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 04/09/2026
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)
A0631 THERAPEUTIC DIET MANUAL
CFR(s): 482.28(b)(3)

A current therapeutic diet manual approved by the dietitian and medical staff must be readily available to all medical, nursing, and food service personnel.


This STANDARD is not met as evidenced by:
Based on observation and interview, the hospital failed to have an approved therapeutic diet manual with a publication or revision date of not more than 5 years old. Findings: Review of hospital policy "Delivery of Services: Food & Dietetic Services," adopted March 2021, revealed in part, " A current therapeutic diet manual is reviewed and approved at least annually by the dietician, dietary manager, and medical staff. The publication date of the manual must not be more than 5 years old. Copies of the dietary manual will be available to nursing, medical and dietary staff." Review of hospital therapeutic diet manual titled "Manual of Medical Nutrition Therapy," 6th Edition, revealed the manual was published in 2010. An interview was conducted on 04/08/2026 at 10:14 a.m. with S4CDM. S4CDM confirmed the hospital therapeutic diet manual, titled "Manual of Medical Nutrition Therapy," 6th Edition, was published in 2010 and was more than 5 years old.