Courtyard Of Natchitoches
COURTYARD OF NATCHITOCHES in NATCHITOCHES, LA — inspection on September 17, 2025.
Found 3 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
Based on observation, interview, and record review, the facility failed to ensure the privacy and confidentiality of medical records for 1 (Resident R5) of 5 (Resident #1, Resident #2, Resident #3, Resident #4, and Resident R5) sampled residents.
Review of the facility's policy entitled Sanctions for (facility name) to Comply to HIPAA Privacy Standards revised 06/2016 revealed, in part.all workforce members are required to adhere to the HIPPA Privacy Standards and prevent unauthorized disclosure of Protected Health Information (PHI).
Workforce members will protect health information from unauthorized disclosure.
Leaving PHI in public areas is a violation of HIPPA Privacy Standards.Observation of Hall B on 09/16/2025 at 8:55 a.m. revealed Cart X was unattended, with the electronic medical record (EMR) screen open and Resident R5's PHI visible.
The surveyor remained with Cart X until a staff member approached Cart X.
The staff member identified herself as S7LPN.Interview with S7LPN on 09/16/2025 at 8:57 a.m. revealed she left Cart X unattended on Hall B, with Resident R5's PHI visible on the computer screen. S7LPN confirmed she did not ensure the privacy and confidentiality of Resident R5's PHI, but should have.
Interview with S2DON on 09/16/2025 at 10:45 a.m. revealed staff were to ensure the privacy and confidentiality of resident PHI by locking computer screens when leaving them unattended.
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 REPRESENTATIVE'S SIGNATURE
TITLE
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/17/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Courtyard of Natchitoches
708 Keyser Avenue Natchitoches, LA 71457
SUMMARY STATEMENT OF DEFICIENCIES
Based on observations and interviews, the facility failed to ensure drugs and biologicals were stored in accordance with currently accepted professional principles.
The facility failed to ensure Cart X was locked and medications were stored in a safe and secure manner.
Review of the facility's policy entitled Medication Storage revised 03/2025 revealed, in part.It is the policy of this facility to ensure all medications housed on our premises will be stored to ensure security.
All drugs and biologicals will be stored in locked compartments.
During a medication pass, medications must be under the direct observation of the person administering medications or locked in the medication storage area/cart.Observation of Hall B on 09/16/2025 at 8:55 a.m. revealed Cart X was unattended, and unlocked, with 3 of 8 drawers pulled open.
This surveyor remained with Cart X until a staff member approached Cart X.
The staff member identified herself as S7LPN.Interview with S7LPN on 09/16/2025 at 8:57 a.m. revealed Cart X was unattended and unlocked on Hall B, with 3 drawers pulled open. S7LPN revealed medication carts were to be locked, with all drawers closed, when left unattended. S7LPN confirmed the medications on Cart X were not stored in a safe a secure manner, but should have been.Interview with S2DON on 09/16/2025 at 10:45 a.m. revealed medication carts were to be locked when unattended to ensure medications were stored in a safe and secure manner.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/17/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Courtyard of Natchitoches
708 Keyser Avenue Natchitoches, LA 71457
SUMMARY STATEMENT OF DEFICIENCIES
08/07/2025 Levothyroxine 25mcg po every day r/t Hypothyroidism; 09/30/2024 Novolin R Injection Solution inject as per sliding scale subcutaneously BID r/t Diabetes; 08/09/2024 Observe closely for significant side effects of Anticoagulant medication every shift; 08/09/2024 Observe closely for significant side effects of Anticonvulsant medication every shift; 07/01/2024 Blood glucose monitoring one time a day; and 06/26/2024 Encourage fluid intake by mouth every shift.Review of Resident #4's 09/2025 MAR revealed, in part.on 09/06/2025 time and initials were not recorded on the night shift for: Encourage fluid intake by mouth every shift; Observe closely for significant side effects of Anticoagulant medication every shift; and Observe closely for significant side effects of Anticonvulsant medication every shiftOn 09/07/2025 at 6:00 a.m. time and initials were not recorded for blood glucose monitoring, Levothyroxine, and Novolin R.On 09/08/2025 at 6:00 a.m. time and initials were not recorded for blood glucose monitoring, Levothyroxine, and Novolin R.Interview with S3ADM on 09/17/2025 at 1:35 p.m. confirmed the facility failed to ensure documentation on Resident #4's 09/2025 MAR, and Resident #2's 08/2025 and 09/2025 MARs was accurate, but should have.Interview with S11LPN on 09/17/2025 at 1:42 p.m. revealed she administered medications and performed all tasks as ordered for Resident #2 and Resident #4 on 09/06/2025, 09/07/2025, and 09/08/2025, but failed to ensure documentation on the MARs. S11LPN confirmed documentation on Resident #2 and Resident #4's 09/2025 MAR was not accurate, but should have been.
Interview with S12LPN on 09/17/2025 at 2:00 p.m. revealed she administered medications and performed all tasks as ordered for Resident #2 on 08/29/2025, but failed to ensure documentation on the MAR.
S12LPN confirmed documentation on Resident #2's 08/2025 MAR was not accurate, but should have been.
Facility ID: