Based on interviews and record reviews, the facility failed to revise a care plan to reflect a resident's nutritional status for 1 (Resident #4) of 1 sampled residents investigated for tube feeding.Findings:Review of the facility's Care Plan policy and procedure, dated 05/22/2017, revealed the comprehensive plan of care was an interdisciplinary tool used to communicate and address care issues that were relevant to the resident's individual needs. Further review revealed the care plan would be revised on an ongoing basis to reflect changes in the resident status and care received.Review of Resident #4's Significant Change in Status Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 06/10/2026 revealed, in part, Resident #4 had a feeding tube.Review of Resident #4's June 2026… …
F657 citations in Louisiana
Care plan timing and revision · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Louisiana cites F657 less often than its own record predicts
0.91 times the national share — cited less often here than elsewhere.
Of every deficiency written in Louisiana in 2025, this is the portion that was F657.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Louisiana surveyors wrote
F657 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 interviews the facility failed to ensure the care plan meetings were being conducted with the interdisciplinary team for 2 of 2 (Resident #13 and Resident #68) sampled residents reviewed for Care Planning in a total investigative sample of 25. Findings: Resident #13: Review of Resident #13's record revealed an admitted [DATE]. Review of Resident #13's Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/11/2022 revealed, in part, Resident #13 had a Brief Interview for Mental Status (BIMS) of 14 (resident was cognitively intact). In an interview on 03/20/2023 at 12:25 p.m., Resident #13 stated she had not participated in a care plan meeting. …
The short window
Recent years
| Year | Share of Louisiana citations | vs expected |
|---|---|---|
| 2023 | 1.33% | 0.62× |
| 2024 | 1.14% | 0.60× |
| 2025 | 1.70% | 0.91× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Louisiana surveyors cite →
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