Chateau St. James Rehab And Retirement

Location & what’s nearby

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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

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.

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.

Therapy staffing: this home’s payroll records show 0.70 therapist hours per resident per day in 2026Q1 — more than 92% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% 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.

Staffing

How full it usually is: this home is certified for 116 beds and averages 72.5 residents a day — about 62% occupied, or roughly 44 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 3.37 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.30 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.69 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 2.71 hrs/resident/day on weekends vs 3.63 on weekdays — 25% thinner on weekends — a notable drop. RN hours go from 0.36 to 0.15 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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 10 most serious are shown; the remaining 10 are one tap away and print in full.

• Potential for harm · E2025-12-10 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  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:1. Ensure weighted sandbag (weighted base to prevent something from tipping over) located on a resident's intravenous pole (pole to hold fluids or equipment), and enteral feeding pump (equipment used to deliver liquid nutrition) was maintained in a sanitary manner (Resident #12); and,2. Ensure a resident's wheelchair was maintained in a sanitary manner (Resident #43). This deficient practice was identified for 2 (Resident #12, Resident #43) of 61 sampled resident rooms observed for environmental requirements. Findings:1.Review of Resident #12's quarterly Minimum Data Set with an Assessment Reference Date of 09/24/2025 revealed, in part, Resident #12 received enteral nutrition (liquid/formula going directly into the stomach) through an enteral feeding pump. Observation on 12/08/2025 at 9:53AM revealed several areas of a dried tan colored unknown substance which covered 25% of Resident #12's enteral feeding pump handle and several areas of a dried tan colored unknown substance which covered 25% of 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-12-10 · tag F0698 — failed to provide proper dialysis care — pattern
  Provide 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

  Based on interviews and record reviews, the facility failed to ensure staff had ongoing communication and collaboration with the resident's dialysis provider regarding the resident's dialysis care and services for 1 (Resident #7) of 1 sampled resident investigated for dialysis requirements. Findings:Review of the facility's End-Stage Renal Disease, Care of a Resident, undated, policy revealed, in part, that agreements between the facility and the end stage renal disease facility should include all aspects of how the resident's care would be managed, including how information would be exchanged between the facility and dialysis center facility's. Review of Resident #7's electronic medical record revealed, in part, Resident #7 had an admission date of 11/18/2025 and a diagnosis of end stage renal disease (loss of kidney function). Review of Resident #7's electronic medical record revealed, in part, an order for Resident #7 to receive dialysis every Monday, Wednesday, and Friday, for the facility staff to review the facility's dialysis communication sheet/form every Monday, Wednesday,…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-10 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure 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 observations, interviews, and records review, the facility failed to administer a resident's enteral feeding (intake of food through a tube placed in the stomach) as ordered by the physician for 1 (Resident #25) of 1 sampled resident investigated for enteral nutritional requirements. Findings:Review of the facility's Enteral Tube Feeding via Continuous Pump policy with a revision date of 08/04/2019, revealed, in part, the enteral nutritional label and rate of administration (milliliters per hour) should be checked against the order before administration.Review of Resident #25's Quarterly Minimum Data Set with an Assessment Reference Date of 11/02/2025 revealed, in part, Resident #25 had a feeding tube placed directly into his stomach.Review of Resident #25's December 2025 order listing report revealed, in part, an order with a start date of 11/28/2025 for Isosource 1.5 at 50 milliliters per hour via feeding tube continuously.Observation on 12/08/2025 at 1:17PM revealed Resident #25's continuous tube feeding was infusing at 53 milliliters per hour via pump.Observation on…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-28 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 a resident's care plan was revised to reflect a resident's individualized needs following a significant change in condition. This deficient practice was identified for 1 (Resident #2) of 5 (Resident #1, Resident #2, Resident #3, Resident #4, Resident #5) sampled residents reviewed for quality of care. Findings: Review of Resident #2's Quarterly MDS (Minimum Data Set) with ARD (Assessment Reference Date) of 03/20/2025 revealed, in part, Resident #2 no wandering behaviors noted and required a walker or wheelchair for locomotion. Further review revealed Resident #2 required supervision or touching assistance with eating, performing oral hygiene, personal hygiene, bathing or showering, and partial and moderate assistance with toileting hygiene. Review of Resident #2's Significant change MDS (Minimum Data Set) with an ARD (Assessment Reference Date) of 05/02/205 revealed, in part, Resident #2 had no wandering behaviors noted and required substantial or maximal assistance performing personal hygiene,…

  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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-28 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  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: 1) obtain settings for Continuous Positive Airway Pressure (CPAP) administration (Resident #1); and, 2) follow a physician's order for oxygen administration (Resident #2). This deficient practice was identified for 2 (Resident #1, Resident #2) of 3 (Resident #1, Resident #2, Resident #5) sampled residents reviewed for respiratory care in a total sample of 5. Findings: 1. Review of the facility's CPAP/bi-level positive airway pressure (BPAP) Support policy and procedure revised on 03/2015 revealed, in part, the purpose was to improve oxygenation in residents with respiratory insufficiency, obstructive sleep apnea, or obstructive lung disease. Further review revealed staff was to review the physician's order to determine the oxygen concentration and flow, and the positive end-expiratory pressure (PEEP). Further review revealed staff was to set mode for CPAP settings on the machine as prescribed. Review of Resident #1's Minimum Data Set with an assessment reference date of 03/09/2025 revealed, in part,…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-11-08 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure 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: 1. Ensure residents identified as unsafe smokers did not have access to smoking materials while not being supervised (Resident #36); and, 2.Implement new individualized fall prevention interventions and/or increase supervision to prevent future falls for 1 (Resident #1) of 4 (Resident #1, Resident #34, Resident #35, and Resident #56) sampled residents reviewed for falls. Findings: Resident #36 Review of the facility's Resident's Smoking Policy dated 03/08/2023 revealed, in part, residents were not be permitted to keep cigarettes, e-cigarettes, pipes, tobacco, and other smoking articles in their possession if they were determined to have smoking restrictions or identified as an unsafe smoker unless under supervision. Further review revealed the facility maintained the right to confiscate smoking articles found in violation of the smoking policies. Review of Resident #36's Minimum Data Set (MDS) with an Assessment Reference Date (ARD)…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-08 · tag F0812 — failed to store, cook, and serve food safely — isolated
  Procure 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 interview, observation, and record review, the facility failed to perform proper hand hygiene while preparing coffee for residents. Findings: Review of the facility's Policy and Procedure for Preventing Foodborne Illness - Employee Hygiene and Sanitary Practice, last updated October 2008, revealed, in part, all employees who handled, prepared, or served food were trained in the practice of safe food handling and preventing foodborne illness by performing hand hygiene before coming into contact with any food surfaces and after being engaged in other activities that contaminate their hands. Observation on 11/06/2024 at 11:00 a.m., revealed S13Dietary Aide (DA) performed hand hygiene in the facility's kitchen sink, obtained paper towels, used the paper towels to dry her hands, and then lifted kitchen garbage bin lid with her bare hands to dispose of the above mentioned paper towels. Further observation revealed S13DA did not perform hand hygiene after touching the garbage can lid, picked up a container of coffee, brought the coffee to the facility dining room, and then…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-11-08 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews, and interviews the facility failed to identify and include the infection-causing organism for resident infections into their infection control surveillance for 4 (Resident #38, Resident #41, Resident #66, and Resident #75) of 5 (Resident #30, Resident #38, Resident #41, Resident #66, and Resident #75) sampled resident reviewed for infection surveillance. Findings: Review of the facility's Surveillance for Infections policy and procedure with a revision date of September 2017, revealed, in part, the purpose of the surveillance of infections was to identify individual cases and trends of epidemiologically significant organisms and Healthcare-Associated Infections. Further review of the policy revealed infections included in routine surveillance include evidence of transmissibility, processes, and procedures which prevent the spread of infection, and pathogens associated with serious outbreaks. Review revealed the surveillance should include a review of all information to identify possible indicators of infections: laboratory records, infection documentation…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-04-24 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide 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 observation, record review, and interviews, the facility failed to ensure a resident dependent on staff for activities of daily living (ADL) received nail care. This deficient practice was identified for 1 (Resident #3) of 3 (Resident #1, Resident #2, and Resident #3) sampled residents. Findings: Review of Resident #3's Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 03/26/2024 revealed, in part, Resident #3 had a Brief Interview for Mental Status (BIMS) score of 00, which indicated severe cognitive impairment. Further review revealed, Resident #3 was dependent upon staff with personal hygiene. Review of Resident #3's care plan revealed, in part, Resident #3 required assistance from staff with all ADLs (activities related to personal care). Observation on 04/22/2024 at 12:18 p.m. revealed, Resident #3's left thumb nail and left second finger nail were approximately one-fourth of an inch long. Further observation revealed, Resident #3's right first finger nail was also long. In an interview on 04/24/2024 at 8:36 a.m., S2CNA indicated she has never attempted…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-12-14 · tag F0623 — pattern
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  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 the Ombudsman was notified of hospital transfers/discharges by failing to complete and submit the Emergency (ER) Transfer Log to the Ombudsman in a timely manner as required for 2 (Resident #44 and Resident #50) of 3 (Resident #44, Resident #50, and Resident #73) residents reviewed for hospitalizations. Findings: Resident #44 Review of Resident #44's medical record revealed Resident #44 was transferred to an acute care hospital from [DATE] to 04/23/2023. Review of the facility's Emergency Transfer Log dated April 2023 revealed, in part, a notification of hospital transfers/discharges was sent to the Ombudsman on 06/12/2023. In an interview on 12/14/2023 at 12:15 p.m., S13SocialWorker stated the emergency transfer logs should be sent to the Ombudsman by the 15th of the following month. S13SocialWorker stated April 2023's log should have been sent in May 2023 and it was not. In an interview on 12/14/2023 at 12:48 p.m., S1Administrator stated he…

  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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“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.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to PRIORITY MANAGEMENT — 38 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 →

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

CMS files one row per role, so the 50 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted.

7 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 71% 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 $2.1M paid to related parties — landlords or management companies under common ownership — equal to about 21% 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