Jena Nursing And Rehabilitation Center, Llc
Jena Nursing and Rehabilitation Center, LLC in Jena, LA — inspection on June 3, 2026.
Found 8 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
Review of Resident #10's medical record revealed an admit date of 12/24/2024, with diagnoses which included in part.
Hemiparesis following Cerebral Infarction affecting left non-dominant side, Type 2 Diabetes Mellitus, Bipolar Disorder, Unspecified Dementia, Post Traumatic Stress Disorder, General Anxiety, and Schizophrenia.
Review of Resident #10's Quarterly MDS with an ARD of 04/28/2026, revealed a BIMS score of 15 indicating intact cognition.
The MDS revealed Resident #10 had no behaviors and required set-up assistance with eating, personal hygiene, and oral hygiene, and required substantial/maximal assistance with toileting hygiene, dressing and bathing.Review of Resident #27's medical record revealed an admit date of 01/20/2023, with Diagnoses that included in part.Alzheimer's Disease with Late Onset, Major Depressive Disorder, Recurrent, sever with Psychotic Symptoms, Restlessness and Agitation.
During an interview on 06/01/2026 at 9:48 a.m., Resident #10 revealed Resident # 27 who resided across the hall, had been coming in his room. Resident #10 stated he had complained about it to staff (didn't know the names of the staff), but nothing had been done about it. Resident #10 stated when he complained to staff they would say Oh, he's old and confused, or He has Dementia and is confused.
During the interview with Resident #10, Resident #27 came inside the doorway of Resident #10's room.
During an interview on 06/02/2026 at 8:51 a.m. S14 LPN revealed Resident #27 had a history of wandering in other residents' rooms.
During an interview on 06/02/2026 at 8:55 a.m., S15 Housekeeper revealed he had seen Resident #27 in Resident #10's room several times, and had also seen him in several other residents' rooms.
During an interview on 06/02/2026 at 9:00 a.m., S10 CNA stated Resident #27 did wander into Resident #10's room. S10CNA stated she had seen Resident #27 in Resident #10's room the previous day.
During an interview on 06/02/2026 at 10:47 a.m., S1 Administrator revealed she was aware that Resident #27 propelled himself throughout the facility and was confused. S1 Administrator confirmed if staff were aware of Resident #27 wandering into Resident #10's room, they should have reported it.
S1 Administrator confirmed Resident #27 should not have been wandering into Resident #10's room.
195399 06/03/2026
Jena Nursing and Rehabilitation Center, LLC 5877 Aimwell Road Jena, LA 71342
being admitted
interview and record review, the facility failed to develop and implement a baseline care plan that
standards of quality care for 1 (Resident #78) of 1 sampled residents.Findings: Review of Resident #78's medical record revealed an admission date of 05/29/2026 with diagnoses including, in part.Schizoaffective Disorder, Unspecified; Asymptomatic Human Immunodeficiency Virus, Bipolar Disorder, and Insomnia Review of Resident #78's medical record revealed Resident #78 did not have a baseline care plan.
Interview on 06/01/2026 at 10:39 a.m., Resident #78 stated he was new to the facility and was recently admitted on [DATE].
Interview on 06/02/2026 at 12:52 p.m., S3 Unit Manager stated she was responsible for completing the baseline care plans and a floor nurse would complete it if a resident was admitted on the weekend or late at night. S3 Unit Manager stated she was responsible for following up on the completion of the baseline care plans to ensure they were developed and completed within the required 48-hour timeframe. S3 Unit Manager stated if a baseline care plan was not developed or completed it would flash in red on her computer's dashboard. S3 Unit Manager reviewed Resident #78's medical record and confirmed Resident #78's baseline care plan was not developed or completed within 48-hours, but should have been.
195399 06/03/2026
Jena Nursing and Rehabilitation Center, LLC 5877 Aimwell Road Jena, LA 71342
Review of Resident #31's medical record revealed an admission date of 04/20/2023 with diagnoses, which included Other Seizures; Essential Hypertension; Major Depressive Disorder; Insomnia; and Constipation.
Review of Resident #31's Annual MDS with an ARD date of 05/05/2026 revealed a BIMS was unable to be performed.
Further review of the MDS revealed Resident #31 was short tempered and easily annoyed.
Observation of Resident #31 on 06/01/2026 at 2:35 p.m. revealed he was seated in the day room in his Geri chair hitting the side of chair constantly. In an interview on 06/02/2026 at 10:32 a.m., S10 CNA revealed she had worked at the facility for about a year. S10 CNA stated Resident #31's does have a lot of behaviors such as hitting, punching, and kicking at staff while performing direct care. S10 CNA stated Resident #31 had thrown feces all over the room last week twice. S10 CNA stated she has reported Resident 31's behaviors to S1 Adm and S2 DON.
Review on 06/02/2026 at 11:25 a.m. of Resident #31's care plan with a target date of 08/06/2026 revealed there was no plan of care for behaviors.
Review of May EMARs (electronic medication administration records) revealed on May 4, 9, 23, 28, and 29 nurses had documented Resident #31 had behaviors.
Review of May 2026 Nurses notes revealed Resident #31 had documented behaviors on 04/18/2026, 04/22/2026, 04/26/2026, and 05/29/2026. In an interview on 06/02/2026 at 4:17 p.m. with S13 MDS Nurse revealed Resident #31's care plan had not been updated to reflect his behaviors and should have been. In an interview on 06/02/2026 at 2:42 p.m., S2 DON confirmed the plan of care had not been revised with Resident #31's behaviors and should have been.
Observation and interview with S13 MDS on 06/03/2026 at 3:30 p.m. of the plan of care for Resident #31 revealed it was updated on 06/02/2026 to reflect his behaviors.
195399 06/03/2026
Jena Nursing and Rehabilitation Center, LLC 5877 Aimwell Road Jena, LA 71342
During an observation and interview with S2 DON on 06/02/2026 at 2:20 p.m., S2 DON stated her hair (Resident #26) should not be looking like this, ideally it should be clean. S2 DON confirmed Resident #26's hair was not clean and it should be. S2 DON confirmed Resident #26's bath roster did not indicate when Resident #26's hair had been washed.
195399 06/03/2026
Jena Nursing and Rehabilitation Center, LLC 5877 Aimwell Road Jena, LA 71342
The facility failed to ensure respiratory equipment was properly
titled Care and Cleaning of Respiratory Equipment revealed in part .Purpose: To maintain equipment in proper working order and to reduce the risk of nosocomial infection. XII.
Additional Equipment.
Respiratory tubing, catheters, masks, and cleaning kits will be secured or placed in a container, original package or bag.
Review of Resident #17's medical record revealed an admission date of 04/20/2023 with diagnoses, which included Iron Deficiency Anemia; Morbid Obesity; Diffuse Traumatic Brain Injury with loss of Consciousness; and Unspecified Convulsions.
Observation on 06/01/2026 at 12:44 p.m. revealed an undated Aerosol mask attached to a Nebulizer machine on Resident #17's nightstand, open to air.
Review of Resident #17's May 2026 EMAR (electronic medication administration record) on 06/01/2026 at 3:35 p.m. revealed Resident #17 had a medication order of Ipratropium-Albuterol Solution-1 vial inhale orally four times a day for wheezing, cough for 5 days with a start date of 05/28/2026.
Observation on 06/02/2026 at 8:49 a.m. revealed the undated Aerosol mask attached to a Nebulizer machine remained on Resident #17's nightstand, open to air. In an interview on 06/02/2026 at 10:03 a.m., S8 LPN confirmed the Aerosol mask attached to the Nebulizer machine on Resident #17's nightstand was open to air and not labeled or stored properly. In an interview on 06/02/2026 at 10:24 a.m., S2 DON confirmed Resident #17's Aerosol mask and tubing had not been dated or stored properly but should have been.
195399 06/03/2026
Jena Nursing and Rehabilitation Center, LLC 5877 Aimwell Road Jena, LA 71342
Review of Resident #59's Annual MDS with an ARD date of 04/28/2026 revealed a BIMS score of 15, which indicated intact cognition.Review on 06/03/2026 at 3:16 p.m. of Resident #59's April 2026 EMAR (electronic medication administration record) revealed Resident #59 had an order for Sevelamer Carbonate (Renvela) 800mg-1 tablet by mouth before meals for Other Disorders of Phosphorus Metabolism with a start date of 04/17/2026.
Further review of the EMAR revealed Resident #59 had not received the above medication from 04/18/2026 to 04/30/2026.Review on 06/03/2026 at 3:16 p.m. of Resident #59's May 2026 EMAR(electronic medication administration record) revealed Resident #59 had a medication order of Renvela 800mg-1 tablet by mouth before meals for Other Disorders of Phosphorus Metabolism with a start date of 04/17/2026 and a hold date from 05/01/2026 to 05/04/2026; a hold date from 05/05/2026 to 05/19/2026; and another hold date from 05/22/2026 to 06/01/2026.
Further review of EMAR revealed Resident #59 did not receive any doses of the above medication for the month of May 2026.Review on 06/03/2026 at 3:16 p.m. of Resident #59's June 2026 EMAR(electronic medication administration record) revealed Resident #59 had a medication order of Renvela 800mg-1 tablet by mouth before meals for Other Disorders of Phosphorus Metabolism.
Further review of EMAR revealed Resident #59's had not received the above medication from 06/01/2026 to current.
The EMAR revealed H in the boxes from the dates of 06/01/2026 to 06/12/2026 indicating the medication had been put on hold.In a telephone interview on 06/03/2026 at 10:52 a.m., S11 RD revealed she was the Registered Dietitian at the dialysis center for Resident #59. S11 RD stated Resident #59 is on a 1200 milliliter fluid restriction with monitoring of urine outputs. S11 RD also stated Resident #59 is on Sevelamer Carbonate 800mg- 2 tabs with meals and 1 with snacks because of his abnormal lab of an elevated phosphorus in 04/2026. S11 RD stated dialysis and herself communicate via communication forms and faxing over orders to the facility.
Further interview with S11 RD revealed the dialysis center orders the Sevelamer Carbonate and sends it with the resident back to the facility. S11 RD stated the above medication was filled last on 03/27/2026 and 04/20/2026 and Resident #59 should not have been out of his medication. S11 RD stated the facility knows that they need to call dialysis for Sevelamer Carbonate refills. On 06/03/2026 at 3:16 p.m., a review of the dialysis communication sheets from April 2026 to June 2026 (current) revealed no new orders. In an interview on 06/03/2026 at 3:22 p.m. S12 LPN revealed she called the facility's pharmacy about getting the medication refilled and they told her they normally don't fill the Sevelamer Carbonate because dialysis refills it, but they could fill it if needed.In an interview on 06/03/2026 at 3:23 p.m., S2 DON stated she did not know Resident #59 had did not have any Sevelamer Carbonate doses from 04/18/2026 to 06/03/2026. S2 DON also stated she was under the impression the above medication could only be refilled through dialysis but confirmed they should have ordered it using the facility's pharmacy when they could not get it from dialysis. S2 DON confirmed the facility did not have the Sevelamer Carbonate for Resident #59 readily available, but should have.
quarterly
the Quality Assessment and Assurance Process Quarterly meetings.
Total sample size 41.
no documented evidence of the Medical Director attending any Quality Assessment and Assurance program meetings from 12/2025 through May 2026.
During an interview on 06/03/2026 at 3:10 p.m., S1 Administrator confirmed the previous Medical Director had not attended any Quality Assessment and Assurance program meetings from 12/2025 through 05/2026, but should have.During a telephone interview on 06/03/2026 at 3:26 p.m., with previous Medical Director confirmed she had not attended any Quarterly Quality Assessment and Assurance meetings for 12/2025 to 05/2026.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
195399 06/03/2026
Jena Nursing and Rehabilitation Center, LLC 5877 Aimwell Road Jena, LA 71342
Review of Resident #31's medical record revealed an admission date of 04/20/2023 with diagnoses, which included Seizures; Major Depressive Disorder; Insomnia; and Diffuse Traumatic Brain Injury with loss of Consciousness.
Review on 06/03/2026 at 2:36 p.m. of Resident #31's Annual MDS with an ARD of 05/05/2026 revealed a Brief Interview Mental Status (BIMS) was unable to be performed because Resident #31 was rarely/never understood.
Further review of the MDS revealed Resident #31 had a peg tube.
Review of Resident #31's current care plan revealed the following in part . (Date Initiated: 11/18/2024) Focus: Requires enhanced barrier precautions per CDC (Center for Disease Control) regulations related to presence of peg tube, etc.
Interventions: Continue EBP for duration of stay or until reason for EBP to be resolved.
In an interview on 06/02/2026 at 10:32 a.m., S9 CNA revealed she and S10 CNA gave Resident #31 a complete bed bath this morning. S9 CNA revealed EBP meant enhanced barrier precautions, which required them to wear gloves and gowns during direct care for residents who had a peg tubes. S9 CNA revealed she did not wear EBP PPE (gown and gloves) when she performed the bed bath for Resident #31 this morning.
In an interview on 06/02/2026 at 10:39 a.m., S10 CNA revealed she and S9 CNA gave Resident #31 a complete bed bath this morning without wearing PPE (gown and gloves).
In an interview on 06/02/2026 at 10:24 a.m., S2 DON confirmed all staff who provided direct care for residents with EBP should wear PPE (gown and gloves). S2 DON acknowledged S9 CNA and S10 CNA should have worn PPE while performing direct care/bed bath for Resident #31.
195399 06/03/2026
Jena Nursing and Rehabilitation Center, LLC 5877 Aimwell Road Jena, LA 71342
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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.