Deficiency Index

The Broadway Nursing and Rehabilitation CTR

Lockport, Louisiana · CCN 195583

16 surveys since 2011. The first finding at harm level was recorded in 2025.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
56
Surveys
16
Harm or worse
2
Immediate jeopardyall corrected before survey
2
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file10/16

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
126
Ownership
Non profit - Corporation
Chain
ELDER OUTREACH NURSING & REHABILITATION
County
Lafourche
Medicare-certified since
2003

CMS ratings

Overall
2
Health inspection
3
Staffing
2
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 96 facilities of 100–127 beds in Louisiana.

Last survey on record

May 29, 2026

164 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.744.16
Registered-nurse hours per resident day0.12—
Annual nurse turnover44.7%44.1%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$29,126 across 2 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L28.7%
Actual harmG—H—I—
No harm, potential for more than minimalD1147.8%E939.1%F—
No harm, potential for minimalA—B14.3%C—
CMS’s current file: 23 of the 56 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6092×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

  • F5611×

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  • F5801×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

In the surveyor’s words

From the most serious findings on record at The Broadway Nursing and Rehabilitation CTR, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF835Feb 17, 2025

    Based on interviews, and record reviews the facility failed to ensure personnel had the appropriate state licensure to provide care and services to residents. This deficient practice was identified for 1 (S5Unlicensed Personnel) of 50 (S1Administrator, S2Director of Nursing [DON], S3Assistant Director of Nursing [ADON], S5Unlicensed Personnel, S14Agency Licensed Practical Nurse [LPN], S16LPN, S17LPN, S18Registered Nurse [RN], S19LPN, S20RN, S21Physician, S22Physician, S23Podiatrist, S24RN, S25RN, S26RN, S27RN, S28Treatment RN, S29LPN, S30LPN, S31LPN, S32LPN, S33LPN, S34LPN, S35LPN, S36Minimum Data Set [MDS]Coordinator/LPN, S37LPN, S38LPN, S39LPN, S40LPN, S41LPN, S42LPN, S43LPN, S44LPN, S45LPN, S46LPN, S47LPN, S48LPN, S49LPN, S50LPN, S51LPN, S52Quality Assurance [QA] LPN, S53Physician… […]

  • Immediate jeopardy, widespreadF839Feb 17, 2025

    Based on interviews, and record reviews the facility failed to ensure personnel had the appropriate state licensure to provide care and services to residents. This deficient practice was identified for 1 (S5Unlicensed Personnel) of 50 (S1Administrator, S2Director of Nursing [DON], S3Assistant Director of Nursing [ADON], S5Unlicensed Personnel, S14Agency Licensed Practical Nurse [LPN], S16LPN, S17LPN, S18Registered Nurse [RN], S19LPN, S20RN, S21Physician, S22Physician, S23Podiatrist, S24RN, S25RN, S26RN, S27RN, S28Treatment RN, S29LPN, S30LPN, S31LPN, S32LPN, S33LPN, S34LPN, S35LPN, S36Minimum Data Set [MDS]Coordinator/LPN, S37LPN, S38LPN, S39LPN, S40LPN, S41LPN, S42LPN, S43LPN, S44LPN, S45LPN, S46LPN, S47LPN, S48LPN, S49LPN, S50LPN, S51LPN, S52Quality Assurance [QA] LPN, S53Physician… […]

  • No harm, potential for more than minimal, patternF880May 14, 2025

    Based on observations, interviews, and record reviews, the facility failed to: 1. Ensure staff performed hand hygiene when assisting residents with meals (Resident #10, Resident #57, and Resident #63); 2. Ensure infection surveillance was performed after a resident tested positive for a communicable disease (Resident #104); This deficient practice was identified for 5 (Resident #10, Resident #57, Resident #63, Resident #104) of 5 (Resident #10, Resident #57, Resident #63, Resident 91, Resident #104) sampled residents reviewed for infection control. Findings: 1. Review of the facility's Hand Hygiene policy and procedure, dated February 2025, revealed, in part, hand hygiene should be performed after direct contact with residents and before and after assisting residents with meals. […]

  • No harm, potential for more than minimal, patternF925May 14, 2025

    Based on observations and interviews the facility failed to ensure the facility was free of pests. Findings: Room A Observation on 05/13/2025 at 8:31AM revealed a brown colored flying insect in Room A. In an interview on 05/13/2025 at 9:23AM, Resident #36, Resident #71's roommate, indicated she had noticed brown colored flying insects in Room A. Observation of Room A 05/14/2025 at 7:50AM revealed S1Administrator tapped Resident #71's live potted plant, and a brown colored flying insect came out of the live potted plant. […]

  • No harm, potential for more than minimal, patternF580Feb 17, 2025

    Based on interviews and record reviews, the facility failed to ensure a resident's physician was notified when a scheduled medication was withheld for 1 (Resident #9) of 19 (Resident #1, Resident #7, Resident #8, Resident #9, Resident #11, Resident #13, Resident #15, Resident #16, Resident #17, Resident #19, Resident #21, Resident #22, Resident #26, Resident #29, Resident #40, Resident #41, Resident #43, Resident #50, Resident #57) sampled residents reviewed for pharmacy services. Findings: Review of the facility's undated Medication Administration General Guidelines policy revealed, in part, medications were to be administered as ordered by the physician. […]

Read 20 findings in full →The most serious and the most recent: 20 of 56 on record.

Every survey on record

FindingsAt actual harm or above

  • May 29, 2026Standard2 findings
  • May 14, 2025Standard5 findings
  • Feb 17, 2025Complaint8 findings · 2 harm
  • Jan 16, 2025Complaint1 finding
  • Dec 18, 2024Complaint5 findings
  • May 30, 2024Standard6 findings
  • Jul 13, 2023Standard10 findings
  • May 10, 2023Complaint3 findings
Show the 8 earlier surveys
  • Dec 27, 2022Complaint2 findings
  • Jul 28, 2022Standard2 findings
  • Feb 21, 2017Complaint2 findings
  • Oct 30, 2015Standard1 finding
  • Nov 7, 2014Standard3 findings
  • Dec 5, 2013—2 findings
  • Dec 20, 2011—2 findings
  • Jul 22, 2011—2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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