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 09/02/2025
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)
A0807 DISCHARGE PLANNING-EVALUATION

ยง482.43(a)(2) Standard: Discharge Planning Evaluation (2)A discharge planning evaluation must include an evaluation of a patient's likely need for appropriate post-hospital services, including, but not limited to hospice care services, post-hospital extended care services, home health services, and non-health care services and community based care providers, and must also include a determination of the availability of the appropriate services as well as of the patient's access to those services.


This STANDARD is not met as evidenced by:
Based on record review and interview the rehabilitation hospital failed to ensure the evaluation of patient #3's need for appropriate post-hospital services as evidenced by failure to include appropriate post-hospital services on the discharge orders. Findings: Review of Patient #3's medical record revealed an admission date of 07/01/2025 with a diagnosis of Parkinsonism. Review of Patient #3's History and Physical dated 07/01/2025 revealed Patient #3 had a complex medical history including schizoaffective disorder, tachycardia, bipolar, anxiety, cocaine use, COPD, GERD, PTSD, and diabetes. She had a progressive functional decline and recurrent acute hospitalizations necessitating 24-hour skilled nursing care and ongoing medical management. Patient with multiple comorbidities, hypertension, weakness, history of seizures, and functional decline. Review of Patient #3's Treatment plan revealed patient was a high risk for falls with precautions not to leave patient alone in the bathroom. Further review patient with the following required treatments: Physical Therapy, 60 to 90 minutes per day, 5 to 7 days a week for 10-14 days. Self-care admission status revealed patient needed grab bars, extended shower head and sitting bench. Patient lost her balance while showering and had to have assistance for safety. Barriers to discharge revealed the following: Fall history, fall risk, requires caregiver assist, functional mobility training. Review of Patient #3's anticipated post-discharge services included Home Health services, Nursing, occupational therapy, and physical therapy. Review of Physician Discharge orders dated 07/10/2025 revealed the following: Discharge Home 07/11/2025. Order noted details: Discharge Home. Signed by S12MD. Further review of Physician Discharge orders dated 07/10/2025 failed to reveal orders for the following: Home Health Nursing services Occupational Therapy Physical Therapy Diet Follow-up with medical provider / psychiatric provider DME for shower During an interview on 09/02/2025 at 2:35 PM, S2DON confirmed the above findings.