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Complaint Investigation

The Lodge At Tangi Pines

December 19, 2025 · Amite, LA · 10746 Hwy 16
Citations 2
CMS Rating 1/5
Beds 100
Provider ID 195349
Healthcare Facility
The Lodge At Tangi Pines
Amite, LA  ·  View full profile →
Inspection Summary

The Lodge at Tangi Pines in Amite, LA — inspection on December 19, 2025.

Found 2 citations. 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

FF0656
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

Review of Resident #2's Care Plan revealed it was not revised to include interventions to address Resident #2's fall on 11/26/2025. On 12/19/2025 at 10:35 a.m., an interview was conducted with S4STAFF.

She reviewed and confirmed Resident #2 had a fall on 11/26/2025. S4STAFF reviewed Resident #2's care plan and confirmed it was not revised to reflect Resident #2 fall which occurred on 11/26/2025 prior to the survey team entry on 12/17/2025 and should have been. On 12/19/2025 at 11:37 a.m., an interview was conducted with S1DON. He reviewed Resident #2's care plan and confirmed it was not revised to reflect Resident #2's falls on 11/26/2025 prior to the survey team entry and should have been.

Resident #3Review of Resident #3's Clinical Record revealed she was admitted to the facility on [DATE], with diagnoses which included Fractures and Other Multiple Fractures, Right Foot Fracture, History of Falling, Hereditary and Idiopathic Neuropathy, Displaced Fracture of 2nd Metatarsal Bone, Right Foot and Displaced Fracture of 3rd Metatarsal Bone, Right Foot.

Review of the facility's Incident Report revealed Resident #3 had an unwitnessed falls on the 09/14/2025, 09/17/2025, 10/13/2025, and 11/13/2025.Review of Resident #3's Nurse's Note revealed the following:09/14/2025 at 3:21 p.m. -The CNA called me, the nurse, to resident's room because resident was on the floor in bathroom.

Upon entering the room resident noted to be in the bathroom on the floor next to the toilet.

Resident reports she needed to use the toilet and did not call for assistance.

When transferring from wheelchair to toilet she started to wet herself causing her feet to become slippery. 09/17/2025 at 12:55 a.m.-Upon entering the room at approximately 00:30, resident was seen sitting on the floor beside her bed.

Resident has noticeable swelling & bruising to the left cheek bone area. PRN Tylenol 650 MG administered for pain rated 6/10 by resident.

Resident denies any other pain or discomfort.10/13/2025 at 6:47 p.m.- The nurse was called to the resident room. CNA was entering room to deliver supper tray and found resident on floor.

Resident states she was sitting on bed and attempted to get up to wheelchair and move cords out of her way and fell.

She denies hitting her head or any injuries. 11/13/2025 at 1:30 p.m.- The nurse was called to resident's bathroom and upon entering resident was noted to be laying on the floor in front of the toilet. Resident #3 reports going to the restroom unassisted and when resident stood to pull pants up she lost her balance and fell.

Review of Resident #3's Care Plan revealed it was not revised to include interventions to address Resident #3's fall on 09/14/2025, 09/17/2025, 10/13/2025 and 11/13/2025. On 12/19/2025 at 10:35 a.m., an interview was conducted with S4STAFF.

She reviewed and confirmed Resident #3 had a fall on 09/14/2025, 09/17/2025, 10/13/2025 and11/13/2025. S4STAFF reviewed Resident #3's care plan and confirmed it was not revised to reflect Resident #3's fall which occurred on 09/14/2025, 09/17/2025, 10/13/2025 and 11/13/2025 prior to the survey team entry on 12/17/2025 and should have been. On 12/19/2025 at 11:37 a.m., an interview was conducted with S1DON. He reviewed Resident #3's care plan and confirmed it was not revised to reflect Resident #3's falls which occurred on 09/14/2025, 09/17/2025, 10/13/2025 and 11/13/2025 prior to the survey team entry and should have been.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

12/19/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

The Lodge at Tangi Pines

10746 Hwy 16 Amite, LA 70422

SUMMARY STATEMENT OF DEFICIENCIES

Review of the most recent MDS with an ARD of 10/07/2025 revealed Resident #1 had a BIMS of 3, which indicated severe cognitive impairment.

Review of the most current Care Plan revealed the following:Problem: Potential for falls related to history of falls, decreased mobility, medication effects, confusion, poor safety awareness and impaired mobility. On 05/22/2024 Resident #1 slid off her bed and had a fall.Intervention: 05/22/2024: Resident given non-skid socks instead of wearing regular socks. On 12/17/2025 at 11:10 a.m., an observation was made of Resident #1 awake, sitting up in a wheelchair. An observation was made of white socks on Resident #1's feet without non-skid bottoms. On 12/17/2025 at 11:11 a.m., an interview was conducted with S2STAFF.

She stated Resident #1 was a fall risk.

She observed and confirmed Resident #1 was not wearing non-skid socks. On 12/17/2025 at 11:25 a.m., an interview was conducted with S3STAFF.

She stated Resident #1 was a fall risk.

She stated an intervention used to prevent falls for Resident #1 was to place non-skid socks on the resident. On 12/17/2025 at 11:29 a.m., an observation and interview was conducted with S3STAFF.

She observed and confirmed Resident #1 was not wearing non-skid socks and should have been. On 12/17/2025 at 12:00 p.m., an interview was conducted with Resident #1's Representative.

She stated she visited Resident #1 once or twice a week.

She Resident #1 had a history of falls.

She stated Resident #1 does not wear non-skid socks. On 12/17/2025 at 2:50 p.m., an interview was conducted with S1DON. He stated he expected all staff to follow a resident's care plan and implement fall interventions to prevent further falls. He reviewed Resident #1's care plan and confirmed Resident #1 had a fall intervention to place non-skid socks.

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 Amite, 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 The Lodge at Tangi Pines or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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