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Complaint Investigation

Jefferson Manor Nursing And Rehab Ctr, Llc

Inspection Date: September 4, 2025
Total Violations 1
Facility ID 195471
Location BATON ROUGE, LA
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Inspection Findings

F-Tag F0584

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Based on observation and interviews, the facility failed to maintain a clean, comfortable and homelike environment for 1 (#1) of 6 (#1, #2, #3, Resident R7, Resident R8, and Resident R9) residents reviewed for environment.

Findings

Review of the facility's undated policy titled, Resident Rights, revealed the following, in part: (h) Environment. The facility must provide-(1) A safe, clean, comfortable, and homelike environment.(2) Housekeeping services necessary to maintain a sanitary, orderly and comfortable interior. Review of Resident #1's Clinical Record revealed an admission date of 04/20/2023. Review of Resident #1's Quarterly MDS (Minimum Data Set) with an ARD (Assessment Reference Date) of 06/18/2025 revealed a BIMS (Brief Interview for Mental Status) score of 15, which indicated he was cognitively intact.On 09/03/2025 at 12:25 p.m., an interview was conducted with Resident #1. He stated he was not pleased with the conditions of his room. He stated since pest control last sprayed his room, approximately 2-3 weeks ago, dead bugs, specifically roaches, could be seen throughout his room. He stated housekeeping did not clean his room effectively. He stated they came each day to mop and sweep, but his room remained dirty. He stated, it makes me feel gross. On 09/03/2025 at 12:34 p.m., an observation of Resident #1's room was conducted and revealed the presence of 8, small (under 1/2 inch), dead roaches along the baseboards of the room, next to the fridge, in front and on the side of Resident #1's wardrobe, under the A/C unit, and next to Resident #1's laundry basket.On 09/03/2025 at 12:55 p.m., an interview was conducted with S3HOU. She stated each room was swept and mopped each morning, with touch-up cleanings performed after lunch. On 09/03/2025 at 12:57 p.m., an interview was conducted with S4HOU. She confirmed the daily cleaning of Resident #1's room had been completed. On 09/03/2025 at 1:00 p.m., an observation was made of Resident #1's room with S3HOU. She confirmed the aforementioned observations and stated Resident #1's room was not cleaned thoroughly and should have been. On 09/03/2025 at 1:03 p.m., an observation was made of Resident #1's room with S2CORP. He confirmed the room was not cleaned thoroughly and should have been.On 09/03/2025 at 1:26 p.m., an interview was conducted with S1ADM. He was made aware of

the aforementioned observations. He stated he expected all rooms to be cleaned thoroughly by housekeeping staff.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

📋 Inspection Summary

JEFFERSON MANOR NURSING AND REHAB CTR, LLC in BATON ROUGE, LA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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 JEFFERSON MANOR NURSING AND REHAB CTR, LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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