Cycle 1
Health 2025-06-04 · Fire 2025-06-04
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Bastrop, LA
Cherry Ridge
4-star overall rating with 4-star inspections with 5 recent health deficiencies
5980 Cherry Ridge Rd, Bastrop, LA
(318) 281-6933
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
110
Certified beds
Average residents
84
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2002-01-20
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
0.18
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
1.06
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
2.14
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.38
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.24
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
2.90
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
0.20
CMS adjusted RN staffing hours
Adjusted total hours
3.75
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
35%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,268
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
58.20
Composite VBP score used to determine payment impact.
Payment multiplier
1.0134
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.94
Baseline 23.98% · Performance 19.50% · Measure score 5.94 · Achievement 4.16 · Improvement 5.94
Healthcare-associated infections
4.13
Baseline 7.16% · Performance 6.60% · Measure score 4.13 · Achievement 4.13 · Improvement 2.10
Total nurse turnover
8.64
Baseline 33.33% · Performance 28.36% · Measure score 8.64 · Achievement 8.64 · Improvement 5.37
Adjusted total nurse staffing
4.57
Baseline 3.47 hours · Performance 4.38 hours · Measure score 4.57 · Achievement 4.57 · Improvement 3.42
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.6% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 65 · Observed rate 16.92% · Lower 95% interval 8.39% |
| Discharge to community | 56.08% |
50.57%
5.5 pts better
|
No Different than the National Rate · Eligible stays 28 · Observed rate 46.43% · Lower 95% interval 40.35% |
| Medicare spending per beneficiary | 1.05 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 93.75% |
95.27%
1.5 pts worse
|
Numerator 45 · Denominator 48 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 48 |
| Discharge self-care score | 66.67% |
53.69%
13 pts better
|
Numerator 20 · Denominator 30 |
| Discharge mobility score | 63.33% |
50.94%
12.4 pts better
|
Numerator 19 · Denominator 30 |
| Pressure ulcers or injuries, new or worsened | 2.13% |
2.29%
0.2 pts better
|
Numerator 1 · Denominator 47 · Adjusted rate 2% |
| Healthcare-associated infections requiring hospitalization | 6.6% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 35 · Observed rate 5.71% · Lower 95% interval 4.1% |
| Staff COVID-19 vaccination coverage | 7.3% |
8.2%
0.9 pts worse
|
Numerator 10 · Denominator 137 |
| Staff flu vaccination coverage | 15.92% |
42%
26.1 pts worse
|
Numerator 25 · Denominator 157 |
| Discharge function score | 66.67% |
56.45%
10.2 pts better
|
Numerator 20 · Denominator 30 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 9.09% |
25.2%
16.1 pts worse
|
Numerator 2 · Denominator 22 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
2.6
0.6 pts better
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.6 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.8 |
2.8
About the same
|
1.8
1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.3 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
92.0%
7.6 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.9%
5.1 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.3% |
3.4%
0.9 pts worse
|
3.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 4.6% · Q3 4.1% · Q4 6.5% · 4Q avg 4.3% · 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 | 6.3% |
5.2%
1.1 pts worse
|
5.4%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 6.8% · Q3 7.1% · Q4 2.9% · 4Q avg 6.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.2% |
23.1%
1.9 pts better
|
19.6%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 19.4% · Q3 25.4% · Q4 24.0% · 4Q avg 21.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.2% |
24.4%
5.2 pts better
|
16.7%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 19.2% · Q3 19.3% · Q4 19.7% · 4Q avg 19.2% · 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 | 20.5% |
22.2%
1.7 pts better
|
16.3%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.8% · Q2 19.1% · Q3 25.1% · Q4 13.0% · 4Q avg 20.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.7% |
20.1%
4.6 pts worse
|
14.9%
9.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.2% · Q2 33.3% · Q3 6.3% · Q4 23.9% · 4Q avg 24.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
1.6%
0.9 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.8% · Q4 1.8% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.0% |
2.6%
3.4 pts worse
|
1.7%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 11.3% · Q3 2.7% · Q4 6.9% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.6% |
16.9%
1.7 pts worse
|
19.8%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 16.3% · Q3 17.3% · Q4 14.9% · 4Q avg 18.6% |
| Percentage of long-stay residents with pressure ulcers | 6.5% |
6.2%
0.3 pts worse
|
5.1%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 5.3% · Q3 10.2% · Q4 4.4% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.3% |
83.6%
5.7 pts better
|
81.7%
7.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 85.2% · Q2 86.9% · Q3 91.7% · Q4 94.0% · 4Q avg 89.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.8% |
14.7%
5.1 pts worse
|
12.0%
7.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.8% · Observed 22.2% · Expected 12.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
3.3%
2.5 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.2% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 70.3% |
76.2%
5.9 pts worse
|
79.7%
9.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 70.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.9% |
27.8%
0.9 pts better
|
23.9%
3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.9% · Observed 31.1% · Expected 27.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-30 · Fire 2024-05-30
7 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-05-17 · Fire 2023-05-17
4 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-06-04
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-07-18
E · Potential for more than minimal harm
2025-06-04
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-07-18
E · Potential for more than minimal harm
2025-06-04
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-18
D · Potential for more than minimal harm
2025-06-04
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 2025-07-18
D · Potential for more than minimal harm
2025-06-04
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-07-18
D · Potential for more than minimal harm
2024-08-14
F557 · Resident Rights Deficiencies
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-09-13
D · Potential for more than minimal harm
2024-08-14
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-13
E · Potential for more than minimal harm
2024-05-30
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-07-12
E · Potential for more than minimal harm
2024-05-30
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 2024-07-12
E · Potential for more than minimal harm
2024-05-30
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2024-07-12
D · Potential for more than minimal harm
2024-05-30
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 2024-07-12
D · Potential for more than minimal harm
2024-05-30
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-07-12
E · Potential for more than minimal harm
2023-11-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-06
D · Potential for more than minimal harm
2023-11-01
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 2023-12-06
D · Potential for more than minimal harm
2023-05-17
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 2023-06-08
D · Potential for more than minimal harm
2023-05-17
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 2023-06-29
Penalties and ownership
What sits behind the stars
Ownership
Delta Healthcare, LLC
5% Or Greater Direct Ownership Interest · Organization
Gladney, Charles
5% Or Greater Indirect Ownership Interest · Individual
Delta Healthcare Management, LLC
Operational/Managerial Control · Organization
Gallup, Kimi
Operational/Managerial Control · Individual
Rogers, Lauren
Operational/Managerial Control · Individual
Rogers, Lauren
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Lagniappe Healthcare
Bastrop, LA
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Legrand Healthcare And Rehabilitation Center
Bastrop, LA
2-star overall rating with 3-star inspections with 9 recent health deficiencies
#3
Oak Woods Home For The Elderly
Mer Rouge, LA
1-star overall rating with 2-star inspections with $18,349 in total fines with 13 recent health deficiencies
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