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)
A0804 DISCHARGE PLANNING - PAC PROVIDER DATA

The hospital must assist patients, their families, or the patient’s representative in selecting a post-acute care provider by using and sharing data that includes, but not limited to, HHA, SNF, IRF, or LTCH data on quality measures and data on resource use on measures. The hospital must ensure that the post-acute care data on quality measures and data on resource measures is relevant and applicable to the patient’s goals and treatment preferences.


This STANDARD is not met as evidenced by:
Based on record review and interview, the hospital failed to ensure post-acute care data on quality measures and data on resource measures were provided to patients to assist in the selection of post-acute care providers. Findings: Review of the provided documentation and patient records revealed the patients were given a list of post-acute care providers prior to discharge to assist in the selection of a care provider. The list did not contain any quality data and this information was not provided after several requests. In interview on 04/09/2026 at 6:00 PM during the exit conference, S3CPO verified the hospital did not have quality data for the providers on the list of post-acute care providers.