Rayville Nursing And Rehabilitation

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.

48.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 41 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 36.6% 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 41 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 0.38 therapist hours per resident per day in 2026Q1 — more than 66% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 149 beds and averages 54.1 residents a day — about 36% occupied, or roughly 95 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 3.75 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.46 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.43 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.43 hrs/resident/day on weekends vs 3.88 on weekdays — 12% thinner on weekends. RN hours go from 0.45 to 0.48 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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.

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

• Potential for harm · E2025-08-20 · 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 and interviews, the facility failed to maintain a safe, clean, comfortable and homelike environment for 2 (#12 and #45) of 2 residents reviewed for environment, and by having an area in the kitchen that was in need of repair. The failed practice was evidenced by having an air conditioner and a wheelchair that was in need of repair, and by having a part of the wall missing in the kitchen behind the three-compartment sink.Findings: On 08/18/2025 at 8:06 a.m., an initial tour of kitchen was conducted. Observation of the three compartment sink area revealed the wall behind the three compartment sink area was in need of repair. The wall tile above the three compartment sink was loose and there was a large hole in the wall beneath the three compartment sink. On 08/18/2025 at 8:10 a.m. an interview and observation with S4Dietary Manager confirmed the wall behind the three compartment sink was in need of repair. Resident #12 On 08/18/2025 at 1:32 p.m., and 08/19/2025 at 8:20 a.m., observations of Resident #12's air conditioning unit revealed the unit was missing 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-08-20 · tag F0641 — pattern
  Ensure 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 observations, interviews, and record reviews, the facility failed to ensure an accurate assessment was completed for 3 (#2, #4, and #8) of 3 (#2, #4, and #8) residents reviewed for physical restraints. The failed practice was evidenced by Residents #4 and #8 having an inaccurate assessment related to the use of bed rails. Resident #2 had an an inaccurate assessment related to the use of bed rails and a pommel cushion. Findings: Resident #2 On 08/18/2025 at 9:00 a.m. and 08/19/2025 at 8:15 a.m., Resident #2 was observed lying in bed with bilateral 1/4 bed rails in the upright position. On 08/19/2025 at 9:50 a.m., Resident #2 was observed sitting in a high back manual wheelchair. There was a pommel cushion noted in the seat of the wheelchair. Record review revealed Resident #2 was admitted to the facility on [DATE] with diagnoses including type 2 diabetes mellitus without complications, muscle wasting and atrophy, osteoarthritis left hip, abnormalities of gait and mobility, need assistance with personal…

  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 · E2025-08-20 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop 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 record reviews and interviews, the facility failed to implement a comprehensive person-centered care plan for each resident, that includes measurable objectives and timeframes to meet the resident's needs by not having documentation of meal percentage intakes for 1 (#55) of 3 (#2, #47 and #55) residents reviewed for nutrition. Findings: Review of the medical record for Resident #55 revealed an admission date of 08/02/2024. Resident #55 had diagnoses that included psychosis, muscle weakness, lack of coordination, anxiety, dysphagia, depression, and abnormal weight loss.Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #55's Brief Interview for Mental Status (BIMS) score was 13 which indicated intact cognition for daily decision making. Further review of the MDS revealed the resident required setup assistance for eating, and Resident #55 had malnutrition and weight loss. Review of the current care plan revealed Resident #55 was at risk for weight loss related to poor…

  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 · Dcited before2025-08-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  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

  Based on observations and interviews the facility failed to ensure each resident environment remains as free of accident hazards as is possible for 1 (#36) of 4 (#8, #10, #33, #36) residents reviewed for accident hazards. The facility failed to ensure the water temperature in Resident #36's bathroom was not greater than 120 degrees Fahrenheit. Findings:On 08/18/2025 at 10:45 a.m., an observation of Resident #36's bathroom sink revealed the water felt hot to surveyor touch. On 08/18/2025 at 11:13 a.m., an observation of S4Maintenance Director's check of the hot water temperature in Resident #36's bathroom sink revealed the temperature was 121 degrees Fahrenheit. Surveyor then checked the hot water temperature using his own thermometer revealed the temperature was 123.4 degrees Fahrenheit. S4Maintenance Director confirmed the water temperature in Resident #36's bathroom sink was greater than 120 degrees Fahrenheit. On 08/19/2025 at 4:30 p.m., S1Administrator was informed of hot water temperature greater than 120 degree in Resident #36's bathroom sink. S1Administrator confirmed the hot…

  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 · Dcited before2025-08-20 · 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 observation and record review the facility failed to provide care and services that is in accordance with physician's orders and facility policy for 1 (#35) of 1 resident reviewed for respiratory care by not ensuring the nebulizer and tubing were changed weekly. Findings:Review of the facility's policy and procedure on administering medications through a small volume (handheld) nebulizer dated October 2010 revealed the following:Steps in the procedure:30. Change equipment and tubing every seven days. Review of Resident #35's medical record revealed an admission date of 04/14/2025 with diagnoses that include hypertensive heart disease with heart failure, wheezing, and other specified diseases of upper respiratory tract. On 08/18/2025 at 9:25 a.m. and 08/19/2025 at 8:27 a.m., observations of Resident #35's room revealed nebulizer and tubing were being stored on bedside table in a bag dated 08/04. Further observation revealed that the nebulizer and tubing were not dated. On 08/19/2025 at 9:30 a.m., a record review of Resident #35's active August 2025 physician orders revealed…

  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 · E2024-07-31 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and interviews, the facility failed to ensure a resident who is unable to carry out activities of daily living received the necessary services to maintain good personal hygiene for 4 (#17, #23, #29 and #44) of 6 (#17, #22, #23, #28, #29, #44) residents reviewed for Activities of Daily Living (ADL) care. The facility failed to ensure 1.) residents' fingernails were kept clean and trimmed for #17, #23, #29 and #44 , and 2. resident #23 received oral hygiene and grooming. Findings: Resident #44 Review of the medical record for resident #44 revealed diagnoses of hyperlipidemia, cerebral infarction, hemiplegia, hemiparesis, protein calorie malnutrition, hypertension, and cognitive communication deficit. Review of the care plan revealed a problem for self-care deficit and required assistance with activities of daily living, provide a whirlpool bath three times a week and bed bath on the other days, clean and check fingernails/toenails, and provide nail care weekly and as needed.…

  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 · E2024-07-31 · tag F0679 — failed to provide activities — pattern
  Provide activities to meet all resident's needs.
  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 provide, based on the comprehensive assessment, care plan and the preferences of each resident, an ongoing program to support residents in their choice of activities for 4 (#1, #23, #29 and #43) of 5 (#1, #23, #29, #30, and #43) residents reviewed for activities. Findings: Resident #1 Review of the medical record for resident #1 revealed an admission date of 11/22/2023 with diagnoses including cystitis without hematuria, heart failure, ileus, muscle spasms, convulsions, reflux, aphasia, heart failure, anxiety, gastrostomy status, hypoglycemia, and quadriplegia. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had a Brief Interview for Mental Status (BIMS) score of 3, which indicated the resident had severe cognitive impairment for daily decision making. Review of the care plan revealed the resident had impaired thought processes/cognitive dysfunction related to aphasia, being understood or…

  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 · E2024-07-31 · tag F0700 — pattern
  Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
  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, observations, and interviews, the facility failed to ensure residents were assessed for the risk of entrapment from bed rails and received a written order from the physician for bed rails prior to installation for 6 (#1, #16, #17, #23, #29, and #30) of 6 (#1, #16, #17, #23, #29, and #30) residents reviewed for accident hazards. Findings: Review of the facility's policy for Physical Restraints, Side Rails (undated) revealed in part: Purpose The purposes of these guidelines are to ensure the safe use of side rails as resident mobility aids and to prohibit the use of side rails as restraints unless necessary to treat a resident's medical symptoms. General Guidelines 2. Side rails are only permissible if they are used to treat a resident's medical symptoms or to assist with mobility and transfer of residents. 3. An assessment will be made to determine the resident's symptoms, risk of entrapment and reason for using side rails. When used for mobility or transfer, an assessment will include a…

  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 before2024-07-31 · tag F0812 — failed to store, cook, and serve food safely — pattern
  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 observations and interviews, the facility failed to store, distribute, and serve food in accordance with professional standards with food service safety by: 1) having opened food items stored in the freezers, exposed to air and not being labeled with an opened date, 2) having dirt and grime buildup in the kitchen and 3) storing employee personal items in the food preparation area. Findings: On 07/29/2024 at 8:30 a.m., an observation of the kitchen with S11Dietary Manager (DM) revealed a small chest style freezer that contained five small cups of ice cream. The cups were turned over and/or partially turned on the side with the ice cream coming out of the cups and some of the cup lids stuck together. Further observation revealed one small pizza inside of a zip lock bag. The bag was not labeled with an opened date. S11DM confirmed the ice cream should have been removed from the freezer and the bag of pizza was not labeled with an opened date. There was an ice machine located next to a large food prep table. The outside lid of the ice machine was dirty. Further observation…

  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 · E2024-07-31 · tag F0908 — failed to keep essential equipment working — pattern
  Keep all essential equipment working safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews, the facility failed to maintain all mechanical equipment in safe operating condition by having: 1.) a microwave in the secured unit that contained rust and 2.) a deep fryer located in the kitchen that contained dust and grime. Findings: 1.) On 07/29/2024 at 9:20 a.m., an observation of the secured unit revealed a microwave was located in a cabinet in the day room and exposed rust was observed on the inside of the microwave. On 07/29/2024 at 2:30 p.m., an interview with S7Certifiied Nursing Assistant (CNA) that worked in the secured unit revealed that she used the microwave to reheat the residents' food when needed. On 07/30/2024 at 8:54 a.m., S2Director of Nursing (DON) observed the microwave with the surveyor and confirmed that the inside of the microwave contained rust and needed to be replaced. 2.) On 07/29/2024 at 8:30 a.m., an observation revealed a large deep fryer centrally located in the kitchen. The fryer had a lower compartment that housed the gas piping system. Observation of the inner compartment revealed there was a buildup of dust…

  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.

  Environmental 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 PARAMOUNT HEALTHCARE CONSULTANTS — 14 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 11 rows in the source record cover these 9 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.

This home reported $207K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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