Broadway Nursing: Mental Health Screening Failure - LA
The violation came to light during a federal inspection completed May 29, 2026. Inspectors reviewed the records of one resident, identified in the report as Resident 108, and found a gap that stretched back years.
When Resident 108 was admitted to the facility, there was no serious mental disorder on record. A Form 142 completed in July 2021 confirmed it. But by June 2024, the resident's diagnosis list had changed significantly, adding psychosis, major depressive disorder, and anxiety. The most recent minimum data set assessment, completed in April 2026, listed anxiety disorder, depression, and psychotic disorder. Across all of that time, there was no documented evidence that the facility had ever referred Resident 108 to Louisiana's Preadmission Screening and Resident Review program, known as PASRR, for the Level II evaluation that the new diagnoses required.
The PASRR program exists because nursing homes are not psychiatric facilities. When a resident develops a serious mental disorder, the Louisiana Office of Behavioral Health is supposed to evaluate whether that person is getting the specialized mental health services they need, or whether a different placement or additional support would serve them better. A Level II evaluation is how that process starts. Resident 108 never got one.
The social worker, identified in the report as S2, told inspectors directly: the resident's serious mental disorder developed after admission, the situation required a PASRR referral, and it was not completed as required. The interview lasted one minute. The next minute, the facility's administrator, identified as S1, said the same thing. A submission to the Office of Behavioral Health to evaluate Resident 108 had not been completed, the administrator said, and should have been.
There was no dispute about the facts. No claim that the referral had been made and lost. No suggestion that the diagnoses were in question. The two people most responsible for ensuring the process worked confirmed to federal inspectors that it hadn't.
Inspectors classified the violation as causing minimal harm or potential for actual harm, affecting few residents. One resident was reviewed. One resident had fallen through the gap.
What that gap meant in practice, the inspection report doesn't say. It doesn't describe what mental health services, if any, Resident 108 received inside the facility. It doesn't say whether the resident's conditions worsened, whether they had access to psychiatric care, or whether the absence of a formal state evaluation left needs unmet. The record shows only what wasn't done, and the dates that mark how long it wasn't done.
Psychosis, major depressive disorder, and anxiety are not minor diagnoses. They affect how a person experiences daily life, how they interact with staff and other residents, what kind of care they require, and whether a nursing home is even the right setting for them. The PASRR process exists to answer exactly those questions. For Resident 108, those questions went unasked, at minimum from the time the diagnoses appeared in mid-2024 through the inspection date in May 2026.
The facility's administrator acknowledged the failure in a one-sentence interview. The social worker acknowledged it in the interview before that. Whether Resident 108 has since been referred, what that evaluation will find, and what services or changes may follow, none of that appears in the inspection record.
What does appear is a resident who developed serious mental illness inside a nursing home, and a facility that knew what was required and didn't do it.
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 2026-05-29 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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
THE BROADWAY NURSING AND REHABILITATION CTR in LOCKPORT, LA was cited for violations during a health inspection on May 29, 2026.
The violation came to light during a federal inspection completed May 29, 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.