Willow Ridge Nursing And Rehabilitation Center,llc
660 Factory Outlet Drive, Arcadia, LA 71001 · For profit - Limited Liability company · 120 certified beds · (318) 263-2025 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604, F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- a high number of inspection citations overall (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure rating is low (1/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 1 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 1 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
| Short-stay residentsrehab / post-hospital | 1 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 2 to 4 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 11.7% | 17.8% | 15.4% | better |
| Long-stay residents who lose too much weight | 0.0% | 5.2% | 5.4% | check this* — see note marked star below the table |
| Long-stay residents with a catheter left in their bladder | 2.1% | 1.2% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 0.8% | 2.1% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.3% | 2.3% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 3.2% | 0.2% | 0.1% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 2.0% | 3.5% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 10.2% | 17.9% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 32.6% | 23.2% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 93.1% | 94.9% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.1% | 5.6% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 13.1% | 15.8% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 18.0% | 22.7% | 17.1% | typical |
| Short-stay residents who newly got an antipsychotic medication | 7.6% | 3.1% | 1.4% | worse than state‡ — see note marked double-dagger below the table |
| Short-stay residents given the seasonal flu vaccine | 50.0% | 76.3% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 26.9% | 28.0% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 20.1% | 14.8% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 2.40 | 2.56 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 3.94 | 2.74 | 1.80 | worse |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
33.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 32 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 29.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 31 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.29 therapist hours per resident per day in 2026Q1 — more than 46% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 33.9%CMS range 24.0–48.5 | 51.5% | Oct 2022–Sep 2024 | worse than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.8%CMS range 5.9–15.7 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 29.0% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 32.3% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 29.0% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 94.7% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 95.7% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 3.5% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 8.2%CMS range 4.0–14.7 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.57 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 120 beds and averages 111.7 residents a day — about 93% occupied, or roughly 8 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.50 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.24 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.32 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.03 hrs/resident/day on weekends vs 3.69 on weekdays — 18% thinner on weekends. RN hours go from 0.25 to 0.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%. 1 administrator has left in the past year.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.
- Potential for harm · E2025-09-17 · tag F0578 — failed to honor advance directives / code status — patternHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record reviews and interview, the facility failed to inform and provide written information to formulate an advance directive for 5 (#2, #8, #23, #71, #116) out of 5 residents reviewed for advance directives. Findings:Review of Resident #2's medical records revealed an admit date of 02/17/2025. Further review of Resident #2's Resident Rights/Advanced Directive form dated 02/17/2025 failed to provide written information to formulate an advance directive. Review of Resident #8's medical records revealed an admit date of 04/08/2025. Further review of Resident #8's undated Resident Rights/Advanced Directive form signed by representative failed to provide written information to formulate an advance directive. Review of Resident #23's medical records revealed an admit date of 10/30/2024. Further review of Resident #23's Resident Rights/Advanced Directive form dated 04/29/2024 failed to provide written information to formulate an advance directive. Review of Resident #71's medical records revealed an admit date of 03/24/2022. Further review of Resident #71's Resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-09-17 · tag F0757 — failed to avoid unnecessary drugs — patternEnsure each resident’s drug regimen must be free from unnecessary drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, observation and interviews the facility failed to ensure each resident's drug regimen was free from unnecessary drugs for 1 (#8) of 2 (#8, #80) residents reviewed for infections. The facility failed to ensure Resident #8's Tobramycin ophthalmic medication was stopped after indication for use was resolved. Findings:Review of Resident #8's medical record revealed an admission date of 04/08/2025 with diagnoses that included, in part, hordeolum externum left eyelid, type 2 diabetes mellitus without complications, and end stage renal disease. Review of Resident #8's physician orders revealed a 05/13/2025 order for Tobramycin opthalmic ointment 0.3% - Instill 0.5 drop in left eye every 8 hours for hordeolum externum left upper eyelid. Review of Resident #8's May, June, July, August, and September 2025 Medication Administration Records (MAR) revealed Resident #8 continued to receive Tobramycin ophthalmic ointment from the order dated 05/13/2025 until 09/17/2025. Review of Resident #8's 05/13/2025 progress note by S3Nurse Practitioner (NP) revealed, in…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-09-17 · tag F0803 — failed to meet residents' dietary needs — patternEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, and menu review, the facility failed to ensure the menu was followed for 10 (#9, #12, #13, #23, #37, #52, #54, #62, #86, #90) of 10 (#9, #12, #13, #23, #37, #52, #54, #62, #86, #90) residents that had an order for a pureed diet. Findings:Review of the 09/15/2025 lunch menu, approved by the Registered Dietician, revealed the residents who require a pureed diet would receive pureed Southwestern chicken over pureed rice and gravy, pureed black eyed peas, and pureed strawberry cookie bar. On 09/15/2025 at 11:55 a.m., an observation of the lunch meal service revealed the facility had 10 residents that received a pureed diet. Dining room observations revealed that the residents present who required a pureed diet did not receive a pureed strawberry cookie bar for dessert. On 09/15/2025 at 12:15 p.m., an interview with S7Dietary worker confirmed that he was responsible for preparing the pureed menu. He further confirmed that he did not puree the cookie bar for dessert as specified on the lunch menu. On 09/15/2025 at 12:20 p.m., an interview with S6Dietary…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-05-21 · tag F0656 — failed to write and follow a full care plan — patternDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — the official record, unedited, may be distressing
Based on record review, and interviews the facility failed to ensure a plan of care was developed for 1(#3) resident of 3 (#1, #2, #3) sampled residents. The facility failed develop a plan of care for Resident #3's hospice care. Findings: Review of Resident #3's medical record revealed an admit date of 04/01/2022 with diagnoses of but not limited to unspecified dementia, psychotic disturbance, anxiety and senile degeneration of the brain. Review of Resident #3's May 2025 Physician's Orders revealed an order to admit Resident #3 to ____Hospice dated 01/23/2025. Review of Resident #3's Comprehensive Plan of Care failed to reveal a problem and approaches addressing Resident #3's hospice care. During an interview on 05/21/2025 at 12:05 p.m. S2 LPN (licensed practical nurse) confirmed, a hospice plan of care should have been initiated when Resident #3 was placed on hospice on 01/23/2025. During an interview 05/21/2025 at 12:15 p.m. S1 DON (director of nurses) confirmed a hospice plan of care of should have been initiated when Resident #3 was placed on hospice.
- Potential for harm · D2025-05-21 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, and interview the facility failed to inform the resident's responsible party (RP) of a resident's change in condition for 1 (#1) of 3 (#1, #2, #3) sampled residents. The facility failed to notify Resident #1's RP of the initiation of oxygen. Findings: Review of Resident #1's medical record revealed an admit date of 03/19/2025 with diagnoses of but not limited to senile degeneration of brain, not elsewhere classified, unspecified dementia, moderate with agitation, anxiety disorder, essential (primary) hypertension, primary osteoarthritis, and unspecified pain. Review of Resident #1's medical record revealed a progress note dated 04/25/2025 at 5:04 a.m. indicating Resident #1 was started on 3.5 liters of oxygen per nasal cannula. Further review failed to reveal Resident #1's RP was notified of the initiation of oxygen on 04/25/2025. During a telephone interview on 05/21/2025 at 9:56 a.m. Resident #3's RP reported he had not been notified that Resident #1 was placed on oxygen on 04/25/2025. During a telephone interview on 05/20/2025 at 2:16 p.m. S3 LPN (licensed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-08-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record reviews, the facility failed to ensure residents remained as free of accident hazards as possible for 1 (#92) of 2 (#68, #92) residents reviewed for accidents. The facility failed to ensure 1). a thorough investigation was conducted after each incident involving a resident's laptray and 2). a laptray was not applied to a resident's gerichair after multiple incidents occurred that involved a laptray. Findings: Resident #92 Review of the facility policy Accident and Incident Documentation and Investigation Resident Incident revised July 2018 revealed the following in part: Policy: Accidents and/or incidents involving resident care will be investigated and documented on the Resident Incident Report entry form in the Long Term Care system. An incident is defined as an occurrence which is not consistent with the routine operation of the facility or the routine care of a particular resident. Accidents and incidents will be analyzed for trends or patterns to enable the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-21 · tag F0604 — failed to not use physical restraints improperly — isolatedEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interview, the facility failed to have a completed Physical Restraint Informed Consent for 1 (#71) of 2 (#71, #92) sampled residents reviewed for restraints. Findings: Observations on 08/19/2024 at 11:20 a.m. and 08/21/2024 at 08:10 a.m. revealed resident #71 was lying in a geri chair located in the front day room near the nurse's station. The head of geri chair was elevated about 45 degrees and his lower extremities were elevated. Record review revealed resident #71 was admitted to the facility on [DATE] with diagnoses that include essential hypertension, seizures, chronic systolic heart congestive heart failure, tracheostomy status, gastrostomy status, hemiplegia following cerebral infarction affecting right dominant side, dysphagia, anxiety disorder, and unspecified sequelae of cerebral infarction. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 3 which indicated resident #71 had…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-07-18 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to treat and care for each resident in a manner which promoted dignity by failing to ensure resident's medical conditions were not discussed in a community environment for 1 (#3) of 4 (#1, #3, #5, and #6) residents reviewed for Resident's Rights. Findings: Review of resident #3's electronic health record revealed an admit date of 11/13/2023 with diagnoses including, but not limited to, cardiovascular accident, pure hypercholesterolemia, type 2 diabetes with diabetic neuropathy, essential hypertension, chronic systolic heart failure, and coronary artery disease. Review of resident #3's Quarterly MDS (Minimum Data Set) revealed a BIMS (Brief Interview Mental Status) score of 13 indicating intact cognition. Review of the facility's grievances revealed on 06/18/2024 resident #3 reported S4 Driver/CNA (certified nursing assistant) talked about the size of his penis in front of the facility with other female staff members present. S4 Driver/CNA reported telling resident #3 how to stop urinating in the bed. S4 Driver/CNA reported…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-08-16 · tag F0558 — failed to accommodate residents' needs and preferences — patternReasonably accommodate the needs and preferences of each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, and record reviews, the facility failed to ensure that residents receive services with reasonable accommodation of resident needs and preferences for 6 (#80, #1, #2, #76, #92, #93) of 6 residents (#80, #1, #2, #76, #92, #93) residents by failing to provide residents with proper utensils to consume meals. Findings: Resident #80 Observation of the morning meal on 08/14/2023 at 8:59 a.m. revealed resident #80 was provided only a spoon for the meal. Interview on 08/14/2023 at 10:30 a.m. with Resident #80's family member revealed he had complained regarding utensils provided to residents on the memory unit. He reported that he comes frequently to assist resident #80 with meals and dietary only provided a plastic spoon with meals. He further reported it was impossible to cut up meat and other items without a knife and fork. Interview on 08/14/2023 at 1:15 p.m. with S5LPN (Licensed Practical Nurse) confirmed that residents are only given a spoon to eat meals. S5LPN reported that was problematic at time not having the correct utensils. S5LPN revealed staff…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-08-16 · tag F0688 — failed to keep residents mobile / prevent decline — patternProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and interviews, the facility failed to ensure 1(#78) of 1 (#78) resident reviewed for limited range of motion received appropriate treatment and services to prevent further decrease in range of motion by failing to apply hand splint daily as ordered. Findings: Review of the medical record for resident #78 revealed an admission date of 11/05/21 with diagnosis of major depressive disorder, cannabis abuse, hypertension, urinary tract infection, other bipolar disorder, post-traumatic stress disorder, Schizophrenia, seizures, chronic obstructive pulmonary disease, and nutritional deficiency. Review of the quarterly Minimum Data Set, dated [DATE] revealed the Resident has a BIMS score of 6 which indicates cognitive impairment. Further review revealed the Resident had a range of motion limitation impairment to the right upper extremities. Review of the Nurses notes dated 5/14/23 at 1:00 p.m., resident has old CVA (cerebral vascular accident) with right sided weakness. Wears hand…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 8 citations
- Potential for harm · Ecited before2023-08-16 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure the residents environment remained as free of accident hazards as possible for 14 residents (#2,#92,#53,#17,#80,#69,#98,#51,#59,#58,#76,#71,#93,#1) reviewed for accident hazards as evidenced by failing to ensure the water temperature in the resident bathroom sinks remained under 120 degrees Fahrenheit and 2) failing to ensure environment on the locked unit does not have sharps accessible to residents identified as self-injurious (#1). Findings: On 08/14/23 at 4:16 p.m. water temperature in resident #51's bathroom (room a) revealed it was 137.5 degrees farenheit. On 08/15/23 at 3:04 p.m. interview with resident #34 who resides in the room a with resident #51 and has a BIMS score of 15 (indicating she is cognitivley intact) said resident #34 does go in the bathroom to use it. On 8/16/23 at 3:06 p.m. record review for resident #51 revealed a quarterly MDS dated [DATE] and indicated a BIMS of 99 indicating 4 or more items were scored…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-08-16 · tag F0697 — failed to manage pain — patternProvide safe, appropriate pain management for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to ensure that pain management is provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 of 1 (#12) resident investigated for pain management. The facility had 102 residents in the facility. Findings: On 08/14/23 at 10:22 a.m. surveyor was standing in hallway and heard resident #12 screaming out in pain. Surveyor walked in resident #12 room and staff were turning resident. Observation revealed resident #12 was in pain from the movement and was asking for staff to stop. Further observation revealed resident #12 had a long arm cast to the right arm and staff were not supporting the right arm when turning the resident. Record review for resident #12 revealed diagnosis of Alzheimer's disease, age related osteoporosis with current pathological fracture, depression, anxiety disorder, anorexia, symbolic…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-08-16 · tag F0804 — failed to serve food at safe, palatable temperature — patternEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation, record review, and interview the facility failed to prepare food that is palatable to taste. Findings: On 08/14/23 at 08:14 a.m. interview with resident #31 said food is bad. 8/14/23 while interviewing sample resident #61 stated the food is not good and she has lost some weight. 8/15/23 at 9:10am, resident #61 was ambulating in her room with a walker. Surveyor asked how her breakfast was she stated not good at all. On 08/14/23 observation of the lunch meal revealed the following items were served to the residents: Meatloaf, mashed potatoes, gravy, creamed corn with the following alternate food choices chicken strips, rice, and sweet peas. On 08/14/23 at 12:45 p.m. a test tray was obtained with the following food choices: Meatloaf, sweet peas and mashed potatoes and gravy. 4 surveyors sampled the test tray and all agreed the meatloaf was extremely salty and unpalatable to taste.
- Potential for harm · E2023-08-16 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview the facility failed to store, prepare, distribute and serve food in accordance with professional standard for food safety by not: 1) Discarding expired milk prior to serving to residents, 2) Holding ground beef prior to cooking outside of refrigeration. Findings: On 08/14/23 at 8:15 a.m.observation of the walk in refrigerator revealed there were 4 (1/2 pint) cartons of 2% milk with an expiration date of 08/8/23 and 32 cartons of 1/2 pint 2% milk with an expiration date of 08/13/23. Observation of the milk on the serving line to be served to residents for breakfast revealed: 7 (1/2 pint) cartons of 2% milk with an expiration date of 08/13/23. On 08/14/23 at 8:40 a.m. observation of the dining room revealed Resident #43 was served 2 (1/2 pint) cartons of 2% milk with a date of 08/8/23 and Resident #30 was served 1 (1/2 pint) carton of 2% milk with a date of 08/8/23. On 08/14/23 at 8:45 a.m. interview with S17 Dietary Manager agreed the milk was expired and should not have been used. On 08/14/23 at 8:50 a.m. further observation of the kitchen area…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-08-16 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, and record review the facility failed to ensure each resident was treated with respect and dignity and in an enviornment that promoted maintenance or enhancement of his or her quality of life for 1 (#59) of 1 (#59) residents' sampled for dignity by failing to ensure that clothing fit resident #59 in a manner as not to expose her in front of peers. Findings: Review of the record for resident #59 revealed admission date of 10/30/2019 with following diagnoses: Unspecified dementia, with other behavioral disturbance, and depression. Review of the MDS (Minimal Data Set) dated 08/07/2023 revealed a BIMS (Brief Interview for Mental Status) of 3. Further review of the MDS revealed following resident #59 required extensive assistance with dressing, personal hygiene. Review of the care plan revealed supervision and verbal cues with some ADL (Activities of Daily Living) care. She is incontinent of bowel and bladder. Staff assist with toileting, dressing, bathing. Approaches include assist with ADL care as needed. Allow resident to be as independent as…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-08-16 · tag F0583 — failed to protect personal privacy — isolatedKeep residents' personal and medical records private and confidential.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to ensure the resident received unopened mail delivered to the facility for 1 of 1(#97) with a complaint of receiving opened mail. Findings: On 08/16/23 at 2:54 p.m. review the Quarterly Minimum Data Set (MDS) dated [DATE] revealed resident #97 had a Brief Interview Mental Status (BIMS) of 15 indicating resident was cognitively intact. On 08/15/23 at 9:30 a.m. interview with resident 97 revealed he was extremely upset because he received a letter from his insurance company this morning and the envelop was opened at the top. He said the letter was a second notice and he never received the first notice from the insurance company. Observation of the letter revealed it was dated 8/4/23 and indicated it was the second notice. Resident #97 further said he just finished filing a written grievance with the business office. He said he had not received open mail before but they should not be opening his mail. He said he does get his mail but it is usually very late.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-08-16 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to ensure that all alleged violations involving injuries of unknown source were reported immediately, but not later than 2 hours, if the event result in serious bodily injury, to the administrator of the facility and to other officials including to the State Survey Agency for 1 (#1) of 1 (#1) sampled residents with an injury of unknown origin. Findings: Review of the facility's Abuse Prevention Policy included in part, the following Protection: 2. The facility will follow section 1150B of the Social Security's Act's time limits for reporting a reasonable suspicion of crime (immediately but no later than 2 hours if abuse or serious bodily injury and 24 hours for all others). Further review revealed an attachment to the policy. Review of the attachment addressed the following: a nursing facility must report to HSS (Health Standards Section) any suspicious injuries of unknown origin to a resident. Injuries of unknown origin include, but not limited to: all…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-08-16 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, and record review the facility failed to provide assistance for residents who were unable to carry out activities of daily living and received the necessary services to maintain good grooming and personal hygiene for 1 (#2) of 1 (#2) residents investigated for ADL (activities of daily living) care by failing to ensure resident recieved baths/showers and clean clothing and trimmed fingernails. Findings: Review of the medical record for resident #2 revealed admission date of 04/06/2020 with the following diagnoses: Schizophrenia; Unspecified Dementia, Hypothyroidism. Review of the quarterly MDS (Minimal Data Set) dated 08/03/2023 revealed following: BIMS (Brief Interview for Mental Status) of 15. Further review of the MDS for resident#2 revealed Personal hygiene: one person physical assist; bathing support: one person physical assist. Dressing: extensive-one person physical assist. Review of the care plan for resident #2 include the following: resident requires assist with ADL'S (Activities of Daily Living) care; refuses bath at times, refuses to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| Ownership Data Not Available |
The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
About 74% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.4M paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in LA
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Louisiana Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 195346. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-09-17, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.