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Complaint Investigation

Mid City Community Nursing And Rehab

February 11, 2025 · Baton Rouge, LA · 4005 North Blvd.
Citations 7
CMS Rating 4/5
Beds 184
Provider ID 195505
Healthcare Facility
Mid City Community Nursing And Rehab
Baton Rouge, LA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Mid City Community Nursing and Rehab in Baton Rouge, LA — inspection on February 11, 2025.

Found 7 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.

Inspection Findings

FF0580
Immediately tell the resident, the resident's doctor, and a family member of situations

altercation between Resident #1 and Resident #2 on 01/18/2025.

She stated she separated the residents and notified S4LPN of the altercation immediately on 01/18/2025.

An interview was conducted on 2/10/2025 at 2:20 p.m., with S4LPN.

She stated S7CNA notified her immediately of the altercation between Resident #1 and Resident #2 on 01/18/2025.

She stated she did not notify the on-call nurse practitioner of the incident until 01/20/2025 when Resident #1 began to have swelling in his right hand.

She stated she should have notified the on-call nurse practitioner of the incident on 01/18/2025.

An interview was conducted on 02/11/2025 at 2:00 p.m., with S9NP.

She stated she was the on-call nurse practitioner for 01/18/2025.

She reviewed her call logs for 01/18/2025 and confirmed she did not receive a notification of the altercation between Resident #1 and Resident #2 and should have.

195505 02/11/2025

Mid City Community Nursing and Rehab 4005 North Blvd.

Baton Rouge, LA 70806

b.

Both residents were to behavioral hospital. c.

Both residents continue to be seen by psychiatric, attend the day program, and 1:1 counseling with administrative staff.

  • All residents have the potential to be affected by this alleged deficient practice.
  • The measures put into place to prevent this alleged deficient practice from re-occurring on
  • 01/20/2025: a. In-service all staff regarding policy and procedure for abuse prevention and prohibition. b.

Residents with a BIMS of 9-15 interviewed by staff to ensure that the resident has not felt abused and that each resident feels safe.

  • Facility will monitor its performance to ensure sustained compliance starting on 01/20/2025
  • weekly for 4 weeks, by the following: a.

Administrator and or designee will have a return demonstration through questioning staff on the policy and procedure for abuse prevention and prohibition. b.

Administrator and or designee will follow-up in morning meeting for 4 weeks and as needed to ensure a resident has not voiced concerns of potential abuse. c.

Additional in-servicing and/or progressive disciplinary action will occur if further noncompliance is noted.

  • Corrective action will be completed by 01/21/2025.

195505 02/11/2025

Mid City Community Nursing and Rehab 4005 North Blvd.

Baton Rouge, LA 70806

Review of the facility's incident report dated 12/18/2024, revealed in part, the following: Incident Description: Resident #1 went to the nurses' station and stated, I f***ed him up. He stated he was referring to Resident #4.

Staff immediately went into the residents' room and found Resident #4 with scratches to his left arm. Resident #1 had a deep laceration between his thumb and pointer finger on his right hand. Resident #1 stated, Everyday he is just sleeping and I'm tired of it.

An interview was conducted on 02/10/2025 at 10:10 a.m., with S5LPN.

She stated on 12/18/2024, around midnight, Resident #1 and Resident #4 got into an altercation.

She stated she immediately separated them, and placed Resident #1 in another room.

She stated 1:1 monitoring began on both residents.

She stated Resident #1 was sent to a behavioral hospital on the morning of 12/19/2024.

She stated she notified the NP, DON, and RP of the incident on 12/19/2024 around 7:00 a.m.

She stated a resident scratching another resident was a type of physical abuse and should be reported.

An interview was conducted on 02/10/2025 at 1:45 p.m., with S1ADM. He stated in December 2024 through January 2025, S2CON was responsible for reporting to the state agency and he was the DON.

He stated he became the Administrator later in January 2025 after the aforementioned incidents. He stated he was aware of the incidents which occurred on 12/18/2024, 12/24/2024, and 01/18/2025.

He confirmed the incidents were abuse, should have been reported, and were not.

An interview was conducted on 02/11/2025 at 2:00 p.m., with S2CON.

She stated in December 2024 through January 2025, she was responsible for reporting to the state agency and was the Administrator during that time.

She stated she was aware of the incidents which occurred on 12/18/2024, 12/24/2024, and 01/18/2025.

She stated these incidents were not physical abuse, and therefore she did not report them to the state agency.

195505 02/11/2025

Mid City Community Nursing and Rehab 4005 North Blvd.

Baton Rouge, LA 70806

determine candidacy for Level II services. He stated S10PNP may have more information regarding

I approval, and a new Level I Pre-admission Screening and Resident Review was not completed and

An interview was conducted on 02/11/2025 at 11:38 a.m., with S10PNP.

She stated she was responsible for assessing and treating residents with psychiatric diagnoses on a routine basis.

She stated any evaluations, new diagnoses, treatment notes, and recommendations were reported via email to the Administrative staff.

She further stated she was not responsible for submitting a new Level I Pre-admission Screening and Resident Review to determine candidacy for Level II services.

195505 02/11/2025

Mid City Community Nursing and Rehab 4005 North Blvd.

Baton Rouge, LA 70806

Review of the facility's incident report dated 01/18/2025, revealed in part, the following: Incident Description: S7CNA reported Resident #1 and Resident #2 were arguing in their room, and Resident #2 hit Resident #1 with a reacher tool at 6:30 p.m.

An interview was conducted on 02/10/2025 at 2:15 p.m. with S7CNA.

She stated she witnessed Resident #1 punch Resident #2 on 01/18/2025.

She stated she notified S4LPN of the altercation immediately on 01/18/2025 around 6:30 p.m.

An interview was conducted on 02/10/2025 at 2:20 p.m. with S4LPN.

She stated S7CNA notified her immediately of the incident on 01/18/2025 around 6:30 p.m.

She stated she did not report the incident to anyone else until 01/20/2025, when Resident #1 was noted to have swelling of his right hand.

She stated Resident #1 had a mobile x-ray on 01/20/2025 completed which resulted as a 5th Metacarpal Neck Fracture of the Right Hand.

She stated a resident punching another resident was physical abuse and should be reported.

She stated she knew to report it, but she failed to do so on 01/18/2025.

An interview was conducted on 02/10/2025 at 1:45 p.m. with S1ADM. He stated he was made aware on 01/20/2025 of the incident between Resident #1 and Resident #2 which occurred on 01/18/2025.

He confirmed the incident was abuse, should have been reported on 01/18/2025, and was not.

An interview was conducted on 02/11/2025 at 2:00 p.m. with S2CON.

She stated she was made aware on 01/20/2025 of the incident between Resident #1 and Resident #2 which occurred on 01/18/2025.

She stated this incident was not physical abuse.

Review of the facility's incident report dated 01/18/2025, revealed in part, the following:

Incident Description: S7CNA reported Resident #1 and Resident #2, were arguing in their room, and Resident #2 hit Resident #1 with a reacher tool at 6:30 p.m.

An interview was conducted on 02/10/2025 at 10:30 a.m., with Resident #1. He stated a few weeks ago, he punched Resident #2 on his face a few times with his right hand. He stated Resident #2 poked him with his reacher tool so he punched him. He stated he did not have any pain or swelling to the right hand after punching Resident #2 until two days later when he was diagnosed with a right finger fracture.

An interview was conducted on 02/10/2025 at 2:15 p.m., with S7CNA.

She stated she witnessed the altercation between Resident #1 and Resident #2 on 01/18/2025.

She stated she heard raised voices coming from Resident #1 and Resident #2's room.

She stated when she entered the room, Resident #2 was standing at Resident #1's bedside poking him with his reacher tool.

She stated Resident #1 then punched Resident #2 three times on the side of his face with a closed fist.

She stated she notified S4LPN of the altercation immediately on 01/18/2025 around 6:30 p.m.

She stated a resident punching another resident was a type of physical abuse and should be reported.

An interview was conducted on 02/10/2025 at 2:20 p.m., with S4LPN.

She stated S7CNA notified her immediately of the incident on 01/18/2025 around 6:30 p.m.

She stated she did not report the incident to anyone else until 01/20/2025, when Resident #1 was noted to have swelling of his right hand.

She stated Resident #1 had a mobile x-ray on 01/20/2025 completed which resulted as a 5th Metacarpal Neck Fracture of the Right Hand.

She stated a resident punching another resident was physical abuse and should be reported.

She stated she knew to report it, but she failed to do so on 01/18/2025.

An interview was conducted on 02/11/2025 at 2:02 p.m., with S9NP.

She stated she was the on-call nurse practitioner for 01/18/2025.

She reviewed her call logs for 01/18/2025 and confirmed she did not receive a notification of the altercation between Resident #1 and Resident #2 and should have.

An interview was conducted on 02/10/2025 at 1:45 p.m., with S1ADM. He stated S4LPN should have reported the physical abuse between Resident #1 and Resident #2 to him on 01/18/2025 and did not until 01/20/2025. He stated all physical abuse should be reported to the DON and Administrator immediately and reported to the state agency within 2 hours.

2.

195505

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 195505 B.

Wing 02/11/2025

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

Mid City Community Nursing and Rehab 4005 North Blvd Baton Rouge, LA 70806

Review of Resident #1's MDS with an ARD of 11/06/2024 revealed a BIMS of 13, which indicated he was cognitively intact.

Resident #4

Review of Resident #4's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses, which included Traumatic Brain Injury and Dementia.

Review of Resident #4's MDS with an ARD of 10/09/2024 revealed a BIMS of 13, which indicated he was cognitively intact.

Review of the facility's incident report dated 12/18/2024, revealed in part, the following:

Incident Description: Resident #1 went to the nurses' station and stated, I f***ed him up. He stated he was referring to Resident #4.

Staff immediately went into the residents' room and found Resident #4 with scratches to his left arm. Resident #1 had a deep laceration between his thumb and pointer finger on his right hand. Resident #1 stated, Everyday he is just sleeping and I'm tired of it.

Resident #3

195505

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 195505 B.

Wing 02/11/2025

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

Mid City Community Nursing and Rehab 4005 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 Mid City Community Nursing and Rehab or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.