Luling Living Center: Catheter Care Failures - LA
The resident told inspectors on August 27 that "nobody came to clean his catheter or the insertion site" the previous day. He said he hadn't had a catheter anchoring device placed "in months."
Doctor's orders required staff to provide catheter care every shift to the resident's suprapubic catheter — a tube surgically placed through the abdomen to drain urine directly from the bladder. The orders also required weekly replacement of the catheter anchor, a device that securely attaches catheter tubing to the upper leg.
The resident scored 15 on a cognitive assessment in June, indicating he was mentally intact and aware of his care.
Inspectors observed the violations across three consecutive days. On August 25 at 11:30 AM, they found the resident's catheter had no anchoring device and wasn't secured to his body. Dried drainage clung to the catheter tubing near the insertion site.
The same conditions persisted the next day. At 12:40 PM on August 26, inspectors again found no anchoring device and dried drainage on the tubing. The resident confirmed he hadn't received catheter care that day or the day before.
"Catheter care was not performed every day," the resident told inspectors.
A certified nursing assistant said she didn't perform suprapubic catheter care on the resident, claiming "the nurse was responsible." But the licensed practical nurse working the day shift said she hadn't performed catheter care either.
The nurse revealed she "did not know catheter care was ordered every shift." She said catheter care "was only done on the night shift."
By August 27, nothing had changed. At 11:00 AM, inspectors found the same unsecured catheter with dried drainage and no anchoring device.
The facility's Director of Nursing confirmed the resident "should have" had catheter care performed every shift as ordered. She acknowledged the resident didn't have the required anchoring device and "should have."
Electronic treatment records for July and August showed no documentation that staff applied or changed the catheter anchor weekly as ordered. The records contained no evidence staff performed the required catheter care.
Suprapubic catheters require meticulous care to prevent infection and maintain proper drainage. Without an anchoring device, the catheter can pull on the surgical site or become dislodged. Dried drainage around the insertion site indicates inadequate cleaning and creates infection risk.
The resident's cognitive awareness made the neglect particularly troubling. He understood his care needs and could articulate when staff failed to provide ordered treatments.
When inspectors presented their findings to the facility administrator on August 27, the administrator "offered no further explanation to dispute the deficient practice."
The violation affected multiple residents at the 120-bed facility on Paul Maillard Road. Federal inspectors classified it as causing minimal harm or potential for actual harm.
Staff confusion about basic care responsibilities contributed to the failures. The nursing assistant thought catheter care was the nurse's job. The day shift nurse thought it only happened at night. Neither knew the doctor had ordered catheter care every shift.
The breakdown in communication left the cognitively intact resident watching his own care deteriorate. He could see the dried drainage on his catheter tubing. He knew when staff skipped his care entirely.
For months, he went without the anchoring device meant to secure his catheter and prevent complications. Staff documented nothing about applying or changing the weekly anchor despite doctor's orders.
The resident's assessment of his situation proved accurate: catheter care wasn't performed every day, and nobody had placed his anchoring device in months. His awareness of the neglect offered no protection from it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Luling Living Center from 2025-08-27 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: August 5, 2026 · Our methodology
Luling Living Center in Luling, LA was cited for violations during a health inspection on August 27, 2025.
The resident told inspectors on August 27 that "nobody came to clean his catheter or the insertion site" the previous day.
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.