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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 →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
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.

Inspection Findings

FF0580
Resident Rights Deficiencies

group therapy and individual counseling for Bipolar and Depression. He stated Resident #2 responded

the program. He stated he was not notified Resident #2 was having increased inappropriate sexual

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.

195610 08/28/2025

St.

Helena Parish Nursing Home 32 North 2nd Street Greensburg, LA 70441

Background Checks: Screening safety prospective residents against the Sex Offender Registry during the admission process should be done routinely.

Pre-admission Agreements: A pre-admission agreement is required that explicitly outline

facility. 2.

NotificationTransparency with Residents, Families, and Staff: The facility will notify other residents, their families, or their responsible parties/guardians upon the discovery of the admission of a registered sex offender. 3.

Safety, Risk Mitigation and Well-beingIncreased Supervision: These notification policies should clearly outline provisions for ensuring the safety and well-being of all residents, staff, and visitors.

This may include increased supervision or monitoring of the sex offender resident, potentially involving 24/7, one-on-one supervision if deemed necessary.

Addressing Behavioral Issues: Promptly addressing any behavioral issues that arise is critical.

Developing Treatment and Management Strategies: Utilizing risk assessment methods to help develop targeted treatment and risk management strategies tailored to the individual's history and risk factors is important.

Individualized Care Plan: Create a specific care plan for the resident who is a registered sex offender, outlining strategies to mitigate potential risks and address any behavioral issues that arise.

Secure Environment: Ensure appropriate safety measures are in place, considering the layout of the facility and proximity to areas frequented by vulnerable residents. 4.

Legal ConsiderationsEnsuring Resident Safety: At all times, facilities must be guided by their obligation to ensure the safety and well-being of all residents.

Minimizing Liability Risk: Training staff and adhering to best practices can help reduce the risk of liability associated with admitting sex offenders. 5.

Reporting Suspected Abuse. If any abuse is suspected or occurs, it is essential to follow established reporting protocols, including notifying the nursing home administrator, attending physician, medical director, responsible party, local law enforcement, state licensing and certification agencies, and possible Adult Protection Services (APS). 6.

Staff Training and ResourcesTrain staff on Sex Offender Management: Ensure staff receive training on how to manage and interact with residents who are registered sex offenders, including recognizing and responding to potential risks.

Utilize Resources: Leverage resources available to guide best practices in sex offender treatment and management. 7.

Discharge ConsiderationsPotential for discharge: discharge a resident appropriately upon discovering a sex offense conviction after admission, assuming prior notification wasn't received.

Review of facility in-service sheet revealed on 08/05/2025, S9CNA received the following in-service conducted by S1ADM:Anytime there is any sign of abuse please, SEPARATE, SEPARATE, SEPARATE before reporting! Be sure to report immediately after separation.

The administrator only has 2 hours to report the incident.

However, do not wait to report immediately!

Review of the facility's in-service sheet revealed on 08/27/2025, staff received the following in-service conducted by S1ADM: Adult, Disable Person, or Elderly Abuse-Recognition and Reporting Policy.

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

195610 08/28/2025

St.

Helena Parish Nursing Home 32 North 2nd Street Greensburg, LA 70441

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.

195610 08/28/2025

St.

Helena Parish Nursing Home 32 North 2nd Street Greensburg, LA 70441

Review of Resident #2's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses, which included Bipolar Disorder and Depression.

Further review revealed Resident #2 was a registered sex offender.

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.

195610 08/28/2025

St.

Helena Parish Nursing Home 32 North 2nd Street Greensburg, LA 70441

#1 then she picked up the phone and called someone. 8:48 p.m., Resident #2 was brought to his room.

08/26/2025 at 1:10 p.m., an interview was conducted with S4CP.

She confirmed Resident #1's care

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.

195610 08/28/2025

St.

Helena Parish Nursing Home 32 North 2nd Street Greensburg, LA 70441

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.

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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About This Inspection Report

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.