Legacy Nursing And Rehabilitation Of Morgan City

multiple shifts in October 2025 and November 2025, S8CNA was assigned to Resident #1, but Resident #1 refused care. S7CNA indicated S8CNA would ask S7CNA to provide Resident #1's care. S7CNA indicated she provided Resident #1's bath/shower but did not document the care, since Resident #1 was not assigned to her. S7CNA further indicated Resident #1 would also refuse a bath/shower if the night shift provided the care; however, since the system only had ability to document on Resident #1's assigned bath/shower days and for the day shift, the baths/showers given at night were not documented. In an interview on 12/30/2025 at 12:44PM, S8CNA indicated due to Resident #1 knowing her prior to being admitted to the facility he refused to allow her to provide his care. S8CNA further indicated she often worked with S7CNA who he would allow to provide care. S8CNA further indicated she did not document the bath/shower given by S7CNA, as she did not provide the care. In an interview on 12/30/2025 at 12:49PM, S9CNA indicated Resident #1 refused baths/showers and other care. S9CNA indicated it was common practice to have CNAs swap during showers to find a CNA Resident #1 would allow to provide his care.

S9CNA further indicated if Resident #1 was not assigned to her, she did not have availability to document the care provided to Resident #1 in the facility's computer system. In an interview on 12/30/2025 at 12:51PM, S2Director of Nursing indicated the staff should have documented Resident #1's care provided and/or refusals of care. S2Director of Nursing reviewed the above mentioned documentation and confirmed missing documentation for care. S2Director of Nursing indicated the only activity of daily living documentation was the electronic medical record, and the facility had no further information to present to the surveyor. In an interview on 12/30/2025 at 12:52PM, S4Assistant Director of Nursing reviewed the above mentioned documentation and confirmed missing documentation for Resident #1's care. S4Assistant Director of Nursing indicated the only activity of daily living documentation was the electronic medical record, and the facility had no further information to present to the surveyor. In an interview on 12/30/2025 at 1:01PM, S1Administrator was informed of the above findings and S1Administrator indicated there should have been documentation of all care provided or documentation of any refusals. S1Administrator confirmed the above findings and indicated there should be documentation of Resident #1's care. S1Adminsitrator further indicated the facility did not have any further documentation to present to the surveyor at this time.

In an interview on 12/30/2025 at 1:03PM, S3Previous Director of Nursing indicated the facility did have a change in the computer software in October and November 2025; however, the facility had no documentation these issues were identified and corrected. S3Previous Director of Nursing further indicated the facility had no further documentation to present for the above mentioned deficient practice.

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