Pontchartrain Health Care Center

In the surveyor’s words

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

• Immediate jeopardy, patternF656Jun 13, 2025

  Based on record review and interviews, the provider failed to implement a comprehensive person-centered care plan to meet the needs of 2 (#61 and #84) of 25 sampled residents. The facility failed to ensure: 1. Staff consistently implemented an intervention of sitters at bedside for supervision for Resident #61; and 2. Staff scheduled an order neurology consultation for Resident #84. This deficient practice resulted in an Immediate Jeopardy situation on 05/12/2025 when Resident #61, a cognitively impaired resident with a history of falls, recent brain bleed, poor safety awareness, and impulsiveness, had an unwitnessed fall when staff left him unsupervised. Resident #61 was assessed to need staff supervision at bedside on 05/03/2025. […]

• Immediate jeopardy, patternF689Jun 13, 2025

  Based on interviews and record review, the facility failed to ensure residents received adequate supervision to prevent avoidable falls for 1 (#61) of 4 (#6, #61, #85, and #103) residents reviewed for falls. This deficient practice resulted in an Immediate Jeopardy situation on 05/12/2025 when Resident #61, a cognitively impaired resident with a history of falls, recent brain bleed, poor safety awareness, and impulsiveness, had an unwitnessed fall when staff left him unsupervised. Resident #61 was assessed to need staff supervision at bedside on 05/03/2025. On 05/18/2025, the resident had another unwitnessed fall when S22CNA left his bedside leaving the resident unsupervised. Resident #61 was sent to the emergency room for evaluation and head CT revealed a new subacute subdural hematoma. […]

• Immediate jeopardy, patternF835Jun 13, 2025

  The facility failed to ensure it was administered in a manner that effectively used its resources for 1 (#61) of 4 (#6, #61, #85, and #103) residents reviewed for falls. The facility failed to have an effective system in place to ensure a care plan intervention of sitter at bedside was continuously implemented for Resident #61 to prevent falls. This deficient practice resulted in an Immediate Jeopardy situation on 05/12/2025 when Resident #61, a cognitively impaired resident with a history of falls, recent brain bleed, poor safety awareness, and impulsiveness, had an unwitnessed fall when staff left him unsupervised. Resident #61 was assessed to need staff supervision at bedside on 05/03/2025. […]

• No harm, potential for more than minimal, widespreadF812May 8, 2024

  Based on observations and interview, the facility failed to store food under sanitary conditions by failing to do the following: 1. Ensure food was properly labelled and stored in unit refrigerators; and 2. Ensure kitchen equipment was maintained in safe operating condition. This deficient practice had the potential to affect 101 residents who were capable of storing and consuming food in the facility's unit refrigerators. Findings: 1. On 05/06/2024 at 3:25 p.m., a tour was conducted of Medication Storage Room A. An observation wad made of a sign posted to the front of the refrigerator stating, STOP- all items must be labeled and dated. […]

• No harm, potential for more than minimal, widespreadF813May 8, 2024

  Based on record review and interviews, the facility failed to have a policy regarding use and storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling, and consumption. This deficient practice had the potential to affect 101 residents who were capable of storing and consuming food in the facility. Findings: Review of the facility's policies revealed no policy on ensuring safe and sanitary storage, handling, and consumption of foods brought to residents by family and other visitors. On 05/07/2024 at 11:00 a.m., an interview was conducted with R. [NAME], S2ADON. […]