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 St Clare Manor Nursing And Rehabilitation during CMS and state inspections, most recent first.
A resident with mild protein-calorie malnutrition and hypokalemia did not receive the correct double portions diet as ordered. The facility's policy required nursing staff to verify the correct diet before serving, but an observation revealed the resident's lunch tray contained only single portions. Interviews with an LPN and the Dietary Manager confirmed the discrepancy, and the administrator acknowledged the failure to provide the ordered double portions.
A resident with lactose intolerance was served whole milk instead of lactose-free milk, contrary to her care plan and meal ticket instructions. The error was confirmed by staff, highlighting a failure in the facility's dietary service procedures.
A resident's MAR was inaccurately documented, failing to reflect the timely administration of a Fentanyl patch as per physician orders. An LPN documented the patch change before it was applied, leading to a lapse in medication administration. The DON confirmed the documentation was inaccurate and not in line with professional standards.
A resident's medical records were inaccurately maintained when Ativan was prescribed for Anxiety but recorded for Dementia with Behavioral Disturbance. The error persisted in the Medication Administration Record, and interviews confirmed the discrepancy. The DON acknowledged the expectation for accurate transcription of orders.
A facility failed to adhere to its infection control program by not changing a resident's PICC line dressing as required. Despite physician orders and facility policy mandating weekly changes, the dressing was not changed for over a week, as confirmed by staff interviews and record reviews. This oversight was acknowledged by the RNs and the DON, highlighting a deficiency in infection control practices.
A resident with severe cognitive impairment was found with a fractured leg, but the injury was not reported to the State agency within the required 2-hour timeframe. Staff were aware of the injury but failed to notify the Administrator or the State agency promptly, leading to a delay in reporting.
Failure to Provide Correct Portion Sizes for Resident
Penalty
Summary
The facility failed to ensure that menus were followed to meet the nutritional needs of residents, specifically by not providing the correct portion sizes as ordered for a resident. The facility's policy required nursing staff to check each food tray for the correct diet before serving residents. However, during an observation, it was noted that a resident with a diagnosis of mild protein-calorie malnutrition and hypokalemia, who had a physician's order for a double portions diet, did not receive the correct portion sizes on their lunch tray. The resident's lunch tray was observed to contain only single portions of various food items, despite the tray ticket indicating a requirement for double portions. Interviews with the LPN and the Dietary Manager confirmed that the lunch tray did not meet the ordered double portions. The facility administrator also acknowledged that the resident should have received double portions at every meal, indicating a failure to adhere to the dietary orders and facility policy.
Failure to Accommodate Dietary Needs for Lactose Intolerant Resident
Penalty
Summary
The facility failed to provide a resident with meals that accommodated her lactose intolerance, as required by her care plan. Resident #5, who is lactose intolerant, was observed being served whole milk instead of lactose-free milk during breakfast. This was despite her meal ticket clearly indicating that she should receive lactose-free milk. The error was confirmed by S9CNA, who was feeding the resident, and later by S4ADON and S3ADM, who reviewed the meal ticket and acknowledged the mistake. This oversight occurred despite the facility's policy requiring both the food service manager or supervisor and nursing staff to check trays for correct diets before serving residents.
Inaccurate Documentation of Medication Administration
Penalty
Summary
The facility failed to ensure accurate documentation of a resident's Medication Administration Record (MAR) for pharmaceutical services. Specifically, the deficiency involved Resident #2, who had a physician's order for a Fentanyl Transdermal Patch to be applied every three days for pain management. On February 19, 2025, an observation revealed that the Fentanyl patch on Resident #2's right chest wall was dated February 16, 2025, indicating it had not been changed as per the physician's order. The MAR inaccurately documented that the patch was removed and a new one applied on February 19, 2025, at 6:00 a.m., signed by S8LPN. During an interview, S8LPN admitted to documenting the administration of the Fentanyl patch before actually applying it, due to being distracted by another situation. This resulted in the patch not being changed as required. The Director of Nursing (S2DON) confirmed that all medications should be administered according to physician orders and that the documentation should be accurate. The inaccurate documentation of the Fentanyl patch administration for Resident #2 was acknowledged as a failure to adhere to the facility's policy and professional standards.
Inaccurate Transcription of Medication Diagnosis
Penalty
Summary
The facility failed to maintain accurate medical records for a resident, leading to a deficiency. The resident was admitted with diagnoses including Dementia with Behavioral Disturbance, Psychotic Disturbance, and Anxiety. A telephone order was made to start Ativan for the resident, with the diagnosis inaccurately transcribed as Dementia with Behavioral Disturbance instead of Anxiety. This error was reflected in the resident's Medication Administration Record for May and June 2024, where Ativan was administered for Dementia with Behavioral Disturbance. Interviews with the prescribing nurse practitioner and a psychiatrist confirmed that Ativan was intended to treat Anxiety, not Dementia, and that Dementia was not an appropriate diagnosis for Ativan. The Director of Nursing acknowledged the expectation for accurate transcription of physician telephone orders in the resident's clinical record.
Inadequate PICC Line Dressing Management
Penalty
Summary
The facility failed to maintain an effective infection control program, as evidenced by the improper management of a PICC line dressing for a resident. The facility's policy required that PICC line dressings be changed every seven days or as needed if the dressing became damp, loosened, or visibly soiled. However, the facility did not adhere to this policy for a resident who was readmitted with a diagnosis of sepsis. The resident's clinical records and treatment administration records showed no documented evidence of the PICC line dressing being changed from the time of readmission until the survey date, despite physician orders specifying weekly changes and as needed. Observations and interviews with nursing staff confirmed that the PICC line dressing, dated from the time of the resident's hospital discharge, had not been changed as required. Both the RNs and the Director of Nursing acknowledged the oversight and confirmed the lack of documentation indicating that the dressing had been changed. This failure to follow established protocols and physician orders resulted in a deficiency in the facility's infection control practices, potentially compromising the resident's health and safety.
Failure to Timely Report Injury of Unknown Origin
Penalty
Summary
The facility failed to ensure an injury of unknown origin was reported immediately, but not later than 2 hours after the incident, to the facility Administrator and to the State Survey Agency within the specified timeframe. Resident #1, who was severely cognitively impaired with a BIMS of 00, was found with swelling and edema in her left lower leg on 04/19/2024. An x-ray revealed an acute fracture of the distal tibia and proximal fibula, and the resident was subsequently transferred to a local hospital. However, the injury was not reported to the State agency within the required 2-hour window. Interviews with staff revealed that the injury was discovered by a CNA and assessed by an LPN, who then contacted the on-call Nurse Practitioner and ordered an x-ray. The x-ray results, which confirmed the fracture, were received later that evening, but the injury was not reported to the State agency until the following morning. The Director of Nursing (DON) and Assistant Director of Nursing (ADON) were aware of the injury but did not notify the Administrator or the State agency in a timely manner. The Administrator was only informed of the injury the next morning, and the report to the State agency was filed at 9:43 a.m. on 04/20/2024, well beyond the 2-hour reporting requirement. The delay in reporting the injury of unknown origin constitutes a failure to comply with the facility's policy and state regulations, which mandate immediate reporting of such incidents to ensure timely investigation and intervention.
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 98 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) |
|---|---|---|---|---|
| Baton Rouge Gen Med Ctr, Snf | 1.9 mi | — | 0 | 0 |
| Capital Oaks Nursing & Rehabilitation Center Llc | 2.2 mi | — | 1 | 0 |
| Mid City Community Nursing And Rehab | 2.2 mi | — | 3 | 0 |
| Sterling Place Healthcare & Rehabilitation Center | 2.4 mi | — | 0 | 0 |
| The Guest House Care Center | 2.4 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for St Clare Manor Nursing And Rehabilitation.
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.