Mid City Nursing: Abuse Reports Delayed Days - LA
The January 18 incident at Mid City Community Nursing and Rehab was one of three physical altercations between residents that staff failed to report within required timeframes, according to a February 11 state inspection. Federal regulations require nursing homes to report physical abuse allegations to state authorities within two hours.
The facility's own policy defines physical abuse as "hitting, slapping, punching" and requires immediate reporting to administrators and state agencies within two hours of any allegation.
None of the three incidents were reported on time.
The most serious altercation occurred around 6:30 p.m. on January 18 between two roommates. A certified nursing assistant witnessed the entire confrontation, telling inspectors she heard raised voices from the room shared by residents with schizophrenia and cervical disc disorder.
When she entered, she found one resident standing at his roommate's bedside, poking him with a reacher tool. The resident being poked then punched his roommate three times on the side of his face with a closed fist.
The nursing assistant immediately notified the licensed practical nurse on duty. But that nurse, identified in the report as S4LPN, admitted to inspectors she failed to report the incident to anyone else until January 20, when the punching resident developed swelling in his right hand.
A mobile X-ray revealed a fifth metacarpal neck fracture of his right hand.
"She stated a resident punching another resident was physical abuse and should be reported," the inspection report noted. "She stated she knew to report it, but she failed to do so on 01/18/2025."
The resident who threw the punches told inspectors he didn't experience pain or swelling in his right hand until two days after the incident. He confirmed he punched his roommate several times after being poked with the reacher tool.
The nurse practitioner on call that night confirmed she never received notification of the altercation, despite being responsible for medical oversight during evening hours.
Administrator S1ADM told inspectors the licensed practical nurse should have reported the physical abuse immediately on January 18 and failed to do so until January 20. He confirmed all physical abuse must be reported to the director of nursing and administrator immediately, then to state agencies within two hours.
The facility's reporting failures extended beyond the January incident.
On Christmas Eve, a certified nursing assistant witnessed one resident slap another in the face at 11:45 a.m. The nursing assistant immediately separated the residents and reported the incident to the licensed practical nurse on duty.
That nurse, S3LPN, told inspectors he immediately reported the Christmas Eve slapping to the nurse practitioner and administrator. But facility records show the incident was never reported to state authorities within the required two-hour window.
The earliest incident occurred just before midnight on December 18, when a resident approached the nurses' station and announced he had "f***ed up" his roommate. Staff found one resident with scratches on his left arm and the other with a deep laceration between his thumb and pointer finger.
The resident who caused the injuries told staff he was "tired of" his roommate sleeping all day.
The licensed practical nurse on duty immediately separated the residents and placed one in another room. Both residents were placed on one-to-one monitoring. The aggressive resident was transferred to a behavioral hospital the following morning.
But the nurse didn't notify the nurse practitioner, director of nursing, and responsible party until 7:00 a.m. on December 19, more than seven hours after the incident.
The facility's leadership confusion contributed to the reporting failures. During December 2024 and January 2025, S2CON served as administrator while S1ADM held the director of nursing position. S1ADM became administrator later in January, after all three incidents occurred.
Both administrators acknowledged the incidents constituted abuse that should have been reported immediately. But S2CON, who held authority during the December and January incidents, told inspectors she didn't consider the incidents physical abuse and therefore didn't report them to state authorities.
S1ADM contradicted his predecessor, confirming all three incidents were abuse that should have been reported but weren't.
The facility also failed to properly screen residents for specialized mental health services. Two residents who developed new psychiatric diagnoses after admission never received required evaluations for additional support services.
One resident diagnosed with unspecified psychosis on December 19, 2024, never received a Level II evaluation for specialized mental health services. Another resident diagnosed with bipolar disorder on January 2, 2025, also missed the required screening.
The facility's social worker told inspectors she was responsible for filing screening paperwork but was "unsure who was responsible for completing resident assessment following a new psychiatric diagnosis."
The administrator admitted he was also unsure who bore responsibility for psychiatric screenings following new diagnoses. He confirmed both residents acquired new psychiatric diagnoses since their initial approval but never received required follow-up evaluations.
Staff interviewed by inspectors consistently recognized the incidents as physical abuse requiring immediate reporting, yet the facility's systems failed to ensure compliance with federal reporting requirements.
The inspection found the facility's deficient practices had potential to affect all 110 residents. The January 18 incident resulted in actual physical harm when the resident's punch fractured his own hand, requiring medical treatment two days later.
The resident with the broken hand spent weeks recovering from an injury that might have been prevented with proper intervention and reporting protocols.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Mid City Community Nursing and Rehab from 2025-02-11 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
Mid City Community Nursing and Rehab in BATON ROUGE, LA was cited for abuse-related violations during a health inspection on February 11, 2025.
Federal regulations require nursing homes to report physical abuse allegations to state authorities within two hours.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.