Terrebonne General Med CTR SNF

In the surveyor’s words

From the most serious findings on record at Terrebonne General Med CTR SNF, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF693Feb 11, 2026

  Based on observations, interviews, and record reviews the facility failed to ensure percutaneous endoscopic gastrostomy tube flushes before and after medication administration for 1 (Resident #11) of 1 sampled resident with a percutaneous endoscopic gastrostomy tube (a feeding tube inserted through the abdomen into the stomach, commonly used for long-term nutrition, fluids, and medication delivery).Findings:Review of Resident #11's physician's orders dated 02/08/2026 revealed, in part, flush the feeding tube with the lowest volume necessary to clear the tube before and after administration unless a specific volume is ordered.Review of Elsevier Performance Manager Training for Medication Administration via Feeding Tubes revealed, in part, flush the feeding tube with a minimum of 15… […]

• No harm, potential for more than minimal, patternF880Feb 11, 2026

  Based on observations, interviews, and record reviews, the facility failed to implement Enhanced Barrier Precautions (EBP) for 2 (Resident #5, Resident #11) of 2 sampled residents observed for infection control practices. Findings:Review of the Centers for Disease Control's 04/02/2024 article Implementation of Personal Protective Equipment (PPE) Use in Nursing Homes to Prevent Spread of Multidrug-resistant Organisms (MDROs), dated 04/02/2024, revealed, in part, personal protective equipment, which included the use of gowns and gloves, should be used during high-contact resident care activities that provided opportunities for the transfer of methicillin drug resistant organisms (bacteria or other germs that developed resistance to multiple antibiotics) to staff's hands and clothing. […]

• No harm, potential for more than minimal, patternF880Feb 15, 2024

  Based on observations, record reviews, and interviews the facility failed to: 1. Ensure the registered nurse (RN) performed hand hygiene and applied gloves after contact with equipment and prior to touching and administering medication for 4 (Resident #56, Resident #57, Resident #58, and Resident #59) of 4 (Resident #56, Resident #57, Resident #58, and Resident #59) sampled residents observed during medication administration; 2. Ensure the RN and certified nursing assistant (CNA) performed hand hygiene and changed gloves appropriately as required during wound care for 1 (Resident #58) of 1 (Resident #58) sampled residents observed during wound care; and, 3.Ensure the licensed practical nurse (LPN) performed hand hygiene and applied gloves after contact with her uniform and equipment prior… […]

• No harm, potential for more than minimal, patternF943Feb 15, 2024

  Based on record reviews and interviews, the facility: 1. Failed to ensure staff were provided abuse and neglect training (S8Agency Registered Nurse (RN), S9Agency RN, and S10Agency RN); and 2. Failed to ensure staff were provided dementia management training (S6Certfied Nursing Assistant (CNA) and S11CNA). This deficient practice was identified for 5 (S6CNA, S8Agency RN, S9Agency RN, S10Agency RN, and S11CNA) of 8 (S6CNA, S8Agency RN, S9Agency RN, and S10Agency RN, S11CNA, S12Licensed Practical Nurse (LPN), S13CNA, and S14CNA) personnel records reviewed. Findings: 1. […]

• No harm, potential for more than minimal, patternF684Nov 9, 2021

  Based on observation, record reviews and interviews the facility failed to ensure residents with a surgical incision received wound care per physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings: Observation on 11/09/2021 at 01:50pm, revealed Resident # 101's had a surgical incision to his left hip with [MEDICATION(S)]-Silver dressing dated 11/07/2021 and initialed. Review of Resident # 101's Medical Record revealed admission to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of Resident # 101's Medical record revealed, in part, Resident # 101 had a left hip post-operative incision site. […]