Pilgrim Manor Skilled Nursing And Rehabilitation
Pilgrim Manor Skilled Nursing and Rehabilitation in Bossier City, LA — inspection on September 3, 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.
Inspection Findings
Rehabilitation) reported she had assisted nursing staff with resident transfer assessments and
list. SF6DOR acknowledged Resident #F3 had a status of total lift and CNAs should use a Hoyer lift
SF1Corporate Nurse acknowledged Resident #F3 required a Hoyer lift with 2 person assist for transfers and should have been transferred from the bed to the wheelchair with a Hoyer lift by SF4Agency CNA. [KH1]
195594 09/03/2025
Pilgrim Manor Skilled Nursing and Rehabilitation 1524 Doctors Drive Bossier City, LA 71111
reported she had scheduled staff for Resident #1's hall. S5 ADON reported on 07/14/2025 S6 agency
S5 ADON reported she was called to go with S3 DON when the incident with Resident #1 occurred on
method. S5 ADON reported she did not recall Resident #1's transfer abilities without reviewing Resident #1's record.
During an interview on 09/03/2025 at 10:15 a.m. S14 RN (Registered Nurse)/Wound Care Nurse reported Resident #1 could not do anything on her own and required the Hoyer lift for transfers. S14 RN/Wound Care Nurse reported there should have been a sign over Resident #1's door indicating she required a Hoyer lift for transfers.
During an interview on 09/03/2025 at 11:00 a.m. S6 agency CNA reported on 07/14/2025 she came late and was given access to the CNA charting record and her assigned residents. S6 agency CNA reported she transferred Resident #1 with a stand and pivot method and Resident #1 told her she hit her arm on the wheelchair and complained of pain. S6 agency CNA reported she notified the nurse and DON and they assessed Resident #1, an x-ray was done, and Resident #1 had a fracture. S6 agency CNA reported she did not know Resident #1 was to be transferred with a Hoyer lift until after the incident. S6 agency CNA reported she did not know how to look up a resident's transfer abilities until after the incident.
When asked if she had worked at the facility before S6 agency CNA reported she had worked at the facility once before that date and had not come back until recently. S6 agency CNA reported she was in-serviced regarding obtaining information regarding proper transfer after the incident with Resident #1.
During an interview on 09/03/2025 at 12:30 p.m. S2 Quality Improvement Nurse reviewed S6 agency CNA's work history in the facility and reported S6 agency CNA first worked at the facility on 04/14/2025 and did not work again at the facility until 07/01/2025. S2 Quality Improvement Nurse confirmed S6 agency CNA had worked at the facility on 07/01/2025; 07/05/2025; 07/06/2025; 07/08/2025; 07/13/2025; and 07/14/2025 and confirmed documentation of S6 agency CNA's charting record entries for the dates worked in July 2025 which indicated proficient use by the CNA of resident's care guides.
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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.