Inspection Reports for
Vermilion Health Care Center
14008 CHENEAU ROAD, KAPLAN, LA, 70548
Back to Facility Profile5 Reports
Inspection Report — Sep 10, 2025
Annual Inspection CMS
Date: Sep 10, 2025
Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at Vermilion Health Care Center.
Findings
No health deficiencies were found during the inspection.
Inspection Report — Sep 25, 2024
Annual Inspection CMS
Date: Sep 25, 2024
Visit Reason
The inspection was conducted as part of the annual survey and complaint investigations to assess compliance with regulatory requirements and resident care standards.
Findings
The facility failed to post the most recent survey results in a readily accessible location for residents and their representatives. Additionally, deficiencies were found in care planning for residents, including failure to implement chair alarm monitoring, address elevated blood sugar rechecks, hearing deficits, and proper catheter care.
Deficiencies (3)
F 0577: The facility failed to ensure the most recent survey results were posted in a place readily accessible to residents, family members, and legal representatives. The facility census was 94 residents.
F 0656: The facility failed to develop and implement a complete care plan for 3 residents, including failure to monitor chair alarm compliance, address elevated blood sugar rechecks, and hearing deficits.
F 0690: The facility failed to provide appropriate care to prevent urinary tract infections by not ensuring Resident #49's urinary catheter drainage tubing was properly secured off the floor.
Report Facts
Capillary blood sugar readings over 400: 6
Residents reviewed for care planning: 31
Residents affected by care plan deficiencies: 3
Residents reviewed for urinary catheter or UTI: 2
Residents affected by catheter care deficiency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Interviewed regarding posting of survey results | |
| Certified Nursing Assistant (S7CNA) | Confirmed chair alarm cord was not connected for Resident #10 | |
| Director of Nursing (S1DON) | Confirmed fall risk and chair alarm use for Resident #10 and lack of blood sugar recheck documentation for Resident #49 | |
| Licensed Practical Nurse (S4LPN) | Interviewed about blood sugar recheck procedures | |
| Assistant Director of Nursing/Infection Preventionist (S2ADON/IP) | Observed catheter care for Resident #49 and explained proper tubing management | |
| MDS Coordinator (S5MDS) | Confirmed lack of care plan for Resident #88's hearing deficit |
Inspection Report — Oct 24, 2023
Complaint Investigation CMS
Date: Oct 24, 2023
Visit Reason
The inspection was conducted to investigate complaints regarding the facility's failure to accurately assess and code a resident's serious mental illness status, coordinate PASARR screenings, and ensure proper referral for specialized services following psychiatric inpatient stays.
Complaint Details
The investigation was complaint-driven, focusing on Resident #3's inaccurate MDS coding for serious mental illness, failure to coordinate PASARR screenings, and failure to refer for Level II PASARR after psychiatric hospitalization. The complaint was substantiated with findings of minimal harm.
Findings
The facility failed to accurately code Resident #3's serious mental illness on the Minimum Data Set (MDS), failed to refer the resident for a Level II PASARR evaluation after psychiatric readmission, and failed to ensure the accuracy of the Level I PASARR screening upon admission. These deficiencies placed the resident at risk of not receiving needed specialized services.
Deficiencies (3)
F0641: The facility failed to ensure Resident #3's MDS accurately reflected his serious mental illness diagnosis of Paranoid Schizophrenia.
F0644: The facility failed to refer Resident #3 for a Level II PASARR evaluation after readmission following an inpatient psychiatric stay, risking lack of specialized services.
F0645: The facility failed to ensure the accuracy of Resident #3's Level I PASARR screening upon admission, which did not reflect his diagnosis of Paranoid Schizophrenia.
Report Facts
Residents sampled: 3
Residents affected: 1
BIMS score: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S1SSD | Social Services Director | Named in findings related to PASARR screening coordination and referral failures. |
| S6MDS | MDS Assessor | Conducted Resident #3's admission MDS assessment and confirmed inaccurate coding. |
Inspection Report — Aug 2, 2023
Routine CMS
Date: Aug 2, 2023
Visit Reason
Routine inspection of Vermilion Health Care Center to assess compliance with healthcare regulations and standards.
Findings
The facility was found deficient in multiple areas including failure to follow care plans for residents, improper oxygen administration, medication errors with a high error rate, inadequate infection control practices, and staffing issues related to charge nurse coverage.
Deficiencies (6)
F 0656: Facility failed to monitor bleeding or bruising for Resident #45 on anticoagulant therapy and failed to apply a left elbow extension brace for Resident #67 to prevent contractures.
F 0684: Facility failed to complete 72 hours of neuro-checks after Resident #6 sustained an unwitnessed fall and head injury.
F 0695: Facility failed to provide respiratory care per physician orders for Residents #6 and #22, including incorrect oxygen flow rates and lack of portable oxygen for Resident #22.
F 0727: Facility failed to provide a charge nurse other than the Director of Nursing when census exceeded 60 residents, affecting 91 residents.
F 0759: Facility medication error rate was 18.75%, exceeding the 5% threshold, with multiple late medication administrations observed.
F 0880: Facility failed to maintain an effective infection prevention program including lack of water system assessment, improper hand hygiene and PPE use during laryngectomy care for Resident #23, and improper disinfection of reusable scissors during wound care for Resident #27.
Report Facts
Residents affected: 35
Residents affected: 2
Residents affected: 1
Residents affected: 2
Medication error rate: 18.75
Medication administration time: 7
Medication administration time: 8
Charge nurse coverage dates: 14
Charge nurse coverage dates: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S4DON | Director of Nursing | Confirmed lack of monitoring for bleeding/bruising and oxygen administration issues |
| S3RNAIT | Registered Nurse, Administrator in Training | Confirmed oxygen administration issues and charge nurse coverage |
| S7LPNTxNurse | Licensed Practical Nurse, Treatment Nurse | Observed failing to use proper hand hygiene and PPE during laryngectomy care and improper disinfection of reusable scissors |
| S6LPN | Licensed Practical Nurse | Observed administering late medications and oxygen administration |
| S10LPNIP | Licensed Practical Nurse, Infection Preventionist | Confirmed infection control deficiencies and improper disinfection practices |
Inspection Report — Apr 4, 2023
Complaint Investigation CMS
Date: Apr 4, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding alleged resident-to-resident physical and psychosocial abuse and failure to timely report suspected abuse incidents to the State Survey Agency.
Complaint Details
The complaint investigation substantiated that Resident #R2 physically abused Resident #R1 on 04/03/2023. The facility also failed to report this incident and another allegation of abuse involving Resident #5 to the State Survey Agency within the required 2-hour timeframe.
Findings
The facility failed to protect residents from physical and psychosocial abuse when Resident #R2 struck Resident #R1 on 04/03/2023, causing harm. Additionally, the facility failed to report the abuse incidents involving Resident #R1, Resident #R2, and Resident #5 to the State Survey Agency within the required 2-hour timeframe.
Deficiencies (2)
F 0600: The facility failed to protect residents from physical and psychosocial abuse when Resident #R2 struck Resident #R1 on 04/03/2023 causing physical and emotional harm.
F 0609: The facility failed to timely report suspected abuse incidents to the State Survey Agency within the required 2 hours after the allegations involving Resident #R1, Resident #R2, and Resident #5 were made.
Report Facts
Residents sampled: 7
BIMS score: 1
BIMS score: 1
BIMS score: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (S7CNA) | Observed the abuse incident and reported it. | |
| Director of Nursing (S2DON) | Confirmed the abuse incident and failure to report to the State Survey Agency. | |
| Licensed Practical Nurse (S4LPN) | Reported the abuse incident to the Director of Nursing. | |
| Licensed Practical Nurse (S5LPN) | Responded to Resident #5's room and notified administration of suspected abuse. | |
| Administrator (S1ADM) | Arrived following notification of suspected abuse involving Resident #5. |
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