Natchitoches Community Care Center

In the surveyor’s words

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

• Immediate jeopardy, patternF835Jul 18, 2024

  Based on observations, interviews and record reviews, 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 of each resident. The facility's Administration failed to ensure an adequate system was in place to ensure RD recommendations for PEG tube feedings were accurately transcribed into the medical record, failed to provide adequate nutrition to maintain weight, and failed to notify the physician when a resident complained of hunger, nausea, and requested to have her tube feeding rate increased for 1 (#26) of a total of 5 (#4, #16, #26, #96, and #98) residents who received nutrition by PEG tube feedings in the facility. […]

• Immediate jeopardy, isolatedF658Jul 18, 2024

  Based on observations, interviews, and record reviews, the facility failed to ensure services were provided to meet professional standards of quality, by failing to accurately transcribe and implement recommendations from the Registered Dietician, and failing to notify the physician when a resident complained of hunger, nausea, and requested to have her tube feeding rate increased for 1 (#26) of a total of 5 (#4, #16, #26, #96, and #98) residents receiving nutrition by PEG tube feedings in the facility; and failing to perform and document a Comprehensive Skin Assessment for 1 (Resident #19) of 3 (Resident #19, Resident #28, Resident #101) Residents reviewed for Pressure Ulcers. […]

• Immediate jeopardy, isolatedF692Jul 18, 2024

  Based on observation, interview, and record review the facility failed to ensure a resident with a PEG tube maintained acceptable parameters of nutritional and hydration status consistent with the resident's comprehensive assessment for 1 (#26) of a total of 5 (#4, #16, #26, #96, and #98) residents receiving nutrition by PEG tube feedings in the facility. This deficient practice resulted in an Immediate Jeopardy situation for Resident #26 on 07/05/2024 at 3:02 p.m., when S4 RN Clinical Coordinator incorrectly entered a physician's order for a nutritional feeding rate at 25 ml/hr instead of the recommended rate of 45 ml/hr. S19 RD's Progress Notes dated 07/05/2024, revealed recommendations for Diabetisource AC (nutritional feeding) at 45 ml/hr. […]

• No harm, potential for more than minimal, patternF576Feb 12, 2025

  Based on record review and interview, the facility failed to ensure the resident's right to receive mail in a timely manner for 1 (#1) resident out of 3 (#1, #2, & #3) sampled residents reviewed for resident rights. Findings: Review on 02/12/2025 of the facility's policy titled Mail and Electronic Communication revised on May 2017 revealed in part .4. Mail and packages will be delivered to the resident within 24 hours of delivery on premises or to the facility's post office box (including Saturday deliveries). Review of Resident #1's medical record revealed an admitted [DATE] with diagnoses that included in part . […]

• No harm, potential for more than minimal, patternF641Nov 7, 2024

  Based on record reviews and staff interviews, the facility failed to ensure MDS (minimum data set) assessments were accurate for 1 (#3) of 3 (#1, #2 and #3) sample residents. The facility failed to ensure resident #3's MDS accurately reflected her skin conditions and nutritional status at the time of the ARD (assessment reference date). Findings: Review of resident #3's clinical records revealed most recent admission on 06/18/2024 entered from skilled nursing facility with diagnoses that include but not limited to congestive heart failure, Alzheimer's disease with late onset, vascular dementia, diabetes mellitus with diabetic neuropathy, peripheral vascular disease, acquired absence of other left toe, and essential hypertension. […]