ST FRANCISVILLE COUNTRY MANOR, LLC

Nursing Home Inspector

15243 HWY 10 EAST
SAINT FRANCISVILLE, LA 70775
West Feliciana County
Phone: 225-635-3346
Provider Number: 195508
Last Inspection: 11/03/2016

About the Nursing Home

Number of Beds: 128
Number of Residents: 121
Beds Available: 7
Percent Occupancy: 95%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
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

 

4

Facility
4

County
9

LA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

4

2016
15

2015
20

2015

Medicare Ratings

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

 

Details by Inspection Date

11/3/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 11/21/2016
 

10/29/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide residents with private access to a telephone. Pattern : Minimal 4 11/30/2015
 
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Pattern : Minimal 4 11/1/2015
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 11/30/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 11/30/2015
 

1/23/2015 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  
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 3/2/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 3/2/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 3/2/2015
 
Failed To: Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. Pattern : Minimal 4 3/2/2015
 

Complaint Investigation Deficiencies

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

8/26/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 9/15/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 9/15/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg LA State Avg
Number of Residents 121 121.00 94.88
Registered Nurses 0.34 0.34 0.52
Licensed Practical / Vocational Nurses 0.61 0.61 0.96
Certified Nursing Assistants 1.67 1.67 2.25
Total Staff Hours 2.62 2.62 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 11 11 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 92 92 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97 97 95
of long-stay residents experiencing one or more falls with major injury 6 6 3
of long-stay residents who have depressive symptoms 0 0 1
of long-stay residents who lose too much weight 6 6 7
of long-stay residents who received an antianxiety or hypnotic medication 33 33 26
of long-stay residents who received an antipsychotic medication 39 39 18
of long-stay residents who self-report moderate to severe pain 3 3 4
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 16 16 16
of long-stay residents whose need for help with daily activities has increased 21 21 16
of long-stay residents with a catheter inserted and left in their bladder 1 1 1
of long-stay residents with a urinary tract infection 1 1 3
of low risk long-stay residents who lose control of their bowels or bladder 16 16 40
of short-stay residents assessed and appropriately given the pneumococcal vaccine 62 62 83
of short-stay residents who had an outpatient emergency department visit 7 7 15
of short-stay residents who made improvements in function 42 42 57
of short-stay residents who newly received an antipsychotic medication 4 4 2
of short-stay residents who self-report moderate to severe pain 19 19 11
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 64 64 78
of short-stay residents who were rehospitalized after a nursing home admission 27 27 25
of short-stay residents who were successfully discharged to the community 20 20 39
of short-stay residents with pressure ulcers that are new or worsened 2 2 1