Jefferson Healthcare Center
Jefferson Healthcare Center in Jefferson, LA — inspection on May 1, 2025.
Found 1 citation. 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
Review of facility's Quality Assurance (QA) program revealed, in part, a Quality Assurance Performance Improvement (QAPI) plan created on 03/25/2025 which identified a problem with medication cart audit reports.
Further review revealed a corrective action plan that included an initial audit would be performed on all medication carts by administrative nurses and weekly audits would be performed to ensure all required nurse signatures were documented.
Further review revealed documentation on 04/01/2025, the narcotic book weekly audit was documented as a recurring problem with an intervention to discipline staff for noncompliance.
In an interview on 05/01/2025 at 11:08AM, S2Director of Nursing (DON) confirmed the facility opened the QAPI for medication cart audits which included the narcotic book audits on 03/25/2025. S2DON further confirmed during the current survey, the survey team identified the narcotic reconciliation documentation which was missing nurse signatures and they were inaccurate. S2DON indicated that no disciplinary actions of nursing staff were performed regarding the recurring problems identified in the narcotic book audits. S2DON further indicated continued problems in the above area would indicate the facility's QA/QAPI process had been ineffective and had not been revised.
195272
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 195272 B.
Wing 05/01/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Jefferson Healthcare Center 2200 Jefferson Hwy Jefferson, LA 70121
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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.