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)
A1134 DELIVERY OF SERVICES
CFR(s): 482.56(b)(2)

The provision of care and the personnel qualifications must be in accordance with national acceptable standards of practice and must also meet the requirements of ยง409.17 of this chapter.


This STANDARD is not met as evidenced by:
Based on record review and interview, the hospital failed to ensure a speech therapy evaluation was performed per provider order in 14 (#2 - #5, #7 - #16) of 30 medical records reviewed for rehabilitation orders for physical therapy, occupational therapy and/or speech therapy-language pathology. Findings: A review of hospital policy titled, "Interdisciplinary Assessment, Initial," policy number unavailable, origination 05/2021 and last revised/approved 01/2024, revealed in part: "POLICY: Each patient's physical, psychological, emotional, cultural, and social status are assessed upon admission by nursing and each discipline. The documentation is per the Initial Nursing Admit Assessment and the Therapy Evaluation Form. Therapy Documentation: 1. Physical Therapy, Occupational Therapy and Speech Pathology will complete their portion of the interdisciplinary patient assessment within 36 hours of the midnight of the day of admit." A review of medical records revealed the following: --Patient #2's medical record revealed a physician order dated 03/24/2026 for "Speech Therapy Evaluate, develop a plan of care and implement plan." The medical record failed to reveal the performance of a speech therapy evaluation to ascertain the patient's need of these services; --Patient #3's medical record revealed a physician order dated 02/06/2026 for "Speech Therapy Evaluate, develop a plan of care and implement plan." The medical record failed to reveal the performance of a speech therapy evaluation to ascertain the patient's need of these services; --Patient #4's medical record revealed a physician order dated 03/10/2026 for "Speech Therapy Evaluate, develop a plan of care and implement plan." The medical record failed to reveal the performance of a speech therapy evaluation to ascertain the patient's need of these services; --Patient #5's medical record revealed a physician order dated 02/24/2026 for "Speech Therapy Evaluate, develop a plan of care and implement plan." The medical record failed to reveal the performance of a speech therapy evaluation to ascertain the patient's need of these services; --Patient #7's medical record revealed a physician order dated 12/31/2025 for "Speech Therapy Evaluate, develop a plan of care and implement plan." The medical record failed to reveal the performance of a speech therapy evaluation to ascertain the patient's need of these services; --Patient #8's medical record revealed a physician order dated 03/13/2026 for "Speech Therapy Evaluate, develop a plan of care and implement plan." The medical record failed to reveal the performance of a speech therapy evaluation to ascertain the patient's need of these services; --Patient #9's medical record revealed a physician order dated 08/04/2025 for "Speech Therapy Evaluate, develop a plan of care and implement plan." The medical record failed to reveal the performance of a speech therapy evaluation to ascertain the patient's need of these services; --Patient #10's medical record revealed a physician order dated 03/03/2026 for "Speech Therapy Evaluate, develop a plan of care and implement plan." The medical record failed to reveal the performance of a speech therapy evaluation to ascertain the patient's need of these services; --Patient #11's medical record revealed a physician order dated 03/09/2026 for "Speech Therapy Evaluate, develop a plan of care and implement plan." The medical record failed to reveal the performance of a speech therapy evaluation to ascertain the patient's need of these services; --Patient #12's medical record revealed a physician order dated 02/26/2026 for "Speech Therapy Evaluate, develop a plan of care and implement plan." The medical record failed to reveal the performance of a speech therapy evaluation to ascertain the patient's need of these services; --Patient #13's medical record revealed a physician order dated 02/19/2026 for "Speech Therapy Evaluate, develop a plan of care and implement plan." The medical record failed to reveal the performance of a speech therapy evaluation to ascertain the patient's need of these services; --Patient #14's medical record revealed a physician order dated 02/11/2026 for "Speech Therapy Evaluate, develop a plan of care and implement plan." The medical record failed to reveal the performance of a speech therapy evaluation to ascertain the patient's need of these services; --Patient #15's medical record revealed a physician order dated 02/04/2026 for "Speech Therapy Evaluate, develop a plan of care and implement plan." The medical record failed to reveal the performance of a speech therapy evaluation to ascertain the patient's need of these services; --Patient #16's medical record revealed a physician order dated 01/26/2026 for "Speech Therapy Evaluate, develop a plan of care and implement plan." The medical record failed to reveal the performance of a speech therapy evaluation to ascertain the patient's need of these services; In an interview on 03/09/2026 at 11:00 a.m., S25Consult confirmed the above-mentioned findings.