Northwest Louisiana Veterans Home

In the surveyor’s words

From the most serious findings on record at Northwest Louisiana Veterans Home, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF552Jun 18, 2025

  Based on record reviews and interviews the facility failed to ensure residents and/or residents' RP (Responsible Party) were informed of the risks, benefits and side effects of psychotropic/antipsychotic medications for 3 (#4, #5 and #7) of 5 (#3, #4, #5, #7 and #160) residents reviewed for unnecessary medications. Findings: Resident #4 Review of Resident #4's medical record revealed an admission date of 03/28/2025 with diagnoses which included metabolic encephalopathy and anxiety disorder. Review of Resident #4's physician orders revealed Resident #4 received the psychotropic medication Vistaril 25 mg (milligram) po (by mouth) q (every) 6 hours prn (as needed) for anxiety. […]

• No harm, potential for more than minimal, patternF578Jun 18, 2025

  Based on record reviews and interview the facility failed to ensure residents were provided information regarding formulation of an Advance Directive upon their admission for 5 (#3, #4, #5, #7 and #60) of 6 initial pool residents. Findings: Resident #3 Review of Resident #3's medical record revealed an admission date of 03/27/2025. Review of Resident #3's medical record failed to reveal documentation that Resident #3 and/or Resident #3's representative received information regarding advance directives. Resident #4 Review of Resident #4's medical record revealed an admission date of 03/28/2025. Review of Resident #4's medical record failed to reveal documentation that Resident #4 and/or Resident #4's representative received information regarding advance directives. […]

• No harm, potential for more than minimal, patternF605Jun 18, 2025

  Based on record review and interviews, the facility failed to ensure a resident with an order for psychotropic medication as needed (PRN) was not subjected to chemical restraints for 1 (#4) of 5 (#3, #4, #5, #7 and #160) residents reviewed for unnecessary medications. The facility failed to ensure Resident #4's PRN order for psychotropic medication was limited to 14 days. Findings: Review of Resident #4's medical record revealed an admission date of 03/28/2025 with diagnoses which included metabolic encephalopathy and anxiety disorder. Review of Resident #4's physician orders revealed an order dated 03/31/2025 for Vistaril (a medication used to treat the symptoms of anxiety) 25 mg (milligram) po (by mouth) q (every) 6 hours prn for anxiety without a stop date. […]

• No harm, potential for more than minimal, patternF700Jun 18, 2025

  Based on record review, observations, and interview, the facility failed to ensure correct use and maintenance of bed rails by ensuring residents were assessed for the risk of entrapment from bed rails, and failing to obtain an informed consent from resident or resident representative prior to installation for 1 (#60) out of 1 (#60) resident reviewed for accidents. Findings: Review of the facility's Restraint Policy with a revision date of 06/2024 revealed the following: 3. Residents must be assessed for use of appropriate restraint/safety device to meet their particular needs. An assessment of the use of bed rails may also be needed if half, three-quarter, or full bedrails are being used. […]

• No harm, potential for more than minimal, patternF695Oct 12, 2022

  Based on record reviews, observations, and interviews the facility failed to provide respiratory care consistent with professional standards for 3 (#1, #3, #5) of 3 (#1, #3, #5) residents reviewed for respiratory care. The facility failed to ensure respiratory equipment was properly stored while not in use. Findings: Review of the Facility's Nebulizer Use policy revealed in part: III. Procedure B. After each use the nurse will: 3. Store nebulizer mask and tubing in plastic bag when not in use. Resident #1 An observation on 10/11/2022 at 8:35 a.m. revealed Resident #1's nebulizer mask lying on the bedside table and not stored in a plastic bag. During an interview on 10/11/2022 at 8:45 a.m. […]