Provider Name: NORTHSHORE EXTENDED CARE HOSPITAL
Address: 64030 HIGHWAY 434, FLOOR 2, LACOMBE, LA 70445
Phone: (985) 218-4700
County: St. Tammany (510)
Ownership Type: For profit - Limited Liability company
Certified Beds: 28
Average Residents Per Day: 21.8 ()
Provider Type: Medicare, Resides in Hospital: No
Legal Business Name: NORTHSHORE EXTENDED CARE HOSPITAL, LLC
First Approved Date: November 8, 2020
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: None
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 4 ()
Long Stay QM Rating: (2)
Short Stay QM Rating: 4 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.16585, LPN Staff Hours Per Day: 2.8482, RN Staff Hours Per Day: 1.0211, Licensed Staff Hours Per Day: 3.8694
Total Nurse Staff Hours Per Day, per resident: 6.03525
Weekend Nurse Staff Hours: 5.27801, Weekend RN Staff Hours: 0.8708
PT Staff Hours Per Day, per resident: 0.3426
Nurse Staff Turnover: , Nurse Turnover Note: 6
RN Turnover: , RN Turnover Note: 6
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 2.1240, Case Mix LPN Hours Per Day: 0.8085, Case Mix RN Hours Per Day: 0.4087
Adjusted Nurse Aide Hours Per Day, per resident: 2.07732, Adjusted LPN Hours Per Day: 2.5997, Adjusted RN Hours Per Day: 0.9413
Total Adjusted Nurse Hours Per Day, per resident: 5.69332
Adjusted Weekend Nurse Hours Per Day, per resident: 4.97899
Health Survey Dates and Scores: Cycle 1: 2023-07-20 (Score: 8), Cycle 2: 2022-08-31 (Score: 8), Cycle 3: 2020-09-25 (Score: 0)
Total Weighted Health Score: 6.667
Reported Incidents: 0, Substantiated Complaints: 1
Infection Control Citations:
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 655.08, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 64030 HIGHWAY 434, FLOOR 2,LACOMBE,LA,70445 (30.3389, -89.906)
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: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted 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 2023-10-08
Type: Health, Deficiency: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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 2022-09-16
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 2022-09-16
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: 0020, Version: New
Description: Establish policies and procedures including evacuation.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-09-16
Type: Fire Safety, Tag: 0225, Version: New
Description: Have stairways and smokeproof enclosures used as exits that meet safety requirements.
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 2022-10-09
Type: Fire Safety, Tag: 0500, Version: New
Description: Meet other general requirements that are deficient.
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 2020-11-08
Type: Fire Safety, Tag: 0521, Version: New
Description: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Waiver has been granted on
Type: Fire Safety, Tag: 0761, Version: New
Description: To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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 2020-11-08
Type: Fire Safety, Tag: 0918, Version: New
Description: Have generator or other power source capable of supplying service within 10 seconds.
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 2020-11-08