Harvest Manor: Diabetic Resident Denied Podiatry Care - LA
The resident, identified in inspection records only as Resident #11, was admitted to Harvest Manor with a diagnosis that included Type 2 Diabetes Mellitus. She was moderately cognitively impaired, according to a mental status assessment completed in late July 2025, but she was clear about what she needed and when she had asked for it. She told the inspector she had been requesting a podiatry appointment since January 2025.
When the inspector observed her on August 11, 2025, at 9:30 in the morning, both big toes showed abnormally thickened nails. She described the discomfort when wearing shoes. She said her friends brought nail clippers.
Harvest Manor contracts with an outside podiatry provider that visits the facility every three months. According to the social services staff member interviewed during the inspection, the process works like this: a resident, nurse, or aide makes a request, the social services office notifies the outside provider, and the provider contacts the resident or their representative to get services started. Simple enough.
Nobody had followed that process for Resident #11.
The social services staff member told the inspector she remembered that the resident and her daughter had both requested a podiatry evaluation, but she could not recall when. She reviewed the resident's chart and her own emails during the interview. She found no documentation of the request. What she did find was an email from the resident's daughter dated July 19, 2025, and she confirmed the resident had been asking before that email ever arrived. There was no record that the contracted provider had ever been notified.
The daughter filled in the timeline. Her mother had been asking since January. After months of requests going nowhere, the daughter sent that July email herself. The social services staff member responded and told her that the resident would need a diagnosis of diabetes or peripheral vascular disease before a podiatry referral could be made.
The resident already had a diabetes diagnosis. It was in her chart.
The daughter told the social services staff member exactly that. The inspection record does not indicate whether a podiatry appointment was ever scheduled before the inspector arrived on August 13.
The director of nursing, interviewed that same afternoon, described the same referral process the social services staff member had outlined. The social services office gets notified, the social services office notifies the provider. She did not address why seven months of requests had produced no appointment and no documentation.
For a person with diabetes, foot care is not routine maintenance. Diabetes reduces circulation and nerve sensation in the feet, which means injuries and infections that might be minor in another person can become serious quickly. Thickened toenails in a diabetic resident are a clinical concern, not a cosmetic one. The inspection cited the facility for failing to provide foot care in accordance with professional standards of practice.
The violation was rated as causing minimal harm or the potential for actual harm, the lower end of the federal harm scale. The inspection was a complaint survey, meaning someone had already raised concerns before the inspector walked through the door.
Resident #11 had been trying to raise those concerns herself since January. She told the people responsible for her care. Her daughter sent a written email. The social services office received it, responded with an incorrect requirement, and still did not schedule an appointment or document that one had been requested.
By August, her friends were the ones bringing nail clippers.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Harvest Manor Healthcare and Rehabilitation Center from 2025-08-13 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 22, 2026 · Our methodology
Harvest Manor Healthcare and Rehabilitation Center in Denham Springs, LA was cited for violations during a health inspection on August 13, 2025.
The resident, identified in inspection records only as Resident #11, was admitted to Harvest Manor with a diagnosis that included Type 2 Diabetes Mellitus.
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.