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Complaint Investigation

St. Helena Parish Nursing Home

August 28, 2025 · Greensburg, LA · 32 North 2nd Street
Citations 6
CMS Rating 1/5
Beds 72
Provider ID 195610
Healthcare Facility
St. Helena Parish Nursing Home
Greensburg, LA  ·  View full profile →
Inspection Summary

St. Helena Parish Nursing Home in Greensburg, LA — inspection on August 28, 2025.

Found 6 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.

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Inspection Findings

FF0580
Resident Rights Deficiencies
Potential for More Than Minimal Harm

facility for a little over a month. He stated the facility notified him of the incident between Resident #1 and #2 on 08/01/2025. He stated he was told there was a gentleman resident in the common area with Resident #1, and he rubbed her between her legs. He stated he was told it was not skin to skin, but it was still inappropriate touching. He stated Resident #1 was confused. He stated if Resident #1 was cognitive, she would have been very upset that someone touched her inappropriately. On 08/27/2025 at 8:10 a.m., an interview was conducted with S12NP. He stated he was familiar with Resident #2. He stated at the beginning of the year, Resident #2 was in the IOP program and received group therapy and individual counseling for Bipolar and Depression. He stated Resident #2 responded well to the program and his symptoms of Bipolar and Depression improved with medication changes. He stated Resident #2 completed his treatment at the beginning of the year and was discharged from the program. He stated he was not notified Resident #2 was having increased inappropriate sexual behaviors in May 2025. He stated if Resident #2's behaviors had become a problem, he would have expected staff to notify him to address the behaviors. He stated he was not notified by the facility Resident #2 sexually abused Resident #1 on 08/01/2025. He stated he had not evaluated Resident #1 or #2 since the incident, and stated he needed to.

On 08/26/2025 at 2:25 p.m., an interview was conducted with S2DON.

She stated both she and S6SW arranged IOP for the facility residents. S2DON confirmed S12NP was not notified of Resident #2's increase in sexual behaviors in May 2025 per his care plan intervention, and should have been.

She further confirmed S12NP had not been notified of the incident between Resident #1 and #2, and Resident #1 had not been assessed for psychosocial abuse.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/28/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

St.

Helena Parish Nursing Home

32 North 2nd Street Greensburg, LA 70441

SUMMARY STATEMENT OF DEFICIENCIES

Review of the facility's in-service sheet revealed on 08/27/2025, S1ADM received the following in-services conducted by S18CEO: Regulatory sex offender checks completed for all by S2DON, residents/potential residents to be monitored by the administrator for 30 days, and upon notification of a potential resident utilizing the audit tool.Effect

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/28/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

St.

Helena Parish Nursing Home

32 North 2nd Street Greensburg, LA 70441

SUMMARY STATEMENT OF DEFICIENCIES

Review of Resident #2's Form 142 revealed he was approved for admission by Level II authority for a temporary period of 03/04/2025 - 03/03/2026.

Review of Resident #2's PASRR Level II Evaluation Summary and Determination Notice dated 03/11/2025 revealed the Level II authority had approved 365 days for nursing facility placement and the following to occur: 1.

Psychiatric Evaluation for assessment and medication management. 2.

Referral for Dementia Testing/Evaluation by a Neurologist or Neuropsychologist. 3.

Community Based Service via Mental Health Rehab Services to be rendered at NF Community Psychiatric Supportive Services and Psychosocial Rehab Individual counseling to occur by a licensed mental health professional.

Review of Resident #2's clinical record revealed the last time he received a psychiatric evaluation was on 01/16/2025.

Further review revealed none of the PASRR Level II recommendations listed above had been completed since 03/11/2025. An interview was conducted with S2DON on 08/27/2025 at 12:14 p.m. S2DON reviewed Resident #2's Level II Determination Notice dated 03/11/2025 and confirmed the PASRR level II recommendations mentioned above were not implemented, and should have been.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/28/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

St.

Helena Parish Nursing Home

32 North 2nd Street Greensburg, LA 70441

SUMMARY STATEMENT OF DEFICIENCIES

Review of Resident #2's Care Plan created on 02/26/2025 revealed the following, in part: Problem: The resident has a behavior problem: excessive masturbating and staying completely naked at all times when in room/makes sexual comments towards staff at times.

Interventions: Explain/reinforce why behavior is inappropriate and/or unacceptable to the resident; intervene as necessary to protect the rights and safety of others; 05/15/2025: Intensive Outpatient Program (IOP) to be notified of increase in inappropriate sexual behavior.

Review of an email dated 05/16/2025 at 10:34 a.m. from S4CP to S6SW revealed the following, in part:I couldn't remember if you were in the meeting when S2DON said it or not, but S2DON said she wants S12NP to look at Resident #2 because the Certified Nursing Assistants (CNAs) are saying he's progressively getting worse and worse about making inappropriate sexual comments towards them.

Review of Resident #2's Psychiatric Evaluation Notes revealed the last time he was evaluated by S12NP was on 01/16/2025. On 08/26/2025 at 1:10 p.m., an interview was conducted with S4CP.

She stated the intervention initiated on Resident #2's care plan on 05/15/2025 for IOP to be notified of his increased inappropriate sexual behaviors was S6SW's responsibility to arrange, and she did not know if it was. On 08/26/2025 at 1:11 p.m., an interview was conducted with S1ADM. He stated S6SW was on vacation and unable to be reached. On 08/27/2025 at 8:10 a.m., an interview was conducted with S12NP. He stated he was not notified Resident #2 was having increased inappropriate sexual behaviors in May 2025. He stated if Resident #2's behaviors had become a problem, he would have expected staff to notify him. On 08/26/2025 at 2:25 p.m., an interview was conducted with S2DON.

She stated both she and S6SW arranged IOP for the facility residents. S2DON further confirmed S12NP was not notified of Resident #2's increase in sexual behaviors in May 2025 per his care plan intervention and should have been.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/28/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

St.

Helena Parish Nursing Home

32 North 2nd Street Greensburg, LA 70441

SUMMARY STATEMENT OF DEFICIENCIES

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Review of Resident #1's current Care Plan revealed it was not revised after 08/01/2025 to reflect problems, goals, and interventions related to her being a victim of sexual and psychosocial abuse. On 08/26/2025 at 1:10 p.m., an interview was conducted with S4CP.

She confirmed Resident #1's care plan was not revised after 08/01/2025 to reflect she was a victim of sexual and psychosocial abuse.

She stated Resident #1's care plan should have been revised for staff to observe Resident #1 for any psychosocial or behavioral changes. On 08/26/2025 at 2:25 p.m., an interview was conducted with S2DON.

She stated Resident #1's care plan should have been revised after 08/01/2025 to reflect she was a victim of sexual and psychosocial abuse and for staff to observe for any behavioral changes, and it was not.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/28/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

St.

Helena Parish Nursing Home

32 North 2nd Street Greensburg, LA 70441

SUMMARY STATEMENT OF DEFICIENCIES

Based on record reviews and interview, the facility failed to ensure staff was provided Quality Assurance and Performance Improvement (QAPI) training for 5 (S7LPN, S8LPN, S9CNA, S10CNA, and S11CNA) of 5 (S7LPN, S8LPN, S9CNA, S10CNA, and S11CNA) personnel files reviewed.

Review of S7LPN's personnel file revealed a hire date of 07/26/2024.

Further review of S7LPN's personnel file revealed no documented evidence, and the facility presented no documented evidence, S7LPN received QAPI training as required.

Review of S8LPN's personnel file revealed a hire date of 12/01/2023.

Further review of S8LPN's personnel file revealed no documented evidence, and the facility presented no documented evidence, S8LPN received QAPI training as required.

Review of S9CNA's personnel file revealed a hire date of 04/16/2025.

Further review of S9CNA's personnel file revealed no documented evidence, and the facility presented no documented evidence, S9CNA received QAPI training as required.

Review of S10CNA's personnel file revealed a hire date of 03/29/2022.

Further review of S10CNA's personnel file revealed no documented evidence, and the facility presented no documented evidence, S10CNA received QAPI training as required.

Review of S11CNA's personnel file revealed a hire date of 12/11/2024.

Further review of S11CNA's personnel file revealed no documented evidence, and the facility presented no documented evidence, S11CNA received QAPI training as required. On 08/28/2025 at 10:20 a.m., an interview was conducted with S1ADM. He stated there was no documentation any staff had completed QAPI training.

Facility ID:

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 Greensburg, 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 St. Helena Parish Nursing Home or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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