St. Francisville Nursing and Rehab, LLC

In the surveyor’s words

From the most serious findings on record at St. Francisville Nursing and Rehab, LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Feb 12, 2022

  Based on observations, record review and interview, the facility failed to ensure a cognitively impaired resident, who exhibited exit-seeking behaviors, was adequately supervised to prevent unsafe wandering and elopement for 1 (#4) of 5 (#4, #54, #94, #99, and #163) residents reviewed. This deficient practice resulted in an immediate jeopardy situation on 12/02/2021 at 3:41 p.m., when Resident #4, a severely cognitively impaired resident identified as being a high risk for elopement, the resident was found climbing the fence with one leg over it behind the building. After this elopement attempt, Resident #4 was placed on Q 15 minute census checks and continue Q 1hour after 24 hours. […]

• Actual harm, isolatedF600Jul 29, 2026

  Based on interviews and record reviews, the facility failed to protect the residents' right to be free from physical abuse by Resident #1 for 1 (#3) of 3 residents reviewed for abuse. The facility implemented corrective actions which were completed prior to the State Agency's investigation, thus it was determined to be a Past Noncompliance Citation. This deficient practice resulted in an actual harm for Resident #3 on 07/01/2026 when Resident #1 hit Resident #3 causing him to fall to the ground. Resident #3 was sent to a local hospital and a Computed Tomography (CT) Scan revealed a mildly displaced fracture of the intertrochanteric left hip and acute traumatic non-displaced fracture of the right seventh, eighth, and ninth ribs. […]

• Actual harm, isolatedF580May 20, 2026

  Based on observation, interviews, and record review, the facility failed to consult with a resident's physician when the resident experienced a change in ambulation, assistance with ADLs, and continued pain after a fall for 1 (#100) of 3 residents reviewed for falls. This deficient practice resulted in an actual harm for Resident #100, a cognitively intact resident, beginning on 05/15/2026 when Resident #100 continued to complain of left hip pain after a fall, required increased staff assistance with ADLs, and did not ambulate as normal. Prior to the fall on 05/15/2026, Resident #100 was independently ambulatory and continent. […]

• Actual harm, isolatedF697May 20, 2026

  Based on observation, interviews, and record review, the facility failed to provide pain management consistent with professional standards of practice and the comprehensive care plan by failing to adequately assess and intervene when a resident experienced pain after a fall for 1 (#100) of 3 residents reviewed for falls. This deficient practice resulted in an actual harm for Resident #100, a cognitively intact resident, beginning on 05/15/2026 when Resident #100 continued to complain of left hip pain after a fall, required increased staff assistance with ADLs, and did not ambulate as normal. An interview with Resident #100 on 05/18/2026 revealed, after her fall on 05/15/2026, she remained in bed and required perineal care after urinary and bowel elimination due to new left hip pain. […]

• Actual harm, isolatedF600Apr 16, 2025

  Based on interviews and record review, the facility failed to ensure a resident's right to be free from physical abuse and psychosocial harm for 1 (#75) of 2 (#46 and #75) residents reviewed for abuse. The facility failed to ensure Resident #75 was free from physical abuse and psychosocial harm by Resident #46. This deficient practice resulted in a psychosocial harm on 03/03/2025 at 12:12 p.m. when Resident #75 reported to S2DON she did not feel safe in her home after an incident where Resident #46 hit her on the head. Resident #75 did not want to leave her room on 03/04/2025 because she was afraid of Resident #46. Resident #75 reported to Resident #87 that she was being scared when Resident #46 returned from the hospital on 03/10/2025. […]