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)
A0701 MAINTENANCE OF PHYSICAL PLANT
CFR(s): 482.41(a)

The condition of the physical plant and the overall hospital environment must be developed and maintained in such a manner that the safety and well-being of patients are assured.


This STANDARD is not met as evidenced by:
Based on observation and interview, the hospital failed to ensure the condition of the physical plant and overall hospital environment was maintained in such a manner that the safety and well being of the patients are assured. This was evident by failing to ensure the preventative maintenance was maintained for emergent equipment. Findings: Review of the hospital's policy number 00-04-02 titled "Physical Environment of Facility", adopted March 2021 revealed in part: PURPOSE: Our purpose is to provide in the rehabilitation hospital with a safe and accommodating environment. PROCEDURE: Electrical Appliances: Use of electrical appliances must be strictly controlled to protect and promote the health, safety, and comfort of patients, employees and visitors. Any and all electrical appliances brought into the hospital must be inspected and tagged by Plant Operations personnel prior to any use. Department heads are responsible for making the Plant Operations Directo aware of untagged equipment. Calibration of electrical equipment will be done and documented at least annually, unless manufacturer recommendations are different. All equipment will be serviced at least annually. Records of repairs are to be maintained on the maintenance log including the date. Observation during the hospital tour on 04/06/2026 from 10:20 AM to 12:12 PM revealed the following emergent equipment with past due preventive maintenance: Portable suction manufacturer Compass Health Model ASP-HD Serial Number ET181100069 tested 08/2025 and due preventive maintenance 02/2026; AED manufacturer ZOLL Model Plus serial number X121569450 tested 08/2025 and due preventive maintenance 02/2026; Oxygen concentrator manufacturer Invacare Model Perfecto 2 serial number 07042020B tested 07/2025 and due 01/2026; Oxygen concentrator manufacturer Invacare Model Perfecto 2 serial number 07032020B tested 08/2025 and due 02/2026. In an interview on 04/08/2026 at 8:30 AM S3CPO verified the above mentioned equipment was past due on the preventative maintenance. S3CPO further verified C29PE is supposed to test the above mentioned equipment every 6 months.