Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 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 Heritage Manor Of Opelousas during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and multiple medical conditions did not receive four scheduled doses of Lotrisone cream as ordered by the physician. Review of the MAR/TAR showed no documentation of administration for these doses, and the DON confirmed the missed treatments.
A cognitively impaired resident fell and sustained a severe head injury after being left unattended in a wheelchair during transportation. The resident, who required extensive assistance and had severely impaired cognitive skills, was left alone by the driver while the van was moved, resulting in a fall and significant injuries.
A LTC facility failed to maintain an effective infection control program, leading to several deficiencies. An LPN improperly used a single-patient insulin pen on another resident, risking exposure to blood-borne pathogens. The same LPN also failed to disinfect a glucometer between uses. Additionally, staff did not adhere to Enhanced Barrier Precautions, with multiple instances of not wearing required PPE during high-contact activities. These actions were confirmed by the Infection Control Preventionist.
The facility failed to properly store drugs, as loose pills were found in the bottom of all three medication carts checked. During observations, various loose tablets and capsules were discovered under residents' medication blister packs in Carts A, B, and C, indicating a failure to maintain medication carts in a clean and orderly manner as per the facility's policy.
A resident did not receive quarterly financial statements as required by facility policy. Despite being cognitively intact and requesting the statements, the facility failed to provide them. Interviews with staff revealed a lack of documentation and training regarding the issuance of these statements, affecting the facility's entire census.
A resident's wheelchair was found with a large amount of yellow food-like residue, violating the facility's policy on maintaining clean equipment. An LPN confirmed the wheelchair's unclean state, which should not have occurred. The resident had been admitted with unspecified dementia.
A facility failed to complete and submit a Minimum Data Set (MDS) assessment to CMS in a timely manner for a resident who was discharged. The discharge assessment was not opened, completed, or transmitted for over 120 days, as confirmed by the MDS coordinator.
A facility failed to accurately complete the MDS for a resident, resulting in a deficiency. The resident, with multiple diagnoses, had an MDS that incorrectly coded the use of restraints, despite no active physician order for such. An LPN confirmed the error, having mistakenly coded bed rails as a restraint.
The facility failed to implement and develop comprehensive care plans for three residents, leading to deficiencies in their care. A resident did not have heel protectors applied as required, another experienced significant weight loss without it being addressed in the care plan, and a third resident's urinary catheter and UTI were not included in her care plan. Staff confirmed these oversights during the survey.
A facility failed to involve a cognitively intact resident and his representative in care planning. The resident was not invited to meetings, and an invitation sent to his daughter was mailed to an incorrect address. No evidence of quarterly care plan meetings was found after a certain date.
A resident with muscle weakness and a low BIM score required extensive assistance with ADLs, including oral care. Despite the care plan's directive for C.N.A.s to assist with daily oral hygiene, observations revealed inadequate oral care, with a white milky substance between the resident's teeth. Interviews with staff confirmed the resident's need for total assistance, which was not being met.
Two residents in the facility had respiratory equipment that was not stored according to professional standards. A resident's nebulizer mask was left open to air on a bedside table, while another resident's BiPAP mask was found with dried residue and not stored in a bag. LPNs confirmed the improper storage and lack of cleaning.
A resident with multiple diagnoses, including pain-related conditions, did not receive prescribed Tylenol for reported severe pain on two occasions. Despite notifying the LPN, the resident's pain was not documented or managed as per the care plan, highlighting a failure in pain management by the facility.
The facility failed to ensure nursing staff demonstrated competencies in safe injection practices and proper application of bed bolsters, affecting two residents. An LPN administered insulin using a pen intended for another resident, and CNAs were not adequately trained on using bed bolsters, leading to a resident's fall. The DON confirmed the lack of comprehensive staff education on these issues.
The facility failed to follow the recipe for pureed steamed rice, affecting eight residents on pureed diets. The cook used an excessive amount of milk, resulting in a mixture that was too thin, and added thickener to adjust the consistency. The Dietary Manager confirmed the recipe was not followed correctly.
A facility failed to coordinate care for a resident receiving hospice services by not obtaining necessary information from the hospice agency. The hospice certification had expired, and the last nurse visit note was outdated. The DON admitted to not reviewing hospice documentation, and the Medical Records Supervisor confirmed the lack of updated records. The resident had diagnoses of dementia, pain, and unspecified protein-calorie malnutrition.
A resident at high risk for falls was left unattended in the bathroom by a CNA, resulting in a fall and injury. Despite the facility's policy requiring supervision for high-risk residents, the CNA left the resident alone, leading to a bruise and hematoma. The incident was confirmed by multiple staff members, and the administration acknowledged the failure to follow the policy.
A resident with severe cognitive impairment was found with a head laceration and blood on his pillow. The LPN on duty did not notify the facility's administration of the injury, contrary to the facility's policy. The resident was treated at the emergency room, but the Administrator and DON were only informed the next day by the resident's responsible party.
A resident with a history of osteoarthritis and a recent fall did not receive prescribed pain medication despite showing signs of pain. The LPN acknowledged the resident's pain but did not administer the medication, and the DON confirmed that the medication should have been given.
Failure to Administer Prescribed Topical Medication as Ordered
Penalty
Summary
The facility failed to follow the care plan for a resident who was admitted with multiple diagnoses, including acute on chronic diastolic heart failure, urinary tract infection, chronic kidney disease, unspecified dementia, cerebral ischemia, and essential hypertension. The resident was assessed as severely cognitively impaired, with a BIMS score of 05. According to the physician's order, the resident was to receive Lotrisone cream twice daily for seven days. Review of the Medication Administration Record and Treatment Administration Record for the specified month revealed that four doses of the prescribed Lotrisone cream were not administered as ordered, with no documentation indicating the doses were given on the specified dates. The Director of Nursing confirmed that these doses were missed after reviewing the resident's records.
Inadequate Supervision During Transportation Leads to Resident Injury
Penalty
Summary
The facility failed to ensure adequate supervision for a cognitively impaired resident during transportation, resulting in a severe accident. The incident occurred when a driver left the resident unattended in a wheelchair on a sidewalk while moving the transportation van. During this time, the resident fell from the wheelchair, striking her head on the concrete pavement, which led to significant injuries including bilateral parenchymal and subarachnoid hemorrhages. The resident involved had a history of dementia, anxiety disorder, and hemiplegia following a cerebral infarction, affecting her cognitive abilities and physical mobility. Her medical records indicated she required extensive assistance for transfers and had severely impaired cognitive skills, making her particularly vulnerable to accidents if left unsupervised. Despite these needs, the resident was left alone, leading to the fall and subsequent head injury. Interviews with the driver and the Director of Nursing revealed that the facility lacked a specific policy for supervising residents during transportation. The driver admitted to leaving the resident unattended, which was against the expected practice of maintaining resident safety and supervision during transport. This oversight directly contributed to the resident's fall and injury.
Infection Control Deficiencies in LTC Facility
Penalty
Summary
The facility failed to maintain an effective infection control program, leading to several deficiencies. One significant issue involved the improper use of insulin multi-dose pens. A Licensed Practical Nurse (LPN) used a previously used insulin pen, intended for single-patient use, to administer insulin to another resident. This action was confirmed by the LPN, who admitted to not checking the label on the pen before administration. The incident placed multiple residents at risk of exposure to blood-borne pathogens. Another deficiency was observed in the cleaning protocol for glucometers. The same LPN was seen using a blood glucose monitor on a resident and then placing it back on the medication cart without disinfecting it. The LPN admitted to only cleaning the monitor at the beginning and end of her shift, contrary to the facility's policy, which requires cleaning after each use. This practice was confirmed by the Director of Nursing and the Infection Control Preventionist, who both stated that the glucometer should be disinfected between uses. Additionally, staff failed to adhere to Enhanced Barrier Precautions (EBP) and proper use of Personal Protective Equipment (PPE). Multiple instances were noted where staff did not wear the required gown and gloves during high-contact activities with residents on EBP. For example, a Certified Nursing Assistant (CNA) assisted a resident without wearing gloves or a gown and did not sanitize her hands before moving to another resident's room. Another LPN was observed flushing a resident's PEG tube without wearing a gown, despite the resident being on EBP. These actions were confirmed by the Infection Control Preventionist, who acknowledged the lapses in following the facility's infection control policies.
Improper Drug Storage in Medication Carts
Penalty
Summary
The facility failed to properly store drugs as evidenced by loose pills found in the bottom of medication cart drawers for all three medication carts checked. During an observation, Cart A and Cart C were inspected with an LPN, revealing four loose pills in Cart A and eight loose pills in Cart C, including various tablets and capsules of different colors and shapes. Similarly, Cart B was observed with another LPN, where one small green oval tablet was found loose under the residents' medication blister packs. This indicates a failure to maintain medication carts in a clean and orderly manner as per the facility's policy on medication storage.
Failure to Provide Resident Financial Statements
Penalty
Summary
The facility failed to provide a resident with individual financial records through quarterly statements and/or upon request, as required by their policy. The policy, last reviewed in August 2021, mandates that quarterly statements be provided to all residents or their representatives within 30 days after the end of the quarter. A resident, who was admitted in September 2023 and is cognitively intact with a BIMS score of 15, reported not receiving these statements. Despite the resident's request for a copy of his financial statement, the facility did not provide the information. Interviews with facility staff revealed a lack of documentation and training regarding the issuance of financial statements. The Administrative Assistant and Accounts Manager both confirmed that there was no documented evidence that the resident had received his quarterly financial statements. The Accounts Manager admitted that neither she nor the Administrative Assistant were trained to document when financial statements were issued. This deficiency had the potential to affect the facility's entire census of 107 residents.
Failure to Maintain Cleanliness of Resident's Wheelchair
Penalty
Summary
The facility failed to maintain the cleanliness of a wheelchair for one resident, leading to a deficiency in providing a safe, clean, comfortable, and homelike environment. The facility's policy on equipment and supplies, last reviewed in January 2024, mandates that resident care equipment be cleaned and decontaminated after use according to the manufacturer's recommendations. However, during an observation on August 26, 2024, a resident was found sitting in a wheelchair that had a large amount of yellow food-like residue on the seat, foot pedal bars, and wheels. An LPN confirmed the wheelchair was dirty and acknowledged it should not have been in that condition. The resident involved had been admitted with a diagnosis of unspecified dementia.
Failure to Timely Submit MDS Assessment Post-Discharge
Penalty
Summary
The facility failed to ensure that a Minimum Data Set (MDS) assessment was completed and submitted to the Centers for Medicare and Medicaid Services (CMS) in a timely manner for a resident who was discharged. The resident was admitted and later discharged, but there was no documented evidence that a discharge assessment was opened, completed, or transmitted. An interview with the MDS coordinator confirmed that the resident was discharged home, and the discharge assessment had not been addressed for over 120 days, which exceeded the required timeframe for submission.
Inaccurate MDS Coding for Restraints
Penalty
Summary
The facility failed to ensure the accurate completion of the Minimum Data Set (MDS) for a resident, leading to a deficiency. The resident, who was admitted with diagnoses including cerebral infarction, hemiplegia affecting the right dominant side, chronic obstructive pulmonary disease, and muscle weakness, had a significant change MDS that incorrectly coded the use of restraints. Upon review, it was found that there was no active physician order for restraints as of August 1, 2024. An interview with the LPN responsible for the MDS confirmed that the bed rails were mistakenly coded as a restraint, highlighting an error in the assessment process.
Deficiencies in Care Plan Implementation and Development
Penalty
Summary
The facility failed to develop and implement comprehensive care plans for three residents, leading to deficiencies in their care. Resident #36, who was at risk for further skin breakdown due to severe protein-calorie malnutrition and a stage 4 pressure ulcer, did not have bilateral heel protectors applied while in bed as per her care plan. Despite documentation indicating that the heel protectors were applied, observations and staff interviews confirmed that the resident was not wearing them during the survey period. Resident #76 experienced significant weight loss, as noted in his Minimum Data Set (MDS) assessment, but his care plan did not address this issue. The assessment nurse confirmed the oversight and acknowledged that the weight loss should have been included in the care plan. Similarly, Resident #105, who had a urinary catheter and a recent urinary tract infection (UTI), did not have these conditions addressed in her care plan. The assessment nurse confirmed the omission, recognizing that the care plan should have included interventions for the urinary catheter and UTI.
Failure to Facilitate Resident Participation in Care Planning
Penalty
Summary
The facility failed to ensure the participation of a resident and his representative in the care planning process. The resident, who was cognitively intact with a BIMS score of 15, was admitted to the facility and was his own representative. Despite this, he reported not being invited to any care plan meetings. The facility's social services staff mailed an invitation to the resident's daughter, but it was sent to an incorrect address, different from the one provided by the daughter. Additionally, there was no documented evidence of quarterly care plan meetings being conducted after a specific date, nor evidence that the resident's daughter was invited to these meetings.
Failure to Provide Oral Care for Resident Requiring Assistance
Penalty
Summary
The facility failed to provide adequate oral care for a resident, identified as Resident #64, who required extensive assistance with all activities of daily living (ADLs) due to muscle weakness and a Brief Mental Exam (BIM) score of 10. The resident was admitted to the facility and had been there for nearly two months. Despite the care plan indicating that Certified Nursing Assistants (C.N.A.s) were responsible for assisting the resident with daily oral hygiene, observations on two consecutive days revealed a white milky substance between the resident's teeth, indicating a lack of oral care. Interviews with the resident and staff, including a Licensed Practical Nurse (LPN) and a C.N.A., confirmed that the resident required total assistance for oral hygiene, which was not being provided as per the care plan. The Assessment Nurse also acknowledged the resident's need for extensive assistance with ADLs, emphasizing the C.N.A.s' responsibility for daily oral hygiene.
Improper Storage of Respiratory Equipment
Penalty
Summary
The facility failed to provide respiratory care consistent with professional standards for two residents. Resident #31, who was admitted with diagnoses including Chronic Obstructive Pulmonary Disease and Chronic Systolic Heart Failure, had a nebulizer mask that was improperly stored. Observations revealed that the mask was left open to air on the bedside table, and interviews confirmed that it was not stored in a bag as required. Similarly, Resident #54, admitted with conditions such as Chronic Obstructive Pulmonary Disorder and Pneumonia, had a BiPAP mask that was not stored correctly. The mask was found on the nightstand, open to air, and had spots of a dried dark red substance inside. An LPN confirmed that the mask should have been cleaned and stored in a bag, indicating a failure to adhere to the prescribed cleaning and storage procedures.
Failure in Pain Management for Resident
Penalty
Summary
The facility failed to provide appropriate pain management for a resident, identified as Resident #64, who required such services. Resident #64 was admitted with multiple diagnoses, including pain in the leg, intervertebral disc degeneration, scoliosis, angina pectoris, weakness, and type 2 diabetes mellitus. Her care plan indicated a risk for pain and included orders to administer medication as needed and notify the medical doctor of any unrelieved pain. Despite these orders, the resident did not receive the prescribed Tylenol on two occasions when she reported significant pain levels. On August 26, 2024, Resident #64 reported back pain to a nurse but did not receive the requested Tylenol. The following day, during a skin assessment, she again complained of severe back pain and requested Tylenol, which was not administered. The Treatment Nurse (S22TN) notified the LPN (S7LPN) of the resident's pain, but there was no record of Tylenol being given or any documentation in the nurse's notes regarding the notification or administration of pain relief. Interviews with the LPN and the Director of Nursing confirmed that the resident's pain management was not handled according to the physician's orders.
Deficiencies in Nursing Competency and Safety Practices
Penalty
Summary
The facility failed to ensure that nursing staff demonstrated the necessary competencies and skills to provide safe and effective care to residents, resulting in two specific deficiencies. The first deficiency involved an LPN who administered insulin using a multi-dose insulin pen intended for a single resident to another resident. This occurred when the LPN, after checking the blood glucose level of a resident, mistakenly used an insulin pen labeled for a different resident. The LPN admitted to not verifying the label on the insulin pen before administration, which was against the facility's policy on safe injection practices. The second deficiency involved the improper application of bed bolsters for a resident at risk of falls. The resident, who had a history of muscle weakness and hemiplegia following a cerebral infarction, was found on the floor due to incorrectly secured bed bolsters. An investigation revealed that a CNA admitted to not knowing how to apply the bolsters correctly, which led to the resident's fall. Further interviews with other CNAs indicated a lack of education on the proper use of bed bolsters, and there was no documentation of staff being educated on this aspect of care. These deficiencies highlight a lack of competency in medication administration and fall prevention measures among the nursing staff. The facility's Director of Nursing confirmed that insulin pens should not be used for multiple residents and acknowledged the absence of comprehensive staff education on the use of bed bolsters. The CNA Supervisor also confirmed that not all CNAs had been in-serviced on the proper use of bolsters, and there was no record of such training being conducted.
Failure to Follow Pureed Diet Recipe
Penalty
Summary
The facility failed to ensure that recipes were followed for residents receiving pureed diets, specifically in the preparation of pureed steamed rice. The deficiency was identified through observations, record reviews, and interviews. The facility's policy on the preparation and service of pureed diets, revised in 2018, requires that pureed foods be blended to a consistency that holds its shape, using the smallest amount of liquid possible to maintain nutritional value. However, during an observation, it was noted that the cook, S8Cook, deviated from the recipe by using an excessive amount of milk, which resulted in a mixture that was too thin. The cook was preparing steamed rice for 15 servings but only used 4 cups of rice and added one and a half quarts of milk, contrary to the recipe's instructions of using 11.25 cups of rice, 1 cup of milk, and 1/2 cup of margarine. After realizing the mixture was too thin, the cook added thickener to adjust the consistency. The Dietary Manager, S5DM, confirmed that the recipe was not followed correctly. This oversight had the potential to affect eight residents who were on pureed diets, as the nutritional content of their meals could have been compromised.
Failure to Coordinate Hospice Care
Penalty
Summary
The facility failed to coordinate care for a resident receiving hospice services by not obtaining pertinent information from the contracted hospice agency. The facility's agreement with the hospice agency required both parties to maintain complete and detailed clinical records for patients receiving services. However, a review of the resident's electronic medical record revealed that the hospice certification had expired, and the last hospice nurse visit note was outdated. During interviews, the Director of Nursing admitted to not reviewing hospice documentation and referred the surveyor to the Medical Records Supervisor, who confirmed the lack of updated hospice records for the resident. The resident's diagnoses included dementia, pain, and unspecified protein-calorie malnutrition.
Failure to Supervise High-Risk Resident Leads to Fall
Penalty
Summary
The facility failed to ensure staff followed the policy and procedures to prevent accidents for a resident who was at high risk for falls. The resident, who was cognitively intact and had a history of multiple falls, was left unattended in the bathroom by a CNA, contrary to the facility's policy that required a nursing assistant to remain with high-risk residents for safety. This resulted in the resident falling while attempting to clean herself, leading to a bruise on her face and a hematoma on her left temple. The incident was observed and reported by various staff members, including the Assistant Director of Nursing, who conducted an investigation but did not initially inquire about how the resident got to the bathroom. The LPN on duty confirmed that the CNA had left the resident alone, and the CNA admitted to leaving the resident unattended despite knowing the resident was a fall risk and had expressed fear of falling. The facility's administration acknowledged the resident's high fall risk and the policy requiring supervision in the bathroom.
Failure to Report Injury of Unknown Origin
Penalty
Summary
The facility failed to ensure that nursing staff immediately notified the Administrator of an injury of unknown origin for a resident. The facility's policy required that any incident involving injuries of unknown origin be reported immediately to the Administrator. However, this protocol was not followed in the case of a resident who was found with blood on his pillow and a laceration on his head. The resident, who had severe cognitive impairment and was unable to communicate how the injury occurred, was sent to the emergency room where he received treatment for a scalp laceration. The nurse responsible for the resident at the time of the incident did not notify the facility's administration about the injury, as she was unaware of the requirement to do so. The Administrator and Director of Nursing were only informed of the incident the following day by the resident's responsible party. This lack of immediate notification was a violation of the facility's policy and had the potential to affect the entire resident census.
Failure to Administer Pain Medication
Penalty
Summary
The facility failed to provide appropriate pain management for a resident who required such services. Resident #2, who had a history of osteoarthritis, a displaced fracture of the femur, and vascular dementia, was admitted to the facility with physician's orders for pain medications including Ibuprofen and Acetaminophen. On 03/24/2024, Resident #2 experienced an unobserved fall and subsequently complained of pain in her left leg and hip. Despite displaying nonverbal indicators of pain such as moaning and grunting, the resident did not receive any pain medication on 03/25/2024 as documented in the Medication Administration Record (MAR). The LPN who assessed the resident on the morning of 03/25/2024 acknowledged that the resident was in pain but did not administer the prescribed pain medication and could not provide a reason for this inaction. The Director of Nursing (DON) confirmed that the LPN should have administered pain medication to Resident #2 upon assessing her condition. The failure to administer pain medication as per the resident's care plan and physician's orders resulted in inadequate pain management for the resident. This deficiency highlights a lapse in following professional standards of practice and the comprehensive person-centered care plan designed for Resident #2.
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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 Opelousas
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Our Lady Of Prompt Succor Nursing Facility | 0.8 mi | — | 8 | 0 |
| Senior Village Nursing & Rehabilitation Center | 3.7 mi | — | 6 | 0 |
| Acadia St Landry Nursing & Rehabilitation Center | 12.1 mi | — | 9 | 0 |
| J. Michael Morrow Memorial Nursing Home | 12.5 mi | — | 0 | 0 |
| Tri-community Nursing Center | 14 mi | — | 6 | 0 |
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