Provider Name: FOREST MANOR NURSING & REHABILITATION CENTER
Address: 1330 OCHSNER BLVD, COVINGTON, LA 70433
Phone: (985) 892-6900
County: St. Tammany (510)
Ownership Type: For profit - Corporation
Certified Beds: 172
Average Residents Per Day: 161. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: COMMUNITY CARE CENTER OF COVINGTON, LLC
First Approved Date: June 1, 2000
Affiliated Entity: BEEBE FAMILY (74)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Both
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 4 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: 3 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.26705, LPN Staff Hours Per Day: 1.0498, RN Staff Hours Per Day: 0.2915, Licensed Staff Hours Per Day: 1.3414
Total Nurse Staff Hours Per Day, per resident: 3.60845
Weekend Nurse Staff Hours: 3.02179, Weekend RN Staff Hours: 0.1306
PT Staff Hours Per Day, per resident: 0.0319
Nurse Staff Turnover: 56.3, Nurse Turnover Note:
RN Turnover: 22.2, RN Turnover Note:
Admin Left Number: 2, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1712, Case Mix LPN Hours Per Day: 0.7428, Case Mix RN Hours Per Day: 0.3467
Adjusted Nurse Aide Hours Per Day, per resident: 2.12716, Adjusted LPN Hours Per Day: 1.0429, Adjusted RN Hours Per Day: 0.3168
Total Adjusted Nurse Hours Per Day, per resident: 3.48810
Adjusted Weekend Nurse Hours Per Day, per resident: 2.92100
Health Survey Dates and Scores: Cycle 1: 2023-03-30 (Score: 0), Cycle 2: 2022-03-23 (Score: 0), Cycle 3: 2020-02-06 (Score: 12)
Total Weighted Health Score: 2.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 1330 OCHSNER BLVD,COVINGTON,LA,70433 (30.4533, -90.147)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-03-12
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-03-12
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0324, Version: New
Description: Provide properly protected cooking facilities.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-04-15
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-04-15
Type: Fire Safety, Tag: 0222, Version: New
Description: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-03-12
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-03-12
Type: Fire Safety, Tag: 0379, Version: New
Description: Have proper openings in smoke barrier doors.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-03-12