Chateau Terrebonne Health Care Center

In the surveyor’s words

From the most serious findings on record at Chateau Terrebonne Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, patternF689Jun 13, 2023

  Based on observations, record reviews, and interviews, the facility failed to provide supervision to keep a resident free from elopement for 1 (Resident #96) of 10 residents (Resident #29, Resident #49, Resident #71, Resident #75, Resident #96, Resident #98 Resident #133, Resident #147, Resident #158, and Resident #159) identified at risk for elopement in the facility. This deficient practice resulted in an Immediate Jeopardy situation for Resident #96 with a BIMS (Brief Interview Mental Status) score of 3, which indicated Resident #96 had severely impaired cognition on 02/09/2023 when Resident #96 eloped from the facility at approximately 5:00 p.m. Staff were notified by phone at approximately 5:00 p.m. […]

• Immediate jeopardy, patternF835Jun 13, 2023

  The facility failed to be administered in a manner that enabled it to use its resources effectively and efficiently by failing to provide supervision to keep a resident free from elopement for 1 (Resident #96) of 10 residents (Resident #29, Resident #49, Resident #71, Resident #75, Resident #96, Resident #98 Resident #133, Resident #147, Resident #158, and Resident #159) identified at risk for elopement in the facility. This deficient practice resulted in an Immediate Jeopardy situation for Resident #96 with a BIMS (Brief Interview Mental Status) score of 3, which indicated Resident #96 had severely impaired cognition on 02/09/2023 when Resident #96 eloped from the facility at approximately 5:00 p.m. Staff were notified by phone at approximately 5:00 p.m. […]

• No harm, potential for more than minimal, patternF842May 6, 2026

  Based on interviews and record reviews, the facility failed to ensure a resident's medication administration was accurately documented for 3 (Resident #9, Resident #88, Resident #98) of 3 sampled residents investigated for accurate medication administration documentation. Findings:Review of the facility's Charting and Documentation policy and procedure, revised on 07/2017, revealed, in part, documentation in the medical record would be complete and accurate. Review of the facility's Administrating Medications policy and procedure, revised on 04/2019, revealed, in part, the individual that administered medication should sign on the resident's Electronic Medical Administration Record (eMAR) after giving each medication and before administering the next ones. […]

• No harm, potential for more than minimal, patternF657May 20, 2025

  Based on interviews and record reviews, the facility failed to complete a care plan conference for 1 (Resident #119) of 1 (Resident #119) sampled residents investigated for care planning. Findings: Review of the facility's Resident Participation in Assessment and Care Plan policy, revised December 2016, revealed, in part, a comprehensive care plan was developed within 7 days of completion of the resident assessment and a 7 day advance notice of the care planning conference was provided to the resident and his or her representative. […]

• No harm, potential for more than minimal, patternF554May 9, 2024

  Based on record reviews, observations, and interviews, the facility failed to assess residents for self-administration of drugs for 2 (Resident #9 and Resident #61) of 29 (Resident #2, Resident #9, Resident #22, Resident #25, Resident #26, Resident #29, Resident #30, Resident #36, Resident #43, Resident #54, Resident #55, Resident #61, Resident #73, Resident #77, Resident #84, Resident #90, Resident #96, Resident #109, Resident #113, Resident #121, Resident #122, Resident #127, Resident #135, Resident #138, Resident #139, Resident #140, Resident #197, Resident #297, and Resident #397) sampled residents. […]