Cycle 1
Health 2025-02-19 · Fire 2025-02-19
7 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Monroe, LA
Delta Grande Skilled Nursing And Rehabilitation
2-star overall rating with 3-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
3001 South Grande Street, Monroe, LA
(318) 322-3100
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
74
Certified beds
Average residents
68
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Paramount Healthcare Consultants
Operator or chain grouping
Approved since
2001-09-18
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
14 facilities
Chain averages 2 overall / 3 health / 2 staffing / 2 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
0.12
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
1.01
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
2.36
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.49
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.13
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
2.97
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
0.12
Weekend registered nurse coverage · state 0.22 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.13
CMS adjusted RN staffing hours
Adjusted total hours
3.77
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
42%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,909
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
22.08
Composite VBP score used to determine payment impact.
Payment multiplier
0.9828
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
Performance 8.36% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
3.95
Performance 47.54% · Measure score 3.95 · Achievement 3.95 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
2.68
Baseline 3.72 hours · Performance 3.84 hours · Measure score 2.68 · Achievement 2.68 · Improvement 0.06
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.05% |
10.72%
2.3 pts worse
|
No Different than the National Rate · Eligible stays 38 · Observed rate 23.68% · Lower 95% interval 8.51% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.34 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 96.55% |
95.27%
1.3 pts better
|
Numerator 28 · Denominator 29 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 29 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 6.9% |
2.29%
4.6 pts worse
|
Numerator 2 · Denominator 29 · Adjusted rate 5.7% |
| Healthcare-associated infections requiring hospitalization | 8.36% |
7.12%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 26 · Observed rate 15.38% · Lower 95% interval 3.55% |
| Staff COVID-19 vaccination coverage | 6.9% |
8.2%
1.3 pts worse
|
Numerator 6 · Denominator 87 |
| Staff flu vaccination coverage | 8.24% |
42%
33.8 pts worse
|
Numerator 7 · Denominator 85 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| 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 | Not Available |
25.2%
|
Numerator Not Available · Denominator 7 · 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 | 2.6 |
2.6
About the same
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 3.5 · Expected 2.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 5.5 |
2.8
2.7 pts worse
|
1.8
3.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 5.5 · Observed 7.1 · Expected 2.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 51.2% |
92.0%
40.8 pts worse
|
93.4%
42.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 49.1% · Q2 81.2% · Q3 65.6% · Q4 9.4% · 4Q avg 51.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.4% |
94.9%
2.5 pts worse
|
95.5%
3.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.0% |
3.4%
1.4 pts better
|
3.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 3.1% · Q3 0.0% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.4% |
1.8%
0.4 pts better
|
11.4%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.9% · Q4 3.5% · 4Q avg 1.4% |
| Percentage of long-stay residents who lose too much weight | 9.3% |
5.2%
4.1 pts worse
|
5.4%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 10.2% · Q3 8.9% · Q4 6.9% · 4Q avg 9.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.1% |
23.1%
4 pts worse
|
19.6%
7.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 25.4% · Q3 31.0% · Q4 33.9% · 4Q avg 27.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 55.3% |
24.4%
30.9 pts worse
|
16.7%
38.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 61.8% · Q2 61.1% · Q3 50.0% · Q4 48.6% · 4Q avg 55.3% · 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 | 30.3% |
22.2%
8.1 pts worse
|
16.3%
14 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 30.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.8% |
20.1%
2.3 pts better
|
14.9%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 25.5% · Q3 15.4% · Q4 13.5% · 4Q avg 17.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 6.3% |
1.6%
4.7 pts worse
|
1.0%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 8.3% · Q3 5.4% · Q4 2.2% · 4Q avg 6.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 7.4% |
2.6%
4.8 pts worse
|
1.7%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 9.4% · Q3 8.5% · Q4 0.0% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.7% |
16.9%
4.2 pts better
|
19.8%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 23.0% · Q3 3.3% · Q4 14.1% · 4Q avg 12.7% |
| Percentage of long-stay residents with pressure ulcers | 5.1% |
6.2%
1.1 pts better
|
5.1%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 3.2% · Q3 8.0% · Q4 4.8% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 8.7% |
83.6%
74.9 pts worse
|
81.7%
73 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 13.0% · Q3 9.4% · Q4 8.7% · 4Q avg 8.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 38.1% |
14.7%
23.4 pts worse
|
12.0%
26.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 38.1% · Observed 47.8% · Expected 14.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 6.1% |
3.3%
2.8 pts worse
|
1.6%
4.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 6.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 13.0% |
76.2%
63.2 pts worse
|
79.7%
66.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 13.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 44.0% |
27.8%
16.2 pts worse
|
23.9%
20.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 44.0% · Observed 56.5% · Expected 30.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-27 · Fire 2024-03-27
7 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2023-03-28 · Fire 2023-03-28
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Fire safety
Fire-safety citations
C · Minimal harm
2025-02-19
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-04-01
D · Potential for more than minimal harm
2024-03-27
K915 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper power supply for life support equipment.
Corrected 2024-04-18
C · Minimal harm
2024-03-27
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-04-18
C · Minimal harm
2023-03-28
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Not marked corrected
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-02-19
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-04-01
E · Potential for more than minimal harm
2025-02-19
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-01
E · Potential for more than minimal harm
2025-02-19
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 2025-04-01
E · Potential for more than minimal harm
2025-02-19
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 2025-04-01
E · Potential for more than minimal harm
2025-02-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-01
D · Potential for more than minimal harm
2025-02-19
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 2025-04-01
D · Potential for more than minimal harm
2025-02-19
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-04-01
E · Potential for more than minimal harm
2025-01-28
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 2025-02-19
D · Potential for more than minimal harm
2025-01-28
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 2025-02-19
E · Potential for more than minimal harm
2024-03-27
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 2024-05-10
E · Potential for more than minimal harm
2024-03-27
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-10
E · Potential for more than minimal harm
2024-03-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-10
D · Potential for more than minimal harm
2024-03-27
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-10
D · Potential for more than minimal harm
2024-03-27
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 2024-05-10
E · Potential for more than minimal harm
2023-03-28
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 2023-05-05
E · Potential for more than minimal harm
2023-03-28
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-05-05
E · Potential for more than minimal harm
2023-03-28
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-05-05
D · Potential for more than minimal harm
2023-03-28
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-05-05
Penalties and ownership
What sits behind the stars
Ownership
Benjamin, Krisshune
Operational/Managerial Control · Individual
Dcz Healthcare Investments, LLC
Limited Partnership Interest · Organization
Dcz1 Ventures LLC
Limited Partnership Interest · Organization
Mousa, Mohammad
Operational/Managerial Control · Individual
Smith, Dawne
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
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Mary Goss Nursing Home
Monroe, LA
1-star overall rating with 2-star inspections with $125,160 in total fines with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Ouachita Healthcare And Rehabilitation Center
Monroe, LA
1-star overall rating with 2-star inspections with $31,844 in total fines with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
The Oaks
Monroe, LA
2-star overall rating with 3-star inspections with $27,005 in total fines with 7 recent health deficiencies
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