Camelot Leisure Living: Unresponsive Resident, No Doctor Call - LA
That is what inspectors at Camelot Leisure Living documented when they surveyed the facility in February 2025, two months after the incident involving Resident 72.
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See the Derila PillowThe charge nurse, identified in the inspection report as S21, told inspectors he had gone into the room after being notified by a licensed practical nurse that the resident was unresponsive. He performed a sternal rub, a pain stimulus used to check whether an unconscious person can respond. Resident 72 responded. S21 told inspectors that was enough. He did not call the physician because, in his judgment, the resident was responsive and "at his baseline."
A sternal rub is not a treatment. It is a test. A person who responds to pain after being found unresponsive has not recovered — they have reacted. The question of why they were unresponsive in the first place remains unanswered.
S22, the certified nursing assistant who first found Resident 72, told inspectors what she saw that day. He was not moving when she came in to change him. After the sternal rub, he became responsive. She was told he had had episodes like this before. But she also said he was sleepy, not eating, and not acting like himself for the rest of the day. That is not a baseline. That is a man whose body was signaling something.
The director of nursing, identified as S2, was interviewed on February 20, 2025. She told inspectors she could not confirm whether the physician should have been called, because S21 had made an assessment and concluded the resident was at his baseline. She offered no independent judgment. She deferred entirely to the charge nurse who had already decided nothing needed to happen.
That answer, on its own, is worth sitting with. The person responsible for overseeing nursing care at the facility reviewed a situation in which a resident had been found unresponsive and said she could not say whether a doctor should have been contacted. Not that the charge nurse was right. Not that the charge nurse was wrong. She could not confirm either way.
The inspection report notes the level of harm as minimal harm or potential for actual harm, and lists the number of residents affected as few. Those are regulatory categories. What they describe, in this case, is a man found unresponsive in his bed, revived with a pain stimulus, observed to be sleepy and not eating and not himself for the rest of the day, and never seen by a physician.
The charge nurse's reasoning, that the resident had experienced similar episodes before, does not appear anywhere in the record as a documented clinical finding. It was a judgment call made in the moment, without a physician's input, and without any apparent follow-up. The CNA who found him was told, after the fact, that this had happened before. She was not given a reason to expect it would not happen again.
Inspectors returned to survey the facility on February 20, 2025, more than eight weeks after the December incident. By then, whatever had caused Resident 72 to be unresponsive that morning had either resolved on its own, worsened without documentation, or remained unknown. The inspection report does not say. It records only what staff remembered, two months later, about a morning when a man could not be roused and the person in charge decided that was close enough to normal.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Camelot Leisure Living from 2025-02-20 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.
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Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: November 14, 2026 · Our methodology
Camelot Leisure Living in Ferriday, LA was cited for violations during a health inspection on February 20, 2025.
He performed a sternal rub, a pain stimulus used to check whether an unconscious person can respond.
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.