Cycle 1
Health 2025-06-11 · Fire 2025-06-11
9 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Baton Rouge, LA
Capitol House Nursing and Rehab Center
1-star overall rating with 3-star inspections with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
11546 Florida Blvd, Baton Rouge, LA
(225) 275-0474
Overall
1 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
132
Certified beds
Average residents
96
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1999-05-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.15
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
1.42
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
2.30
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.88
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.58
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.57
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
0.02
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.11
CMS adjusted RN staffing hours
Adjusted total hours
2.84
CMS adjusted total nurse staffing hours
Case-mix index
1.87
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
66%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,393
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
5.80
Composite VBP score used to determine payment impact.
Payment multiplier
0.9806
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
0.20
Baseline 8.08% · Performance 7.87% · Measure score 0.20 · Achievement 0 · Improvement 0.20
Total nurse turnover
1.54
Baseline 75.00% · Performance 64.76% · Measure score 1.54 · Achievement 0 · Improvement 1.54
Adjusted total nurse staffing
0
Baseline 2.74 hours · Performance 2.82 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.25% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 31 · Observed rate 16.13% · Lower 95% interval 6.85% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 14 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.54 |
1.02
0.5 pts worse
|
|
| Drug regimen review with follow-up | 81.82% |
95.27%
13.5 pts worse
|
Numerator 45 · Denominator 55 |
| Falls with major injury | 5.45% |
0.77%
4.7 pts worse
|
Numerator 3 · Denominator 55 |
| Discharge self-care score | 57.14% |
53.69%
3.5 pts better
|
Numerator 16 · Denominator 28 |
| Discharge mobility score | 17.86% |
50.94%
33.1 pts worse
|
Numerator 5 · Denominator 28 |
| Pressure ulcers or injuries, new or worsened | 5.45% |
2.29%
3.2 pts worse
|
Numerator 3 · Denominator 55 · Adjusted rate 3.29% |
| Healthcare-associated infections requiring hospitalization | 7.87% |
7.12%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 34 · Observed rate 23.53% · Lower 95% interval 5.28% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 118 |
| Staff flu vaccination coverage | 0% |
42%
42 pts worse
|
Numerator 0 · Denominator 122 |
| Discharge function score | 28.57% |
56.45%
27.9 pts worse
|
Numerator 8 · Denominator 28 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 24 · Denominator 24 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 10.71% |
25.2%
14.5 pts worse
|
Numerator 3 · Denominator 28 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
2.6
0.8 pts better
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.8 · Expected 2.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
2.8
1.6 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.4 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 75.8% |
92.0%
16.2 pts worse
|
93.4%
17.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 64.3% · Q2 67.8% · Q3 90.9% · Q4 79.5% · 4Q avg 75.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.9% |
94.9%
1 pts worse
|
95.5%
1.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.9% |
| 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 4.8% · Q2 3.4% · Q3 1.1% · Q4 1.1% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
1.8%
1.8 pts better
|
11.4%
11.4 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 who lose too much weight | 6.0% |
5.2%
0.8 pts worse
|
5.4%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 10.7% · Q3 9.0% · Q4 0.0% · 4Q avg 6.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.0% |
23.1%
5.1 pts better
|
19.6%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 19.8% · Q3 17.1% · Q4 14.1% · 4Q avg 18.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.8% |
24.4%
4.4 pts worse
|
16.7%
12.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.3% · Q2 30.9% · Q3 30.6% · Q4 25.4% · 4Q avg 28.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 6.6% |
0.2%
6.4 pts worse
|
0.1%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 8.0% · Q3 6.8% · Q4 5.7% · 4Q avg 6.6% |
| Percentage of long-stay residents whose ability to walk independently worsened | 40.4% |
22.2%
18.2 pts worse
|
16.3%
24.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.4% · Q2 47.1% · Q3 44.7% · 4Q avg 40.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.9% |
20.1%
6.8 pts worse
|
14.9%
12 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.2% · Q2 27.6% · Q3 20.0% · Q4 27.3% · 4Q avg 26.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 9.4% |
1.6%
7.8 pts worse
|
1.0%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 9.8% · Q3 9.8% · Q4 8.1% · 4Q avg 9.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.5% |
2.6%
3.9 pts worse
|
1.7%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 6.2% · Q3 9.5% · Q4 7.1% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.9% |
16.9%
6 pts better
|
19.8%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 16.1% · Q3 5.0% · Q4 8.8% · 4Q avg 10.9% |
| Percentage of long-stay residents with pressure ulcers | 21.3% |
6.2%
15.1 pts worse
|
5.1%
16.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.9% · Q2 21.0% · Q3 18.7% · Q4 25.5% · 4Q avg 21.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 39.7% |
83.6%
43.9 pts worse
|
81.7%
42 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 36.0% · Q3 54.4% · Q4 47.7% · 4Q avg 39.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.3% |
14.7%
3.4 pts better
|
12.0%
0.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.3% · Observed 14.3% · Expected 14.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
3.3%
2.8 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 42.1% |
76.2%
34.1 pts worse
|
79.7%
37.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 42.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.5% |
27.8%
13.3 pts better
|
23.9%
9.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 14.5% · Observed 19.0% · Expected 31.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-13 · Fire 2024-06-13
7 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Cycle 3
Health 2023-07-27 · Fire 2023-07-27
10 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
C · Minimal harm
2025-06-11
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-06-20
C · Minimal harm
2024-06-13
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Not marked corrected
D · Potential for more than minimal harm
2023-07-27
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-08-07
D · Potential for more than minimal harm
2023-07-27
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-08-07
C · Minimal harm
2023-07-27
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-08-07
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-06-11
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 2025-07-08
D · Potential for more than minimal harm
2025-06-11
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-07-08
D · Potential for more than minimal harm
2025-06-11
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-07-08
D · Potential for more than minimal harm
2025-06-11
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 2025-07-08
D · Potential for more than minimal harm
2025-06-11
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-07-08
D · Potential for more than minimal harm
2025-06-11
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-07-08
D · Potential for more than minimal harm
2025-06-11
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 2025-07-08
D · Potential for more than minimal harm
2025-06-11
F849 · Administration Deficiencies
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2025-07-08
D · Potential for more than minimal harm
2025-06-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-08
E · Potential for more than minimal harm
2024-12-26
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2025-01-09
E · Potential for more than minimal harm
2024-06-13
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 2024-06-30
D · Potential for more than minimal harm
2024-06-13
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-06-30
D · Potential for more than minimal harm
2024-06-13
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 2024-06-30
D · Potential for more than minimal harm
2024-06-13
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-06-30
D · Potential for more than minimal harm
2024-06-13
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 2024-06-30
D · Potential for more than minimal harm
2024-06-13
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 2024-06-30
E · Potential for more than minimal harm
2023-07-27
F576 · Resident Rights Deficiencies
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2023-08-20
E · Potential for more than minimal harm
2023-07-27
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 2023-08-20
E · Potential for more than minimal harm
2023-07-27
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-08-20
D · Potential for more than minimal harm
2023-07-27
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-08-20
D · Potential for more than minimal harm
2023-07-27
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-08-20
D · Potential for more than minimal harm
2023-07-27
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-08-20
D · Potential for more than minimal harm
2023-07-27
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-20
D · Potential for more than minimal harm
2023-07-27
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-08-20
D · Potential for more than minimal harm
2023-07-27
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2023-08-20
E · Potential for more than minimal harm
2023-04-04
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-04-21
Penalties and ownership
What sits behind the stars
Ownership
Pcm Rehab Enterprises LLC
5% Or Greater Direct Ownership Interest · Organization
Ptm 2018 Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Drago, Carmel
5% Or Greater Direct Ownership Interest · Individual
Zuelke, Annette
5% Or Greater Direct Ownership Interest · Individual
Mitchell, Patrick
Corporate Officer · Individual
Montgomery, Latereca
Operational/Managerial Control · Individual
Montgomery, Latereca
W-2 Managing Employee · Individual
Ratliff, James
Operational/Managerial Control · Individual
Ratliff, James
Contracted Managing Employee · Individual
Nearby options
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The Guest House Care Center
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#2
Flannery Oaks Guest House
Baton Rouge, LA
1-star overall rating with 2-star inspections with 11 recent health deficiencies
#3
The Woodleigh of Baton Rouge
Baton Rouge, LA
1-star overall rating with 2-star inspections with $10,748 in total fines with 11 recent health deficiencies
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