Onyx Care of Natchitoches

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Oct 25, 2024

  Based on interview and record review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice and residents' person centered care plans for 6 (#3, #4, #5, #9, #10 and #12) of 13 (#1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, and #13) sampled Residents. The facility failed to have a system in place to: 1. Notify the physician of a low critical Hemoglobin level for Resident #5 and failed to document bleeding monitoring for Resident #5 and Resident #12; 2. Obtain ordered weekly PT/INR levels for 2 (Resident #5 and Resident #12) of 2 residents receiving Coumadin, (an anticoagulant) therapy; 3. Ensure medications that included anticoagulant, analgesics, and antidiuretics were administered for Residents #5 and #9; 4. […]

• Immediate jeopardy, isolatedF835Oct 25, 2024

  Based on record review and interview, the facility failed to administer its resources effectively to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident for 6 (#3, #5, #4, #9, #10 and #12) of 13 sampled residents (#1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12 and #13). The Facility failed to: 1. Ensure there was a system in place to monitor the completion of laboratory draws and timely communication of abnormal lab results to the provider; and 2. Follow and implement physician's orders for residents who required bleeding and glucose monitoring, routine labs, medication administration and catheterization. […]

• Immediate jeopardy, isolatedF689May 24, 2024

  Based on interview and record review, the facility failed to ensure Resident #1, who had been assessed to be at risk for elopement, received adequate supervision to prevent him from exiting the facility without staff knowledge, for 1 (Resident #1) of 3 (Resident #1, Resident #2, and Resident #3) sampled residents. This deficient practice resulted in an Immediate Jeopardy situation for Resident #1 on 05/13/2024 at 11:30 a.m., when Resident #1, (a moderately cognitively impaired resident who was identified as an elopement risk), asked S5 Agency Nurse to unlock the facility's front door so he could go see his wife, while holding a clear trash bag containing clothing items. S5 Agency nurse did not notify any other staff of Resident #1's exit seeking behavior. […]

• Immediate jeopardy, isolatedF835May 24, 2024

  Based on interview on record review, the facility failed to administer its resources effectively to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, for 1 (Resident #1) of 3 (Resident #1, Resident #2, and Resident #3) sampled residents. The Administration failed to have an effective system in place to ensure Resident #1, who was assessed as being at risk for elopement, was adequately supervised to prevent him from exiting the front door of the facility unattended. […]

• Actual harm, patternF692Mar 12, 2025

  Based on observations, interviews, and record reviews, the facility failed to implement, monitor, and modify interventions, consistent with the resident's assessed needs and current professional standards of practice, to maintain acceptable parameters of nutritional status for 2 (Resident #3, and Resident #36) of 3 (Resident #3, Resident #14, and Resident #36) residents sampled for nutrition. The facility failed to ensure: 1. Meal intake was recorded for every meal for Resident #3 as care planned; 2. Resident #3 was assisted with all meals as care planned; 3. The MD/NP was notified when Resident #3 refused to eat, as care planned; 4. The MD/NP was notified of a severe weight loss for Resident #3; and 5. […]