Oak Grove, LA

Carroll Health and Rehab LLC

1-star overall rating with 1-star inspections with $57,390 in total fines with 18 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

307 N Castleman St, Oak Grove, LA

(318) 428-3249

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1997-08-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

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

0.21

Registered nurse staffing · state 0.32 · national 0.68

LPN hours / resident day

1.04

Licensed practical nurse staffing · state 1.18 · national 0.87

Aide hours / resident day

1.86

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.11

All reported nurse hours · state 3.81 · national 3.89

Licensed hours

1.25

RN + LPN hours · state 1.49 · national 1.54

Weekend hours

2.57

Weekend nurse staffing · state 3.26 · national 3.43

Weekend RN hours

0.15

Weekend registered nurse coverage · state 0.22 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.22

CMS adjusted RN staffing hours

Adjusted total hours

3.34

CMS adjusted total nurse staffing hours

Case-mix index

1.27

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

55%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,979

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

14.44

Composite VBP score used to determine payment impact.

Payment multiplier

0.9813

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.75

Performance 21.08% · Measure score 0.75 · Achievement 0.75 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

Performance 8.77% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

3.58

Baseline 4.13 hours · Performance 4.10 hours · Measure score 3.58 · Achievement 3.58 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.16%	10.72% 2.4 pts worse	No Different than the National Rate · Eligible stays 63 · Observed rate 20.63% · Lower 95% interval 9.51%
Discharge to community	56.91%	50.57% 6.3 pts better	No Different than the National Rate · Eligible stays 50 · Observed rate 52% · Lower 95% interval 45.21%
Medicare spending per beneficiary	1.21	1.02 0.2 pts worse
Drug regimen review with follow-up	96.3%	95.27% 1 pts better	Numerator 26 · Denominator 27
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 27
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 27 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	8.77%	7.12% 1.6 pts worse	No Different than the National Rate · Eligible stays 46 · Observed rate 15.22% · Lower 95% interval 5.45%
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.0	2.6 0.4 pts worse	1.9 1.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 3.6 · Expected 2.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	4.2	2.8 1.4 pts worse	1.8 2.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 4.2 · Observed 4.6 · Expected 1.8 · 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	92.2%	94.9% 2.7 pts worse	95.5% 3.3 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 92.2%
Percentage of long-stay residents experiencing one or more falls with major injury	5.9%	3.4% 2.5 pts worse	3.3% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 6.1% · Q3 6.0% · Q4 6.5% · 4Q avg 5.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.6%	1.8% 1.2 pts better	11.4% 10.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.8% · 4Q avg 0.6%
Percentage of long-stay residents who lose too much weight	11.6%	5.2% 6.4 pts worse	5.4% 6.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 15.2% · Q3 13.0% · Q4 8.9% · 4Q avg 11.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.5%	23.1% 4.6 pts better	19.6% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 22.9% · Q3 12.5% · Q4 16.4% · 4Q avg 18.5%
Percentage of long-stay residents who received an antipsychotic medication	43.8%	24.4% 19.4 pts worse	16.7% 27.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 45.8% · Q2 42.9% · Q3 37.1% · Q4 50.0% · 4Q avg 43.8% · 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	37.0%	22.2% 14.8 pts worse	16.3% 20.7 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 37.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	18.8%	20.1% 1.3 pts better	14.9% 3.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.5% · Q2 25.5% · Q3 17.4% · Q4 8.6% · 4Q avg 18.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	3.1%	1.6% 1.5 pts worse	1.0% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 3.4% · Q3 2.9% · Q4 1.2% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	2.6% 2.6 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	7.1%	16.9% 9.8 pts better	19.8% 12.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 4.5% · Q3 8.5% · Q4 9.2% · 4Q avg 7.1%
Percentage of long-stay residents with pressure ulcers	18.2%	6.2% 12 pts worse	5.1% 13.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 20.9% · Q3 14.0% · Q4 19.5% · 4Q avg 18.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	93.5%	83.6% 9.9 pts better	81.7% 11.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 92.6% · Q2 91.4% · Q3 91.9% · Q4 98.2% · 4Q avg 93.5%
Percentage of short-stay residents who had an outpatient emergency department visit	22.0%	14.7% 7.3 pts worse	12.0% 10 pts worse	Short Stay · 20240701-20250630 · Adjusted 22.0% · Observed 28.6% · Expected 14.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	6.7%	3.3% 3.4 pts worse	1.6% 5.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 3.6% · Q3 3.7% · Q4 8.7% · 4Q avg 6.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	59.0%	76.2% 17.2 pts worse	79.7% 20.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 59.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	18.7%	27.8% 9.1 pts better	23.9% 5.2 pts better	Short Stay · 20240701-20250630 · Adjusted 18.7% · Observed 21.4% · Expected 27.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-28 · Fire 2025-07-28

18 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-06-26 · Fire 2024-06-26

28 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-07-26 · Fire 2023-07-26

3 health deficiencies

Top issue: Administration (1 deficiency)

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 2025-07-28

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-09-01

D · Potential for more than minimal harm 2025-07-28

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-09-01

C · Minimal harm 2025-07-28

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 2024-06-26

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-08-10

D · Potential for more than minimal harm 2024-06-26

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-08-10

D · Potential for more than minimal harm 2024-06-26

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-08-10

D · Potential for more than minimal harm 2024-06-26

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-08-10

Inspection history

Recent health citations

J · Immediate jeopardy 2025-07-28

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 2025-09-01

J · Immediate jeopardy 2025-07-28

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2025-09-01

F · Potential for more than minimal harm 2025-07-28

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-09-01

E · Potential for more than minimal harm 2025-07-28

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2025-09-01

E · Potential for more than minimal harm 2025-07-28

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 2025-09-01

E · Potential for more than minimal harm 2025-07-28

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2025-09-01

E · Potential for more than minimal harm 2025-07-28

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-09-01

E · Potential for more than minimal harm 2025-07-28

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2025-09-01

D · Potential for more than minimal harm 2025-07-28

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-09-01

D · Potential for more than minimal harm 2025-07-28

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 2025-09-01

D · Potential for more than minimal harm 2025-07-28

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-09-01

D · Potential for more than minimal harm 2025-07-28

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 2025-09-01

D · Potential for more than minimal harm 2025-07-28

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-09-01

D · Potential for more than minimal harm 2025-07-28

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 2025-09-01

D · Potential for more than minimal harm 2025-07-28

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-09-01

D · Potential for more than minimal harm 2025-07-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-01

D · Potential for more than minimal harm 2025-07-28

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2025-09-01

E · Potential for more than minimal harm 2025-04-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-16

E · Potential for more than minimal harm 2025-01-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-13

D · Potential for more than minimal harm 2025-01-29

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 2025-03-13

D · Potential for more than minimal harm 2025-01-29

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 2025-03-13

D · Potential for more than minimal harm 2025-01-29

F926 · Environmental Deficiencies

Health

Have policies on smoking.

Corrected 2025-03-13

E · Potential for more than minimal harm 2024-11-12

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 2024-12-27

E · Potential for more than minimal harm 2024-11-12

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2024-12-27

D · Potential for more than minimal harm 2024-11-12

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 2024-12-27

D · Potential for more than minimal harm 2024-11-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-27

E · Potential for more than minimal harm 2024-10-09

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-11-08

E · Potential for more than minimal harm 2024-09-17

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-11-01

E · Potential for more than minimal harm 2024-09-17

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 2024-11-01

E · Potential for more than minimal harm 2024-09-17

F836 · Administration Deficiencies

Health

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Corrected 2024-11-01