TWIN OAKS NURSING HOME

Nursing Home Inspector

506 WEST 5TH STREET
LAPLACE, LA 70068
St John Baptist County
Phone: 985-652-9538
Provider Number: 195303
Last Inspection: 06/29/2017

About the Nursing Home

Number of Beds: 148
Number of Residents: 110
Beds Available: 38
Percent Occupancy: 74%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

3

Facility
13

County
9

LA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

3

2017
7

2016
10

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

6/29/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 8/13/2017
 

5/25/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Widespread : Potential 4 6/1/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 6/1/2016
 

6/25/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated : Minimal 3 7/22/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 7/22/2015
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Isolated : Minimal 3 7/22/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

5/22/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide timely notification to the resident before transfer or discharge. Isolated : Minimal 3 6/25/2015
 
Failed To: Tell the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Isolated : Minimal 3 6/25/2015
 
Failed To: Establish and follow a written policy that permits a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Isolated : Minimal 3 6/25/2015
 

3/19/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Actual 4 4/13/2015
 
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Actual 4 4/13/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg LA State Avg
Number of Residents 110 72.00 94.88
Registered Nurses 0.59 0.30 0.52
Licensed Practical / Vocational Nurses 1.04 0.52 0.96
Certified Nursing Assistants 2.74 1.37 2.25
Total Staff Hours 4.37 2.19 3.73

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% LA State Avg%
of high risk long-stay residents with pressure ulcers 16 22 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 45 60 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 56 73 95
of long-stay residents experiencing one or more falls with major injury 3 3 3
of long-stay residents who have depressive symptoms 1 0 1
of long-stay residents who lose too much weight 14 12 7
of long-stay residents who received an antianxiety or hypnotic medication 22 22 26
of long-stay residents who received an antipsychotic medication 22 22 18
of long-stay residents who self-report moderate to severe pain 4 4 4
of long-stay residents who were physically restrained 0 3 0
of long-stay residents whose ability to move independently worsened 8 19 16
of long-stay residents whose need for help with daily activities has increased 11 15 16
of long-stay residents with a catheter inserted and left in their bladder 3 3 1
of long-stay residents with a urinary tract infection 1 6 3
of low risk long-stay residents who lose control of their bowels or bladder 61 54 40
of short-stay residents assessed and appropriately given the pneumococcal vaccine 68 63 83
of short-stay residents who had an outpatient emergency department visit 17 10 15
of short-stay residents who made improvements in function 52 52 57
of short-stay residents who newly received an antipsychotic medication 3 4 2
of short-stay residents who self-report moderate to severe pain 10 12 11
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 78 73 78
of short-stay residents who were rehospitalized after a nursing home admission 36 37 25
of short-stay residents who were successfully discharged to the community 36 36 39
of short-stay residents with pressure ulcers that are new or worsened 0 1 1