Based on record review and interview, the facility failed to ensure that the resident was free from physical restraints imposed for the purpose of discipline or convenience and to provide ongoing re-evaluation of the need for a lap tray restraint for 1 (#1) of 3 (#1, #4, #5) residents reviewed for restraints. This failed practice resulted in an actual harm on 04/02/19 at 11:20PM for Resident #1 when he was found sitting on the floor with the lap tray pinning him against the bottom of the adjacent bed. The next day, the resident was sent to the hospital due to bruising, pain and swelling to the left hip. The resident was admitted into the hospital for a fractured left hip which required surgical repair. …
F604 citations in Louisiana
Restraints · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Louisiana cites F604 more often than its own record predicts
1.74 times the share F604 takes of citations nationally.
Of every deficiency written in Louisiana in 2025, this is the portion that was F604.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Louisiana surveyors wrote
F604 findings written in Louisiana, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on record review and interview the facility failed to ensure residents were free from psychosocial harm and physical restraints used for the purpose of discipline or convenience that were not required to treat the residents' medical conditions for 2 (#1, #2) of 5 (#1, #2, #3, #4, #5) sampled residents. The facility implemented corrective actions which were completed prior to the State Agency's investigation, thus it was determined to be a Past Noncompliance citation. Findings:Review of the facility's policy title: Facility Policy on PSDs (Personal Safety Devices) -Enablers-Side Rails-Restraints-Involuntary Seclusion Revised March 2026 revealed, in part:Restraint Policy Intent:Patients/Residents have the right to be free from any physical restraint imposed for purposes of discipline… …
The short window
Recent years
| Year | Share of Louisiana citations | vs expected |
|---|---|---|
| 2023 | 0.20% | 0.52× |
| 2024 | 0.55% | 1.50× |
| 2025 | 0.66% | 1.74× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Louisiana surveyors cite →
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