Roseview Nursing And Rehabilitation Center
Roseview Nursing and Rehabilitation Center in Shreveport, LA — inspection on August 13, 2025.
Found 2 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
During an interview on 08/13/2025 at 8:33 a.m. S8 CNA reported he attended the in-service regarding wall care plans and the importance of following the wall care plans. S8 CNA further reported he checked the wall care plans upon entering a room and checked if the resident was a one or two person assist. If the resident was a two person assist, S8 CNA reported he would ask for assistance and never attempt to move or change a resident without another person to assist.
During an interview on 08/13/2025 at 8:39 a.m. S9 LPN reported she attended the in-service on bed mobility and wall care plans which included to check residents wall care plans located above the resident's bed. S9 LPN reported she would assist CNAs when needed for residents requiring two person assist patient care.
During an interview on 08/13/2025 at 8:59 a.m. S2 DON reported S4 CNA was suspended right after the incident.
S4 CNA stayed for the in-service on wall care plans and left after that. S2 DON reported S4 CNA did not care for any residents after the incident with Resident #1. S2 DON further reported S4 CNA was called to the facility the next day to sign papers on termination for not following the company policy.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/13/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Roseview Nursing and Rehabilitation Center
3405 Mansfield Road Shreveport, LA 71103
SUMMARY STATEMENT OF DEFICIENCIES
Review of Resident #1's Quarterly MDS (Minimum Data Set) assessment dated [DATE] indicated BIMS (Brief Interview of Mental Status) could not be completed due to resident was rarely/never understood.
Further review of the Quarterly MDS assessment revealed Resident #1 had upper and lower extremity impairments to both sides, dependent with eating, oral hygiene, toileting hygiene, and shower/bathe self. Resident #1 was dependent for mobility in rolling left and right. Resident #1 was always incontinent of bowel and bladder and dependent on staff for ADL (Activities of Daily Living) care.
Review of Resident #1's comprehensive care plan revealed in part, Resident #1 was at high risk for fall related to neurocognitive disorder and required total care with bedbound status.
Further review of the comprehensive care plan revealed Resident #1 had an ADL deficit and required two person assist with all ADLs and transfers.Review of S4 CNAs (Certified Nursing Assistant) signed witness statement (undated) revealed: I went to Resident #1's room to check and see was he wet. He was soaked in pee and bowel movement. I looked on the hall to see if there were available aides. I didn't see any so I decided to change Resident #1.
His bed was soaked with urine so I had to change, I grabbed my linen to put on his bed. I turned him and put the linen on the bed. I grabbed my pamper and pad. Resident #1 moved a little and hit the floor. I didn't have any time to catch him.Review of Resident #1's nurse's notes dated 07/25/2025 at 11:44 a.m. revealed S3 LPN (Licensed Practical Nurse) was called to Resident #1's room.
Upon entering the room, Resident #1 was lying flat and face first on the floor to the right side of the bed between the air unit and bed. S3 LPN was informed by S4 CNA that while she was performing incontinent care and went to turn Resident #1, Resident #1 rolled off the bed to the floor.
During an interview on 08/13/2025 at 1:20 p.m. S5 CNA Supervisor reported S4 CNA had experience working with Resident #1 and knew Resident #1 was a two person assist with all ADL care and should have asked for assistance before providing ADL care to Resident #1.
During an interview on 08/12/2025 at 11:18 a.m. S2 DON (Director of Nursing) confirmed there was a sign above Resident #1's bed notifying staff Resident #1 was a two person assist with all ADLs. S2 DON confirmed S4 CNA did not follow the wall care plan on 07/25/2025 and use one person assist and should have used two person assist during ADL care for Resident #1.
Facility ID: