Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Chateau St. James Rehab And Retirement during CMS and state inspections, most recent first.
A resident's care plan was not revised after a significant change in condition from ambulatory to bedbound status. Despite updated physician orders and assessments, the care plan continued to list outdated interventions such as a fall mat and wander guard. Staff interviews revealed confusion about the resident's current needs, and observations showed the call light was out of reach and the fall mat was missing.
Two residents did not receive appropriate respiratory care when staff failed to obtain required physician orders for CPAP settings for a resident with chronic respiratory failure and did not follow a physician's order for oxygen administration for another resident, resulting in oxygen being delivered at an incorrect flow rate and with improper nasal cannula placement.
The facility failed to prevent a resident identified as an unsafe smoker from accessing smoking materials while unsupervised, as the resident was repeatedly observed with a cigarette lighter in their room. Additionally, the facility did not update the care plan for a resident with severe cognitive impairment who experienced multiple unwitnessed falls, failing to implement new fall prevention interventions or increase supervision.
A dietary aide in an LTC facility failed to follow proper hand hygiene protocols while preparing coffee for residents. After washing her hands, she used her bare hands to lift a garbage bin lid and then handled a coffee container without washing her hands again. Interviews with the dietary aide, dietary manager, and administrator confirmed the breach in protocol.
The facility failed to document infection-causing organisms in their infection control surveillance for four residents diagnosed with UTIs. Despite policy requirements, the Infection Preventionist did not follow up on culture results, and the Director of Nursing confirmed that these results were not incorporated into the surveillance program.
The facility did not update the publicly posted contact information for the current State Long-Term Care Ombudsman. A resident, serving as the Resident Council President, indicated that the previous Ombudsman had died months ago and was unaware of the new Ombudsman's contact details. The facility's administrator confirmed that the updated information was not posted.
The facility did not make previous survey results accessible to residents or their representatives. A resident was unaware of where to find these results, and an observation showed they were kept in a binder behind the receptionist's desk. The administrator confirmed that the results were only available upon request.
The facility did not include required details in their daily nurse staffing postings for five consecutive days. The Daily Staff Reports lacked the facility's name, daily census, and total nursing hours. A CNA responsible for posting the information admitted to omitting the total nursing hours, and the administrator was unaware of these omissions.
A resident with severe cognitive impairment and dependent on staff for ADLs was found with long and dirty fingernails. Staff interviews indicated that nail care was neglected due to the resident's combative behaviors. The ADON confirmed the nails should not have been in such a condition.
Failure to Update Care Plan After Significant Change in Condition
Penalty
Summary
The facility failed to revise a resident's care plan to reflect individualized needs following a significant change in condition. Specifically, a resident who was previously ambulatory with the use of a walker or wheelchair and required varying levels of assistance for daily activities became bedbound, as documented in a significant change MDS assessment. Despite this change, the care plan and care plan header continued to list interventions such as the use of a fall mat, encouragement to use a walker, and a wander guard, which were no longer appropriate for the resident's current condition. Physician's orders had also been updated to remove the wander guard due to the resident's bedbound status, but these changes were not reflected in the care plan accessible to staff. Observations revealed that the resident did not have a fall mat at the bedside and the call light was out of reach, with the resident unable to use it or recall its location. Interviews with staff indicated uncertainty about the resident's current needs and whether certain interventions, such as the fall mat, were still required. Nursing staff acknowledged that the care plan should have been updated to reflect the resident's significant change in condition and individualized interventions, but this had not occurred.
Failure to Obtain CPAP Settings and Follow Oxygen Orders
Penalty
Summary
The facility failed to provide safe and appropriate respiratory care for two residents by not obtaining required physician orders for CPAP settings and not following a physician's order for oxygen administration. For one resident with a history of chronic respiratory failure and chronic obstructive pulmonary disease, there was no documented physician order specifying the oxygen concentration, flow, or pressure settings for CPAP administration, as required by facility policy. The Quality Improvement Nurse confirmed the absence of these necessary orders. For another resident, staff did not adhere to the physician's order for oxygen administration at 2 liters per minute (LPM) via nasal cannula. Observations showed that the resident was receiving oxygen at 3 LPM, and the nasal cannula was not properly positioned over both nares. Both the Assistant Director of Nursing and a Licensed Practical Nurse confirmed that the oxygen was not set according to the physician's order.
Failure to Prevent Access to Smoking Materials and Update Fall Prevention Plans
Penalty
Summary
The facility failed to ensure that a resident identified as an unsafe smoker did not have access to smoking materials while unsupervised. Despite the facility's smoking policy, which prohibits residents assessed as unsafe smokers from keeping smoking materials unless supervised, Resident #36 was observed multiple times with a cigarette lighter accessible in his room. The Director of Nursing acknowledged that the lighter should not have been available, and the Clinical Quality Assurance Nurse confirmed that smoking materials should not be kept with the resident. However, the Administrator did not consider the presence of the lighter a safety concern, as the resident did not have access to cigarettes. Additionally, the facility did not implement new individualized fall prevention interventions or increase supervision for a resident with a history of multiple falls. Resident #1, who had severe cognitive impairment and was dependent on staff for all activities of daily living, experienced several unwitnessed falls. Despite these incidents, the resident's care plan was not updated with new interventions to prevent future falls. Both the Director of Nursing and the Clinical Quality Assurance Nurse indicated that the care plan should have been updated following each fall.
Improper Hand Hygiene During Coffee Preparation
Penalty
Summary
The facility failed to adhere to proper hand hygiene protocols while preparing coffee for residents, as observed during a survey. The facility's policy, last updated in October 2008, mandates that all employees involved in food handling must perform hand hygiene before contacting food surfaces and after activities that could contaminate their hands. However, on the specified date, a dietary aide was observed performing hand hygiene, drying her hands with paper towels, and then using her bare hands to lift the kitchen garbage bin lid to dispose of the towels. Subsequently, she did not perform hand hygiene again before handling a container of coffee and preparing it for resident consumption. Interviews conducted with the dietary aide, the dietary manager, and the facility administrator confirmed the breach in protocol. The dietary aide acknowledged that she should not have touched the garbage bin lid with her bare hands after performing hand hygiene and should have washed her hands before handling the coffee container. Both the dietary manager and the administrator concurred that the dietary aide failed to follow proper hand hygiene procedures, which are critical in preventing foodborne illnesses.
Failure to Document Infection-Causing Organisms in Surveillance
Penalty
Summary
The facility failed to include the infection-causing organisms for resident infections in their infection control surveillance for four out of five residents reviewed. The facility's policy on infection surveillance, revised in September 2017, mandates the identification of pathogens and the collection of data such as diagnosis, infection onset date, and pathogen identification. However, the facility's September 2024 infection tracking documentation lacked evidence of pathogen identification for residents diagnosed with urinary tract infections (UTIs) on Hall A, who were cared for by the same staff. Specific pathogens identified in urine analysis reports, such as Staphylococcus Aureus and Klebsiella Pneumonia, were not documented in the facility's infection surveillance records. Interviews revealed that the Infection Preventionist (IP) was unaware of the culture results being placed in the residents' medical records and had not followed up on these results as part of the infection surveillance process. The Director of Nursing (DON) confirmed that the IP had been instructed to incorporate culture results into the infection surveillance program, but this was not done. The failure to document and track the infection-causing organisms in the facility's surveillance system led to the deficiency identified by the surveyors.
Failure to Update Ombudsman Contact Information
Penalty
Summary
The facility failed to publicly post the required contact information for the current State Long-Term Care Ombudsman. During an interview, the Resident Council President, identified as Resident #66, reported that the facility's Ombudsman had passed away several months ago and expressed uncertainty about the name or contact details of the newly assigned Ombudsman. A review of the publicly posted contact information revealed that it still displayed the details of the previous Ombudsman. The facility was unable to provide any documented evidence that the current Ombudsman's contact information had been posted. This was confirmed in an interview with the facility's administrator, who acknowledged that the information for the current Ombudsman was not posted as required.
Survey Results Not Accessible to Residents
Penalty
Summary
The facility failed to post the results of previous surveys in an area accessible to residents and/or their responsible parties. During an interview, the Resident Council President expressed that she was unaware of where the survey results were posted or how to access them. An observation confirmed that the survey results were kept in a binder behind the receptionist's desk, making them inaccessible to residents and their representatives. The facility did not provide evidence that the survey results were posted in a readily accessible area. The administrator confirmed that the survey results and plans of correction were only available upon request, as they were stored behind the front desk.
Deficiency in Daily Nurse Staffing Information Posting
Penalty
Summary
The facility failed to ensure that their daily posted nurse staffing information included all required details for five consecutive days. Observations on November 4, 2024, revealed that the posted nurse staffing information, titled 'Daily Staff Report,' lacked the facility's name and daily census. A review of the Daily Staff Reports for November 2024 showed no evidence that the required information, including the facility's name, daily census, and total nursing hours provided, was documented for the dates November 2, 3, 4, 5, and 6, 2024. During an interview on November 7, 2024, a Certified Nursing Assistant responsible for documenting and posting the information admitted to not including the total nursing hours on the reports for November 4, 5, and 6, 2024, as required. Additionally, the facility's administrator was unaware that the Daily Staff Report lacked the necessary information.
Failure to Provide Proper Nail Care
Penalty
Summary
The facility failed to ensure that a resident dependent on staff for activities of daily living (ADL) received proper nail care. Resident #3, who had severe cognitive impairment and was dependent on staff for personal hygiene, was observed with long and dirty fingernails. Specifically, the resident's left thumb nail, left second finger nail, and right first finger nail were notably long, and there was an unknown black and brown substance under several nails. Interviews with staff revealed that nail care was neglected due to the resident's occasional combative behaviors. The Assistant Director of Nursing confirmed that the resident's nails should not have appeared in such a condition.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Lutcher
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Southeast Louisiana War Veterans Home | 7.6 mi | — | 2 | 0 |
| Twin Oaks Nursing Home | 11.9 mi | — | 1 | 0 |
| Thibodaux Healthcare And Rehabilitation Center | 18.1 mi | — | 0 | 0 |
| Chateau D'ville Rehab And Retirement | 18.6 mi | — | 1 | 0 |
| Audubon Health And Rehab | 19.1 mi | — | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.