Based on interview and record review, the facility failed to ensure the Quality Assurance Committee developed and implemented appropriate plans of action to correct identified quality deficiencies following identified errors in clarification and obtaining parameters of antidiabetic medication on admission orders for 1 (#RF2) of 6 (#F4, #RF1, #RF2, #RF3, #RF4, #RF5) residents selected for receiving antidiabetic medications. This deficient practice resulted in an immediate jeopardy situation for Resident #RF2 on 07/14/2023 when blood glucose parameters were not clarified or obtained from the physician for the order of insulin lispro subcutaneous 100 units/ml inject 7 units before meals. On 07/24/2023, Resident #RF2's blood glucose dropped from 102 to 58 after insulin lispro was administered. …
F867 citations in Louisiana
QAPI improvement activities · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Louisiana cites F867 less often than its own record predicts
0.43 times the national share — cited less often here than elsewhere.
Of every deficiency written in Louisiana in 2025, this is the portion that was F867.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Louisiana surveyors wrote
F867 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 interviews and record review, the facility failed to develop and implement appropriate plans of action to correct identified quality deficiencies for 1 (#68) of 3 residents reviewed for falls. Review of Resident #68's Clinical Record revealed an admission date of 06/29/2017 with diagnoses including fracture of unspecified part of neck of right femur dated 03/25/2026. Review of Facility's Incident Log, dated December 2025 to present, revealed in part, the following:Witnessed Fall Incident:Resident #68, 03/24/2026 at 6:15 a.m.Incident Location: Resident RoomPerson Preparing Report: S10LPN Review of Resident #68's Nurse Progress Notes, dated 03/25/2026, revealed, in part, the following:03/25/2026, 4:30 p.m., signed S11LPN: Resident noted to be screaming from bed. …
Based on record review, interview, and observation the facility failed to develop and implement appropriate plans of correction to correct identified deficiencies as evidenced by: 1.) Significant weight loss not addressed by the dietician and the audits did not reflect the plan of correction that was submitted to state office by failing to include monitoring of changes in nutritional status and/or weight loss to ensure current compliance for 1(Resident #F14) of 3 (Resident #F1, Resident #F14, Resident #F91) residents sampled for development and implementation of care plan. …
The short window
Recent years
| Year | Share of Louisiana citations | vs expected |
|---|---|---|
| 2023 | 0.53% | 0.91× |
| 2024 | 0.25% | 0.56× |
| 2025 | 0.14% | 0.43× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Louisiana surveyors cite →
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