Heritage Manor of Baton Rouge II

In the surveyor’s words

From the most serious findings on record at Heritage Manor of Baton Rouge II, in the surveyor’s own words.

• Immediate jeopardy, isolatedF609Feb 21, 2025

  Based on record reviews and interviews, the facility failed to ensure an allegation of neglect was reported immediately, but not later than 2 hours after the incident occurred to the State Survey Agency and local law enforcement in accordance with State law for 1 (#3) of 4 ( #1, #2, #3, and #R1) residents reviewed for abuse. The provider failed to report Resident #3's elopement from the facility on 02/08/2025 to local law enforcement and the state agency. This deficient practice resulted in an Immediate Jeopardy situation on 02/08/2025 when Resident #3, a resident that resided on the locked unit of the facility due to wandering behaviors, was noted missing from the facility by staff. […]

• Immediate jeopardy, isolatedF656Feb 21, 2025

  Based on record reviews and interviews, the provider failed to develop and implement a Comprehensive Person-Centered Care Plan to meet the needs of 1 (#3) of 7 (#1, #2, #3, #R1, #R2, #R3, and #R4) sampled residents. The facility failed to ensure staff were aware of Resident #3's active protective order and an open Elderly Protective Service (EPS) case against 3 family members. This deficient practice resulted in an Immediate Jeopardy situation on 02/08/2025 when Resident #3, a resident that resided on the locked unit of the facility due to wandering behaviors, was noted missing from the facility by staff. Resident #3 was admitted to the facility with a known protective order and open EPS case against family members. […]

• Immediate jeopardy, isolatedF689Feb 21, 2025

  Based on record reviews and interviews, the facility failed to ensure residents received adequate supervision to prevent elopement from the facility for 1 (#3) of 4 (#3, #R2, #R3, and #R4) sampled residents reviewed for elopement. This deficient practice resulted in an Immediate Jeopardy situation on 02/08/2025 when Resident #3, a resident that resided on the locked unit of the facility due to wandering behaviors, was noted missing from the facility by staff. Resident #3 was admitted to the facility with a known protective order and open Elderly Protective Services (EPS) case against family members. On 02/08/2025 around 7:07 p.m., staff allowed 2 unknown family members to remove Resident #3 from the facility's locked unit and bring her outside unsupervised. […]

• Immediate jeopardy, isolatedF835Feb 21, 2025

  Based on interviews and record review, the facility failed to be administered in a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being for each resident residing in the facility. The facility failed to have an effective system in place to ensure: 1. Administrative Staff communicated resident care needs to direct care staff to prevent elopement for 1 (#3) of 7 (#1, #2, #3, #R1, #R2, #R3, and #R4) sampled residents; and 2. […]

• Immediate jeopardy, isolatedF600Oct 18, 2023

  Based on observations, interviews, and record reviews, the facility failed to protect the residents' right to be free from sexual abuse by Resident #1 for 2 (#2 and #3) of 3 (#2, #3, and #4) residents reviewed for abuse. This deficient practice resulted in an immediate jeopardy situation on 10/11/2023 at 5:07 a.m. when Resident #1, a resident with a history of sexually inappropriate behaviors, touched Resident #2, a severely cognitively impaired resident, on the vagina in the facility's dining room. At 5:07 a.m., S5CNA observed Resident #1 touching Resident #2 inappropriately. At that time, S5CNA, alerted S6LPN of the incident. S6LPN failed to report the incident to administration and failed to implement adequate interventions after the incident. […]