Legacy Nursing and Rehabilitation of Plaquemine

In the surveyor’s words

From the most serious findings on record at Legacy Nursing and Rehabilitation of Plaquemine, in the surveyor’s own words.

• Immediate jeopardy, widespreadF678Feb 9, 2024

  Based on interviews and record reviews, the facility failed to ensure a resident's code status was carried out per the resident's wishes by failing to have a system in place to ensure staff knew how to confirm a resident's code status in an emergency for 1 (Resident #406) of 3 (Resident #101, Resident #103, and Resident #406) residents reviewed for death in the facility. The deficient practice resulted in an Immediate Jeopardy situation on [DATE] at 4:20 p.m. for Resident #406 when she was found in distress by Emergency Medical Services (EMS) and Cardiopulmonary Resuscitation (CPR) was initiated after S30Licensed Practical Nurse (LPN) presented EMS with a Louisiana Physician Order for Scope of Treatment (LaPOST) (a document that notes a resident's wishes as it relates resuscitation status)… […]

• Immediate jeopardy, widespreadF835Feb 9, 2024

  Based on observations, record reviews, and interviews, the facility failed to be administered in a manner that enabled it to use its resources effectively and efficiently by failing to have an adequate system in place to ensure: 1. a resident who had a history of unsafe smoking used the required safety smoking device and was supervised while smoking for 1 (Resident #90) of the 3 (Resident #29, Resident #61, Resident #90) sampled residents reviewed for smoking; 2. an environment that was free from roaches for 1 (Hall D) of 5 (Hall A, Hall B, Hall C, Hall D, Hall E) halls observed for the presence of pests; and 3. […]

• Immediate jeopardy, patternF925Feb 9, 2024

  Based on record reviews, observations, and interviews, the facility failed to maintain an environment that was free from roaches for 1 (Hall D) of 5 (Hall A, Hall B, Hall C, Hall D, Hall E) halls observed for the presence of pests. The deficient practice resulted in an Immediate Jeopardy situation on 02/05/2024 at 09:40 a.m. when live roaches were observed in Resident #21's room on Hall D. Resident #21 stated he hated having roaches in his room and personal space. The Immediate Jeopardy situation continued on 02/05/2024 at 11:00 a.m. for Resident #80 who stated he had live roaches in his room daily. Resident #80 stated he was worried a roach might crawl in his ear at night. The Immediate Jeopardy situation continued on 02/05/2024 at 11:42 a.m. […]

• Immediate jeopardy, patternF689Dec 15, 2021

  Based on record review and interview, the facility failed to: 1. Ensure a cognitively impaired resident, who exhibited exit-seeking behaviors was adequately supervised to prevent an elopement for 1 (#3) of 5 (#1, #2, #3, #4, and #5) residents reviewed; and 2. Ensure residents were assessed for wandering and elopement risk supervised for 3 (#3, #5, #19) out of a sample of 16 residents (#2, #3, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17 and #18) reviewed for wander/elopement risk. This deficient practice resulted in an Immediate Jeopardy situation on 12/08/2021 at 10:30am, for Resident #3 when a code pink (code used by the facility to notify staff of a missing resident) was announced when Resident #3 was unable to be located in the facility and on facility grounds. […]

• Immediate jeopardy, isolatedF689Feb 9, 2024

  Based on observations, interviews, and record reviews the facility failed to ensure a resident, who had a history of unsafe smoking used a safety smoking device and was supervised while smoking for 1 (Resident #90) of the 3 (Resident #29, Resident #61, and Resident #90) sampled residents reviewed for smoking. This deficient practice resulted in an Immediate Jeopardy situation on 02/05/2024 at 9:50 a.m. when Resident #90, a resident identified by the facility as an unsafe smoker with severe cognitive impairment, was observed smoking without the use of a smoking apron (a safety device which provides protection against burns to clothing and/or skin) and without staff supervision. […]