Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens 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 Landmark South Nursing & Rehabilitation Center during CMS and state inspections, most recent first.
A facility failed to accurately reflect a resident's code status in their medical records, leading to conflicting information about their DNR wishes. The resident's Advance Directive Consent form indicated a DNR status, but the facility recorded a CPR status in the clinical records. This discrepancy was due to a breakdown in the process of updating and verifying the resident's code status across different records, resulting in a potential risk of the resident receiving unwanted CPR.
The facility failed to maintain sanitary conditions in food storage and ice machine maintenance. Opened food items in the refrigerator were not dated, and the ice machine was found with mold-like particles and a pink sticky substance on its rolling table. Staff confirmed these deficiencies, acknowledging the lack of proper labeling and cleaning.
A facility failed to develop a comprehensive care plan for a resident, neglecting to address the use of antidepressant and psychotropic medications and the resident's suicidal ideations. Despite the resident's diagnoses of Alzheimer's Disease and Anxiety Disorder, and the administration of Seroquel and Lexapro, the care plan did not reflect these treatments or the resident's expressed suicidal thoughts. Staff interviews confirmed the oversight, acknowledging the care plan should have included these critical aspects.
A facility failed to ensure proper PPE use during catheter care for a resident on Enhanced Barrier Precautions (EBP). Despite policy requirements for gown and glove use during high-contact activities, a CNA was observed performing catheter care without a gown. The CNA admitted to the oversight, and both an LPN and the DON confirmed the necessity of gown use for residents under EBP.
A facility failed to monitor the administration of psychotropic medication for a resident, as required by its policy. The resident was prescribed Xanax 0.25 mg as needed for agitation or panic disorder, but there was no documentation of pre-administration screens or reasons for administering the medication on several occasions. Additionally, post-administration screens or responses were not documented on certain dates. The DON confirmed the lack of required documentation, indicating non-compliance with the facility's policy.
The facility failed to lock a medication cart when unattended, as observed by surveyors. An LPN confirmed that Cart F was left unlocked near a resident's room, contrary to the facility's policy. The DON also acknowledged that medication carts should be locked when unattended.
The facility did not post the required daily nurse staffing information, as observed on multiple occasions. The posted information was outdated, and the staff member responsible admitted to not updating it. The administrator confirmed the information was not current.
The facility failed to ensure call lights were within reach for two residents, both at risk for falls and with cognitive deficits. Despite care plans and staff training, observations showed call lights on the floor, inaccessible to the residents. Staff interviews confirmed the expectation for call lights to be within reach, highlighting a lapse in adherence to facility policy.
A resident with cognitive impairment and multiple fractures was found on the floor with significant injuries. The incident was reported internally but not to the state agency within the required timeframe, due to a misunderstanding by the Administrator regarding reporting requirements for unwitnessed falls.
Failure to Accurately Reflect Resident's Code Status
Penalty
Summary
The facility failed to adhere to its policy regarding advance directives, resulting in a discrepancy in the medical records of a resident concerning their code status. The resident had signed an Advance Directive Consent form indicating a Do Not Resuscitate (DNR) status, but the facility inaccurately recorded a status of Cardiopulmonary Resuscitation (CPR) in the resident's clinical records. This inconsistency was discovered when the resident, who had intact cognition, confirmed her wish for a DNR status, yet her physical chart indicated a full code status. The issue arose from a breakdown in the process of updating and verifying the resident's code status across different records. Upon admission, the resident's Advance Directive Consent form was completed, but the information was not accurately reflected in the physician's order or the physical chart. The LPN responsible for updating the electronic health record and physical chart based on the consent form failed to ensure consistency, leading to conflicting information about the resident's code status. Interviews with facility staff revealed a lack of clarity and communication regarding the resident's code status. The LPNs involved in the process did not verify the consistency between the signed consent form, the physician's order, and the physical chart. This oversight created a situation where the resident could have received CPR against her wishes in an emergency, highlighting a significant lapse in following the facility's procedures for managing advance directives.
Sanitation Deficiencies in Food Storage and Ice Machine Maintenance
Penalty
Summary
The facility failed to maintain sanitary conditions in the storage, preparation, and distribution of food, as observed during a survey. Specifically, the facility did not date food items after opening, which included a gallon of milk, thickener mix, turkey meat, cheese blocks, and salad dressing bottles. These items were found in the walk-in refrigerator without any open dates, contrary to the facility's policy that requires all opened food items to be labeled with the name of the food and the date stored. This oversight was confirmed by S4DM during an interview, who acknowledged that all opened items should be labeled with an open date. Additionally, the facility did not properly clean and sanitize the ice machine and its rolling table. The ice machine's ice dispenser tray was covered with round fuzzy greenish/black particles, and similar particles were floating in standing water inside the machine. A pink sticky substance was also noted on the ice machine rolling table cart. S4DM and S1ADM confirmed that the ice machine and table should be clean and sanitary, which they were not. S5MS, who was responsible for cleaning the ice machines, was also interviewed and acknowledged the responsibility for scheduled cleanings.
Failure to Address Medications and Suicidal Ideations in Care Plan
Penalty
Summary
The facility failed to develop a comprehensive person-centered care plan for a resident, specifically addressing the use of antidepressant and psychotropic medications, as well as the resident's suicidal ideations. The resident, who was admitted with diagnoses including Alzheimer's Disease and Anxiety Disorder, was administered Seroquel and Lexapro over a period of time. Despite these medications being recorded in the Medication Administration Records, the resident's care plan did not reflect their use, nor did it address the resident's expressed suicidal thoughts. Interviews with facility staff, including an LPN, MDS coordinator, and the Director of Nursing, confirmed the oversight. The staff acknowledged that the resident's care plan should have included the use of psychotropic and antidepressant medications and addressed the suicidal ideations reported on specific dates. The failure to update the care plan was confirmed by multiple staff members, indicating a lapse in ensuring the resident's care plan was comprehensive and reflective of their current needs.
Improper PPE Use During Catheter Care for Resident on EBP
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the improper use of Personal Protective Equipment (PPE) during catheter care for a resident on Enhanced Barrier Precautions (EBP). The facility's policy on EBP, revised in March 2024, mandates the use of gowns and gloves during high-contact activities for residents with indwelling medical devices, such as urinary catheters. Resident #80, who had a history of urinary tract infections and was on EBP since August 30, 2024, required such precautions during catheter care. On November 12, 2024, a Certified Nursing Assistant (CNA) was observed performing catheter care for Resident #80 without wearing a gown, despite the EBP sign on the resident's door indicating the necessity of gown and glove use. The CNA admitted to not wearing a gown due to being busy with other tasks. Subsequent interviews with a Licensed Practical Nurse (LPN) and the Director of Nursing (DON) confirmed that the CNA should have worn a gown while providing care to the resident under EBP.
Failure to Monitor Psychotropic Medication Administration
Penalty
Summary
The facility failed to ensure adequate monitoring for the effectiveness and side effects of psychotropic medication for one of the residents reviewed. The facility's policy on psychotropic medications requires a pre and post-administration screen for each use of PRN psychotropic medications, including documentation of the behavior the drug is intended to reduce, physiological, environmental, and pharmacological interventions, as well as post-administration behavior and side effects. However, the facility did not adhere to this policy for a resident who was prescribed Xanax 0.25 mg as needed for agitation or panic disorder. The medication was administered multiple times over several days, but there was no documentation of a pre-administration screen or reason for administering the medication on several occasions. Additionally, there was a lack of documentation of a post-administration screen or response to the medication on certain dates. The Director of Nursing (DON) confirmed the absence of required documentation after reviewing the resident's Medication Administration Record (MAR) and nurse's notes. This oversight indicates a failure to comply with the facility's policy on monitoring psychotropic medication, which is crucial for ensuring the safety and well-being of residents receiving such medications.
Medication Cart Security Deficiency
Penalty
Summary
The facility failed to ensure that medication carts were locked when unattended, as required by their policy. During an observation on July 17, 2024, at 8:01 a.m., Cart F was found unlocked and unattended near a resident's room. This was confirmed during an interview with an LPN, who acknowledged that the cart should have been locked at all times when not attended. Additionally, the Director of Nursing confirmed that the medication carts should be locked when left unattended and acknowledged that the surveyor should not have observed Cart F unlocked.
Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to post the required nurse staffing information on a daily basis, as observed on multiple occasions on 07/18/2024. At 8:15 a.m., 10:00 a.m., and 12:30 p.m., the posted staffing information was dated 07/17/2024, indicating it was not updated for the current day. During an interview at 12:55 p.m., S3WC, who was responsible for posting the daily staffing information, admitted that she did not post the staffing information for the day and acknowledged that she should have done so. At 1:03 p.m., S1ADM confirmed that the daily staffing information was not current and was still dated 07/17/2024.
Failure to Ensure Call Lights Within Reach for Residents
Penalty
Summary
The facility failed to ensure that the call lights were within reach for two residents, R1 and R2, as observed during a survey. Resident R1, who has Alzheimer's disease, urinary tract infections, and a cognitive communication deficit, was found with her call light on the floor and out of reach while resting in bed. Her care plan, which has been in place since May 2019, specifically includes the intervention of placing the call light within reach to mitigate her risk of falls. Similarly, Resident R2, diagnosed with systemic lupus, cognitive communication deficit, and dementia, was observed in her wheelchair with the call light behind her on the floor, making it inaccessible. Despite being educated on the importance of using the call light and having staff in-serviced on keeping it within reach, the call light was not accessible to her. Interviews with staff, including LPNs and ADONs, confirmed that the call lights should have been within reach, but they were not, indicating a failure to adhere to the facility's policy and the residents' care plans.
Failure to Timely Report Injury of Unknown Origin
Penalty
Summary
The facility failed to report an injury of unknown origin within the required timeframe, as mandated by state and federal regulations. A resident, who was admitted with multiple diagnoses including Parkinson's Disease, Dementia, and fractures, was found on the floor with significant injuries, including a protruding knot above the left eyebrow, bruising, abrasions, and fractures. The resident was assessed as having moderate cognitive impairment and required total dependence for all activities of daily living and transfers. Despite the severity of the injuries and the unwitnessed nature of the fall, the incident was not reported to the state agency within the required two-hour window. Interviews with facility staff revealed that the incident was reported internally to the Assistant Director of Nursing immediately, but the Administrator was only informed within 24 hours. The Administrator confirmed that the incident, which resulted in fractures, was not reported to the state agency, under the mistaken belief that unwitnessed falls did not require reporting. This oversight represents a failure to adhere to the facility's policy on incident investigation and reporting, which mandates immediate reporting of such incidents to the appropriate authorities.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 94 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Baton Rouge
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Old Jefferson Community Care Center | 2 mi | — | 1 | 0 |
| White Oak Post Acute Care | 6.1 mi | — | 9 | 0 |
| Jefferson Manor Nursing And Rehab Ctr, Llc | 6.1 mi | — | 4 | 0 |
| Heritage Manor Of Baton Rouge Ii | 6.8 mi | — | 5 | 0 |
| Landmark Of Baton Rouge | 6.8 mi | — | 8 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Landmark South Nursing & Rehabilitation Center.
100% money-back within 48 hours.
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.