Based on record review and interview, the facility failed to implement its antibiotic stewardship policy to timely evaluate culture and sensitivity results in order to determine appropriate antibiotic usage by failing to: 1. Obtain culture report and sensitivity data in a timely manner in order to initiate possible treatment for Residents #43 and #77 and; 2. Notify the physician of culture report and sensitivity data in order to ensure Resident #380 was prescribed the appropriate antibiotic, out of 6 (Residents #34, #43, #54, #65, #70, #77, and #380) residents reviewed for infection control tracking and trending during the Infection Control facility task. …
F881 citations in Louisiana
Antibiotic stewardship · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Louisiana cites F881 less often than its own record predicts
0.38 times the national share — cited less often here than elsewhere.
Of every deficiency written in Louisiana in 2024, this is the portion that was F881.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Louisiana surveyors wrote
F881 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 interview, the facility failed to maintain a system for the provision of feedback reports on antibiotic usage, antibiotic resistance patterns based on laboratory data, and antibiotic prescribing practices for practitioners. Findings: Review of the facility's Infection Control documentation revealed no documented evidence, and the facility did not present any documented evidence that the facility had a system for the provision of feedback reports on the facility's antibiotic usage and antibiotic resistance patterns based on laboratory data. In an interview on 10/15/2024 at 2:48 p.m., S2Director of Nursing/Infection Preventionist confirmed she had no documented evidence regarding the usage of antibiotics or antibiotic resistance patterns in the facility.
The short window
Recent years
| Year | Share of Louisiana citations | vs expected |
|---|---|---|
| 2023 | 0.20% | 0.43× |
| 2024 | 0.17% | 0.38× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Louisiana surveyors cite →
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