Deficiencies (last 3 years)
Deficiencies (over 3 years)
4.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
18% worse than Louisiana average
Louisiana average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Mar 12, 2025
Visit Reason
The inspection was conducted to investigate complaints related to resident grievances about food quality, safety concerns, oxygen administration, fall prevention, and hospice care documentation at The Oaks of Houma nursing home.
Complaint Details
The complaint investigation focused on resident concerns about food quality and taste, safety hazards including fall prevention and environmental cleanliness, oxygen administration compliance, and hospice care documentation. The complaints were substantiated with findings of minimal harm or potential for harm.
Findings
The facility failed to document and address Resident Council complaints about food quality, maintain a safe and clean environment, implement appropriate fall interventions, follow physician orders for oxygen administration, and ensure hospice documentation was complete for a resident.
Deficiencies (5)
F 0565: The facility failed to document and address complaints voiced by the Resident Council regarding the taste and quality of food served from the kitchen for 3 of 3 Resident Council meeting minutes reviewed.
F 0584: The facility failed to contain a used resident wash basin and maintain the smoking area in a clean manner, affecting 2 of 31 residents observed.
F 0689: The facility failed to implement an appropriate fall intervention for Resident #4 to prevent future falls despite a care plan and incident report.
F 0695: The facility failed to follow the physician's order for oxygen administration for Resident #165, with oxygen set below the prescribed 2 liters per minute.
F 0849: The facility failed to ensure Resident #4's hospice plan of care and certification of terminal illness were obtained and maintained in clinical records as required.
Report Facts
Residents observed: 31
Resident Council meeting minutes reviewed: 3
Falls history: 2
Oxygen flow rate: 2
Oxygen flow rate observed: 1.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager | Present at Resident Council meetings and explained kitchen staffing shortages | |
| Activity Director (S5) | Responsible for documenting Resident Council concerns but did not document food complaints | |
| Social Worker (S6) | Indicated no documented grievances regarding food quality | |
| S2 Director of Nursing | Director of Nursing | Received complaints about food quality and confirmed oxygen order for Resident #165 |
| S1 Administrator | Administrator | Acknowledged Resident Council concerns should have been documented and treated as grievances; confirmed smoking area needed cleaning |
| S7 Certified Nursing Assistant | CNA | Indicated Resident #31's wash basin should be contained in a plastic bag |
| S10 Licensed Practical Nurse | LPN | Indicated Resident #4 had severe dementia and would not remember to use wheelchair brakes |
| S3 Assistant Director of Nursing | ADON | Indicated Resident #4 had poor safety awareness and severe cognitive impairment |
| S9 Licensed Practical Nurse | LPN | Confirmed Resident #4 was not cognitively able to use wheelchair brakes properly |
| S8 Licensed Practical Nurse | LPN | Observed oxygen flow rate set below physician's order for Resident #165 |
| S11 Medical Records | Medical Records | Responsible for maintaining hospice documents but unaware of required documents for Resident #4 |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 24, 2024
Visit Reason
The inspection was conducted to investigate a complaint regarding the facility's failure to promptly address and act upon a resident grievance about missing personal items.
Complaint Details
The complaint involved Resident #2 reporting missing personal items including underwear, a white undershirt, and an outfit. Staff failed to locate the items or report the grievance properly. The grievance procedure was not initiated or documented, and key staff including the Social Services Director and Administrator were unaware of any grievance filed.
Findings
The facility failed to ensure a grievance was addressed and acted upon promptly according to its grievance procedure for one of three residents investigated. There was no documented evidence that the grievance process was initiated or followed for the missing personal items reported by Resident #2.
Deficiencies (1)
F 0585: The facility failed to honor the resident's right to voice grievances without discrimination or reprisal and did not make prompt efforts to resolve grievances. Specifically, the grievance procedure was not initiated or documented for Resident #2's missing personal items.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (S4) | Indicated knowledge of Resident #2's missing personal items. | |
| LPN (S3) | Indicated unawareness of Resident #2's missing personal items. | |
| Housekeeping/Laundry Supervisor (S5) | Indicated staff had not reported Resident #2's missing personal items. | |
| Social Services Director (S2) | Indicated a resident's missing personal items should be reported immediately and was unaware of any grievance filed. | |
| Administrator (S1) | Indicated unawareness of any grievance filed regarding Resident #2's missing personal items. |
Inspection Report
Complaint Investigation
Deficiencies: 6
Date: Mar 7, 2024
Visit Reason
The inspection was conducted to investigate multiple allegations of resident-to-resident abuse and related complaints at the nursing home.
Complaint Details
The complaint investigation involved 8 sampled residents with allegations of resident-to-resident abuse. The facility was found to have failed in protecting residents from abuse, timely reporting abuse, and conducting thorough investigations. Specific incidents involved physical altercations between residents and inadequate staff response.
Findings
The facility failed to ensure residents were free from resident-to-resident abuse, failed to timely report suspected abuse and the results of investigations to proper authorities, and failed to conduct thorough investigations following abuse allegations. Additional findings included failure to post daily nurse staffing data, maintain accurate controlled medication records, and ensure proper infection control hand hygiene.
Deficiencies (6)
F 0600: The facility failed to protect residents from resident-to-resident abuse for 2 of 8 sampled residents, including incidents where residents slapped or hit each other.
F 0609: The facility failed to timely report allegations of abuse and investigation results to the State Survey Agency for 6 of 8 sampled residents.
F 0610: The facility failed to conduct thorough investigations following abuse allegations for 4 of 8 sampled residents, lacking witness statements and documentation.
F 0732: The facility failed to post daily nurse staffing data as required for 3 of 3 days observed.
F 0755: The facility failed to maintain accurate counts of controlled medications for 2 residents, with discrepancies in narcotics records.
F 0880: The facility failed to ensure a Certified Nursing Assistant performed hand hygiene after providing incontinence care for 1 resident.
Report Facts
Residents investigated for abuse: 8
Residents affected by abuse: 6
Days observed for nurse staffing posting: 3
Discrepancy in Phenobarbital pills: 1
Discrepancy in Lorazepam pills: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S6 Activities Staff | Witnessed Resident #10 hit Resident #8 on the arm | |
| S7 CNA | Certified Nursing Assistant | Witnessed Resident #80 hit Resident #25 on the arm |
| S8 CNA | Certified Nursing Assistant | Witnessed Resident #80 hit Resident #25 and described incident cause |
| S1 Administrator | Administrator | Stated she would have reported the incident between Resident #8 and Resident #10 to the state agency |
| S4 Administrator | Administrator | Did not report incidents of abuse to the state agency and indicated lack of further documentation |
| S5 Medical Records | Reported Resident #53 was upset about being hit by Resident #56 | |
| S13 LPN | Licensed Practical Nurse | Observed Resident #56 picking on Resident #53 and intervened |
| S2 Director of Nursing | Director of Nursing | Confirmed nurses were expected to update narcotics records and acknowledged discrepancies |
| S9 Licensed Practical Nurse | Licensed Practical Nurse | Failed to document administration of controlled medication for Resident #17 |
| S11 Registered Nurse | Registered Nurse | Failed to document administration of controlled medication for Resident #27 |
| S12 Certified Nursing Assistant | Certified Nursing Assistant | Failed to perform hand hygiene after incontinence care for Resident #26 |
| S3 Human Resources | Responsible for posting nurse staffing information and unaware of posting requirements |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Mar 16, 2023
Visit Reason
The inspection was conducted due to complaints related to nutrition documentation and urinary catheter care at The Oaks of Houma nursing home.
Complaint Details
The complaint investigation focused on nutrition documentation failures for two residents and inadequate catheter care for two residents, with potential impact on all residents with urinary catheters.
Findings
The facility failed to ensure proper documentation of meal intake for residents with nutritional risks and failed to provide appropriate urinary catheter care according to professional standards for residents with catheters.
Deficiencies (2)
F 0656: The facility failed to document meal intake for Resident #92 and Resident #105 as required by their care plans, resulting in lack of evidence for multiple meals over several weeks.
F 0690: The facility failed to provide appropriate urinary catheter care for Resident #26 and Resident #89, including improper glove use and contamination of body wipe packs.
Report Facts
Residents investigated for nutrition: 6
Residents with urinary catheters: 11
Residents investigated for urinary catheters: 2
Weight loss percentage: 5.3
Feeding tube infusion rate: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (S5) | Described responsibility for documenting meal intake | |
| Assessment Nurse (S6) | Stated meal intake should be recorded every meal | |
| Dietary Manager (S7) | Stated CNAs should document meal intakes for every meal | |
| Assistant Director of Nursing (S8) | Stated meal intake documentation is used for weight evaluation | |
| Director of Nursing (S1) | Confirmed lack of meal intake documentation and proper catheter care | |
| Certified Nursing Assistant (S3) | Observed performing improper catheter care on Resident #89 | |
| Certified Nursing Assistant (S4) | Observed performing improper catheter care on Resident #26 |
Report
July 31, 2025
Report
July 18, 2024
Report
August 31, 2023
Report
August 31, 2023
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