Jo Ellen Smith Convalescent Center

In the surveyor’s words

From the most serious findings on record at Jo Ellen Smith Convalescent Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF578Mar 12, 2026

  Based on interviews and record reviews, the facility failed to ensure a resident's right to refuse life sustaining treatment would be carried out for 2 (Resident #51, Resident #65) of 30 sampled residents screened for advanced directives. Findings:Review of the Louisiana Physician Orders for Scope of Treatment (LaPOST) Handbook for Long Term Care Professionals, dated 01/2024, revealed, in part, if a resident chose to complete the LaPOST form, it must be followed by healthcare providers and must be signed by a physician to be valid. Further review revealed if there was a substantial change in the person's treatment goals including a reversal of a prior directive, a new LaPOST should have been completed and the old LaPOST properly voided. […]

• No harm, potential for more than minimal, patternF658Jan 15, 2026

  Based on interviews and record reviews, the facility failed to ensure medications were administered per physician's orders for 3 (Resident#1, Resident#2, Resident#3) of 3 residents reviewed for medication administration. Findings:Resident #1 Review of Resident #1's Minimum Data Set with an Assessment Reference Date of 12/10/2025 revealed, in part, Resident #1 had a diagnosis of type 2 diabetes. Review of Resident #1's January 2026 Physician's Orders revealed, in part, an order for Lantus 100 units/milliliter (a medication used to lower blood sugar), inject 26 units subcutaneously (medicine delivered into fatty tissue under the skin) two times a day with a start date of 08/19/2025 to be administered at 8:00AM and 8:00PM. […]

• No harm, potential for more than minimal, patternF755Aug 5, 2025

  Based on interviews and record reviews the facility failed to ensure nursing staff administered medications timely as ordered by the physician for 2 (Resident #1, Resident #2) of 3 (Resident #1, Resident #2, Resident #3) sampled residents investigated for pharmacy services. Findings:Review of the facility’s Job Description for Nurse Supervisor last revised 2020 revealed, in part, a medication administration function of the job was to administer medications in accordance with physician orders, regulations, and facility policy. […]

• No harm, potential for more than minimal, patternF755Mar 19, 2025

  Based on observation, record reviews, and interviews the facility failed to ensure that controlled drugs were maintained and accurately reconciled for 1(Med Cart A) out of 3 (Med Cart A, Med Cart B, and Med Cart C) medication carts observed for the medication storage facility task. Findings: Observation on 03/19/2025 at 8:55AM revealed a discrepancy on the facility's narcotic count form, on Med Cart A. Further observation revealed S3Licensed Practical Nurse (S3LPN) documented Resident # 184's Testosterone Cypionate (a hormonal replacement) Injection Solution 200 milligrams per milliliters (MG/ML) was administered per the EMAR (Electronic Medication Administration Record), on 03/05/2025, but the narcotic count form on Med Cart A did not have any documentation that this was documented as… […]

• No harm, potential for more than minimal, patternF692Sep 7, 2023

  Based on record review and interviews, the facility failed to ensure a resident with a history of weight loss had their meal intake documented for each meal for 4 (Resident #1, Resident #2, Resident #3, and Resident #4) of 5 (Resident #1, Resident #2, Resident #3, Resident #4, and Resident #5) sampled residents reviewed for weight loss. Findings: Resident #1 Review of Resident #1's face sheet revealed, in part, a diagnosis of moderate protein-calorie malnutrition. Review of Resident #1's care plan for malnutrition revealed, in part, an intervention for facility staff to monitor and record Resident #1's meal ingestion percentage. […]