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 Kaplan Healthcare Center during CMS and state inspections, most recent first.
Two residents who required assistance with ADLs did not receive their scheduled showers because CNAs and shower aides were unavailable due to staffing shortages. Both residents, who had intact cognition and documented shower schedules, requested showers but were informed by staff that they could not be accommodated. Staff interviews confirmed that showers were missed when staffing was insufficient, and facility administration was unaware that these residents had not received their scheduled care.
A dumbwaiter cart used to deliver lunch trays was found with dried food residue and had not been cleaned after use, as confirmed by the Dietary Manager. This failure to sanitize the cart between uses was not in accordance with facility policy and professional standards.
Staff did not consistently wear required PPE, such as gowns and gloves, while providing high-contact care to two residents on Enhanced Barrier Precautions for wounds and pressure ulcers. Additionally, shower facilities and equipment were not properly cleaned and disinfected between residents, with visible fecal matter left unaddressed and staff admitting to not using disinfectant after each use, contrary to facility policy.
A resident with a history of atrial fibrillation and cerebral infarction did not receive their prescribed anticoagulant, Eliquis, for 39 days after an IVC filter removal procedure. The facility's nursing staff failed to reconcile and restart the medication, despite hospital discharge orders to resume all previous medications. This oversight led to the resident developing extensive DVT and a large right MCA ischemia, requiring hospitalization and treatment.
A resident suffered harm due to a failure in medication reconciliation at an LTC facility. The resident, with a history of atrial fibrillation, did not receive the anticoagulant Eliquis for 39 days after a procedure, leading to a DVT and stroke. The facility lacked a medication reconciliation policy, and staff failed to verify medications, resulting in significant cognitive decline for the resident.
A facility failed to notify the physician and NP of a resident's IVC filter removal procedure. The resident, with a history of hemiplegia and thrombosis, underwent the procedure without issue. However, the NP and MD were not informed, and the electronic health record lacked evidence of notification.
A resident with a history of stroke and thrombosis did not receive prescribed Eliquis for 39 days after an IVC filter removal due to a nurse's oversight. This resulted in a deep vein thrombosis and stroke extension. The facility did not report the incident to the state agency, as the administrator believed it was not necessary since an internal report was completed.
A facility inaccurately coded a resident's MDS, indicating antipsychotic use when there was no physician order for such medication. This error was confirmed by the Regional MDS coordinator, who admitted to the coding mistake, leading to an inaccurate assessment.
A facility failed to properly dispose of a contaminated sharp during medication administration. An LPN performed a blood glucose test on a resident and improperly disposed of the used lancet by placing it in her gloved hand and then discarding it in the trash receptacle of the medication cart, instead of the designated sharps container. The LPN confirmed the improper disposal, and the Interim DON verified that used lancets should be discarded in designated sharps containers.
A facility failed to ensure proper hand hygiene during medication administration. An LPN was observed administering insulin to a resident and then documenting without sanitizing her hands, contrary to the facility's policy. The Interim DON confirmed the expectation for staff to sanitize hands after procedures.
Failure to Provide Scheduled Showers Due to Staffing Shortages
Penalty
Summary
The facility failed to ensure that Certified Nurse Aides (CNAs) and Shower Aides provided scheduled showers and baths to two residents who required assistance with Activities of Daily Living (ADLs). Both residents had care plans indicating the need for assistance with bathing, and their shower schedules were documented as occurring on specific days of the week. Despite these plans, neither resident received their scheduled showers on the designated days. Interviews with the residents confirmed that they requested showers as per their routine, but staff informed them that showers could not be provided due to short staffing. Documentation in the residents' records did not show evidence that showers were given on the scheduled days. Staff interviews corroborated the residents' accounts, with CNAs stating that when shower aides were unavailable and staffing was insufficient, not all showers could be completed as scheduled. The facility's administration confirmed that there were multiple CNA call-ins and absences on the days in question, resulting in a shortage of staff. Although duties were redistributed, the administration was not aware that the affected residents had missed their showers. Both residents involved were noted to have intact cognition, and one resident expressed discomfort due to not receiving a shower after exercising.
Failure to Sanitize Dumbwaiter Cart After Use
Penalty
Summary
The facility failed to maintain clean and sanitary kitchen equipment as required by its own policy and professional standards. During an observation and interview with the Dietary Manager, a dumbwaiter cart used to deliver lunch trays was found outside the kitchen door with multiple dried clumps of yellow and brown food matter, as well as dried thin layers of yellow food residue on several shelves. The Dietary Manager confirmed that the cart had been used to deliver lunch trays that day and acknowledged that it should have been cleaned after each use. She further stated that, based on the condition of the cart, it had not been cleaned after the last meal or the previous night, contrary to facility policy which requires sanitization of the dumbwaiter compartment between transporting soiled dishes and food. No information about specific residents or their medical conditions was provided in the report.
Failure to Adhere to Enhanced Barrier Precautions and Proper Disinfection of Shower Facilities
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program as evidenced by staff not adhering to Enhanced Barrier Precautions (EBP) and improper cleaning and disinfection of shower facilities. For two residents on EBP due to wounds and pressure ulcers, staff did not consistently wear the required personal protective equipment (PPE), such as gowns and gloves, during high-contact care activities. Observations revealed that staff entered rooms and provided care, including transferring residents and changing briefs, without donning the appropriate PPE, despite clear signage and care plans indicating the necessity of EBP for these residents. Interviews with staff confirmed a lack of understanding or adherence to the EBP requirements, with some staff incorrectly believing that gowns were only needed for certain activities or that the signage applied to other residents. Additionally, the facility did not ensure that shower facilities and equipment were properly cleaned and disinfected between residents. In one instance, a shower chair was found with dried brown matter, and a staff member acknowledged that it had not been cleaned after previous use. Another observation documented a strong odor of feces and visible fecal matter on the shower floor after a resident's shower. The staff member removed the feces but did not use any cleaning or disinfectant products before bringing another resident into the same shower stall. The staff member admitted to not using disinfectant after every resident, contrary to facility policy and infection control standards. The facility's own policies required the use of PPE during high-contact care for residents on EBP and mandated cleaning and disinfection of reusable equipment and shower areas between residents. Despite these policies, direct observations and staff interviews demonstrated repeated failures to follow established infection prevention protocols, resulting in deficiencies in both resident care and environmental sanitation.
Failure to Administer Anticoagulant Medication
Penalty
Summary
The facility failed to ensure that a resident received nursing services and care that adhered to accepted standards of quality. Specifically, the nursing staff did not reconcile and administer the resident's prescribed anticoagulant medication, Eliquis, for 39 days following a procedure to remove an inferior vena cava (IVC) filter. This oversight jeopardized the resident's health and safety, as the medication was crucial for preventing blood clots. The resident, who had a history of atrial fibrillation and cerebral infarction, was admitted to the facility with a prescription for Eliquis 5 mg twice daily. After undergoing a procedure to remove an IVC filter, the medication was held and subsequently discontinued by an LPN. Despite discharge orders from the hospital indicating that all previous medications, including Eliquis, should be resumed, the facility's nursing staff failed to restart the medication. This resulted in the resident not receiving Eliquis from the date of the procedure until the resident was observed to be confused and lethargic, with swelling in the left lower extremity. Upon transfer to the hospital, it was discovered that the resident had developed extensive deep vein thrombosis (DVT) in the left lower leg and a large right middle cerebral artery ischemia. The resident required hospitalization and treatment with a Heparin drip before being transferred to another hospital for a higher level of care. The failure to administer the prescribed anticoagulant medication was identified as a significant deficiency in the facility's nursing services.
Medication Reconciliation Failure Leads to Resident Harm
Penalty
Summary
The facility failed to ensure care and services were provided according to professional standards of practice, resulting in harm to a resident. The deficiency occurred when the facility's process for medication reconciliation failed. A Licensed Practical Nurse (LPN) did not reconcile the resident's medications upon readmission to the facility after a procedure, leading to the omission of the anticoagulant Eliquis from the resident's medication regimen. This oversight was compounded by the failure of the Assistant Director of Nursing (ADON) and another LPN to conduct an additional review of the resident's medications, as per the facility's standard practice. The resident, who had a history of atrial fibrillation and cerebral infarction, was supposed to resume Eliquis after the procedure. However, due to the failure in medication reconciliation, the resident did not receive Eliquis for 39 days, missing 78 doses. This resulted in the resident developing a deep vein thrombosis (DVT) and suffering a stroke, leading to significant harm, including a major cognitive decline. The Nurse Practitioner (NP) also failed to verify the resident's medications during rounds, remaining unaware of the medication omission. The facility did not have a policy for medication reconciliation, which contributed to the oversight. The resident's condition deteriorated significantly, as evidenced by a decrease in the Brief Interview for Mental Status (BIMS) score from 12 to 0, indicating severe cognitive impairment. The resident required increased assistance with activities of daily living and experienced a decline in communication and feeding abilities.
Failure to Notify Physician of IVC Filter Removal
Penalty
Summary
The facility failed to notify the physician and/or nurse practitioner of a resident's invasive procedure for the removal of an Inferior Vena Cava (IVC) filter. This deficiency was identified for one resident who was reviewed for notification of change in a sample of 31 residents. The resident had a medical history that included hemiplegia and hemiparesis following a cerebral infarction, acute embolism and thrombosis of the left femoral vein, and dysphagia following a cerebral infarction. On the day of the procedure, the resident left the facility in stable condition for the procedure, which was completed without issue. However, interviews with the nurse practitioner and medical doctor revealed that they were not informed of the procedure, and a review of the resident's electronic health record showed no evidence that they were made aware of the IVC filter removal.
Failure to Report Medication Error Leading to Resident Harm
Penalty
Summary
The facility failed to report an alleged violation involving a resident who did not receive necessary care to avoid physical harm. The incident involved a resident with a medical history of hemiplegia, hemiparesis following a cerebral infarction, acute embolism, thrombosis of the left femoral vein, and paroxysmal atrial fibrillation. After the removal of the resident's IVC filter, a nurse at the facility failed to restart the prescribed anticoagulant medication, Eliquis, as ordered. This oversight resulted in the resident not receiving Eliquis for 39 days, leading to an extensive left lower leg deep vein thrombosis and an extension of a previous stroke. The facility did not report this medication error to the designated state agency, despite the resident's responsible party notifying the administrator of the error and subsequent harm. The administrator believed the incident was not reportable because an internal Incident/Accident Report was completed. The survey revealed that the facility did not have a policy regarding reportable incidents available for review, and no reports were submitted to the state agency concerning this resident within the past 120 days.
Inaccurate MDS Coding for Antipsychotic Use
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) for antipsychotic use for one resident. Specifically, the quarterly MDS for Resident #42 incorrectly indicated that the resident was taking antipsychotic medications. However, a review of the resident's September 2024 physician orders did not show any order for antipsychotic medication. This discrepancy was confirmed during an interview with the Regional Minimum Data Set (S7RMDS) coordinator, who acknowledged that the resident had not received any antipsychotic medication and admitted to making an error in coding, resulting in an inaccurate assessment.
Improper Disposal of Contaminated Sharps
Penalty
Summary
The facility failed to provide appropriate pharmaceutical services by not properly disposing of a contaminated sharp during medication administration. On November 5, 2024, a review of the facility's policy on sharps disposal, last revised in January 2012, indicated that contaminated sharps should be discarded immediately into designated containers. However, during an observation, an LPN performed a blood glucose test on a resident and placed the used lancet in the palm of her gloved hand. She then removed her gloves and disposed of them, along with the lancet, in the trash receptacle of the medication cart instead of the designated sharps container. In an interview conducted shortly after the observation, the LPN confirmed that she had placed the used lancet inside her gloves and disposed of them improperly. She acknowledged that the lancet should have been discarded in the designated sharps container. The following day, the Interim Director of Nursing and Infection Preventionist confirmed that used lancets should indeed be discarded into designated sharps containers.
Inadequate Hand Hygiene During Medication Administration
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program by not ensuring that staff performed hand hygiene according to accepted standards during medication administration. On November 5, 2024, a Licensed Practical Nurse (LPN) was observed administering insulin to a resident and then returning to the medication cart to document on her computer without sanitizing her hands. This action was contrary to the facility's Handwashing-Hand Hygiene Policy, which requires hand hygiene before and after direct contact with residents and after contact with objects in the immediate vicinity of the resident. The LPN confirmed in an interview that she did not sanitize her hands as required. Additionally, the Interim Director of Nursing and Infection Preventionist confirmed that staff are expected to sanitize their hands after completing a procedure or during medication pass and before returning to their workstation. This oversight in hand hygiene practice was identified as a deficiency in the facility's infection control and prevention program.
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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 Kaplan
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Vermilion Health Care Center | 5 mi | — | 0 | 0 |
| Eastridge Nursing & Rehabilitation | 11.3 mi | — | 6 | 0 |
| Pelican Pointe Healthcare And Rehabilitation | 12.4 mi | — | 2 | 0 |
| Maison Du Monde Living Center | 12.4 mi | — | 7 | 0 |
| Gueydan Memorial Guest Home | 13 mi | — | 0 | 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.