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
During an interview on 10/28/2025 at 3:00 p.m., SF6DOR (Director of Rehabilitation) reported she had assisted nursing staff with resident transfer assessments and recommendations for the need of Hoyer lifts. SF6DOR further reported the transfer recommendation for Resident #F3 remained as a Hoyer lift resident as indicated on the most recent 10/14/2025 facility list. SF6DOR acknowledged Resident #F3 had a status of total lift and CNAs should use a Hoyer lift with 2 staff assistance for total lift residents.
During an interview on 10/28/2025 at 3:30 p.m., 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]
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/03/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Pilgrim Manor Skilled Nursing and Rehabilitation
1524 Doctors Drive Bossier City, LA 71111
SUMMARY STATEMENT OF DEFICIENCIES
trained on how to locate things in a resident's CNA charting including transfer abilities. S1 Quality Improvement Nurse and S2 Quality Improvement Nurse confirmed the agency CNAs sign on the Agency Facility Orientation sheet indicating they were oriented to the facility CNA charting system.During an interview on 09/02/2025 at 2:20 p.m. S5 ADON confirmed new staff and agency CNA staff were oriented to the facility, given access to the CNA charting record, and trained on how to locate things in a resident's CNA charting including transfer abilities prior to working. S5 ADON confirmed the agency CNAs sign on the Agency Facility Orientation sheet indicating they were oriented to the facility CNA charting system. S5 ADON reported she had scheduled staff for Resident #1's hall. S5 ADON reported on 07/14/2025 S6 agency CNA arrived late to the facility because she had to call the agency to cover staff due to a late call in.
S5 ADON reported she was called to go with S3 DON when the incident with Resident #1 occurred on 07/14/2025. S5 ADON reported she was told Resident #1 was transferred using a lift and pivot 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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