Deerfield Nursing And Rehabilitation Center
Inspection Findings
F-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
the required assistance of 1 or more staff for each ADL. During an interview on 10/10/2025 at 8:30a.m.
S2Director of Nursing (DON) confirmed the CNAs (certified nursing assistant) should be able to determine
a resident was a 2 person assist by accessing the resident care plans on the hallway kiosks. During an
interview on 10/10/2025 at 10:00a.m. S3CNA reported she would review the care plan to determine if a resident required 1 or 2 person assist. S3CNA reviewed the care plan of Resident #2 and Resident #3 and confirmed their care plans did not state if the resident required 1 or 2 person assist with ADL care. During
an interview on 10/10/2025 at 10:20a.m. S4CNA reported she could check the care plan to see if a resident was 1 or 2 person assist on the kiosk. S4CNA confirmed Resident #1 required 1-2 persons to change.
During an interview on 10/10/2025 at 11:30a.m. S2DON reviewed the care plans for Resident #2 and Resident #3 and confirmed their care plans did not instruct staff to use 1 or 2 person assist for each specific ADLs. S2DON further confirmed the care plans should have the degree of assistance required for ADLs of each resident.During an interview on 10/10/2025 at 2:00p.m. S2DON and S5MDS Nurse confirmed the MDS does not explicitly determine if a resident was a 1 or 2 person assist for each ADL.
S2DON and S5MDS Nurse further reported the facility did not have an additional assessment that was used to determine which ADLs would require assistance from 1 or 2 staff.During an interview on 10/14/2025 at 10:20a.m. S2DON confirmed the care plan for Resident #5 did not include if they were a 1 or 2 person assist for any ADL. S2DON further confirmed the care plan should describe the degree of assistance needed for each residents' ADLs.During an interview on 10/16/2025 at 9:30a.m. S2DON reported she just found out the facility had weekly MDS GG meetings to review the status of the residents' assistance needs for care. S2DON reported the facility failed to take that information and use it to develop a care plan that accurately reflected the residents' care needs and was clear for the CNAs for when they refer to the care plan. S2DON confirmed the facility did not develop care plans for Resident #1, #2, #3, #4 and #5 that identified the required assistance of 1 or more staff for each ADL.
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If continuation sheet
Deerfield Nursing and Rehabilitation Center in Delhi, LA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Delhi, 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 Deerfield Nursing and Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.