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)
A0724 FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE
CFR(s): 482.41(c)(2)

Facilities, supplies, and equipment must be maintained to ensure an acceptable level of safety and quality.


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 a manner that provided an acceptable level of safety and well-being for patients. This deficient practice was evidenced by: 1)failure to ensure a red electrical outlet was maintained; and 2)failure to ensure expired supplies were removed from the patient care area. Findings: 1)Failure to ensure a red electrical outlet was maintained 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: All wall receptacles are of the three-wire type. If they are lost, damaged or do not supply power, it will be immediately reported to Plant Operations. Observation on 04/06/2026 at 1:20 PM revealed a red outlet next to the emergency cart in the nurses' station not working when portable suction plugged into the red outlet. In an interview on 04/06/2026 at 1:25 PM S14RN confirmed she was unaware the red outlet next to the emergency cart in the nurses' station didn't work. 2)Failure to ensure expired supplies were removed from the patient care area. Observation during the hospital tour on 04/06/2026 from 10:20 AM to 12:12 PM revealed AED pads that expired 05/2025. Further observation revealed the expired AED pads were the only AED pad available in the hospital. In an interview on 04/06/2026 at 12:00 PM S1NSM verified the AED pads expired 05/2025 and the expired AED pads were the only AED pads in the hospital.