BELLE MAISON NURSING HOME

Nursing Home Inspector

15704 MEDICAL ARTS PLAZA
HAMMOND, LA 70403
Tangipahoa County
Phone: 985-542-0110
Provider Number: 195523
Last Inspection: 03/09/2017

About the Nursing Home

Number of Beds: 140
Number of Residents: 119
Beds Available: 21
Percent Occupancy: 85%
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

 

7

Facility
7

County
9

LA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

7

2017
19

2016
3

2015

Medicare Ratings

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

 

Details by Inspection Date

3/9/2017 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 4/21/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 4/21/2017
 

2/4/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 : Minimal 3 3/20/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 3/20/2016
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 3/20/2016
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 3/20/2016
 
Failed To: Provide adequate and comfortable lighting levels in all areas. Isolated : Minimal 3 3/20/2016
 
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Isolated : Minimal 3 3/20/2016
 

3/5/2015 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 3/19/2015
 

Complaint Investigation Deficiencies

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

9/29/2017 Investigation

 
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 10/20/2017
 

4/21/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Protect each resident from all abuse, physical punishment, and involuntary separation from others. Pattern : Immediate 6 4/22/2017
 
Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. Pattern : Immediate 6 4/22/2017
 
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern : Immediate 6 4/22/2017
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Pattern : Immediate 6 4/22/2017
 

12/21/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Pattern : Minimal 4 1/20/2017
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 1/20/2017
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg LA State Avg
Number of Residents 119 94.33 94.88
Registered Nurses 0.28 0.40 0.52
Licensed Practical / Vocational Nurses 1.06 0.78 0.96
Certified Nursing Assistants 2.41 1.83 2.25
Total Staff Hours 3.75 3.01 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 6 5 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 99 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 98 95
of long-stay residents experiencing one or more falls with major injury 4 3 3
of long-stay residents who have depressive symptoms 1 0 1
of long-stay residents who lose too much weight 6 5 7
of long-stay residents who received an antianxiety or hypnotic medication 21 23 26
of long-stay residents who received an antipsychotic medication 16 20 18
of long-stay residents who self-report moderate to severe pain 1 4 4
of long-stay residents who were physically restrained 3 0 0
of long-stay residents whose ability to move independently worsened 27 18 16
of long-stay residents whose need for help with daily activities has increased 20 16 16
of long-stay residents with a catheter inserted and left in their bladder 3 1 1
of long-stay residents with a urinary tract infection 1 3 3
of low risk long-stay residents who lose control of their bowels or bladder 51 39 40
of short-stay residents assessed and appropriately given the pneumococcal vaccine 94 92 83
of short-stay residents who had an outpatient emergency department visit 19 13 15
of short-stay residents who made improvements in function 71 49 57
of short-stay residents who newly received an antipsychotic medication 3 2 2
of short-stay residents who self-report moderate to severe pain 16 13 11
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 90 91 78
of short-stay residents who were rehospitalized after a nursing home admission 31 25 25
of short-stay residents who were successfully discharged to the community 55 42 39
of short-stay residents with pressure ulcers that are new or worsened 2 2 1