Resthaven Nursing & Rehab Center, LLC
1103 W McNeese, Lake Charles, LA 70605 · For profit - Limited Liability company · 162 certified beds · (337) 477-6371 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- inspectors cited 2 immediate-jeopardy problems — the most serious level
- a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $34,369 in federal fines (most recent 2024-08-20)
- its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
- its independent health-inspection rating is low (1/5)
- about 27% of its spending goes to commonly-owned related companies
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 | 1 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Worth a closer look. This home's staffing and quality-measure ratings run 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.
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 | 3 of 5 |
| Long-stay residentspeople who live here | 2 of 5 |
| Short-stay residentsrehab / post-hospital | 3 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 held steady at 1 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 | 20.9% | 17.8% | 15.4% | worse |
| Long-stay residents who lose too much weight | 1.5% | 5.2% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.5% | 1.2% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 1.5% | 2.1% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.0% | 2.3% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 4.2% | 3.5% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 15.1% | 17.9% | 16.1% | typical |
| Long-stay residents on antianxiety or hypnotic medication | 33.3% | 23.2% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 98.3% | 94.9% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.3% | 5.6% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 7.8% | 15.8% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 18.8% | 22.7% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 2.4% | 3.1% | 1.4% | better than state‡ — see note marked double-dagger below the table |
| Short-stay residents given the seasonal flu vaccine | 100.0% | 76.3% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 35.5% | 28.0% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 29.8% | 14.8% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 2.47 | 2.56 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 3.17 | 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.
62.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 82 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 70.0% 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 50 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 0.32 therapist hours per resident per day in 2026Q1 — more than 53% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 17% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. 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 | 62.6%CMS range 53.2–73.9 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.9%CMS range 6.5–14.1 | 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 | 70.0% | 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 | 66.0% | 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 | 66.0% | 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 | 87.3% | 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 | 100.0% | 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 | 2.5% | 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 | 1.3% | 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 | 6.3%CMS range 3.6–10.4 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.99 | 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 162 beds and averages 108.6 residents a day — about 67% occupied, or roughly 53 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.17 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.34 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.76 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 2.98 hrs/resident/day on weekends vs 3.24 on weekdays — 8% thinner on weekends. RN hours go from 0.30 to 0.44 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 42% 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 fewer than at the previous inspection — improving. 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.
20 citations, most serious first. The 12 most serious are shown; the remaining 8 are one tap away and print in full.
- Immediate jeopardy · Lcited before2024-08-20 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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
I. Based on observations, interviews, and policy and procedure reviews, the facility failed to maintain a clean and sanitary kitchen to prevent cross contamination and the likelihood of foodborne illnesses to the 110 residents who ate meals prepared from the facility's kitchen. This deficient practice resulted in an Immediate Jeopardy on 08/18/2024 at 9:15 a.m. when the following was observed during multiple visits in the facility's kitchen: 1. Equipment: a. Excessive food residue on the stove top. b. Black residue under the ice machine's filter. Water dripped down over the black residue. c. Collection receptacle of the oven's grill top with old food, thick black burnt residue, and uncooked pasta. d. Dry food particles and grease on the oven handle. e. Burnt food particles on the stove burners. f. Food splatter on the shelf of the stove. g. Grease on the backsplash of the fryer. h. Dried grease on the back surface of the stove and grill. i. Ice buildup on the floor located on the back wall in the walk-in refrigerator. 2. Dish and cookware storage and cleanliness: a. Four rack shelf…
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.
- Immediate jeopardy · L2024-08-20 · tag F0835 — failed to run the facility competently — widespreadAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to be administered in a manner that enabled it to use its resources effectively and efficiently to ensure the well-being of residents by failing to provide oversight in the kitchen. This lack of oversight resulted in an Immediate Jeopardy on 08/18/2024 at 9:15 a.m., when the kitchen was observed to have equipment, environment, food storage, preparation practices; and dinnerware storage practices that were unsanitary and unsafe for meal distribution to residents with the high likelihood to cause foodborne illness. S1ADM (Administrator) was notified of the Immediate Jeopardy on 08/18/2024 at 5:51 p.m. The Immediate Jeopardy was removed on 08/20/2024 at 10:40 a.m., after it was verified through observations, interviews, and record reviews that the facility implemented an acceptable Plan of Removal prior to the survey exit. This deficient practice had the potential to cause foodborne illness in 110 residents who consumed meals from the kitchen. Findings: Cross Reference F812 On 08/19/24 3:36 p.m., an interview was…
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 before2025-08-20 · 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 observations, and interview, the facility failed to store food in accordance with professional standards for food service, and ensure sanitary conditions were maintained in the kitchen as evidenced by: opened food item not labeled with the date; expired foods in the kitchen walk in cooler, and dry storage area;grease splatter and thick layer of debris on the deep fryer cover and cooking oil collection area; andexposed facial hairThis deficient practice had the potential to affect the 103 residents who consumed food from the kitchen.Findings:On 08/18/2025, a review of the facility's policy titled, Storage of Refrigerated Food, with a last revision date of October 2018, revealed in part. Policy: The facility ensures the quality and safety of refrigerated food through accepted storage practices. Procedure:.4. All non-hazardous, opened foods are labeled with name of food and date stored.On 08/18/2025, a review of the facility's policy titled, Dietary Dress Code, with no known revision date, revealed in part.Proper Work Attire.b. The food service employee observes the following…
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 · D2025-08-20 · tag F0628 — isolatedProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
What the surveyor found here — the official record, unedited, may be distressing
Based on record reviews and interviews, the facility failed to notify the State's Long-Term Care Ombudsman of a discharge in writing for 1 (#110) of 1 (#110) resident reviewed for discharge requirements out of a final sample of 36.Findings:Review of Resident #110's electronic medical record (EMR) revealed an admission date of 06/11/2025, with diagnoses that included type 2 diabetes mellitus with diabetic chronic kidney disease. Further review of Resident #110's EMR revealed a progress note indicating the resident was discharged on 06/13/2025.Continued review of Resident #110's EMR failed to reveal evidence that the State's Long-Term Care Ombudsman had been notified in writing of Resident #110's discharge from the facility on 06/13/2025.On 08/20/2025 at 10:01 A.M., an interview was conducted with S8ADM (Administrator). S8ADM stated the Ombudsman had not been notified of the resident's discharge as this was something the facility did not do.
- Potential for harm · Dcited before2025-08-20 · tag F0637 — isolatedAssess the resident when there is a significant change in condition
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record reviews and interview the facility failed to complete a significant change MDS (Minimum Data Set) within 14 days after determining there was a significant change in 2 (#2, #4) of 36 sampled resident's reviewed. The deficient practice had the potential to affect a total census of 105.Findings:A review of the facility's policy titled Resident Assessment Instrument (RAI) Policy with no review date, revealed the following; Significant Change Assessments: Significant Change Assessments will be completed as soon as needed to provide appropriate care to the resident, but in no case, later than 14 days after determining a significant change in the resident's physical or mental condition has occurred.Resident #2Review of Resident #2's EMR (Electronic Medical Record) revealed an admission date 04/07/2023 with diagnosis that included combined systolic and diastolic heart failure, hypokalemia, and depression. A comparison review of MDS Assessments with an ARD (Assessment Reference Dates) of 03/25/2025 and 06/11/2025 revealed Resident #2 had a decline in his functional status 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 · Dcited before2025-08-20 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
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 provider failed to accurately code a resident's MDS (Minimum Data Set) for use of an antipsychotic medication for 1(#25) out of 36 sampled residents. Findings:Review of Resident #25's electronic health record revealed an admit date of 06/18/2015 with diagnoses including delusional disorder and major depressive disorder. Resident #25's current physician orders revealed an order for Aripiprazole (an atypical antipsychotic medication) 2 mg (milligrams) daily.Review of Resident #25's electronic Medication Administration Record (eMAR) for May 2025 through June 2025 revealed she received Aripiprazole daily.Review of Resident #25's quarterly MDS, with an ARD (Assessment Reference Date) of 06/03/2025, revealed in part: Section N. Medications. N0415. High Risk Drug Classes: Use. A. Antipsychotic.Is resident taking.marked No.On 08/20/2025 at 1:15 p.m. an interview and electronic record review was conducted with S6CCC (Clinical Care Coordinator). She verified Resident #25 received…
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 · F2024-08-20 · tag F0925 — failed to control pests — widespreadMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review and interviews, the facility failed to maintain an effective pest control program by failing to ensure the facility's kitchen was free from insects. The deficient practice had the potential to affect 110 residents who ate meals from the kitchen. 111 residents resided in the facility. Findings: On 8/18/2024 at 4:05 p.m., an interview and observation of the dishwashing room was conducted with S16DM (Dietary Manager), S1ADM (Administrator), and S19MA (Maintenance Assistant). A large swarm of gnats were observed flying around the dishwashing room. S16DM stated that a bug light was out of order in the kitchen. On 8/18/2024 at 4:45 p.m. a tour of the kitchen by the survey team was conducted with S15PM (Production Manager) and S16DM during which the following was observed: 1. One live cockroach crawling behind the stove; 2. One live cockroach crawling in the dry food storage room; and 3. Three dead roaches in a small red bucket stored under the food prep counter. On 8/19/2024 at 3:36 p.m., an interview with S22RD (Registered Dietician) was conducted.…
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 before2024-08-20 · 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 — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and interviews, the facility failed to develop and implement the resident's plan of care to provide the necessary care and services in accordance with professional standards of practice for 3 (#1, #4, and #5) residents in a final sample of 44 residents by: 1. failing to follow physician's orders for tube feeding for Resident #1; 2. failing to follow physician's orders for applying prevalon heel protector to Resident #4's right foot; 3. failing to ensure that interventions were care planned after Resident #5 sustained a fall. Findings: Resident # 1 Review of Resident #1's medical record revealed an admit date of 12/17/2020 with diagnoses that included, but were not limited to, Hyperosmolality and Hypernatremia, and Mild Protein-Calorie Malnutrition. Review of the physician's orders dated 07/05/2024 revealed an order for Jevity 1.5 cal (calories) at 44ml/hour (milliliter/hour) with water flushes at 45ml/hr per continuous pump. On 08/18/2024 at 10:10 a.m., an observation was…
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 · E2024-08-20 · tag F0698 — failed to provide proper dialysis care — patternProvide safe, appropriate dialysis care/services 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 reviews and interviews, the facility failed to ensure that residents who required dialysis received such services consistent with professional standards of practice and the comprehensive person-centered care plan as evidenced by: 1. failing to ensure assessment of the resident's condition before dialysis treatments, and 2. failing maintain an effective communication system between the facility and the dialysis center for 1(#68) of 1(#68) investigated for dialysis care out of 44 sampled residents. Findings: Review of Resident #68's record revealed the resident was admitted to the facility on [DATE] with diagnoses which included, but were not limited to Encounter for Surgical Aftercare Following Surgery On The Circulatory System, Dependence of Renal Dialysis, and Deficiency of Other Vitamins. A review of Resident #68's physician orders revealed she received dialysis three times a week on Tuesday, Thursday, and Saturday at an offsite dialysis center. A review of Resident #68's Dialysis…
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 · D2024-08-20 · tag F0693 — failed to provide proper feeding-tube care — isolatedEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record reviews, observations, and interview the facility failed to provide appropriate treatment and services for 1 (#4) of 3 (#1, #4, and #32) residents reviewed for tube feeding by failing to ensure the tube feeding container was appropriately labeled. Findings: Review of Resident #4's medical record revealed an admit date of 12/17/2020 with diagnoses that included, but were not limited to, Dysphagia, and Multiple Sclerosis. Review of Resident #4's dietitian orders revealed in part, Jevity at 55ml/hr (milliliter/hour) with 40ml/hr H2O (water). Observation on 08/18/2024 at 10:15 a.m. revealed Resident #4's was receiving Jevity via feeding pump. Further observation revealed Resident #4's tube feeding formula label failed to include the date and time the feeding was hung. A second observation on 08/18/2024 at 10:39 a.m. revealed Resident #4's was receiving Jevity via feeding pump. Further observation revealed Resident #4's tube feeding formula label failed to include the date and time the feeding was hung. During an interview and observation on 08/18/2024 at 1:07 p.m. with…
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 · D2024-08-20 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
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 respiratory equipment was properly stored when not in use for 2 (#27, #31) of 2 (#27, #31) residents investigated for respiratory care in a final sample of 44 residents. Findings: On 08/19/24 at 12:00 p.m., a review of the facility's policy titled Nebulizer Treatments, with no dates listed on policy, read in part: Procedure . 11 . Place nebulizer, mouthpiece and t-piece in closed plastic bag when not in use. Resident #31 Resident #31 was admitted to the facility on [DATE] with diagnoses in part: Respiratory Failure, Chronic Obstructive Pulmonary Disease, Shortness of breath, and Dependence on Supplemental Oxygen. Review of August 2024 Physician Orders revealed orders for: Yupelri Inhalation Solution 175 mcg (micrograms)/3ml (milliliters) - 1 vial inhaled once daily; Budesonide Inhalation Suspension 0.5 mg/2ml- 1 vial inhaled two times a day; and Formoterol Fumarate inhalation nebulization solution 20 mcg/2ml- 1 vial inhaled…
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 · D2024-08-20 · tag F0726 — failed to have competent, trained nursing staff — isolatedEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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 interviews, the facility failed to ensure that nursing staff followed facility policies and procedures for medication administration. This deficient practice is evidenced by a nurse leaving medications at the resident's bedside for 1 (#26) of 44 sampled residents. Findings: On 08/20/2024, a review of the facility's policy titled Pharmacy General Guidelines with a last reviewed date of 02/19/2024 read in part: Medications are administered as prescribed, in accordance with good nursing principles and practices .Procedure: Medications are administered at the time they are prepared . The person administering medication must remain with the resident until all medication has been swallowed. On 08/20/2024, a review of the facility's policy titled Self-Administration of Medication with a last reviewed date of 02/19/2024 read in part, Policy: It is the policy of this facility that each resident has the right to self-administer medications, but is the responsibility of 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.
Show the remaining 8 citations
- Potential for harm · D2024-08-20 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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 policy reviews, the facility's staff failed to follow the facility's policy for storage of medications as evidenced by: 1. Expired medication stored in the refrigerator in Med RoomA; 2. Expired medications stored inside 2 ([NAME], CartB) of 3 ([NAME], CartB, CartC) medication carts inspected; 3. Unlabeled medication stored inside 1 ([NAME]) of 3 ([NAME], CartB, CartC) medication carts inspected. The deficient practice had the potential to affect a total census of 111 residents. Findings: On 08/20/2024, a review of the facility's policy titled, Medication Storage in the Facility with a last reviewed date of 02/19/2024 read in part, Policy: Medications and biologicals are stored safely, securely, and properly following manufacturer's recommendations or those of the supplier. Procedure: 1. The provider pharmacy dispenses medications in containers that meet legal requirements. 13. Outdated, contaminated, or deteriorated medications and those in containers that are cracked,…
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 · D2024-08-20 · tag F0850 — failed to provide social-work services — isolatedHire a qualified full-time social worker in a facility with more than 120 beds.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews and record reviews, the facility failed to ensure it employed a qualified social worker on a full-time basis. The facility had 160 licensed beds with a census of 111 residents. Findings: Review of the facility's license revealed they had a total number of 160 licensed beds. On 08/19/2024 at 10:20 a.m., an interview was conducted with S2DON (Director of Nursing). S2DON was asked who the current social worker was for the facility. She replied that S1ADM (Administrator) had been the facility's acting social worker for over a month now. They were currently advertising to hire a social worker but have not had any luck finding someone that met the requirements. Record review of S1ADM resume revealed, in part, education: Masters in Health Administration, Bachelors in Nutritional Sciences and Minor in Biological Sciences. S1ADM's resument failed to show a bachelor's degree in social work or a bachelor's degree in a human services field including, but not limited to, sociology, gerontology, special education, rehabilitation counseling, and psychology; and one year of…
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 · D2024-08-20 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility failed to maintain an effective infection control and prevention program and implement accepted infection control practices to help prevent and control the spread of an infectious communicable disease, COVID-19 by failing to post proper signage outside the resident's entrance room clearly identifying the type of transmission based precautions and appropriate PPE (Personal Protective Equipment) be used for 1 (#110) of 3 (#27, #82, #110) residents investigated for transmission based precautions (TBP). This deficient practice had the ability to affect 6 residents in the facility that were on transmission based precautions. Findings: A review of the facility's policy, COVID-19 SURVEILLANCE PLAN- Guidelines to Prevent/Control/Treat the Coronavirus (COVID-19), last reviewed on 2/14/2024, revealed, the following in part: Implementing Proper Infection Control Guidelines: Isolation rooms must be identified with proper signage outside the entrance of the room indicating the type of isolation (contact and droplet). Review of…
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 · E2023-07-26 · tag F0645 — patternPASARR screening for Mental disorders or Intellectual Disabilities
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 residents identified with Mental Disorder and/or Intellectual Disability had an accurate (PASARR) Pre-admission Screening and Resident Review Level I and/or Level II for 3 (#44, #52, #82) of 6 (#1, #16, #44, #52, #82, #85) residents reviewed for PASAAR screening. The deficient practice had the potential to effect 102 residents. Findings: Resident #44 Review of Resident #44's electronic health record revealed she was admitted on [DATE] with diagnoses that included: Dementia with Mood Disorder, Major Depressive Disorder with Psychotic Symptoms, and Delusional Disorders. Review of Resident #44's care plan read in part: Mood disorder related to diagnosis of Depression, Anxiety, Delusional Disorders and potential for adverse effects due to use of psychotropic medications. Takes Zoloft for depression, takes Abilify for delusional disorder. Further review of the care plan revealed no plan to receive PASARR Level II services. Review of Resident #44's…
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 before2023-07-26 · tag F0637 — isolatedAssess the resident when there is a significant change in condition
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 that a Significant Change in Condition Minimum Data Set (MDS) assessment was completed within the required timeframe after resident discharged from hospice services for 1 (#40) out of 21 sampled residents. This deficient practice had the potential to affect a total census of 102 residents. Findings: Review of Resident #40's electronic health record revealed he admitted to the facility on [DATE] with diagnoses including Hemiplegia following a cerebral infarction, chronic obstructive pulmonary disease, Hypertension, and Vascular dementia. Review of Resident #40's Physician orders revealed an order dated 06/29/2023 to discontinue hospice services. Review of Resident #40's MDS assessments, revealed a Significant Change in Condition MDS with an Assessment Reference Date (ARD) of 07/10/2023. The status of the assessment was open, indicating the assessment was not complete. The assessment target date to complete was 07/24/2023. On 07/26/2023 at 10:22…
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 before2023-07-26 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
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 assessment accurately reflected the resident's status by failing to accurately code the Minimum Data Set (MDS) for medications for 1 (#52) of 21 residents reviewed in the initial pool. The deficient practice had the potential to affect a total of 102 residents. Findings: Review of Resident #52's electronic health record revealed she was admitted on [DATE] with diagnoses that included: Atherosclerotic Heart Disease, Fracture of T11-T12 Vertebrae, Unspecified Fracture of Left Femur. A review of the Quarterly MDS with an Assessment Reference Date (ARD) of 07/03/2023 for Resident #52 revealed, Section N: Medications, was coded 0 (days) for anticoagulant use and was coded 0 (days) for injections in the 7 day look back period. A review of the Medication Administration Record (MAR) for July 2023 revealed the resident received an anticoagulant starting on 06/29/2023. On 07/26/2023 at 12:04 p.m., an interview was conducted with S6CCC. S6CCC reviewed…
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 · D2023-07-26 · tag F0644 — isolatedCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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 reviews and interviews, the facility failed to refer all residents with a newly evident or serious mental disorder, intellectual disability, or a related condition for level II resident review for 2(#82, #85) out of 6 (#1, #16, #44, #52, #82, #85) residents reviewed for Pre-admission Screening and Resident Review (PASARR). The deficient practice had the potential to affect a total census of 102 residents. Findings: Resident #82 Review of Resident #82's electronic health record revealed she was admitted on [DATE] with diagnoses that included: Hypertension, Major Depressive Disorder and Generalized Anxiety Disorder. Review of Resident #82's Quarterly MDS (Minimum Data Set) assessment, dated 05/02/2023, revealed a BIMS (Brief Interview for Mental Status) of 13 indicating she was cognitively intact. Review of Resident #82's electronic health record revealed a diagnosis of Schizoaffective Disorder, Bipolar Type dated 05/14/2022. Review of Resident #82's care plan in part: Potential for…
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 before2023-07-26 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 — an excerpt from the official record, may be distressing
Based on observation, record review and interviews, the facility failed to implement care plan for 1 (#90) out of 33 sampled residents. The deficient practice had the potential to affect a total census of 102 residents. Findings: Resident admitted to facility on 06/20/2023 with diagnoses that included in part: Stable Burst Fracture of First Lumbar Vertebra, Wedge Compression Fracture of First Lumbar Vertebra, Fatigue fracture of Vertebra Lumbar Region and Dementia. A review of the Resident #90's Care Plan revealed, in part: At high risk for falls related to history of falls at home, risk for falls. 07/04/2023 Fall. Interventions included, in part: Fall mat on floor on left side of the bed. An observation was made on 07/25/2023 at 10:34 a.m. of Resident #90 lying in bed with left side of bed against wall and no fall mat noted on floor or in room. On 07/25/2023 at 10:55 a.m., an interview was conducted with S5CNA (Certified Nursing Assistant) who confirmed Resident #90 did not have a fall mat in room. On 07/25/2023 at 3:18 p.m., an interview was conducted with S4LPN (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.
“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
$34,369 in federal fines across 1 penalty.
- $34,369 — penalty dated 2024-08-20
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to CENTRAL MANAGEMENT COMPANY — 21 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 1 of 5 | 2.6 | -1.6 vs chain |
| Health inspection | 1 of 5 | 2.8 | -1.8 vs chain |
| Staffing | 3 of 5 | 3.0 | ≈ chain avg |
| Quality measures | 3 of 5 | 2.4 | +0.6 vs chain |
The other 20 homes this chain runs (chain average 2.6★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| FREDA ZIMMERMAN TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | 17% | since 01/01/1987 |
| KISATCHIE HEALTH, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | 67% | since 01/01/1987 |
| CENTRAL MANAGEMENT COMPANY, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/01/2016 |
| PRICE, TEDDY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/01/2025 |
| BOLWAHNN, SHEILA | Individual | ADP OF THE SNF | — | since 12/01/2008 |
| CANTRELL, JEFFREY LEE | Individual | ADP OF THE SNF | — | since 10/01/2013 |
| HEINEN, DAVID | Individual | ADP OF THE SNF | — | since 03/26/2025 |
| NAEEM, ASIMA | Individual | ADP OF THE SNF | — | since 03/26/2025 |
| ROGERS, DAWN | Individual | ADP OF THE SNF | — | since 03/01/1993 |
| SHELTON, JAMES | Individual | ADP OF THE SNF | — | since 07/23/1990 |
CMS files one row per role, so the 14 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.
3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
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 72% 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 $3.4M paid to related parties — landlords or management companies under common ownership — equal to about 27% 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 2024. 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, FY2024). 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 195414. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-20, 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.