Based on record review and interview, the facility failed to ensure the facility assessment was updated after changes were made to the resident capacity. The facility census was 12.Findings:Review of the Facility's assessment dated [DATE] included the resident profile, which revealed the number of residents you are licensed to provide care for: 18. the facility has 18 beds.On 02/24/2026 at 9:28 a.m., a record review and interview were conducted with S1DON. She stated on 12/15/2025 that the facility received their license and approval to care for 28 residents. She confirmed the facility assessment dated [DATE] revealed the number of residents the facility was licensed to care for was 18, and the facility had 18 beds. …
F838 citations in Louisiana
Facility assessment · Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Louisiana cites F838 more often than its own record predicts
1.49 times the share F838 takes of citations nationally.
Of every deficiency written in Louisiana in 2025, this is the portion that was F838.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Louisiana surveyors wrote
F838 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.
The short window
Recent years
| Year | Share of Louisiana citations | vs expected |
|---|---|---|
| 2023 | 0.33% | 1.98× |
| 2024 | 0.25% | 1.31× |
| 2025 | 0.38% | 1.49× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Louisiana surveyors cite →
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