Camelot Leisure Living
Camelot Leisure Living in Ferriday, LA — inspection on February 20, 2025.
Found 18 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
Observation and interview on 02/18/2025 at 11:20 a.m. with Resident #19 revealed long facial hair to her chin and neck area. Resident #19 stated she had been cleaned up this morning, but no one had shaved her. Resident #19 stated she would like to be shaved.
Interview on 02/18/2025 at 11:29 a.m. with S10 LPN confirmed Resident #19's hair on her chin and neck are was long and needed to be shave, but had not been.
195516 02/20/2025
Camelot Leisure Living 6818 Highway 84 West Ferriday, LA 71334
facility on 12/21/2024 and 12/22/2024. S21 Charge Nurse stated that he was notified by S20 LPN on
physician because resident #72 was responsive and he felt that Resident #72 was at his baseline.
Interview on 02/20/2025 at 9:29 a.m. with S22 CNA stated she went to change Resident #72 on 12/21/2024 and he was not moving, so she notified the nursing staff. S22 CNA stated after S21 Charge Nurse performed a sternal rub, Resident #72 became responsive. S22 CNA stated she was told that Resident #72 had had these episodes before. S22 CNA stated Resident #72 was sleepy, not eating, and was not acting like his normal self that day.
Interview on 02/20/2025 at 11:05 a.m. with S2 DON revealed she could not confirm if the physician should have been called or not because S21 Charge Nurse made an assessment and determined that Resident #72 was at his baseline.
195516 02/20/2025
Camelot Leisure Living 6818 Highway 84 West Ferriday, LA 71334
Observation on 02/19/2025 at 9:02 a.m. revealed Cart A in Hall A with the electronic medical record (EMR) screen open and visible.
There was no employee present.
The surveyor remained with Cart A until a staff member approached Cart A.
The staff member identified herself as S7LPN.
An interview on 02/19/2025 at 9:15 a.m. with S7LPN confirmed she was currently using Cart A to provide medications to residents on Hall A. S7LPN confirmed the computer screen with resident's information was not closed when she was away from the medication cart, but should have been.
An interview 02/19/2025 at 9:40 a.m. with S6ADON confirmed computer screens with resident information should be closed and not visible when staff was not present.
An interview on 02/19/25 at 10:09 a.m. with S5ADON confirmed computer screens with resident information should be closed and not visible when staff was not present.
195516 02/20/2025
Camelot Leisure Living 6818 Highway 84 West Ferriday, LA 71334
Review of Resident #28's MDS record revealed no Discharge MDS assessment.
An interview on 02/19/2025 at 1:00 p.m. with S6ADON confirmed she was responsible for completion of MDS assessments. S6ADON confirmed she did not complete a Discharge MDS assessment when Resident #28 was discharged , but should have.
An interview on 02/19/2025 at 2:52 p.m. with S6ADON revealed she had submitted a Discharge MDS assessment for Resident #28.
She provided a CMS Submission Report dated 02/19/2025 at 3:46 p.m. which revealed, in part .Target date of 12/14/2024 .assessment completed late, more than 14 days after the Assessment Reference Date (ARD).
195516 02/20/2025
Camelot Leisure Living 6818 Highway 84 West Ferriday, LA 71334
sampled resident's.
Findings:
Record
Review of the facility's current policy titled MDS dated 01/15/2025 read in part .
Our facility will complete, conduct, and submit resident assessments in accordance with current federal and state submission timeframes.
Record Review of Resident #7's medical record revealed an admission date of 03/25/2019. Resident #7 had diagnoses that included in part .
Parkinson's Disease, Unspecified Psychosis, and Depression.
Record Review of a MDS State Optional Assessment with ARD of 12/17/2024 revealed Resident #7's BIMS was not assessed, due to being rarely understood. Resident #7 was dependent on staff with 2 person physical assistance required for Bed Mobility, Transfers, and Toileting, and 1 person physical assistance required for Eating.
Record Review of Resident #7's paper chart revealed a written order dated 02/03/2025: Admit resident to hospice services.
Record Review of Resident #7's Care Plan with target review date of 03/17/2025 revealed Resident had a psychosocial well-being problem related to anxiety with and intervention of: Hospice to visit resident. - Initiation date of 02/05/2025.
Record Review of Resident #7's MDS assessments revealed no evidence that a significant change MDS had been completed, or was in progress, following her admission to hospice on 02/03/2025.
Interview on 02/19/2025 at 1:23 p.m. with S6 ADON revealed she was responsible for resident care plan revisions and MDS assessments. S6 ADON revealed Resident # 7 was currently on hospice as of 02/03/2025. S6 ADON confirmed a Significant Change MDS had not been completed yet for Resident #7, and should have been within 14 days of her admission to hospice.
195516 02/20/2025
Camelot Leisure Living 6818 Highway 84 West Ferriday, LA 71334
Review of Progress Note dated 02/19/2025 at 09:15 p.m. per S9 NP revealed, in part, .due to right hand/fingers contracted, appears fingernail has caused skin tear to palm of hand.
Review of Physician's Telephone Order for Resident #43 dated 02/19/2025 revealed an order to cleanse skin tear to palm of right hand with wound cleanser, pat dry, apply triple antibiotic ointment, apply rolled gauze to right hand as tolerated every day, Occupational Therapy (OT) to screen, and consult wound care.
Review of Incident/Accident Reporting Form for Resident #43 dated 02/19/2025 revealed, in part, .on 02/19/2025 at 9:20 a.m. S6 ADON observed a skin tear to resident's right palm under resident's pinky finger .resident has contractures to right hand unable to apply hand roll. On 02/19/2025 at 11:20 a.m.
S6 ADON noted, in part, the NP stated .appears to be a skin tear from .clenching hand.
Review of Multidisciplinary Screen Form dated 02/19/2025 completed by OT revealed NP recommendation to place a 4x4 gauze under the 5th digit to prevent skin breakdown.
Observation of Resident #43 on 02/20/2025 at 10:15 a.m. revealed a folded gauze to contracted right hand, between the 5th digit and the palm.
195516 02/20/2025
Camelot Leisure Living 6818 Highway 84 West Ferriday, LA 71334
front parking lot of the facility had been repaired that morning (02/19/2025). S1 Administrator
responsible for ensuring the parking lot was safe.
Interview on 02/19/2025 at 2:39 p.m. with S25 CNA revealed on 02/13/2025 she was in the front parking lot of the facility when Resident #13 had fallen. S25 CNA revealed when she turned around Resident #13 was on her knees on the ground. S25 CNA revealed an employee had fallen in the same hole previously.
Interview on 02/19/2025 at 2:49 p.m. with S26 CNA/Transportation revealed on 02/13/2025 he was assisting Resident #13 to the van in the front parking lot. S26 CNA/Transportation revealed Resident #13 stepped in a crack in the concrete and fell to her left knee then to her right knee.
195516 02/20/2025
Camelot Leisure Living 6818 Highway 84 West Ferriday, LA 71334
Review of Resident #17's care plan with an initial date of 01/18/2025 and a next review date of 04/18/2025 revealed in part .a focus of impaired gas exchange related to ineffective air clearance with interventions included administer oxygen therapy as ordered and provide breathing treatment as ordered with an initiated date of 01/18/2025 .
On 02/17/2025 at 10:15 a.m., observed Resident #17's oxygen tubing on the resident's bedroom floor, un-bagged, and unlabeled.
Observed Resident #17's nebulizer mask placed directly on the bedside dresser drawer, un-bagged, and undated.
In an interview and observation on 02/17/2025 at 10:20 a.m., S10 LPN confirmed Resident #17's oxygen tubing and nebulizer mask should be in a bag and that both the nebulizer and oxygen items should be stored/labeled correctly and was not.
In an interview on 02/19/2025 at 9:35 a.m., S2 DON revealed that nursing staff are ordered to change the nebulizer/oxygen tubing and bags weekly on Thursdays. S2 DON confirmed that all oxygen and nebulizer tubing should be labeled and stored in a bag when not in use.
195516 02/20/2025
Camelot Leisure Living 6818 Highway 84 West Ferriday, LA 71334
Observation on 02/17/2025 at 12:30 p.m. revealed a form for Daily Nursing Census dated 02/17/2025 was posted on a bulletin board near the nurse's station.
Daily staffing hours required, and daily staffing hours provided were not posted on the form.
Observation on 02/18/2025 at 9:51 a.m. revealed a form for Daily Nursing Census dated 02/18/2025 was posted on a bulletin board near the nurse's station.
Daily staffing hours required, and daily staffing hours provided were not posted on the form.
Observation on 02/18/2025 at 12:49 p.m. revealed forms for Daily Nursing Census dated 02/10/2025- 02/18/2025 did not have daily staffing hours required and daily staffing hours provided documented on the forms.
Interview on 02/18/2025 at 12:55 p.m. with S2 DON to review 02/10/2025- 02/18/2025 Daily Nursing Census forms, S2 DON confirmed the facility did not post daily nursing hours required and daily nursing hours provided, only the total amount of nurses and CNA's scheduled for each shift. S2 DON confirmed the facility kept up with daily hours provided and required, but confirmed the facility did not post that information.
195516 02/20/2025
Camelot Leisure Living 6818 Highway 84 West Ferriday, LA 71334
Observation of the Cart A narcotic storage drawer with oversight from S7 LPN and S5 ADON revealed one blister pack for Resident #55 containing 13 tablets of Lorazepam 0.5mg.
Review of the narcotic record revealed one record for Resident #55 dated 02/21/2024 indicating 13 Lorazepam 0.5mg tablets remaining, and one record for Resident #55 dated 08/01/2024 indicating 13 Lorazepam 0.5mg tablets remaining. An interview was conducted with S5 ADON at this time who confirmed there were two narcotic records for Resident #55, indicating a total of 26 tablets of Lorazepam 0.5mg. S5 ADON confirmed there were 13 tablets of Lorazepam 0.5mg for Resident #55 and the narcotic record was incorrect for Resident #55.
Further observation revealed one blister pack for Resident #41 containing 19 Norco 5/325mg tablets.
The narcotic record for Resident #41 revealed 20 Norco 5/325mg tablets remaining.
One blister pack was observed for Resident #67 containing 39 Norco 5/325mg tablets.
The narcotic record for Resident #67 revealed there were 40 Norco 5/325mg tablets remaining. An interview was conducted with S7 LPN at this time who revealed she had provided one Norco 5/325mg tablet to Resident #41 and one Norco 5/325mg tablet to Resident #67 this am. S7 LPN confirmed she did not document the narcotic medications on the narcotic record when they were administered, but should have. #6 The narcotic record for Resident #67 stated the name of the medication, Zolpidem, but did not include the strength. S5 ADON confirmed the strength of the medication should be documented on the narcotic record. #7 An interview with S5 ADON on 02/19/2025 at 2:09 p.m. revealed the Lorazepam had been previously discontinued for Resident #55.
She did not know the date the Lorazepam had been discontinued. S5 ADON confirmed when controlled substances were discontinued, they should be removed from the cart and the DON was responsible for returning them to the pharmacy. S5 ADON confirmed the Lorazepam for Resident #55 should not have been in Cart A.
An interview was conducted on 02/19/2025 at 4:48 p.m. with S2 DON who confirmed the discontinued Lorazepam for Resident #55 should have been removed from Cart A, but was not.
Review of Resident #55's current Order Summary Report revealed no current order for Lorazepam.
195516 02/20/2025
Camelot Leisure Living 6818 Highway 84 West Ferriday, LA 71334
Observation on 02/19/2025 at 1:04 p.m. revealed Resident #26's lunch tray was served to her in her room.
195516 02/20/2025
Camelot Leisure Living 6818 Highway 84 West Ferriday, LA 71334
thickener to the blender. S3 Dietary [NAME] placed the prepared pureed beef patties onto the steam
when she prepared the above puree meal items, and did not know if using water when preparing puree food items was appropriate. S3 Dietary [NAME] confirmed she had not been trained on referring to recipes when she prepared meals.
Interview on 02/17/2025 at 2:20 p.m. with S4 Maintenance Supervisor, who was the acting dietary manager, confirmed dietary cooks were to refer to recipes when preparing meals.
195516 02/20/2025
Camelot Leisure Living 6818 Highway 84 West Ferriday, LA 71334
done bi-weekly for the next 3 weeks and then weekly to monitor the kitchen that no bleach is present.
jeopardy to resident health or the QA meeting, the Administrator and Maintenance Supervisor will complete the random audits and safety weekly audits.
Any dietary staff not following policies and procedures given in-services will be given written warnings up to and including termination.
Correction Date: 02/19/2025 at 1:29 p.m.
195516 02/20/2025
Camelot Leisure Living 6818 Highway 84 West Ferriday, LA 71334
Review of a facility policy on 02/17/2025 at 2:32 p.m. titled, Garbage and Rubbish Disposal with an unknown original date and a revised date of 06/2023 revealed in part .Garbage and rubbish shall be disposed of in accordance with current state laws regulating such matters .5.
Garbage and rubbish containing food wastes shall be stored so as to be inaccessible to vermin .8.
Outside dumpsters provided by garbage pickup services must be kept closed and free of litter around the dumpster area .
Observation on 02/17/2025 at 8:50 a.m. of the facility dumpster area accompanied by S4 Maintenance Supervisor revealed there were two facility dumpsters.
Both dumpster's top lids were opened and both dumpster's side door was opened.
Observed several bags of trash piled in both dumpsters.
One dumpster's top lid was unable to close properly due to being broken completely off.
Observed litter such as used gloves, paper products/trash, and metal pieces of a mechanical lift near the dumpster on the grounds.
S4 Maintenance Supervisor confirmed the above findings during the tour of the dumpster area. S4 Maintenance Supervisor confirmed that the dumpster lids/doors should remain closed at all times, the dumpster area should be clean, and the trash should be picked up.
In an interview on 02/17/2025 at 9:26 a.m., S1 Administrator stated he was unaware of the broken top lid on the dumpster. S1 Administrator confirmed the facility dumpsters should remain closed at all times when not in use.
education, and daily monitoring.
jeopardy to resident health or Plan of Removal: safety All 65 residents have the potential for illness or serious harm from the alleged deficiency F-F835.
The dietary staff allegedly was not properly trained on dishwashing practices.
After a review of policies and procedures they did not require updating.
The training of new dietary staff will be done on hire, and continuing education will be provided at monthly in-services for all dietary staff to improve the knowledge, and basic skills of the dietary staff to ensure regulatory compliance.
The training and continuing education of current and new dietary staff will be done by the administrator, the administrator's designee, or the dietary consultant.
On 02/17/2025 the administrator immediately verbally in-serviced dietary staff present not to use bleach to sanitize equipment and instructed staff how to use the 3 compartment sink and check for the proper amount of sanitizer. On 02/17/2025 the administrator called the dietary consultant to come 02/18/2025 to in-service and train dietary staff on sanitation in the kitchen and how to set up and check the sanitizer in the 3 compartment sink to ensure regulatory compliance. On 02/18/2025 the administrator called 2 off duty dietary staff to verbally in-service them about not using bleach, and how to setup the 3 compartment sink and check the sanitizer.
All dietary staff have been in-serviced as of 02/18/2025.
Continuing education will be provided by the administrator, the administrator's designee, or the dietary consultant at monthly in-services for all dietary staff.
The training of each new hire in dietary will be monitored using a check list to orient them to the kitchen and dietary policies and procedures, and all dietary staff will receive monthly in-servicing training.
The administrator will monitor the training of new dietary staff and the monthly in-services, both will be ongoing.
The dietary consultant will monitor the administrator to ensure new hire training and monthly in-servicing is taking place during their monthly visit.
This monitoring will be included in the current QAPI being done in the kitchen and reported quarterly in the QA meeting.
Correction Date: 02/19/2025 at 1:29 p.m.
195516 02/20/2025
Camelot Leisure Living 6818 Highway 84 West Ferriday, LA 71334
Review of Resident #17's care plan with an initial date of 01/18/2025 and a next review date of 04/18/2025 revealed in part .a focus of impaired gas exchange with interventions that included administer oxygen therapy as ordered .
On 02/17/2025 at 10:15 a.m., observed Resident #17's oxygen tubing/nasal prongs directly on the resident's bedroom floor.
In an interview and observation on 02/17/2025 at 10:20 a.m., S10 LPN confirmed Resident #17's oxygen tubing was directly on the floor and should have been stored in a labeled bag and was not.
In an interview on 02/19/2025 at 9:35 a.m., S2 DON revealed that nursing staff are ordered to change/label/store the oxygen tubing in bags weekly on Thursdays. S2 DON confirmed that all oxygen tubing should be labeled and stored in a bag when not in use.
195516 02/20/2025
Camelot Leisure Living 6818 Highway 84 West Ferriday, LA 71334
Review of an undated facility policy on 02/20/2025 at 1:15 p.m. titled, Dietary Competency revealed in part . the Dining Services Manager will review each skill, observe staff demonstration, and sign each item on this list annually with each evaluation.
The completed form will be placed in the employee file competencies included in part .Skill: purpose, emergency preparedness, food storage and handling, procedures, handwashing, food preparation, meal services, safety procedures, sanitary procedures, proper temperatures and recordings, storage, washing dishes, trash containers, operation, cleaning, and safety .
195516
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 195516 B.
Wing 02/20/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Camelot Leisure Living 6818 Highway 84 West Ferriday, LA 71334
Review of the facility's undated policy entitled Infection Control Guidelines for All Nursing Procedures revealed, in part .
Employees must wash their hands before and after direct contact with residents. If hands are not visibly soiled, use an alcohol-based hand rub before and after direct contact with residents, after contact with a resident's intact skin, and after contact with medical equipment in the immediate vicinity of a resident.
Observation on 02/18/2025 from 8:15 a.m. until 9:20 a.m. revealed S10LPN using a wrist blood pressure (BP) cuff and an arm BP cuff to monitor the blood pressures of multiple residents.
The BP cuffs were not decontaminated between uses on different residents. S10LPN did not wash her hands or apply hand sanitizer before or after direct contact with the residents.
An interview on 02/18/2025 at 9:20 a.m. with S10LPN confirmed she did not decontaminate the wrist BP cuff or the arm BP cuff between uses on residents, but should have. S10LPN confirmed she did not wash her hands or use hand sanitizer before or after direct contact with the residents.
Observation on 02/19/2025 at 9:02 a.m. revealed S7LPN used a wrist BP cuff to monitor the blood pressure of a resident. S7LPN then placed the wrist BP cuff onto Cart A without decontaminating the cuff. S7LPN then continued with dispensing of medications without washing her hands or using hand sanitizer.
195516
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 195516 B.
Wing 02/20/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Camelot Leisure Living 6818 Highway 84 West Ferriday, LA 71334
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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.