Metairie Health Care Center

In the surveyor’s words

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

• Immediate jeopardy, patternF689Dec 19, 2024

  Based on observations, interviews, and record reviews the facility failed to ensure residents, who had a history of unsafe smoking used a safety smoking device and was supervised while smoking for 3 (Resident #31, Resident #15 and Resident #53) of 3 (Resident #15, Resident #31, and Resident #53) sampled residents reviewed for unsafe smoking. This deficient practice resulted in an Immediate Jeopardy situation on 12/16/2024 at 9:50 a.m. when Resident #31, a resident identified by the facility as an unsafe smoker with moderate 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. […]

• Immediate jeopardy, patternF835Dec 19, 2024

  Based on interviews, observations, and policy review the administrative staff failed to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of residents by overseeing the effective implementation of the facility's smoking policy and procedure for monitoring and supervision for 3 (Resident #15, Resident #31, and Resident #53) of 3 (Resident #15, Resident #31, and Resident #53) residents identified as unsafe smokers. […]

• Actual harm, isolatedF689Jan 26, 2024

  40405 Based on record reviews and interviews, the facility failed to ensure two Certified Nursing Assistants (CNAs) used a mechanical lift to transfer a resident who was dependent on staff for transfers from the bed to the wheelchair as indicated on their plan of care. This deficient practice resulted in an actual harm when a CNA transferred Resident #10 alone via the mechanical lift from the bed to the wheelchair when the strap on the lift pad broke causing Resident #10 to fall to the floor which resulted in a closed fracture of the left hip and laceration of right lower leg. The left hip fracture required surgery for an Open Reduction and Internal Fixation (ORIF) and the laceration to the right leg required sutures. […]

• No harm, potential for more than minimal, patternF697Dec 17, 2025

  Based on interviews and record reviews, the facility failed to ensure staff administered a resident's scheduled pain medication as ordered for 1 (Resident #2) of 1 sampled residents investigated for pain. Findings: Review of the facility's Administering Medications policy, revised April 2019, revealed in part, medications should be administered in accordance with the prescriber's orders, including any required time frame and needs and benefits of the resident. Further review of the policy revealed if the dosage is believed to be inappropriate or excessive for a resident, or a medication has been identified as having potential adverse consequences the nurse should contact the prescriber. […]

• No harm, potential for more than minimal, patternF755Dec 17, 2025

  Based on observation, interviews and record reviews, the facility failed to ensure:1. Narcotic logs were accurately reconciled for a resident (Resident #2); and, 2. Medications were available to be administered as ordered for a resident (Resident #2). This deficient practice was identified for 1 (Resident #2) of 1 sampled residents reviewed for pharmacy services. Findings: 1.Review of the facility's undated Controlled Drug policy and procedure revealed, in part, the inventory of the controlled drugs must be recorded on narcotic records and signed for correctness of count. If a discrepancy is found, residents' orders are to be checked and chart should be reviewed to see if a narcotic has been administered and not recorded. […]