TWIN OAKS NURSING HOME

The information listed below provides an in-depth look into the type and quality of care offered at Twin Oaks Nursing Home. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

TWIN OAKS NURSING HOME
506 WEST 5TH STREET
LAPLACE, LA 70068
(985) 652-9538

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

78%

Number of Residents and Certified Beds

  • Residents: 115
  • Certified Beds: 148

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Partnership
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Reserve | Destrehan | Luling

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Twin Oaks Nursing Home. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-101.4%
Total Percent:1.4%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-161.0%
Total Percent:1.0%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-163.8%
ADL Index Range: 6-1019.9%
ADL Index Range: 0-541.6%
Total Percent:65.3%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.8%
ADL Index Range: 6-104.7%
ADL Index Range: 0-53.3%
Total Percent:12.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.9%
ADL Index Range: 6-103.4%
ADL Index Range: 0-50.2%
Total Percent:4.4%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.2%
ADL Index Range: 6-101.5%
ADL Index Range: 0-52.7%
Total Percent:5.5%
 

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum
  • Three days any combination of three rehabilitation disciplines
  • Two services of restorative nursing six days per week
ADL Index Range: 0-105.1%
Total Percent:5.1%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
3.0%
ADL Index Range: 2-5
- No Signs of depression
1.5%
Total Percent:4.5%
 

Rating Details For Twin Oaks Nursing Home

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours24 Minutes1 Hour and 3 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours24 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 23 Minutes2 Hours and 16 Minutes
Total Licensed Nurse Hours48 Minutes1 Hour and 40 Minutes
Total Nurse Hours2 Hours and 11 Minutes3 Hours and 57 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Louisiana are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityLouisiana Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%87%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%91%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair4%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder1%42%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-2%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder9%5%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection12%10%
Percent of Long-Stay Residents Who Were Physically Restrained1%8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious11%15%
Percent of Long-Stay Residents Who Lose Too Much Weight4%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse6%10%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased23%20%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores21%15%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%80%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-4%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain2%14%
Percent of Short-Stay Residents Who Have Pressure Sores13%12%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 04/08/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/22/2009
Give Lab Tests Only when the Attending Doctor Ordered Them.
  • Inspection Date: 01/14/2010
  • Correction Date: 02/28/2010
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 01/14/2010
  • Correction Date: 02/28/2010

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/22/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 01/14/2010
  • Correction Date: 02/28/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/08/2011
  • Correction Date: 04/24/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/22/2009
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 01/14/2010
  • Correction Date: 02/28/2010
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served.
  • Inspection Date: 01/14/2010
  • Correction Date: 02/28/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 01/14/2010
  • Correction Date: 02/28/2010
Hire Enough Skilled Workers to Carry out Dietary Service.
  • Inspection Date: 04/08/2011
  • Correction Date: 04/24/2011
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/08/2011
  • Correction Date: 04/24/2011

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 01/14/2010
  • Correction Date: 02/28/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 01/14/2010
  • Correction Date: 02/28/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 01/14/2010
  • Correction Date: 02/28/2010
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 04/08/2011
  • Correction Date: 01/01/1900
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 04/08/2011
  • Correction Date: 01/01/1900

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/22/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/22/2009
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/22/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 01/14/2010
  • Correction Date: 02/28/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 01/14/2010
  • Correction Date: 02/28/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 04/08/2011
  • Correction Date: 04/24/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 01/14/2010
  • Correction Date: 02/28/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 04/08/2011
  • Correction Date: 01/01/1900
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/08/2011
  • Correction Date: 04/24/2011

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 01/14/2010
  • Correction Date: 02/28/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 04/08/2011
  • Correction Date: 04/24/2011
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 04/08/2011
  • Correction Date: 04/24/2011

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Denial of Payment for New Admission (DPNA)02/03/2011-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Twin Oaks Nursing Home, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 07/16/2009
  • Correction Date: 08/30/2009
Give or Get Lab Tests to Meet the Needs of Residents.
  • Complaint Filed: 11/23/2009
  • Correction Date: 01/07/2010
Quickly Tell the Resident's Doctor the Results of Lab Tests.
  • Complaint Filed: 11/23/2009
  • Correction Date: 01/07/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 07/16/2009
  • Correction Date: 08/30/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 09/17/2009
  • Correction Date: 10/30/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 11/23/2009
  • Correction Date: 01/07/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Complaint Filed: 11/23/2009
  • Correction Date: 01/07/2010

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 09/17/2009
  • Correction Date: 10/30/2009

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Twin Oaks Nursing Home had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 04/05/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 01/13/2010
  • Correction Date: 02/28/2010

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 02/05/2009
  • Correction Date: 01/01/1900

Building Service Equipment

Restrictions on the Use of Portable Space Heaters.
  • Inspection Date: 02/05/2009
  • Correction Date: 02/06/2009

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/20/2009
A Separate and Independent Backup Electrical Power Source.
  • Inspection Date: 01/13/2010
  • Correction Date: 02/28/2010

Exits and Egress

Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
  • Inspection Date: 01/13/2010
  • Correction Date: 02/28/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 01/13/2010
  • Correction Date: 02/28/2010

Furnishings and Decorations

Properly Sized and Located Linen or Trash Receptacles.
  • Inspection Date: 02/05/2009
  • Correction Date: 03/22/2009
Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 01/13/2010
  • Correction Date: 02/28/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 04/05/2011
  • Correction Date: 04/12/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 01/13/2010
  • Correction Date: 02/28/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 04/05/2011
  • Correction Date: 04/07/2011
Source: Medicare Nursing Home Compare; Department of Health and Hospitals of Louisiana - Health Standards Section - Retrieved 2011