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Complaint Investigation

Capital Oaks Nursing & Rehabilitation Center Llc

February 7, 2025 · Baton Rouge, LA · 4100 North Blvd
Citations 2
CMS Rating 1/5
Beds 123
Provider ID 195635
Healthcare Facility
Capital Oaks Nursing & Rehabilitation Center Llc
Baton Rouge, LA  ·  View full profile →
Inspection Summary

CAPITAL OAKS NURSING & REHABILITATION CENTER LLC in BATON ROUGE, LA — inspection on February 7, 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

FF580
Immediate 3. Changes in the behavior pattern of the resident Few 23. Complaints of pain or injury that have not been addressed by facility staff affected

Review of Resident #1's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses, which included, in part, the following: Muscle Wasting and Atrophy, Age Related Osteoporosis, Dementia, Alzheimer's Disease, Aphasia, and Cognitive Communication Deficit.

Further review revealed Resident #1 was diagnosed with a Left Femur Fracture resulting from a fall on 01/02/2025.

Review of Resident #1's Quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 12/03/2024, revealed a Brief Interview of Mental Status (BIMS) of 3, which indicated severe cognitive impairment.

Further review revealed no indication Resident #1 had pain upon assessment completion.

Review of Resident #1's current Care Plan revealed the resident had impaired cognition and communication related to Alzheimer's Disease and Expressive Aphasia.

Further review of Resident #1's Care Plan revealed the following interventions:

Start date: 01/02/2025 - X-Ray of L hip/pelvis and knee

195635

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 195635 B.

Wing 02/07/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Capital Oaks Nursing & Rehabilitation Center LLC 4100 North Blvd Baton Rouge, LA 70806

Review of Resident #1's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses which included, in part, the following: Muscle Wasting and Atrophy, Age Related Osteoporosis, Dementia, Alzheimer's disease, Aphasia, and Cognitive Communication Deficit.

Further review revealed Resident #1 was diagnosed with a Left Femur Fracture resulting from a fall on 01/02/2025.

Review of Resident #1's Quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 12/03/2024, revealed a Brief Interview of Mental Status (BIMS) of 3, which indicated severe cognitive impairment.

Further review revealed no indication Resident #1 had pain upon assessment completion.

Review of Resident #1's current Care Plan revealed the resident had impaired cognition and communication related to Alzheimer's Disease and expressive aphasia.

Further review revealed the resident had chronic pain.

Review of Resident #1's January 2025 Medication Administration Record (MAR) revealed no documentation the resident received medication for the treatment of pain until 01/03/2025 at approximately 7:30 a.m. when Resident #1 was administered Tylenol after S4LPN assessed him to find pain with movement of his left leg.

195635

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 195635 B.

Wing 02/07/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Capital Oaks Nursing & Rehabilitation Center LLC 4100 North Blvd Baton Rouge, LA 70806

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 BATON ROUGE, 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 CAPITAL OAKS NURSING & REHABILITATION CENTER LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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