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Complaint Investigation

Matthews Memorial Health Care Center

September 29, 2025 · Alexandria, LA · 5100 Jackson Street Ext.
Citations 1
CMS Rating 2/5
Beds 124
Provider ID 195600
Healthcare Facility
Matthews Memorial Health Care Center
Alexandria, LA  ·  View full profile →
Inspection Summary

MATTHEWS MEMORIAL HEALTH CARE CENTER in ALEXANDRIA, LA — inspection on September 29, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0658
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

Review of Resident #R1's Quarterly MDS with an ARD of 09/02/2025, revealed a BIMS score of 15, which indicated intact cognition.

The MDS revealed Resident #R1 was dependent on staff for all ADLs.

Review of Resident #R1's Care Plan read as.

Limited mobility related to diagnosis of Quadriplegia.

Resident #R1 was Dependent on staff for bed mobility, transfer, and toileting.

The MDS revealed Resident #R1 had a Stage 4 Pressure Ulcer to Left Buttocks.

Review of Resident #R1's TAR dated 09/01/2025 to 09/302/205 read in part.

Stage 4 Pressure Ulcer to Left and Right Buttock: Clean with wound cleanser pat dry apply Lidocaine Ointment Betadine packed gauze, wet to dry and secure with ABD pad and secure with tape daily, until resolved every day shift for Wound healing.

Review of Resident #R1's TAR dated 09/01/2025 to 09/30/2025 revealed there was no documentation of the following dates: 09/06/025, 09/07/2025, 0920/2025, and 09/21/2025.

Interview on 09/23/2025 at 9:52 a.m. with S5 Treatment Nurse revealed she worked from 8:00 a.m. to 4:30 p.m.

Monday through Friday. S5 Treatment Nurse stated when she was off the floor nurse was responsible for treatments on their residents. S5 Treatment Nurse revealed the RN Supervisor was responsible for treatments on the weekends.

Interview on 09/25/2025 at 11:15 a.m. with S5 DON stated the Weekend Supervisor was responsible for doing wound treatments on the weekends. S5 DON confirmed that #R1 did not receive wound care on 09/06/2025, 09/07/2025, 09/20/2025, and 09/21/2025.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ALEXANDRIA, LA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from MATTHEWS MEMORIAL HEALTH CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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