Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
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 Old Jefferson Community Care Center during CMS and state inspections, most recent first.
A resident receiving hospice services did not have the most current Hospice Plan of Care in the hospice binder or EHR for the current certification period. The DON reviewed the record and confirmed the current plan was missing and that the binder should have contained the most up to date POC.
The facility failed to provide scheduled baths for two residents and necessary perineal care for three residents after incontinent episodes. Despite being cognitively intact and requiring assistance, the residents did not receive the care as scheduled, as confirmed by staff and resident interviews. Observations showed that residents were not cleansed after soiled briefs were removed, and the CNA admitted to not providing the required care.
The facility failed to store medications properly, as evidenced by loose pills found in Med Cart B. An observation revealed 18 whole tablets and 2 halves of tablets loose in the cart, which was confirmed by an LPN. The Director of Nursing acknowledged that the pills should not have been loose, indicating a failure to adhere to the facility's medication storage policy.
The facility failed to store foods under sanitary conditions by not dating opened food items and not documenting temperatures on logs daily. During a kitchen inspection, undated opened food items were found, and temperature logs for storage areas were blank. The Dietary Manager and Administrator confirmed these oversights, which could affect 110 residents receiving meals from the kitchen.
A resident was incorrectly coded for active infections of Pneumonia and Septicemia on their MDS, despite no evidence of these conditions being present. Interviews with family and staff, along with a review of medical records, confirmed the error, highlighting a failure in accurate assessment and documentation.
A resident with Dementia and Protein-Calorie Malnutrition did not receive meals according to her preference for double portions, as indicated on her meal ticket. Despite the dietary instructions, she was served single portions, which was confirmed by staff interviews.
A facility failed to adhere to its infection prevention and control program by not ensuring staff wore proper PPE during care of a resident with a PEG tube. An LPN was observed providing care without a gown, despite the resident being on Enhanced Barrier Precautions (EBP) due to the feeding tube. The LPN admitted uncertainty about the EBP protocol, and the DON confirmed the expectation for staff to follow the EBP PPE protocol.
The facility did not post daily nurse staffing data in a prominent location accessible to residents and visitors, as required by policy. During an observation, no staffing data sheets were found, and interviews with staff confirmed the oversight. The staff member responsible for posting the data acknowledged the failure to post the information for that day.
A resident with dysphagia and severe cognitive impairment was left unsupervised during a meal, despite requiring supervision. The resident was found on the floor, gasping for air with food particles in his mouth. Attempts to clear the airway were unsuccessful, and the resident expired. Staff interviews revealed inconsistent understanding of the resident's supervision needs, and surveillance footage confirmed the lack of supervision.
Two residents in the facility had inaccurate MDS assessments regarding their dietary needs. Despite physician orders for mechanical soft diets, the MDS for both residents incorrectly indicated no need for mechanically altered diets. This discrepancy was confirmed by the staff responsible for MDS assessments and the DON, highlighting a failure in accurately reflecting residents' dietary orders.
Missing Current Hospice Plan of Care in Resident Record
Penalty
Summary
The facility failed to meet hospice requirements by not maintaining a system to ensure Resident #12's Hospice Binder contained the most recent Hospice Plan of Care. Resident #12 was admitted to the facility on [DATE] and was a patient of a local hospice agency with an admission date of 02/20/2025. Review of the resident's Hospice Binder and Electronic Health Record showed no current Hospice Plan of Care for the current certification period of 03/05/2026 through 05/03/2026. During an interview on 03/25/2026 at 11:55 a.m., the DON reviewed the binder and EHR and confirmed that the current Hospice Plan of Care was not on file and that the binder should have contained the most current and up to date Plan of Care.
Failure to Provide Scheduled Baths and Perineal Care
Penalty
Summary
The facility failed to ensure that residents who were unable to carry out activities of daily living (ADLs) received the necessary services to maintain good personal hygiene. Specifically, two residents did not receive their scheduled baths. One resident, who was cognitively intact and required substantial assistance with bathing, did not receive a bed bath on her scheduled days. Interviews with the resident and staff confirmed the inconsistency in providing the scheduled baths. Another resident, also cognitively intact and requiring moderate assistance, did not receive a shower on her scheduled day, as confirmed by staff interviews. Additionally, the facility failed to provide necessary perineal care after incontinent episodes for three residents. One resident, who was occasionally incontinent and required moderate assistance with toileting hygiene, was observed not receiving peri-care after a soiled brief was removed. Another resident, who was also occasionally incontinent, reported that a CNA regularly changed her brief without cleansing her peri-area. Observations confirmed that the resident's brief and bed were wet, and no peri-care was provided. A third resident, who was always incontinent and required maximum assistance, was observed not receiving peri-care after a urine-saturated brief was removed. Interviews with the residents confirmed their desire to be cleansed after incontinent episodes, and they had not refused such care. The CNA involved admitted to not providing peri-care and acknowledged that rounds should be made every two hours. The Director of Nursing confirmed that staff should perform peri-care after each incontinent episode and conduct rounds every two hours.
Improper Storage of Medications in Facility
Penalty
Summary
The facility failed to ensure that drugs were stored in accordance with current accepted professional principles, as evidenced by the condition of Med Cart B. During an observation on February 4, 2025, at 10:08 a.m., it was found that Med Cart B contained a total of 18 whole tablets and 2 halves of tablets that were loose and not properly stored. The loose tablets included various shapes and colors, such as oval, round, and oblong white and yellow tablets. This observation was made in the presence of S6LPN, who confirmed the presence of the loose pills in the medication cart. Further interviews revealed that the facility's Director of Nursing (S2DON) was informed of the findings and confirmed that there should not have been any loose pills on the medication cart. The facility's policy, revised in November 2020, mandates that all drugs and biologicals be stored in a safe, secure, and orderly manner. However, the presence of loose pills in Med Cart B indicates a failure to adhere to this policy, as confirmed by both S6LPN and S2DON during their respective interviews.
Failure to Store Foods Sanitarily and Document Temperatures
Penalty
Summary
The facility failed to store foods under sanitary conditions, as observed during a survey. Specifically, the facility did not date food items after opening, which is a requirement according to their policy. During an inspection of the kitchen, several opened food items, including a gallon of mayonnaise, containers of chopped lettuce, tomatoes, and sliced cheese, were found undated. This oversight was confirmed by the Dietary Manager (S3DM) and the Administrator (S1ADM), who acknowledged that all opened items should have been labeled with an open date. Additionally, the facility did not document temperatures on temperature logs daily, as required by their policy. The review of temperature logs for the walk-in freezer, walk-in refrigerator, and snack/nourishment refrigerator showed no documentation of temperatures from January 2025 to the current date. Both S3DM and S1ADM confirmed that temperatures should have been documented daily, and the logs should have been completed. This deficiency had the potential to affect 110 residents who were provided meals from the facility's kitchen.
Inaccurate MDS Coding for Resident Infections
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) accurately reflected the status of a resident, specifically regarding the coding of infections. Resident #49 was admitted with diagnoses of Sepsis and Pneumonia, but during the review of her Annual MDS with an Assessment Reference Date (ARD) of 11/14/2024, it was found that these conditions were incorrectly coded as active diagnoses. Interviews and record reviews revealed that there were no physician orders, medication administration records, nurse's notes, or entries in the facility's infection log indicating that the resident had active infections of Pneumonia and Septicemia during November 2024. Interviews with the resident's family member, an LPN, and the facility's Care Coordinator confirmed that Resident #49 did not have any active infections, including Pneumonia and Septicemia, at the time. The Care Coordinator, who was responsible for completing the MDS assessments, acknowledged that the conditions were admit diagnoses and should not have been coded as active. The Director of Nursing also confirmed the incorrect coding on the MDS, indicating a failure in accurately assessing and documenting the resident's current health status.
Failure to Accommodate Resident Meal Preferences
Penalty
Summary
The facility failed to provide meals that accommodated the preferences of a resident diagnosed with Dementia and Protein-Calorie Malnutrition. The resident, who was admitted to the facility on an unspecified date, had a documented preference for double portions with all meals, as indicated on her meal ticket. However, during an observation of her breakfast tray, it was noted that she received only single portions of grits, scrambled eggs, sausage, and French toast, contrary to the double portions specified. Interviews with the CNA, LPN, and Dietary Manager confirmed that the resident's meal ticket indicated a preference for double portions, which was not fulfilled. The Director of Nursing also acknowledged that the resident's preference for double portions should have been provided.
Failure to Adhere to Enhanced Barrier Precautions for Resident with PEG Tube
Penalty
Summary
The facility failed to implement and maintain an effective infection prevention and control program, specifically in the use of Enhanced Barrier Precautions (EBP) for a resident with a Percutaneous Endoscopic Gastrostomy (PEG) tube. The facility's policy required staff to wear gloves and gowns during high-contact resident care activities, such as device care or use, to prevent the spread of multidrug-resistant organisms. However, during an observation, a Licensed Practical Nurse (LPN) was seen providing care for the resident's PEG tube site without wearing a gown, despite the resident being on EBP due to the feeding tube. The LPN acknowledged not wearing a gown during the PEG site assessment and residual check, stating uncertainty about the proper EBP protocol. The Director of Nursing (DON) confirmed that the resident was on EBP related to the PEG tube and expected staff to follow the EBP PPE protocol by applying a gown and gloves during direct care. This deficiency highlights a lapse in adherence to the facility's infection control policy, potentially compromising the safety and sanitary conditions required to prevent the transmission of infections.
Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that nurse staffing data was posted daily in a prominent location accessible to residents and visitors, as required by their policy. During a tour and observation conducted on February 3, 2025, at 11:10 a.m., no staffing data sheets were observed in the facility. Interviews with staff members confirmed the deficiency. S5CS, who was responsible for posting the staffing data sheets, acknowledged that the information was not posted for that day. S1ADM also confirmed that the staffing data information was not posted and should have been, according to the facility's policy.
Resident Left Unsupervised During Meal Results in Fatal Incident
Penalty
Summary
The facility failed to provide adequate supervision to a resident who required assistance during meals, leading to a critical incident. The resident, who had a history of dysphagia and was severely cognitively impaired, was left unsupervised while eating in his room. Despite being coded for supervision or touching assistance with eating, the resident was left alone by a CNA and later by an LPN, who both exited the room without ensuring the resident was adequately monitored. The resident was on a mechanically altered diet due to swallowing difficulties, and his care plan required supervision during meals. However, on the day of the incident, the resident was left unsupervised with his meal tray. Shortly after, the LPN found the resident on the floor, gasping for air with food particles in his mouth. Despite attempts to clear the airway using the Heimlich maneuver and suction, the resident became pulseless and expired. Interviews with staff revealed a lack of consistent understanding and communication regarding the resident's need for supervision during meals. Some staff members believed the resident did not require supervision, while others confirmed the need for oversight. The facility's surveillance footage corroborated the timeline of events, showing the resident was left unsupervised for several minutes, which ultimately led to the fatal incident.
Inaccurate MDS Dietary Assessments for Two Residents
Penalty
Summary
The facility failed to ensure accurate assessments for two residents regarding their dietary needs as reflected in the Minimum Data Set (MDS). Resident #2, who was admitted with a diagnosis of dysphagia, had physician orders for a mechanical soft diet with regular-thin liquids. However, the MDS assessment for Resident #2 incorrectly indicated that no mechanically altered diet was required, despite the physician's orders. This discrepancy was confirmed during an interview with the staff member responsible for completing the MDS assessments, who acknowledged that the MDS should have been coded to reflect the mechanical soft diet. Similarly, Resident #3, who also had physician orders for a mechanical soft diet with chopped meats and regular-thin liquids, was inaccurately assessed in the MDS. The MDS for Resident #3 also failed to indicate the need for a mechanically altered diet, contrary to the physician's orders. This error was confirmed by the same staff member responsible for the MDS assessments, who admitted that the coding should have reflected the dietary orders. The Director of Nursing corroborated that the MDS should accurately reflect the resident's diet orders, indicating a systemic issue in the assessment process.
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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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How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Landmark South Nursing & Rehabilitation Center | 2 mi | — | 1 | 0 |
| White Oak Post Acute Care | 4.5 mi | — | 9 | 0 |
| The Woodleigh Of Baton Rouge | 4.9 mi | — | 1 | 0 |
| Pines Retirement Center Of Baton Rouge | 4.9 mi | — | 10 | 0 |
| Jefferson Manor Nursing And Rehab Ctr, Llc | 5 mi | — | 4 | 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.