding missing personal items and did not follow its grievance policy. The facility also failed to meet nutritional needs by serving inadequate portion sizes and delayed meal service times, potentially affecting all residents.
Deficiencies (3)
F 0585: The facility failed to ensure prompt resolution of grievances for two residents regarding missing personal property and failed to initiate a grievance for one resident's missing blankets.
F 0803: The facility failed to meet nutritional needs by serving a chicken portion of 2.5oz instead of the required 4oz to residents.
F 0809: The facility failed to serve meals, specifically breakfast, in a timely manner, with breakfast being served at 8:02 a.m. instead of the scheduled 7:15 a.m.
Report Facts
Residents receiving meals: 105
Chicken portion size served: 2.5
Scheduled breakfast time: 715
Actual breakfast serving time: 802
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Named as grievance official and interviewed regarding grievance handling and meal service issues | |
| Dietary Manager | Interviewed regarding meal portion sizes and meal service times | |
| Dietary Staff | Interviewed regarding breakfast meal preparation and delays |
Inspection Report — Aug 10, 2022
CMS
Date: Aug 10, 2022
Visit Reason
The inspection was conducted to assess compliance with proper garbage and refuse disposal procedures at the facility.
Findings
The facility failed to ensure garbage was disposed of properly, with observations of open dumpster lids, trash bags not placed inside dumpsters, scattered debris, and cigarette butts around the trash receptacles.
Deficiencies (1)
F 0814: The facility failed to ensure garbage was disposed of properly. Dumpster lids were open, trash bags were not placed inside dumpsters, and debris including cigarette butts was scattered around the trash area.
Report Facts
Residents present: 105
Viewing
Loading inspection reports...
