Department of Health & Human Services

Centers for Medicare & Medicaid Services
Form Approved

OMB No. 0938-0391
Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number 713026 (X3) Date Survey Completed 05/20/2026
Name of Provider or Supplier Bogalusa Rehabilitation Hospital Street Address, City, State 621 Columbia Street, Bogalusa, LA
For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency.
(X4) ID Prefix Tag Summary Statement of Deficiencies

(Each deficiency should be preceded by full regulatory or LSC identifying information)
A0438 FORM AND RETENTION OF RECORDS
CFR(s): 482.24(b)

The hospital must maintain a medical record for each inpatient and outpatient. Medical records must be accurately written, promptly completed, properly filed and retained, and accessible. The hospital must use a system of author identification and record maintenance that ensures the integrity of the authentication and protects the security of all record entries.


This STANDARD is not met as evidenced by:
Based on observation and interview, the facility failure to ensure the facility was secure and all PHI protected. Findings: Arrival to the facility on 05/19/2026 at 7:45 AM revealed door to facility unlocked and no employees on the first floor of the facility. Further observation revealed an unlocked room that contained personnel files and patient files both which had protected information. Administration staff arrived to the facility between 8:05 AM and 8:30 AM. In an interview on 05/19/2026 at 12:00 PM SF3Con verified the facility entrance door and all office doors are supposed to remain locked until the administration staff arrives each day.
A0467 CONTENT OF RECORD: ORDERS,NOTES,REPORTS
CFR(s): 482.24(c)(4)(vi)

[All records must document the following, as appropriate:] All practitioner's orders, nursing notes, reports of treatment, medication records, radiology and laboratory reports, and vital signs and other information necessary to monitor the patient's condition.


This STANDARD is not met as evidenced by:
Based on record reviews and interview, the hospital failed to ensure all practitioner's orders were contained in patients' medical records. This deficient practice was evidenced by failing to ensure discharge orders were included in the medical record for 3 (#F7, #F9, #F13) of 10 discharged medical records reviewed. Findings: Review of Patient #F7's medical record revealed Patient #F7 was admitted on 04/09/2026 and discharged on 05/12/2026. Further review of the provider orders failed to reveal discharge orders. Review of Patient #F9's medical record revealed Patient #F7 was admitted on 04/24/2026 and discharged on 05/07/2026. Further review of the provider orders failed to reveal discharge orders. Review of Patient #F13's medical record revealed Patient #F7 was admitted on 04/13/2026 and discharged on 05/05/2026. Further review of the provider orders failed to reveal discharge orders. In an interview on 05/19/2026 at 12:45 PM, S2ADON verified there was no documentation of discharge orders in the above medical records mentioned.