Broadway Nursing: Unlicensed Nurse Worked 37 Shifts - LA
He was talking about a staff member who had worked 37 nursing shifts at The Broadway Nursing and Rehabilitation Center without ever holding a valid Louisiana nursing license.
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See the Derila PillowThe staff member, identified in inspection records only as S5Unlicensed Personnel, had her employment status changed from certified nursing aide to licensed practical nurse on November 20, 2024. From that date through January 23, 2025, she worked 37 shifts in that role. Broadway's own personnel records contained no documented evidence she held a current, valid Louisiana Practical Nurse license. Nobody had checked.
The facility found out on a Friday afternoon.
On January 24, 2025, at 12:18 p.m., the facility's team member specialist and human resources representative, identified as S7, received a call from the Louisiana State Board of Nursing. The board informed her that S5Unlicensed Personnel had not passed the NCLEX-PN, the standardized licensing examination that every candidate must pass before legally practicing as a licensed practical nurse in Louisiana. S7 brought the information to S1Administrator the same day.
The administrator acknowledged, in an interview with federal inspectors on February 17, 2025, that a report should have been entered into Louisiana's Statewide Incident Management System within 24 hours of that discovery. The facility's own abuse and neglect policy said the same thing: upon notification of alleged abuse or neglect, the administrator or designee shall complete a report to the mandated state agency according to state guidelines.
The report was not filed on January 25. It was not filed over the weekend. It was not filed the following week.
It was filed on January 31, 2025, at 11:33 a.m., seven days after the facility learned what had happened.
Broadway's neglect policy, which inspectors reviewed during the February survey, defined neglect as the failure to provide goods and services necessary to avoid physical harm, pain, mental anguish, or emotional distress. It further specified that neglect occurred when the facility was aware of, or should have been aware of, what residents required but failed to provide it. The question of what the facility knew, and when, sits at the center of what inspectors found.
The timeline reconstructed from inspection records runs longer than the seven-day reporting gap suggests. S5Unlicensed Personnel began her transition into the LPN role on November 20, 2024. For the first three weeks, she worked under some form of facility training. Then, on December 12, 2024, she began working as a facility LPN without direct supervision. She continued in that capacity, unsupervised, through January 23, 2025, the day before the Board of Nursing call. That is more than six weeks of unsupervised nursing work by someone who had not passed her licensing examination.
The inspection report does not describe what care S5Unlicensed Personnel provided during those 37 shifts, which residents she treated, what medications she may have administered, or what clinical decisions she made. It does not say whether any resident was harmed. What it records is the administrator's own assessment: a likelihood of serious injury, serious harm, serious impairment, or death.
CMS inspectors cited the facility for failing to report the incident to the Louisiana Department of Health within 24 hours of discovery, as required. The deficiency was tagged at a level of minimal harm or potential for actual harm, and was noted to have affected few residents. The citation does not capture the full duration of exposure, only the reporting failure that followed it.
The facility's employee status change document, which inspectors reviewed, showed the formal reclassification from CNA to LPN effective November 20. The personnel file had no license documentation. The time records confirmed 37 shifts worked under the LPN designation across a span of more than two months.
How a certified nursing aide came to be reclassified as a licensed practical nurse without anyone verifying licensure is not explained in the inspection report. Whether S5Unlicensed Personnel had applied to take the NCLEX-PN and was awaiting results, had taken it and failed, or had never been scheduled to sit for the exam at all is not stated in the findings. The report identifies only what inspectors confirmed: she had not passed, she had no valid license, and she worked 37 shifts anyway.
The Broadway Nursing and Rehabilitation Center sits at 7534 Highway 1 in Lockport, a small community in Lafourche Parish in south Louisiana. The February 17, 2025 inspection was a standard health survey conducted under the Centers for Medicare and Medicaid Services.
The administrator did not dispute the facts when inspectors interviewed him. He confirmed the sequence of events. He confirmed the 24-hour reporting requirement. He confirmed his own characterization of the risk.
What the inspection report does not say is what happened to the residents who were cared for by S5Unlicensed Personnel during those 37 shifts, across more than two months, before anyone at the Louisiana State Board of Nursing made a phone call that the facility's own verification process should have made unnecessary.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Broadway Nursing and Rehabilitation Ctr from 2025-02-17 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: November 14, 2026 · Our methodology
THE BROADWAY NURSING AND REHABILITATION CTR in LOCKPORT, LA was cited for violations during a health inspection on February 17, 2025.
From that date through January 23, 2025, she worked 37 shifts in that role.
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.