Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before 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 The Ellington during CMS and state inspections, most recent first.
A resident with a history of falls and multiple medical conditions did not receive timely fall risk assessments after each fall, as required by the facility's policy. The facility inaccurately documented the resident's fall history, leading to an incorrect assessment of their fall risk status. This deficiency was confirmed by the DON during an interview.
A resident with severe cognitive impairment and a history of a femur fracture complained of pain in the right leg, but the nursing staff failed to assess or document the condition despite reports of swelling and bruising from CNAs. An x-ray was ordered for the hip, but not the leg, leading to a delay in identifying a fracture. The DON confirmed the lack of documentation and assessment during the critical period.
A cognitively impaired resident with a history of wandering eloped from a facility due to inadequate supervision and failure to implement care plan interventions. Despite being observed attempting to open several doors, staff did not intervene, and the resident exited the facility undetected. The resident's elopement alarm was too faint to alert staff, and reliance on this system failed to prevent the incident.
A resident with severe cognitive impairment and a history of falls was not adequately supervised during the night shift, leading to multiple unwitnessed falls. The care plan's instructions for night staff to assist the resident out of bed were not consistently followed, and the resident's wheelchair alarm was found to be non-functional due to missing batteries. Staff interviews revealed a lack of communication and awareness regarding the resident's care needs.
A resident in the facility was found to have stained bed linens, which were not changed despite being observed by staff. The facility's policy requires clean linens, but this was not followed, leading to a deficiency in maintaining a homelike environment.
A resident with diagnoses including COPD and hypertension did not have TED hoses applied as ordered by the physician. Observations on two consecutive days showed the resident without TED hoses, and both the resident and an LPN confirmed the hoses were not applied, indicating non-compliance with the care plan.
A facility failed to properly store oxygen equipment for a resident with respiratory needs. The resident, with a history of heart disease and COVID-19, had an order for oxygen therapy as needed. An observation revealed the nasal cannula tubing was left exposed and in contact with the oxygen concentrator, which was confirmed by an LPN responsible for its proper storage.
An LPN at the facility left a resident's medication at the bedside, violating the facility's policy that requires staff to remain with residents until all medication is swallowed. The resident, who had intact cognition but no authorization for self-administration, was found with a cup of pills on the over-bed table. The DON confirmed this was against policy.
The facility failed to follow professional standards for food service safety by not labeling opened food packages with dates in the kitchen, cooler, and walk-in freezer. This included hamburger buns, liquid protein, chocolate dessert topping, garlic bread, and sweet potato fries. The Dietary Cook and Manager confirmed these deficiencies, affecting 112 residents.
A facility failed to maintain accurate medical records for a resident, as nursing staff did not consistently initial the Treatment Administration Record (TAR) for required care, including suprapubic catheter site care and treatment on the resident's left toe and malleolus, over several months. The Director of Nursing confirmed the missing documentation, raising concerns about the administration of necessary treatments.
A facility failed to implement a care plan for a resident by not monitoring adverse reactions to Plavix and Aspirin. The resident, with cognitive impairment and multiple diagnoses, was on a care plan requiring monitoring for specific adverse reactions. However, the MAR and TAR lacked documentation of such monitoring over several months, which was confirmed by the DON.
A resident with multiple diagnoses, including Parkinsonism and osteoporosis, sustained fractures to both lower legs after a CNA transferred them alone and without a mechanical lifter, contrary to the care plan. The facility's investigation confirmed neglect, and corrective actions were implemented.
Failure to Conduct Timely Fall Risk Assessments
Penalty
Summary
The facility failed to ensure that nursing services met professional standards of quality by not conducting fall risk assessments after each fall experienced by a resident. The facility's policy required that a Fall Risk Assessment Form be completed upon admission, re-admission, during the MDS/Care Plan review, and as needed, particularly after a fall. However, for one resident, who had a history of multiple falls, the facility did not perform these assessments after each incident. The resident experienced several falls over a period, but assessments were only completed during scheduled care plan reviews, not after each fall as required. The resident in question had a medical history that included age-related osteoporosis, restless leg syndrome, a history of falls, lack of coordination, and unsteadiness on feet, among other conditions. Despite these risk factors, the facility inaccurately assessed the resident's fall risk status. For instance, a fall risk assessment conducted in July incorrectly indicated that the resident had no falls in the past three months, despite having multiple falls during that period. This inaccuracy was confirmed by the Director of Nursing during an interview, highlighting a failure to accurately document and assess the resident's fall risk status.
Failure to Assess and Document Resident's Condition
Penalty
Summary
The facility failed to ensure that a resident received appropriate care and treatment in accordance with professional standards of practice. The deficiency involved a resident with severe cognitive impairment and multiple medical conditions, including a displaced fracture of the right femur. The resident complained of pain in the right leg, but the nursing staff did not conduct a thorough assessment or document the condition of the leg, despite reports from CNAs about swelling and bruising. On multiple occasions, CNAs reported the resident's complaints of pain and visible signs of swelling and bruising to the nursing staff. However, the nursing staff did not follow up with a comprehensive assessment or communicate the full extent of the resident's symptoms to the physician. An x-ray was ordered for the right hip, but not for the right leg, where the pain and swelling were reported. The lack of documentation and assessment persisted over several days, leading to a delay in identifying the resident's right leg fracture. Interviews with the facility's staff revealed a reliance on licensed staff assessments over CNA reports, which contributed to the oversight. The Director of Nursing confirmed that there was no documentation of an assessment of the resident's right leg during the critical period. The failure to assess and document the resident's condition resulted in the resident being sent to the emergency room, where a fracture was confirmed.
Failure to Prevent Resident Elopement Due to Inadequate Supervision
Penalty
Summary
The facility failed to implement care plan interventions and provide adequate supervision for a cognitively impaired resident with a history of wandering, resulting in the resident eloping from the facility. The resident, who had severe cognitive impairment and was at risk for elopement, was observed by multiple staff members attempting to open several doors throughout the facility. Despite these observations, staff did not intervene to redirect or distract the resident, allowing the resident to exit the facility undetected. The resident's care plan included interventions such as offering diversions and monitoring the resident's location, but these were not effectively implemented. The resident had an elopement alarm bracelet, but the alarm's volume was too faint to be heard by staff members at various distances from the door. On the day of the incident, the resident was seen on video surveillance pushing on multiple exit doors, and staff members who observed this behavior did not take action to prevent the elopement. Interviews with staff revealed that they were aware of the resident's exit-seeking behavior but did not take appropriate measures to address it. The facility relied on the elopement alarm and locking mechanisms on doors, which failed to prevent the resident from leaving the premises. The resident was found by a citizen and returned to the facility, highlighting the lack of adequate supervision and intervention by the facility staff.
Failure to Prevent Falls and Maintain Equipment
Penalty
Summary
The facility failed to ensure that a resident remained free from accidents, specifically in the context of falls. The resident, who was admitted with severe cognitive impairment and a history of falls, was not adequately supervised during the night shift. The care plan included specific instructions for the night staff to get the resident out of bed during the last rounds if awake, but this was not consistently communicated or followed. As a result, the resident experienced multiple unwitnessed falls during early morning hours, indicating a lack of adherence to the care plan. Additionally, the facility did not ensure that the resident's wheelchair alarm was functioning properly. During an observation, the resident was found on the floor with a non-functioning wheelchair alarm, which was later discovered to have no batteries. This failure to maintain the alarm system contributed to the resident's risk of falls, as the alarm was intended to alert staff to potential falls or attempts to transfer without assistance. Interviews with staff revealed a lack of awareness and communication regarding the resident's care plan and the need for increased supervision. The night staff was not informed about the requirement to assist the resident out of bed during the last rounds, and the malfunctioning wheelchair alarm was not addressed until after the resident had already fallen. These deficiencies highlight a breakdown in communication and equipment maintenance, which are critical for ensuring resident safety.
Failure to Provide Clean Bed Linen
Penalty
Summary
The facility failed to maintain a clean, comfortable, and homelike environment for its residents, specifically by not providing clean bed linen to a resident. During an observation, it was noted that the resident's bed was unmade, and the pillowcase had a medium-sized yellow stain along with multiple small light brown stains on the bed linen. A subsequent observation confirmed that the bed was made, but the stained linens remained unchanged. Interviews with facility staff, including an LPN and the Director of Nursing, confirmed that the bed linens were stained and should have been changed before the bed was made. The facility's policy on bed making emphasizes the importance of providing clean and comfortable beds for residents, which includes changing any soiled or dirty linen. Despite this policy, the facility did not adhere to these standards, resulting in the deficiency.
Failure to Apply TED Hoses as Ordered
Penalty
Summary
The facility failed to adhere to a physician's order and care plan for a resident by not ensuring the application of TED hoses as prescribed. The resident, who was admitted with diagnoses including Chronic Obstructive Pulmonary Disease, Essential Primary Hypertension, and Unspecified Atrial Fibrillation, had a physician's order dated 03/01/2024 to apply TED hoses in the morning and remove them at night. The resident's care plan from June 2024 also included this intervention to prevent complications related to hypertension. Observations on 06/24/2024 and 06/25/2024 revealed that the resident was not wearing TED hoses as required. During an interview, the resident confirmed that the nurse did not offer to put on the TED hoses on either day. An LPN also confirmed that the TED hoses were not applied on these dates, indicating a failure to follow the prescribed care plan and physician's orders.
Improper Storage of Oxygen Equipment
Penalty
Summary
The facility failed to ensure proper storage of oxygen equipment for a resident requiring respiratory care. Resident #97, who was admitted with conditions including Atrial Fibrillation, Atherosclerotic Heart Disease, and COVID-19, had a physician's order for oxygen therapy at 2 liters per minute via nasal cannula as needed for shortness of breath. During an observation, the oxygen concentrator in Resident #97's room was found with the nasal cannula tubing draped over it, exposed to air, and the nose piece in contact with the machine. This improper storage was confirmed by an LPN, who acknowledged that the nursing staff was responsible for storing the nasal cannula tubing in a bag when not in use.
Medication Administration Deficiency
Penalty
Summary
The facility failed to ensure that the nursing staff demonstrated the necessary competencies and skills to safely meet the needs of the residents, specifically for one resident. This deficiency was evidenced by an LPN leaving a resident's medication at the bedside, contrary to the facility's medication administration policy. The policy clearly states that the person administering medication must remain with the resident until all medication has been swallowed. The resident involved had a BIMS score indicating intact cognition but had no documentation authorizing self-administration of medications. The LPN administered multiple medications to the resident and left them in a clear plastic cup on the over-bed table. This action was confirmed by the LPN during an interview, and the Director of Nursing acknowledged that this practice was against the facility's policy.
Food Handling and Labeling Deficiencies
Penalty
Summary
The facility failed to adhere to professional standards for food service safety by not following appropriate food handling practices. During an inspection, it was observed that two opened packages of hamburger buns were not labeled with the date. Additionally, in the cooler, an opened container of liquid protein and an opened chocolate dessert topping were found without date labels, with the latter also having an expired date. In the walk-in freezer, an opened bag of garlic bread and an opened bag of sweet potato fries were also not labeled with the date. These deficiencies were confirmed by the Dietary Cook and the Dietary Manager, who acknowledged that the items should have been labeled and that expired items should not be present in the cooler. The total number of residents affected by the kitchen's food service was 112. The observations and interviews conducted with the dietary staff highlighted the facility's failure to maintain proper food labeling and storage practices, which are essential for ensuring food safety and quality for the residents.
Failure to Document Treatment Administration
Penalty
Summary
The facility failed to maintain accurately documented medical records in accordance with accepted professional standards and practices. Specifically, the nursing staff did not consistently initial the Treatment Administration Record (TAR) for a resident who was reviewed for urinary catheter or urinary tract infection (UTI). This deficiency was observed in the records for April, May, and June 2024, where multiple instances of missing initials were noted, indicating that the required care and treatments may not have been documented as performed. The missing documentation involved suprapubic catheter site care and treatment on the resident's left toe and malleolus. The Director of Nursing (S1DON) confirmed during an interview that there were multiple days across the three months where the TARs were not initialed by the nursing staff. This lack of documentation raises concerns about whether the necessary treatments were administered as required, as the TAR should be initialed by the treatment nurse or the nurse conducting the treatment.
Failure to Monitor Adverse Reactions to Medications
Penalty
Summary
The facility failed to implement a person-centered plan of care for a resident, specifically in monitoring for adverse reactions to the medications Plavix and Aspirin. The resident, who was admitted with diagnoses including occlusion and stenosis of an unspecified carotid artery, heart failure, and chronic pulmonary edema, had a moderately impaired cognitive status as indicated by a BIMS score of 8. The resident's care plan included an intervention to monitor and document any adverse reactions to the antiplatelet medications, such as blood in urine or stools, headaches, nausea, and changes in mental status or vital signs. Upon review, it was found that the Medication Administration Record (MAR) and Treatment Administration Record (TAR) for March, April, and May 2024 did not contain any documentation of monitoring for these adverse reactions, as required by the care plan. The Director of Nursing confirmed that the resident was receiving the medications as ordered and acknowledged the lack of documentation and monitoring by the nursing staff. This oversight in monitoring and documenting adverse reactions was a failure to adhere to the resident's person-centered plan of care.
Failure to Follow Transfer Protocols Resulting in Resident Injury
Penalty
Summary
The facility failed to ensure a resident was free from accident hazards during a chair to bed transfer. This incident involved a resident with diagnoses including Parkinsonism, age-related osteoporosis, pain, and paranoid schizophrenia, who was on hospice care. The resident's care plan required total assistance by two staff members and the use of a mechanical lifter for transfers. However, on the evening of 03/25/2024, a CNA transferred the resident alone and without the mechanical lifter, resulting in the resident sustaining fractures to both lower legs. The resident's right lower leg was found to be discolored and painful the following morning, and an x-ray confirmed a tibia fracture. A few days later, the resident's left lower leg was also found to be fractured. The CNA involved admitted to transferring the resident using a pivot method without assistance or the mechanical lifter, despite being aware of the proper procedures. The facility's video surveillance confirmed that the CNA entered the resident's room alone and did not seek help or use the lifter. The CNA was suspended during the investigation and later placed on probation. Interviews with other staff members confirmed that they were aware of the proper transfer procedures and had received training on using mechanical lifts and following care plans. The facility's investigation revealed that the CNA failed to follow the resident's care plan, resulting in neglect. The resident's injuries were discovered during routine care by the Assistant Director of Nursing/Wound Care Nurse, who immediately reported the findings and initiated the investigation. The facility took corrective actions, including staff re-training and monitoring, to prevent future occurrences of similar incidents.
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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) |
|---|---|---|---|---|
| Landmark Of Rayne | 4.3 mi | — | 1 | 0 |
| Southwind Nursing & Rehabilitation Center | 5.7 mi | — | 9 | 0 |
| The Encore Healthcare And Rehabilitation Center | 9.5 mi | — | 0 | 0 |
| Camelot Rehabilitation At Magnolia Park | 11.4 mi | — | 4 | 0 |
| Louisiana Extended Care Hospital Of Lafayette | 12 mi | — | 8 | 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.