F656 in Louisiana. Pick another state for the same tag.
Against expectation — 2025
Louisiana cites F656 more often than its own record predicts
Versus expected share2.04×
2.04 times the share F656 takes of citations nationally.
Share of Louisiana citations7.03%
Of every deficiency written in Louisiana in 2025, this is the portion that was F656.
Louisiana7.03%
National3.44%
Share of all citations that were F656.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Louisiana surveyors wrote
F656 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.
K · Immediate jeopardy, patternJune 13, 2025
Based on record review and interviews, the provider failed to implement a comprehensive person-centered care plan to meet the needs of 2 (#61 and #84) of 25 sampled residents. The facility failed to ensure:
1. Staff consistently implemented an intervention of sitters at bedside for supervision for Resident #61; and
2. Staff scheduled an order neurology consultation for Resident #84.
This deficient practice resulted in an Immediate Jeopardy situation on 05/12/2025 when Resident #61, a cognitively impaired resident with a history of falls, recent brain bleed, poor safety awareness, and impulsiveness, had an unwitnessed fall when staff left him unsupervised. Resident #61 was assessed to need staff supervision at bedside on 05/03/2025. …
Based on record review, observations, and interviews, the facility failed to ensure staff implemented a resident's established, individualized plan of care for 1 (Resident #1) of 3 sampled residents who required two person assistance with bed mobility.This deficient practice resulted in an actual harm for Resident #1 on 03/11/2026 at 1:45 p.m., when S4CNA failed to follow the resident's plan of care for using two person staff assistance. S4CNA provided bed mobility during ADL (activities of daily living) care for Resident #1 without assistance from another staff member resulting in the resident falling from her bed onto the floor sustaining an injury to her right lower extremity requiring hospitalization. …
D · No harm, potential for more than minimal, isolatedAugust 25, 2026
Based on observation, interviews and record review, the facility failed to ensure the resident's person-centered care plan was followed for 1 (#62) of 39 sampled residents. This was evidenced when the facility failed to apply bilateral hand splints per plan of care. Findings:Review of the electronic medical record revealed Resident #62 was admitted to the facility on [DATE] with diagnoses including ALS (Amyotrophic lateral sclerosis), sleep apnea, muscle weakness, chronic neuromuscular respiratory failure. Review of Resident #62's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15, which indicated cognition was intact. Review of Resident #62's care plan read in part: I have ALS - Interventions: I need bilateral hand splints as ordered. …
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction