Winnfield Nursing And Rehabilitation Center, Llc
Winnfield Nursing and Rehabilitation Center, LLC in Winnfield, LA — inspection on September 3, 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
discharge documentation, such as the basis for discharge, referrals, medication reconciliation, instructions for discharge, or coordination of care, was documented by the facility in Resident #1's record.An interview with S1 Administrator on 09/03/2025 at 9:25 a.m. confirmed that S6 SSD was responsible for discharge planning and documentation. In an interview on 09/03/2025 at 2:52 p.m., S2 DON stated Social Services was responsible for initiating the Discharge Summary and completing their part. S2 DON stated the nurse had a part to complete, also. S2 DON acknowledged Resident #1's medical record did not contain the reason for her discharge, nor any documentation that written instructions were given to or discussed with the resident regarding her medications at discharge.
Resident #R1Review of Resident #R1's medical record revealed an admit date of 03/18/2025 and a discharge date of 06/10/2025.
Resident #R1's diagnoses included Alzheimer's disease, Paroxysmal Atrial Fibrillation, Atherosclerotic Heart Disease, and Hemiplegia and Hemiparesis following Cerebral Infarction.Review of Resident #R1's 5 day MDS with an ARD of 03/25/2025 revealed a BIMS score of 15, which indicated intact cognition.Review of Resident #R1's medical record revealed no documentation stating why the resident was discharged .
Further review revealed no documentation of the medications provided to the resident at discharge or any instructions given to the resident.Review of Resident #R1's progress notes revealed the following:6/10/2025 at 12:23 p.m.
Nurses Note by S8 LPN: Note Text: 12:20 p.m.
Resident is discharged out of facility with medications.6/10/2025 at 10:54 a.m.
Discharge Summary by S6 SSD: Resident sitting up in wheelchair waiting for family to arrive so that he can discharge home with fiancee. He is alert and oriented to self.
His speech is clear.
His hearing is adequate. He understands and is understood. No behaviors noted nor observed. He has a diagnosis of Alzheimer's Disease, Cerebral Infarction, HTN, and Type 2 Diabetes. He is incontinent of bowel and bladder. He is aware of activities and will attend those that interest him.
Resident's main mode of transportation is wheelchair.
Resident has to be encouraged to socialize with other residents.
He prefers to stay in room and isolate to his room.
His family is active in his care and attentive to his needs.
He is capable of voicing his preference regarding his care. He is a full code, no living will, no POA, non-smoker, and not at risk for elopement.
Resident discharges home 6/10/25. LTPCS will evaluate resident on 6/23/25 to see what services that he can receive at home.In an interview on 09/03/2025 at 2:45 p.m., S3 LPN stated Resident #R1 was here for short term therapy after having a stroke. S3 LPN stated Resident #R1 wanted to go home after receiving therapy.In an interview on 09/03/2025 at 2:52 p.m., S2 DON stated Social Services was responsible for initiating the Discharge Summary and completing their part. S2 DON stated the nurse had a part to complete, also. S2 DON acknowledged Resident #R1's medical record did not contain the reason for his discharge nor any documentation that written instructions were given to or discussed with the resident regarding his medications at discharge.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/03/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Winnfield Nursing and Rehabilitation Center, LLC
915 1st Street Winnfield, LA 71483
SUMMARY STATEMENT OF DEFICIENCIES
Review of Resident #R1's Discharge Summary/Instructions form dated 06/10/2025 revealed no documentation of Resident #R1's diagnoses, course of illness/treatment, or therapy received and no medication reconciliation or summary of Resident #R1's status at the time of discharge.
The Discharge Summary was not signed by Resident #R1.Interview with S2 DON on 09/03/2025 at 2:52 p.m. revealed Social Services was responsible for initiating the Discharge Summary and completing their part of the form and the nurse also had a part to complete. S2 DON confirmed Resident #R1's Discharge Summary and medical record did not contain a list of medications provided to Resident #R1 or documentation of written or verbal instructions provided to or discussed with Resident #R1 regarding his medications at discharge. S2 DON acknowledged Resident #R1's Discharge Summary did not contain a recapitulation of Resident #R1's stay or Resident #R1's status at time of discharge and should have.
Facility ID: