Cycle 1
Health 2025-12-10 · Fire 2025-12-10
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Lake Charles, LA
Calcasieu Community Care Center
3-star overall rating with 3-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
4190 Gerstner Memorial Drive, Lake Charles, LA
(337) 240-9730
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
113
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Commcare Corporation
Operator or chain grouping
Approved since
2022-11-04
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
14 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.23
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
1.22
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
3.22
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.66
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.44
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.64
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
0.11
Weekend registered nurse coverage · state 0.22 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.27
CMS adjusted RN staffing hours
Adjusted total hours
5.66
CMS adjusted total nurse staffing hours
Case-mix index
1.13
Higher values indicate more complex resident acuity
RN turnover
71%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,389
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
36.36
Composite VBP score used to determine payment impact.
Payment multiplier
0.9898
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.01
Performance 19.57% · Measure score 4.01 · Achievement 4.01 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
3.03
Performance 6.93% · Measure score 3.03 · Achievement 3.03 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
0
Performance 68.57% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
7.5
Performance 5.21 hours · Measure score 7.5 · Achievement 7.5 · This facility did not have sufficient data to calculate a baseline period measure result.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 111 · Observed rate 10.81% · Lower 95% interval 7.78% |
| Discharge to community | 48.71% |
50.57%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 81 · Observed rate 41.98% · Lower 95% interval 37.33% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 74 · Denominator 74 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 74 |
| Discharge self-care score | 62.75% |
53.69%
9.1 pts better
|
Numerator 32 · Denominator 51 |
| Discharge mobility score | 62.75% |
50.94%
11.8 pts better
|
Numerator 32 · Denominator 51 |
| Pressure ulcers or injuries, new or worsened | 6.76% |
2.29%
4.5 pts worse
|
Numerator 5 · Denominator 74 · Adjusted rate 6% |
| Healthcare-associated infections requiring hospitalization | 6.93% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 83 · Observed rate 6.02% · Lower 95% interval 4.06% |
| Staff COVID-19 vaccination coverage | 3.36% |
8.2%
4.8 pts worse
|
Numerator 5 · Denominator 149 |
| Staff flu vaccination coverage | 9.95% |
42%
32 pts worse
|
Numerator 22 · Denominator 221 |
| Discharge function score | 64.71% |
56.45%
8.3 pts better
|
Numerator 33 · Denominator 51 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 25 · Denominator 25 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 24 · Denominator 24 |
| Resident COVID-19 vaccinations up to date | 6.06% |
25.2%
19.1 pts worse
|
Numerator 2 · Denominator 33 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
2.6
0.3 pts better
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.2 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.5 |
2.8
0.7 pts worse
|
1.8
1.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.5 · Observed 3.2 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
92.0%
8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.1% |
94.9%
4.2 pts better
|
95.5%
3.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
3.4%
0.8 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 3.0% · Q3 1.9% · Q4 3.7% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.3% |
1.8%
0.5 pts worse
|
11.4%
9.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.3% · Q3 3.3% · Q4 1.9% · 4Q avg 2.3% |
| Percentage of long-stay residents who lose too much weight | 7.0% |
5.2%
1.8 pts worse
|
5.4%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 2.4% · Q3 5.9% · Q4 8.6% · 4Q avg 7.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 32.9% |
23.1%
9.8 pts worse
|
19.6%
13.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.8% · Q2 33.3% · Q3 33.7% · Q4 34.9% · 4Q avg 32.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.1% |
24.4%
15.3 pts better
|
16.7%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 11.8% · Q3 8.7% · Q4 6.7% · 4Q avg 9.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 22.0% |
22.2%
0.2 pts better
|
16.3%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.6% · Q2 27.4% · Q3 16.5% · Q4 16.9% · 4Q avg 22.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.1% |
20.1%
2 pts better
|
14.9%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 21.4% · Q3 16.7% · Q4 14.6% · 4Q avg 18.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
1.6%
0.3 pts better
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.8% · Q3 1.8% · Q4 1.5% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.4% |
2.6%
0.8 pts worse
|
1.7%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 5.1% · Q3 1.9% · Q4 1.9% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.2% |
16.9%
0.3 pts worse
|
19.8%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 13.5% · Q3 20.9% · Q4 17.2% · 4Q avg 17.2% |
| Percentage of long-stay residents with pressure ulcers | 6.9% |
6.2%
0.7 pts worse
|
5.1%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 6.7% · Q3 8.0% · Q4 5.0% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.2% |
83.6%
14.6 pts better
|
81.7%
16.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.5% · Q2 98.4% · Q3 100.0% · Q4 98.2% · 4Q avg 98.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.3% |
14.7%
4.6 pts worse
|
12.0%
7.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.3% · Observed 19.7% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.6% |
3.3%
2.3 pts worse
|
1.6%
4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 7.7% · Q3 5.0% · Q4 2.8% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.0% |
76.2%
0.8 pts better
|
79.7%
2.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.9% |
27.8%
2.9 pts better
|
23.9%
1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.9% · Observed 24.2% · Expected 23.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-10-09 · Fire 2024-10-09
15 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2023-11-01 · Fire 2023-11-01
16 health deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-12-10
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-12-31
D · Potential for more than minimal harm
2024-10-09
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-05
D · Potential for more than minimal harm
2024-10-09
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-11-05
D · Potential for more than minimal harm
2024-10-09
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-11-05
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-10
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-12-31
D · Potential for more than minimal harm
2025-12-10
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-12-31
F · Potential for more than minimal harm
2024-10-09
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2024-11-18
F · Potential for more than minimal harm
2024-10-09
F882 · Infection Control Deficiencies
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-11-18
E · Potential for more than minimal harm
2024-10-09
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-11-18
E · Potential for more than minimal harm
2024-10-09
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-11-18
E · Potential for more than minimal harm
2024-10-09
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-11-18
D · Potential for more than minimal harm
2024-10-09
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-11-18
D · Potential for more than minimal harm
2024-10-09
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-11-18
D · Potential for more than minimal harm
2024-10-09
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-11-18
D · Potential for more than minimal harm
2024-10-09
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-11-18
D · Potential for more than minimal harm
2024-10-09
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-11-18
D · Potential for more than minimal harm
2024-10-09
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-18
D · Potential for more than minimal harm
2024-10-09
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-18
D · Potential for more than minimal harm
2024-10-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-18
E · Potential for more than minimal harm
2024-03-19
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-04-19
D · Potential for more than minimal harm
2024-03-19
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-04-19
E · Potential for more than minimal harm
2023-11-01
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2023-12-16
E · Potential for more than minimal harm
2023-11-01
F585 · Resident Rights Deficiencies
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-12-16
E · Potential for more than minimal harm
2023-11-01
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-12-16
D · Potential for more than minimal harm
2023-11-01
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-12-16
D · Potential for more than minimal harm
2023-11-01
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-16
D · Potential for more than minimal harm
2023-11-01
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-12-16
D · Potential for more than minimal harm
2023-11-01
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-12-16
D · Potential for more than minimal harm
2023-11-01
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-12-16
D · Potential for more than minimal harm
2023-11-01
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-12-16
D · Potential for more than minimal harm
2023-11-01
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-12-16
D · Potential for more than minimal harm
2023-11-01
F729 · Nursing and Physician Services Deficiencies
Health
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Corrected 2023-12-16
E · Potential for more than minimal harm
2023-08-30
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-06
E · Potential for more than minimal harm
2023-08-01
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-09-01
D · Potential for more than minimal harm
2023-08-01
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-09-01
D · Potential for more than minimal harm
2023-08-01
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-09-01
D · Potential for more than minimal harm
2023-08-01
F851 · Administration Deficiencies
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2023-09-01
Penalties and ownership
What sits behind the stars
$0
2024-10-09
Payment Denial
Payment Denial · denial start 2024-11-06 · 12 days
12 day denial
Ownership
Commcare Corporation
5% Or Greater Direct Ownership Interest · Organization
Commcare Management Corporation
Operational/Managerial Control · Organization
Ford, Michael
Corporate Director · Individual
Gardner, George
Operational/Managerial Control · Individual
Harvey Psarellis, Dawn
Corporate Officer · Individual
Harvey Psarellis, Dawn
W-2 Managing Employee · Individual
Hudson, Mary
Operational/Managerial Control · Individual
Hudson, Mary
W-2 Managing Employee · Individual
Lundberg, Alec
Operational/Managerial Control · Individual
Lundberg, Alec
Corporate Officer · Individual
Lundberg, Alec
W-2 Managing Employee · Individual
Mangun, Garold
Corporate Director · Individual
Mangun, Garold
Corporate Officer · Individual
Plaisance, Wayne
Corporate Director · Individual
Prechter, Patricia
Corporate Director · Individual
Prechter, Patricia
Corporate Officer · Individual
Prechter, Patricia
W-2 Managing Employee · Individual
Tucker, James
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Landmark of Lake Charles
Lake Charles, LA
2-star overall rating with 3-star inspections with 9 recent health deficiencies
#2
Rosewood Nursing Center
Lake Charles, LA
1-star overall rating with 2-star inspections with $58,547 in total fines with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Lake Charles Care Center
Lake Charles, LA
3-star overall rating with 4-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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