F658 in Louisiana. Pick another state for the same tag.
Against expectation — 2025
Louisiana cites F658 more often than its own record predicts
Versus expected share1.90×
1.90 times the share F658 takes of citations nationally.
Share of Louisiana citations3.39%
Of every deficiency written in Louisiana in 2025, this is the portion that was F658.
Louisiana3.39%
National1.78%
Share of all citations that were F658.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Louisiana surveyors wrote
F658 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, patternSeptember 5, 2025
Based on interviews and record review, the facility failed to ensure services provided by the facility met professional standards of quality for 1 (#1) of 5 (#1, #2, #3, #R1, and #R2) residents reviewed for professional standards. The facility failed to ensure nursing staff:1.Accurately transcribed Resident #1's Lantus insulin order;2. Clarified blood glucose monitoring orders with the physician for Resident #1, a Diabetic resident receiving Insulin; and3. Obtained a blood glucose level when Resident #1 experienced a change in condition.This deficient practice resulted in an immediate jeopardy situation on 08/05/2025 when Resident #1's insulin order was inaccurately transcribed into his electronic medical record and MAR. …
Based on interviews, record review,and observation the facility failed to ensure services provided met professional standards of quality by failing to ensure nursing staff identified skin changes timely for 1 (Resident #3) of 6 (Residents #1, #2, #3, #R1, #R2, and #R3) sampled residents.
This deficient practice resulted in an actual harm for Resident #3, a diabetic with neuropathy to the lower extremities. Review of the resident's weekly skin evaluations 9/1/2024 through 11/18/2024 revealed the resident did not have any skin issues. On 11/19/2024 the resident's skin evaluation assessment by S2LPN/TN (Licensed Practical Nurse/Treatment Nurse) revealed left & right 2nd (second) & 5th (fifth) toes are black . …
D · No harm, potential for more than minimal, isolatedAugust 26, 2026
Based on observations and interviews, the facility failed to ensure services were provided by the facility to meet quality professional standards. The facility failed: 1. to follow physician treatment orders for 3 (Resident #2, Resident #3, and Resident R5) of 6 sampled residents; and2. to ensure safe medication practices were followed by S16 LPN when Resident #2 self-administered his own medications.
Findings:
1.
Review of the facility's policy and procedure titled Physician Orders read in part .Policy: 1. …
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