No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Landmark Nursing & Rehabilitation Ctr Of West Mon

1611 Wellerman Road, West Monroe, LA 71291 · For profit - Limited Liability company · 140 certified beds · (318) 396-3313 Medicare & Medicaid certified

Call the home — (318) 396-3313 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Jun 20242 actual-harm citations CMS recorded as corrected before the inspection ended (past non-compliance)$20,869 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a middle-of-the-pack inspection score (3/5)
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Jun 2024
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors recorded 2 serious findings as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • 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 $20,869 in federal fines (most recent 2024-09-05)
  • its facility-reported quality-measure rating is low (1/5)
  • about 26% 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.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 1 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
3304 Cypress St · (800) 511-8940 · Call to confirm hours
Pharmacy
903 Warren Dr · (318) 396-1985 · Call to confirm hours
Grocery
1512 Elizabeth St
Park
Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 1 of 5
Long-stay residentspeople who live here 1 of 5
Short-stay residentsrehab / post-hospital 1 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 2 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.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased27.6%17.8%15.4%worse
Long-stay residents who lose too much weight5.2%5.2%5.4%typical
Long-stay residents with a catheter left in their bladder2.1%1.2%0.9%worse
Long-stay residents with a urinary tract infection3.9%2.1%2.0%worse
Long-stay residents with depressive symptoms0.0%2.3%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury7.1%3.5%3.3%worse
Long-stay residents whose ability to walk worsened21.1%17.9%16.1%worse
Long-stay residents on antianxiety or hypnotic medication44.7%23.2%18.9%worse
Long-stay residents given the seasonal flu vaccine95.0%94.9%95.3%typical
Long-stay residents with pressure ulcers6.9%5.6%4.7%worse
Long-stay residents with worsening bladder/bowel control10.4%15.8%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table29.7%22.7%17.1%worse
Short-stay residents who newly got an antipsychotic medication9.8%3.1%1.4%worse than state — see note marked double-dagger below the table
Short-stay residents given the seasonal flu vaccine60.7%76.3%79.4%worse
Short-stay residents rehospitalized after admission31.1%28.0%22.6%worse
Short-stay residents with an outpatient ER visit17.2%14.8%12.0%worse
Long-stay hospitalizations per 1,000 resident days3.592.561.67worse
Long-stay outpatient ER visits per 1,000 resident days2.462.741.80worse

* 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.

42.5% 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 124 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

42.5%U.S. median 51.5%
Got home and stayed home
10.5%U.S. median 10.7%
Went back to hospital
49.6%U.S. median 56.6%
Met the expected recovery
0.38U.S. median 0.31
Therapy hours / resident / day
0.10hours / resident / day
Physical therapy
0.19hours / resident / day
Occupational therapy
0.09hours / resident / day
Speech therapy

Met the expected recovery: 49.6% 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 113 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 65% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF42.5%CMS range 35.2–51.751.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.5%CMS range 7.7–13.810.7%Oct 2022–Sep 2024no 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 discharge49.6%56.6%Oct 2024–Sep 2025CMS 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 discharge40.7%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge54.9%50.0%Oct 2024–Sep 2025CMS 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 identified92.0%98.7%Oct 2024–Sep 2025CMS 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 setting97.3%100.0%Oct 2024–Sep 2025CMS 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 discharge94.7%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay3.2%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened7.5%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.9%CMS range 4.2–10.97.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.101.02Oct 2022–Sep 2024CMS 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

0.26
RN hours/ resident / day
1.31
LPN hours/ resident / day
2.45
Aide hours/ resident / day
4.03
Total nurse hours/ resident / day
0.10
RN hoursweekends
50.0%
Total nursing turnover
0.0%
RN turnover

How full it usually is: this home is certified for 140 beds and averages 114.1 residents a day — about 82% occupied, or roughly 26 beds typically open. It usually has some room. 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 4.03 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.26 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.453 is at or above 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 3.38 hrs/resident/day on weekends vs 4.29 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.33 to 0.10 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% 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

8
deficiencies at the latest standard inspection (2026-03-10)
3
at the previous standard inspection (2025-01-15)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

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.

  • Actual harm · G2024-09-05 · 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 record review and interviews, the facility failed to ensure 1 (#1) of 3 (#1, #2, #3) residents reviewed for accidents received the necessary supervision to prevent avoidable accidents including a fall. The deficient practice resulted in an actual harm for Resident #1 on 08/22/2024 at 12:25 p.m. when Resident #1 suffered major injuries from falling out of the bed to the floor while left unattended during a bed bath. S4 CNA (Certified Nursing Assistant) was providing a bed bath to Resident #1. S4 CNA left the room to get more supplies for the bath and Resident #1 rolled off the bed and to the floor. Resident #1 was sent to a local hospital ER (Emergency Room) on 08/22/2024. Review of the hospital records revealed Resident #1 suffered bilateral supracondylar fractures of the right and left femurs requiring ORIF (open reduction internal fixation) of the right femur and a closed reduction and Ex-Fix application of the left distal femur on 08/22/2024. Resident #1 remained in the hospital at the time of the investigation. The facility implemented corrective actions which were…

    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 · Past Non-Compliance
  • Actual harm · G2024-06-05 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to protect the resident's right to be free from physical and verbal abuse and psychosocial harm by staff for 1 (#1) of 3 (#1,#2, #3) sampled residents. The deficient practice resulted in actual harm for resident #1 (who was cognitively impaired with communication deficits) on 05/19/2024 at 6:10 p.m. when S3CNA (Certified Nursing Assistant) physically and verbally abused resident #1 by forcefully grabbing resident #1's lower extremities, hands and arms in an attempt to reposition resident #1 and the resident sustained two red bruises that were identified on the left upper arm, and a reddened bruise was noted to the left hand, between thumb and index finger, red bruise was noted on top of right hand and a red bruise noted to the upper right arm. S3CNA cursed resident #1 and expressed anger at resident #1. Even though there was no significant decline in mental or physical functioning, it can be determined that the reasonable person would have…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · Ecited before2026-03-10 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    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 maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of communicable diseases and infections. The facility failed to 1) Identify Resident #14 had a MDRO infection and implement contact precautions, and 2) implement EBP for Resident #23 and #94.Findings:Resident #14 Review of the facility's undated Infection Control Precautions (Isolation) Policy revealed the following in part: Policy: Prevent the spread of infection Equipment: Provided by infection control coordinator Procedure: 5. All residents placed in isolation, for suspected or confirmed infections, shall have isolation precautions implemented in accordance with procedures established in the CDC Guidelines for Isolation Precautions in Hospitals. Review of the record for Resident #14 revealed an admission date of 04/02/2025 with diagnoses that included cerebral infarction, dementia,…

    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 · D2026-03-10 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    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 assess residents for self-administration of medications for 1 (#51) of 1 sampled residents observed for medications available at the bedside. Findings: Review of the facility's undated Medication Storage in the Facility policy revealed the following, in part: Medications and biologicals are stored safely, securely, and properly following manufacturer's recommendations or those of the supplier. The medication supply is accessible only to licensed nursing or medical personnel and pharmacy personnel. Review of the medical record for Resident #51 revealed an admission date of 01/28/2026. Resident #51 had diagnoses that included depression, schizophrenia, cognitive communication deficit, hemiplegia, and presbyopia. Review of the admission MDS assessment dated [DATE] revealed Resident #51 had a BIMS score of 13 which indicated intact cognition for daily decision making. On 03/08/2026 at 9:00 a.m., and 12:10 p.m., observations 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 · D2026-03-10 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    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 ensure residents have the right to a clean, comfortable and homelike environment for 3 (#16, #29 and #51) of 3 residents reviewed for environment by 1) having unsanitary overbed tables for resident use (#16 and #29) and having an air conditioner unit in need of repair for resident #51. Findings: Resident 16 On 03/08/2026 at 11:15 a.m., 4:03 p.m. and on 03/09/2026 at 1:45 p.m. observations of Resident #16's overbed table revealed spills and splatters on top of the table. On 03/09/2026 at 2:05 p.m. observation of Resident #16's overbed table with S4Housekeeping Supervisor revealed spills and splatters on top of the table. Interview with S4Housekeeping Supervisor on 03/09/2026 at 2:10 p.m. confirmed Resident #16's overbed table was dirty and needed to be cleaned. Resident 29 On 03/08/2026 at 11:15 a.m., 4:03 p.m. and on 03/09/2026 at 1:45 p.m. observations of Resident #29's overbed table revealed spills and splatters on top of the table. On 03/09/2026 at 2:05 p.m. observation of Resident #29's overbed table 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-10 · tag F0640 — isolated
    Encode each resident’s assessment data and transmit these data to the State within 7 days of 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 reviews and interviews, the provider failed to ensure MDS assessments were completed and submitted timely for 3 (#3, #96, and #107) of 3 sampled residents reviewed for assessments.Findings: Resident #3Review of Resident #3's record revealed an admission date of [DATE] and resident expired in the facility on [DATE]. Review of Resident #3's MDS assessments revealed a discharge (death in facility) MDS assessment dated [DATE] was not completed and transmitted to CMS until [DATE]. An interview on [DATE] at 1:10 p.m. with S7MDS/LPN confirmed Resident #3 expired in the facility on [DATE]. S7MDS/LPN revealed she failed to complete and transmit Resident #3's discharge (death in facility) MDS assessment dated [DATE] to CMS within 7 days ([DATE]). Resident #96 Review of Resident #96's record revealed an admission date of [DATE] and a discharge date of [DATE]. Review of Resident #96's MDS assessments revealed no documented evidence a discharge MDS assessment was completed or transmitted to CMS for 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-03-10 · tag F0656 — failed to write and follow a full care plan — isolated
    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 review, observations, and interview, the facility failed to develop a comprehensive person-centered care plan for 1 (#99) of 2 sampled resident reviewed for ADLs. The provider failed to develop an ADLs care plan for Resident #99.Findings:Record review revealed Resident #99 was admitted to the facility on [DATE] with diagnoses that included type 2 diabetes mellitus without complication, stage 2 pressure ulcer sacral region, chronic obstructive pulmonary disease, need for assistance with personal care, lack of coordination, muscle wasting and atrophy not elsewhere specified right shoulder, major depressive disorder, generalized anxiety disorder, peripheral vascular disease, hypertensive heart disease with heart failure, personal history of venous thrombosis and embolism, obstructive sleep apnea, and obesity. Review of the current March 2026 Physician orders revealed an order dated 12/24/2025: requires x1 person assist with ADLs. Review of the comprehensive care plan revealed no evidence to support…

    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 · D2026-03-10 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good personal hygiene. The facility failed to ensure residents' fingernails were clean and trimmed in a timely manner for 1 (#99) of 2 residents reviewed for activities of daily living. Findings:Record review revealed Resident #99 was admitted to the facility on [DATE] with diagnoses that included type 2 diabetes mellitus without complication, stage 2 pressure ulcer sacral region, chronic obstructive pulmonary disease, need for assistance with personal care, lack of coordination, muscle wasting and atrophy not elsewhere specified right shoulder, major depressive disorder, generalized anxiety disorder, peripheral vascular disease, hypertensive heart disease with heart failure, personal history of venous thrombosis and embolism, obstructive sleep apnea, and obesity. Review of the current March 2026 Physician orders…

    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 before2026-03-10 · tag F0726 — failed to have competent, trained nursing staff — isolated
    Ensure 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 record reviews and interviews, the facility failed to ensure that the nursing staff are able to demonstrate competency in skills necessary to care for the resident needs for 1 (#6) of 5 residents sampled for the unnecessary medication review. This was evidenced by the nurses failing to administer as needed blood pressure medication as ordered for Resident #6.Findings:Review of Resident #6's record revealed an admission date of 07/18/2020 with readmission of 11/23/2024. Resident #6 had the following diagnoses chronic systolic congestive heart failure, shortness of breath, chest pain, angina pectoris, atrial fibrillation, and essential hypertension. Review of Resident #6's quarterly MDS assessment dated [DATE] revealed a BIMS score of 12 which indicated moderate cognitive impairment. Review of Resident #6's March 2026 Physician's Orders revealed an order dated 02/10/2026 for Clonidine HCL oral tablet 0.1 mg give 1 tablet by mouth every 12 hours as needed for hypertension, and parameters for blood pressure…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-03-10 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to ensure each resident's medication regimen was free from unnecessary medications by failing to monitor for edema while a resident was receiving a diuretic for 1 (#92) of 5 residents reviewed for unnecessary medications. Findings: Review of the medical record for Resident #92 revealed an admission date of 10/22/2024. Resident #92 had diagnoses that included edema, Parkinson's disease, and dementia. Review of the quarterly MDS assessment dated [DATE] revealed Resident #92 had a BIMS score of 5 which indicated severe cognitive impairment for daily decision making and required assistance with ADLs. Review of Resident #92's March 2026 physician orders revealed an order dated 03/04/2026 for Lasix (diuretic) 20 mg, give one tablet by mouth one time a day related to edema. Review of the March 2026 MAR and nurses notes revealed no documented evidence the nurses monitored Resident #92 for edema. Interview on 03/10/2026 at 10:10 a.m. with S3LPN confirmed there…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-01-15 · tag F0638 — pattern
    Assure that each resident’s assessment is updated at least once every 3 months.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interview and record reviews, the facility failed to ensure it assessed residents using the quarterly review instrument approved by Centers for Medicare & Medicaid Service (CMS) not less frequently than once every 3 months by failing to complete the Minimum Data Set (MDS) assessment at least every 3 months for 4 (#8, #15, #55, #63) of 4 sampled residents reviewed for timeliness of MDS assessments. Findings: Review of the MDS for resident #8 revealed the last completed MDS assessment was dated 09/10/2024. Review of the MDS for resident #15 revealed the last completed MDS assessment was dated 08/02/2024. Review of the MDS for resident #55 revealed the last completed MDS assessment was dated 08/30/2024. Review of the MDS for resident #63 revealed the last completed MDS assessment was dated 09/11/2024. On 01/25/2025 at 10:30 a.m., interview with #S3Clinical Care Coordinator confirmed the MDS assessments were not completed at least every 3 months for residents #8, #15, #55 and #63.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-01-15 · 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 observations, interviews, and record reviews, the facility failed to implement a comprehensive person centered care plan for 1 (#24) of 1 resident reviewed for constipation and 2 (#26, #60) of 2 residents reviewed for smoking. Findings: Resident #24 0n 01/13/2025 at 9:06 a.m., interview with resident #24 revealed she had recurrent problems with constipation. Review of the medical record for resident #24 revealed she had a diagnosis of constipation. Review of the care plan revealed it addressed the constipation with an intervention to assess bowel patterns. Review of the January 2025 documentation for the resident's bowel status revealed it was not recorded for 13 of 13 day shifts, for 4 of 13 evening shifts, and for 7 of 13 night shifts. On 01/15/2025 at 8:30 a.m., an interview with S2Director of Nursing (DON) confirmed the facility had not been consistently assessing the resident's bowel movements. Resident #26 Review of the medical record for resident #26 revealed he was admitted to the facility 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 8 citations
  • Potential for harm · Dcited before2025-01-15 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure each resident's drug regimen was free from unnecessary drugs by failing to ensure labs were collected as ordered for 1 (#84) of 5 (#9, #18, #42, #84, #94) residents reviewed for unneccessary medications. Findings: Review of the medical record for resident #84 revealed she was admitted on [DATE] with a diagnosis of hyperlipidemia. Review of the January 2024 physician orders revealed the physician ordered Rosuvastatin 20 milligrams (mg) at bedtime for the treatment of hyperlipidemia. On 03/01/2024, the physician ordered Lipid levels to be obtained every 6 months. Review of the medical record for resident #84 revealed there were no lipid levels done. On 01/14/2025 at 2:00 p.m., interview with S2Director of Nursing (DON) confirmed the facility had not obtained lipid levels for resident #84.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-05 · tag F0726 — failed to have competent, trained nursing staff — isolated
    Ensure 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

    Based on record review and interview, the facility failed to ensure that nurse aides were able to demonstrate competency in skills and techniques necessary to care for residents' needs, as identified through resident assessments, and described in the plan of care for 1 (#1) of 3 (#1, #2, #3) residents reviewed. S4 CNA (Certified Nursing Assistant) failed to provide 2 person assistance during bed mobility for Resident #1 and failed to ensure the bed was in the locked position prior to exiting Resident #1's room. The facility implemented corrective actions prior to the State Agency's investigation, thus it was determined to be a Past Noncompliance citation. The Completion date was 08/26/2024. Findings: On 09/03/2024 review of the record for Resident #1 revealed an admit date of 12/27/2021. Further review of the record for Resident #1 revealed diagnoses in part of atresia and stenosis of urethra and bladder neck, schizoaffective disorder, seizures, multiple sclerosis, muscle wasting and atrophy, lack of coordination, cognitive communication deficit, aphasia and a past history 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.

    Nursing and Physician Services Deficiencies · Past Non-Compliance
  • Potential for harm · E2024-06-05 · tag F0583 — failed to protect personal privacy — pattern
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview the facility failed to provide personal privacy during incontient care for 1 (#1) of 3 (#1,#2,#3) residents reviewed for incontinent care. Findings: Review of resident #1's electronic health record revealed an admit date of 05/27/2021 with diagnoses that included encephalopathy, aphasia following cerebral infarction, abnormal weight loss, lack of coordination, muscle wasting, and Alzheimer's disease. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident has a BIMS (Brief Mental Status Interview) score of 3 which indicated the resident is cognitively impaired and unable to make daily decisions. Further review revealed the resident needs assistance with all activities of daily living including incontinence care. Review of the facility's investigation documentation revealed the following: On 05/20/2024 it was reported to the facility that S3CNA was physically rough and spoke rudely to resident #1 during incontinence care.…

    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 · Ecited before2024-06-05 · tag F0609 — failed to report abuse allegations — pattern
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to ensure an allegation of abuse by staff was reported immediately to the facility administrator no later than 2 hours after the allegation was made for 1 (#1) of 3 (#1, #2, #3) residents reviewed for abuse. The facility implemented corrective actions which were completed prior to the State Agency's investigation, thus it was determined to be a Past Noncompliance citation. Findings: Review of the facility's Abuse Policy dated October 2023 revealed the following: Reporting of Accidents and Incidents: Regardless of how minor an injury may be, all accidents or incidents involving a resident, employee or visitor must be reported. Report all accidents or incidents to your immediate supervisor as soon as you can. All accidents/incidents must be reported to the staff/charge nurse as soon as practical, (on that shift). If the accident/incident involves suspected patient abuse/neglect, or injury is of unknown origin, the staff/charge nurse must immediately report…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · E2024-01-10 · tag F0684 — failed to provide proper treatment and quality of care — pattern
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice and the comprehensive person-centered careplan for 2 (#4, #32) of 6 (#4, #32, #51, #57, #111, #177) residents reviewed for medication administration.The facility failed to ensure: 1) nurses administered Insulin according to the residents sliding scale parameters, and report high blood surgars to the resident's physician as ordered (#32) 2) nursing staff reported abnormal blood sugars to the attending physician or nurse practioner and failed to update the plan of care to adress the abnormal blood sugars (#4) Findings: Resident #32 Review of resident #32's medical record revealed she was admitted to the facility on [DATE] with diagnoses of Type 2 diabetes mellitus and long term use of Insulin. Review of resident #32's 10/25/2023 Quarterly Minimum Data Set assessment revealed her Brief Interview for Mental Status Score was 11, indicating she 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-01-10 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure 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 — the official record, unedited, may be distressing

    Based on observation and interview, the facility failed to ensure all drugs and biologicals were accessible only to authorized personnel by failing to ensure the medication room remained locked. Findings: On 01/09/2024 at 6:30a.m., observation of the medication room revealed the door was open and no staff were within the room. There were 3 medication carts within the room that were locked. The carts and the medications within the room were accessible to residents. Medication blister packs were located on open shelves within the room and accessible to anyone that was able to enter the room. Interview at that time with S5LPN confirmed the door to the medication room was open and medications were accessible.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-01 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to ensure that all alleged violations involving injuries of unknown source are reported immediately to the state agency, but not later than 2 hours after the allegation is made, if the events that caused the allegation results in serious bodily injury for 1 (#5) of 2 (#3 and #5) resident investigations reviewed. Findings: Review of the facility's current abuse policy revealed, in part: IV. Reporting Requirements: Nursing facility must report to the state agency any incidents and allegations of abuse, neglect, exploitation, misappropriation of resident property and/or injuries of unknown origin immediately, but no later than 2 hours after the allegation is made, if the event that caused the allegation involves abuse or results in bodily harm or injury. Review of the medical record for resident #5 revealed an admit date of 08/09/2023, with diagnoses of hypertension, vascular dementia, repeated falls, traumatic subarachnoid hemorrhage with loss 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-09-14 · tag F0880 — failed to prevent and control infections — pattern
    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 observations and interviews, the facility failed to maintain an infection prevention and control program to provide a sanitary environment to help prevent the development and transmission of communicable disease and infections. This deficient practice has the potential to affect all 117 residents who currently received care and services from the provider. 1) The provider failed to ensure all staff wore KN95 face masks during an outbreak status in accordance with facility's policies and procedures; 2) The provider failed to ensure staff's personal items, including cat food was not stored in the clean laundry room; and, 3) The provider failed to ensure staff's personal items were not stored in the hallway and near an area that was designated for resident restorative therapy. Findings: Review of the policy and procedure regarding the use of face mask during an outbreak (Referring to COVID-19) read as follows: Staff were instructed to wear N95 respirators in COVID rooms only, KN95 within the facility during outbreak status, and when out of outbreak status, a surgical mask is…

    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

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$20,869 in federal fines across 2 penalties.

  • $12,851 — penalty dated 2024-09-05
  • $8,018 — penalty dated 2024-06-05

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 →

RatingThis homeChain avg
Overall 2 of 52.6-0.6 vs chain
Health inspection 3 of 52.8+0.2 vs chain
Staffing 3 of 53.0≈ chain avg
Quality measures 1 of 52.4-1.4 vs chain
The other 20 homes this chain runs (chain average 2.6★, per CMS)
1 of 5Capital Oaks Nursing & Rehabilitation Center LLCBaton Rouge, LA 1 of 5Hilltop Nursing & Rehabilitation CenterPineville, LA 1 of 5Jefferson Manor Nursing And Rehab Ctr, LLCBaton Rouge, LA 1 of 5Resthaven Nursing & Rehab Center, LLCLake Charles, LA 2 of 5Belle Teche Nursing & Rehab CenterNew Iberia, LA 2 of 5Plantation Oaks Nursing & Rehabilitation CenterWisner, LA 2 of 5Roseview Nursing and Rehabilitation CenterShreveport, LA 3 of 5Autumn Leaves Nursing & Rehab Center, LLCWinnfield, LA 3 of 5Belle Grande Nursing and Rehabilitation CenterAlexandria, LA 3 of 5Belle Maison Nursing & Rehabilitation Center, LLCHammond, LA 3 of 5Forest Haven Nursing & Rehab Ctr, LLCJonesboro, LA 3 of 5Garden Park Nursing & Rehab CTR, LLCShreveport, LA 3 of 5Magnolia Manor Nursing and Rehab Ctr, LLCShreveport, LA 3 of 5River Oaks Nursing & Rehabilitation Center LLCBaker, LA 3 of 5Southern Oaks Nursing & Rehabilitation CenterShreveport, LA 3 of 5Zachary Manor Nursing and Rehabilitation CenterZachary, LA 4 of 5Ascension Oaks Nursing & Rehab CenterGonzales, LA 4 of 5Cypress Point Nursing & Rehabilitation CenterBossier City, LA 4 of 5Harmony House Nursing and Rehabilitation Center, IShreveport, LA 4 of 5Plantation Manor Nursing And Rehab Center, LLCWinnsboro, LA

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 / managerTypeRoleShareSince
KISATCHIE HEALTH, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF51%since 02/01/2001
PRICO, INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF29%since 02/01/2001
WILLIAM HENRY LEDBETTER JR ESTATEOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF20%since 05/26/2025
CANTRELL, JEFFREY LEEIndividualDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 04/04/2025
ZIMMERMAN, FREDAIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF7%since 03/31/2025
CENTRAL MANAGEMENT COMPANY, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/04/2025
PRICE, TEDDYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/01/2025
BOLWAHNN, SHEILAIndividualADP OF THE SNFsince 12/01/2008
LEWIS, REBECCAIndividualADP OF THE SNFsince 03/26/2025
ROGERS, DAWNIndividualADP OF THE SNFsince 10/01/1997
SHELTON, JAMESIndividualADP OF THE SNFsince 10/01/1997

CMS files one row per role, so the 18 rows in the source record cover these 11 parties — each is shown once here with every role it holds. Nothing is omitted.

4 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.

$13.8M
Net patient revenuemost recent cost report
+5.5%
Operating marginrevenue minus expenses
$3.5M
Related-party expense26% of expenses
Who pays — share of resident-days
Medicaid 75%Medicare 14%Other / private 11%

About 75% 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 $3.5M paid to related parties — landlords or management companies under common ownership — equal to about 26% 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

$304per resident / day
operating cost
$9,236per month
≈ monthly operating cost
$321per day
avg. revenue, all payers

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

Paying with Medicaid

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.

Typical monthly cost in Louisiana
$7,604/mo
Nursing home (semi-private)
$8,076/mo
Nursing home (private)
$5,163/mo
Assisted living

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 195438. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-10, 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.

What to do next