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Complaint Investigation

Winnfield Nursing And Rehabilitation Center, Llc

September 3, 2025 · Winnfield, LA · 915 1st Street
Citations 2
CMS Rating 1/5
Beds 124
Provider ID 195454
Healthcare Facility
Winnfield Nursing And Rehabilitation Center, Llc
Winnfield, LA  ·  View full profile →
Inspection Summary

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.

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Inspection Findings

FF0627
Resident Rights Deficiencies
Potential for More Than Minimal Harm

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:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Winnfield, LA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Winnfield Nursing and Rehabilitation Center, LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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