Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
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 Landmark Of Rayne during CMS and state inspections, most recent first.
A resident with Alzheimer's disease and other neurological conditions had a documented DNR status in physician orders and advance directives, but the care plan continued to state 'Full Code.' Both MDS staff and the DON confirmed the care plan was inaccurate and had not been revised to reflect the resident's DNR status as required by facility policy.
The facility did not complete required MDS assessments, including quarterly, annual, admission, discharge, and death assessments, within the mandated 14-day timeframe for multiple residents. A review confirmed that these assessments remained incomplete and in progress past the regulatory deadline, as acknowledged by the staff member responsible for MDS.
The facility did not transmit completed MDS assessments to the State within the required 14-day timeframe for several residents. Completed assessments were delayed in submission, as confirmed by the MDS Nurse and CMS transmittal validation reports, resulting in noncompliance with mandated reporting timelines.
Dietary staff did not use the correct serving sizes for ham and beans and greens as specified in the diet spreadsheet, resulting in residents receiving less food than required. The dietary manager confirmed the use of incorrect scoop sizes, and the trays were not corrected before being served to residents on the secured unit.
Staff failed to follow Enhanced Barrier Precautions by not wearing required gowns during wound care and oral assessments for two residents on EBP. A treatment nurse did not don a gown or properly discard soiled PPE after wound care for a resident with arterial ulcers, and a CNA did not wear a gown while providing oral care to another resident. These lapses were acknowledged by staff and confirmed by the infection preventionist.
A resident's MDS assessment was inaccurately coded to indicate the use of a trunk restraint, despite no physician order or documentation supporting restraint use. Staff confirmed the error during record review and interview.
A resident with a serious mental illness and a Level II PASRR determination was admitted and approved for nursing home care, but the facility did not include the required PASRR considerations in the resident's comprehensive care plan. This omission was confirmed by the staff member responsible for care planning.
A resident with multiple chronic conditions and intact cognition was not invited to participate in care plan meetings, and there was no documentation of invitation or attendance. Staff interviews revealed that residents and their representatives were not consistently invited to care plan meetings, particularly following significant change assessments, contrary to facility policy.
The QAPI program did not document monitoring or performance tracking after implementing a corrective action plan to address task scheduling errors following a shift change. Despite auditing and staff in-servicing, there was no evidence of data collection or analysis to measure the plan's effectiveness.
Facility staff failed to conduct required weekly body audits for one resident at risk for pressure ulcers, resulting in an unrecognized Stage 2 ulcer that was only identified upon hospital admission. Additionally, another resident with a facility-acquired Stage II heel ulcer did not consistently receive ordered wound care treatments, with multiple missed applications documented over several weeks. The DON confirmed awareness of these missed treatments.
Failure to Update Care Plan with Accurate DNR Status
Penalty
Summary
The facility failed to ensure that a resident's comprehensive care plan was revised to accurately reflect the resident's advance directive code status. Specifically, the care plan for one resident continued to indicate 'Full Code' despite multiple sources in the resident's medical record, including physician orders, an Advance Directive Consent, and a Louisiana Physician Order for Scope of Treatment (LaPOST), all documenting a Do Not Resuscitate (DNR) status. This discrepancy was identified through interviews and record reviews, where both the Minimum Data Set (MDS) staff member and the Director of Nursing (DON) confirmed that the care plan was inaccurate and should have been updated to reflect the resident's DNR status. The resident involved had a medical history that included Alzheimer's disease, cerebral vascular disease, and cerebral infarction. The facility's own policies require that care plans be reviewed and revised periodically to ensure consistency with the resident's written plan of care and advance directives. Despite these requirements, the care plan was not updated to match the documented DNR status, resulting in an inaccurate representation of the resident's wishes and physician orders.
Failure to Complete MDS Assessments Within Regulatory Timeframes
Penalty
Summary
The facility failed to ensure that Minimum Data Set (MDS) assessments were completed within the required regulatory timeframes for 17 out of 24 residents reviewed for assessments. According to the Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) guidelines, MDS assessments must be completed no later than the 14th calendar day after the Assessment Reference Date (ARD). The survey found that multiple types of MDS assessments, including quarterly, annual, admission, discharge, and death assessments, remained incomplete and in progress beyond the required 14-day period. Record reviews revealed that for each of the identified residents, the MDS assessments had ARDs set and corresponding required completion dates, but the assessments were not finalized within the mandated timeframe. The types of assessments affected included quarterly, annual, admission, discharge, and death assessments. For example, one resident had both quarterly and discharge assessments that were not completed on time, while another had both annual and death assessments outstanding. This pattern was consistent across all 17 residents cited in the deficiency. During an interview and records review with the staff member responsible for MDS (S5MDS), it was confirmed that each of the cited assessments remained open and incomplete past the 14-day requirement. The staff member acknowledged that the assessments should have been completed within the specified timeframe, as required by regulation, but this was not done for the residents identified in the survey.
Failure to Timely Transmit MDS Assessments
Penalty
Summary
The facility failed to transmit completed Minimum Data Set (MDS) assessments to the State within the required 14-day period for seven residents. For each of these residents, quarterly or significant change MDS assessments were completed, but the transmission to the Centers for Medicare & Medicaid Services (CMS) was delayed well beyond the 14-day window. Specific examples include assessments with Assessment Reference Dates (ARDs) and completion dates in January and February, but transmissions not occurring until April, resulting in delays of more than 14 days for each case. During a concurrent interview and record review, the MDS Nurse confirmed that the assessments for these residents were submitted late, as evidenced by the facility's CMS transmittal validation report. The deficiency was identified through a review of both the electronic clinical records and the transmittal validation reports, which consistently showed late submission for the affected residents. No information was provided regarding the residents' medical histories or conditions at the time of the deficiency.
Failure to Provide Correct Food Serving Sizes as Indicated by Diet Spreadsheet
Penalty
Summary
Dietary staff failed to provide residents with the correct serving sizes of food as specified in the facility's diet spreadsheet. On the observed date, staff used a 1/3 cup scoop for greens instead of the required 1/2 cup, and a 6 oz scoop for regular ham and beans instead of the required 7 oz. For residents on pureed diets, staff used a 6 oz scoop for pureed ham and beans instead of the specified 2 #8 scoops. These errors were confirmed by the dietary manager, and the incorrect serving sizes were not corrected before the meals were distributed to the secured unit. This practice had the potential to affect all 21 residents residing on the secured unit. No information was provided regarding the specific medical history or condition of the residents at the time of the deficiency.
Failure to Follow Enhanced Barrier Precautions During Resident Care
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) protocols during resident care. Specifically, a treatment nurse provided wound care to a resident with peripheral vascular disease, diabetes mellitus, and bilateral lower extremity arterial ulcers without donning the required gown, despite an EBP sign being posted in the room. After completing the wound care, the nurse exited the resident's room carrying soiled PPE on a tray and disposed of it in the hallway, rather than removing and discarding the PPE inside the resident's room as required by policy. The nurse acknowledged both lapses when questioned. Additionally, a certified nursing assistant was observed assisting with an oral assessment for another resident who was on EBP, but did not wear a gown while placing gloved hands in the resident's mouth. The CNA stated she believed a gown was not required for this care activity, despite the EBP sign on the resident's door. The infection preventionist later confirmed that the resident was on EBP and that a gown should have been worn for direct care involving the mouth. These failures were observed to have the potential to affect the facility's entire census of 96 residents.
Inaccurate MDS Coding for Restraint Use
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessment for a resident regarding restraint use. Record review showed that the resident was admitted with diagnoses including diabetes mellitus and lower limb amputations. The resident's December 2024 physician's orders did not include any order for a restraint. However, the annual MDS assessment for the resident indicated the use of a trunk restraint in a chair or out of bed. During an interview and record review, the staff member responsible for MDS confirmed that there was no order for a restraint and acknowledged that the assessment was incorrectly coded to indicate restraint use.
Failure to Include Level II PASRR in Resident Care Plan
Penalty
Summary
The facility failed to develop a comprehensive, person-centered care plan for a resident with a Level II PASRR determination. Record review showed that the resident was admitted with diagnoses including Schizoaffective Disorder, Depressive Type, and had been approved for admission by the Level II Authority for a specified period. The resident's OBH-PASRR Evaluation Summary and Determination Notice indicated the presence of a serious mental illness and recommended nursing home admission. However, review of the resident's care plan revealed that it did not address the Level II PASRR requirements. During an interview, the staff member responsible for Minimum Data Set (MDS) confirmed that the resident was a Level II PASRR and acknowledged that this should have been included in the comprehensive care plan but was not.
Failure to Invite Resident to Care Plan Meetings
Penalty
Summary
The facility failed to ensure that a resident was invited to participate in their care planning meetings, as required by policy and regulation. Specifically, a resident with chronic kidney disease, heart failure, and major depressive disorder, who was cognitively intact as indicated by a BIMS score of 15, was not invited to any care plan meetings during their stay. The resident reported never having attended or been informed about care plan meetings. Review of the medical record confirmed there was no documentation of the resident or their representative being invited or participating in care plan meetings, including those following significant change and quarterly MDS assessments. Interviews with facility staff revealed that the process for inviting residents or their representatives to care plan meetings was not consistently followed. MDS staff stated that invitations were only extended for quarterly and annual assessments, not for significant change assessments, and there was no documentation of invitations or attendance for the resident in question. The Social Service Director also confirmed not having been instructed to invite residents to care plan meetings and had not done so for this resident. This practice was inconsistent with the facility's own policy, which requires resident and/or representative participation or documentation if participation is not practicable.
Failure to Monitor Effectiveness of QAPI Corrective Action Plan
Penalty
Summary
The facility's Quality Assurance and Performance Improvement (QAPI) Program failed to measure its success and track performance after identifying an area of improvement related to task scheduling errors. Specifically, after the facility transitioned from 12-hour to 8-hour shifts, tasks continued to be scheduled according to the old 12-hour format, resulting in time code discrepancies and necessitating a facility-wide audit to correct these errors. The corrective action plan included auditing and correcting task time codes for each resident and in-servicing nursing staff on the new schedule requirements. Despite these identified issues and the implementation of a corrective action plan, there was no documented evidence that the effectiveness of these actions was monitored or that performance tracking occurred during the specified period. The section of the corrective action plan designated for follow-up and effectiveness remained blank, and interviews with facility leadership confirmed the absence of data collection, analysis, or documentation of monitoring activities from the time the plan was initiated through the review date.
Failure to Provide Pressure Ulcer Prevention and Treatment
Penalty
Summary
Facility staff failed to provide necessary pressure ulcer care and prevention for two residents, resulting in deficiencies related to both the identification and treatment of pressure ulcers. For one resident with multiple comorbidities including COPD, diabetes with neuropathy, and malnutrition, the facility did not conduct weekly body audits as required by policy for several weeks. This resident was assessed as being at risk for pressure ulcers, and the lack of documented audits coincided with the development of a Stage 2 pressure ulcer, which was only identified upon the resident's admission to the hospital. Interviews with facility staff confirmed the absence of required documentation and the failure to identify the pressure ulcer prior to hospitalization. Another resident, admitted with diagnoses including a femur fracture, malnutrition, and muscle weakness, developed a facility-acquired Stage II pressure ulcer on the left heel. The resident's treatment administration records revealed multiple missed wound care treatments over several weeks, despite physician orders specifying daily care. The DON acknowledged awareness of these missed treatments during an interview, confirming that the prescribed wound care was not consistently provided as ordered.
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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 Rayne
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Southwind Nursing & Rehabilitation Center | 1.6 mi | — | 9 | 0 |
| The Ellington | 4.3 mi | — | 0 | 0 |
| The Encore Healthcare And Rehabilitation Center | 6.1 mi | — | 0 | 0 |
| Acadia St Landry Nursing & Rehabilitation Center | 13.6 mi | — | 9 | 0 |
| Kaplan Healthcare Center | 15.6 mi | — | 14 | 0 |
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