Wynhoven Community Care Center: Resident Laceration - LA
The laceration happened on February 28, 2026. A licensed practical nurse assessed Resident 1 that day and found a wound on the left lower lateral leg. The inspection report does not say what prompted the assessment, only what the nurse found when she looked: a laceration, a resident who needed pressure applied to the wound, and vital signs that needed checking. The resident's physician, hospice provider, and responsible family member were all notified. Resident 1 was transferred to the hospital for evaluation and treatment.
The culprit was an enabler bar, a padded grab rail attached to the bed frame that residents use to reposition themselves or assist with transfers. The end cap on Resident 1's bar was missing. That left exposed metal.
Only after Resident 1 left for the hospital did the LPN pad the bar with foam.
A federal complaint inspection followed, conducted March 26 and 27, 2026. Inspectors cited the violation at the level of actual harm, meaning the deficiency had already caused a real injury to a real person, not a theoretical one.
The facility's own review found no other residents were harmed. But the scope of what inspectors and staff discovered during the corrective process tells a fuller story about how long the problem had gone unnoticed. On March 1, a maintenance supervisor went bed to bed and checked every enabler bar in the building. That single audit was the first time anyone had systematically looked. The results showed no other missing end caps that day, but the fact that the audit had never happened before is its own finding.
Two days later, on March 3, the facility completed side rail, bed mobility, and lift assessments on every resident in the building. Care plans and the over-bed signage that tells staff how to safely move each resident were verified the same day. The maintenance department reinspected every bed for structural integrity. On March 5, six days after Resident 1 came home from the hospital, all enabler bars in the facility were padded.
The Director of Nursing and the therapy department ran training sessions for licensed nurses and nursing assistants covering how to assess enabler bars before transfers, how to identify unsafe conditions, and what to do when something looks wrong. Staff interviewed during the inspection said they knew the protocols. Nurses and CNAs confirmed training had been completed and told inspectors they understood they were not supposed to proceed with a transfer they judged unsafe.
What the inspection record does not explain is why none of that knowledge prevented the injury in the first place.
The monitoring plan the facility put in place after the incident required a maintenance supervisor or designee to check all enabler bars daily for one week beginning March 3. The Director of Nursing or a designee was to observe ten random resident transfers each day for the same week. Any problems found were to go immediately to the facility's Quality Assurance Performance Improvement committee, with corrective action to follow the same day.
By March 8, inspectors determined the facility was back in compliance.
Resident 1 was on hospice at the time of the injury. The inspection report does not describe that resident's mobility, cognitive status, or the nature of the hospital treatment beyond evaluation and care. It does not say whether Resident 1 returned to the facility, or in what condition. The record ends with the facility in compliance and the monitoring period closed after one week.
What it captures, without elaborating on it, is the window between a missing end cap and a padded bar: the days or weeks or longer when a hospice patient reached for a grab rail and the exposed metal was simply there, and no one had checked.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Wynhoven Community Care Center from 2026-03-30 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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
Wynhoven Community Care Center in Marrero, LA was cited for violations during a health inspection on March 30, 2026.
The laceration happened on February 28, 2026.
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.