Coushatta, LA

Green Meadow Haven

2-star overall rating with 3-star inspections with $12,735 in total fines with 6 recent health deficiencies

1110 Ringgold Avenue, Coushatta, LA

(318) 932-5202

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 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

157

Certified beds

Average residents

81

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2002-10-18

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

0.19

Registered nurse staffing · state 0.32 · national 0.68

LPN hours / resident day

0.92

Licensed practical nurse staffing · state 1.18 · national 0.87

Aide hours / resident day

3.04

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

4.15

All reported nurse hours · state 3.81 · national 3.89

Licensed hours

1.11

RN + LPN hours · state 1.49 · national 1.54

Weekend hours

3.16

Weekend nurse staffing · state 3.26 · national 3.43

Weekend RN hours

0.10

Weekend registered nurse coverage · state 0.22 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.23

CMS adjusted RN staffing hours

Adjusted total hours

5.01

CMS adjusted total nurse staffing hours

Case-mix index

1.13

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

1,835

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

Performance score

53.67

Composite VBP score used to determine payment impact.

Payment multiplier

1.0084

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

2.73

Baseline 7.30% · Performance 7.02% · Measure score 2.73 · Achievement 2.73 · Improvement 0.72

Total nurse turnover

8.21

Baseline 96.84% · Performance 34.12% · Measure score 8.21 · Achievement 7.23 · Improvement 8.21

Adjusted total nurse staffing

5.16

Baseline 5 hours · Performance 4.55 hours · Measure score 5.16 · Achievement 5.16 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.21%
10.72%
0.5 pts worse
No Different than the National Rate · Eligible stays 60 · Observed rate 13.33% · Lower 95% interval 7.52%
Discharge to community 44.75%
50.57%
5.8 pts worse
No Different than the National Rate · Eligible stays 35 · Observed rate 34.29% · Lower 95% interval 29.88%
Medicare spending per beneficiary 1.25
1.02
0.2 pts worse
Drug regimen review with follow-up 95.45%
95.27%
0.2 pts better
Numerator 84 · Denominator 88
Falls with major injury 2.27%
0.77%
1.5 pts worse
Numerator 2 · Denominator 88
Discharge self-care score 77.19%
53.69%
23.5 pts better
Numerator 44 · Denominator 57
Discharge mobility score 50.88%
50.94%
0.1 pts worse
Numerator 29 · Denominator 57
Pressure ulcers or injuries, new or worsened 1.14%
2.29%
1.2 pts better
Numerator 1 · Denominator 88 · Adjusted rate 1.16%
Healthcare-associated infections requiring hospitalization 7.02%
7.12%
0.1 pts better
No Different than the National Rate · Eligible stays 48 · Observed rate 6.25% · Lower 95% interval 3.77%
Staff COVID-19 vaccination coverage 93.75%
8.2%
85.5 pts better
Numerator 135 · Denominator 144
Staff flu vaccination coverage 22.39%
42%
19.6 pts worse
Numerator 30 · Denominator 134
Discharge function score 64.91%
56.45%
8.5 pts better
Numerator 37 · Denominator 57
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 30 · Denominator 30
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 35.71%
25.2%
10.5 pts better
Numerator 15 · Denominator 42

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.5
2.6
0.9 pts worse
1.9
1.6 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.5 · Observed 4.0 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.7
2.8
0.1 pts better
1.8
0.9 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 3.0 · 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 96.4%
94.9%
1.5 pts better
95.5%
0.9 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.4%
Percentage of long-stay residents experiencing one or more falls with major injury 2.2%
3.4%
1.2 pts better
3.3%
1.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 1.3% · Q3 2.5% · Q4 1.2% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.8%
1.8%
1 pts better
11.4%
10.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 0.0% · Q4 1.5% · 4Q avg 0.8%
Percentage of long-stay residents who lose too much weight 7.3%
5.2%
2.1 pts worse
5.4%
1.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 7.9% · Q3 6.2% · Q4 5.9% · 4Q avg 7.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 24.1%
23.1%
1 pts worse
19.6%
4.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 24.3% · Q3 22.7% · Q4 26.7% · 4Q avg 24.1%
Percentage of long-stay residents who received an antipsychotic medication 28.0%
24.4%
3.6 pts worse
16.7%
11.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 31.6% · Q2 25.9% · Q3 29.0% · Q4 25.4% · 4Q avg 28.0% · 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 8.7%
22.2%
13.5 pts better
16.3%
7.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.4% · Q2 0.0% · Q3 14.3% · Q4 6.9% · 4Q avg 8.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 15.1%
20.1%
5 pts better
14.9%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 14.9% · Q3 14.5% · Q4 15.9% · 4Q avg 15.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.2%
1.6%
2.6 pts worse
1.0%
3.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 5.4% · Q3 2.1% · Q4 3.1% · 4Q avg 4.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 4.5%
2.6%
1.9 pts worse
1.7%
2.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 5.7% · Q3 4.2% · Q4 6.8% · 4Q avg 4.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 6.2%
16.9%
10.7 pts better
19.8%
13.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 4.6% · Q3 5.7% · Q4 5.6% · 4Q avg 6.2%
Percentage of long-stay residents with pressure ulcers 4.8%
6.2%
1.4 pts better
5.1%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 5.4% · Q3 3.4% · Q4 4.2% · 4Q avg 4.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.2%
83.6%
9.6 pts better
81.7%
11.5 pts better
Short Stay · 2024Q4-2025Q3 · Q1 95.7% · Q2 95.2% · 4Q avg 93.2%
Percentage of short-stay residents who had an outpatient emergency department visit 10.3%
14.7%
4.4 pts better
12.0%
1.7 pts better
Short Stay · 20240701-20250630 · Adjusted 10.3% · Observed 11.8% · Expected 12.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 10.7%
3.3%
7.4 pts worse
1.6%
9.1 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 10.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 90.5%
76.2%
14.3 pts better
79.7%
10.8 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 26.8%
27.8%
1 pts better
23.9%
2.9 pts worse
Short Stay · 20240701-20250630 · Adjusted 26.8% · Observed 29.4% · Expected 26.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-20 · Fire 2025-08-20

6 health deficiencies

Top issue: Resident Rights (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-07-24 · Fire 2024-07-24

2 health deficiencies

Top issue: Administration (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-06-28 · Fire 2023-06-28

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

G · Actual harm 2025-08-20

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 2025-10-02

E · Potential for more than minimal harm 2025-08-20

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-10-02

E · Potential for more than minimal harm 2025-08-20

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 2025-10-02

E · Potential for more than minimal harm 2025-08-20

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-10-02

E · Potential for more than minimal harm 2025-08-20

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 2025-10-02

E · Potential for more than minimal harm 2025-08-20

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 2025-10-02

E · Potential for more than minimal harm 2024-07-24

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-09-03

E · Potential for more than minimal harm 2024-07-24

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 2024-09-03

D · Potential for more than minimal harm 2023-08-15

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 2023-09-22

E · Potential for more than minimal harm 2023-06-28

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 2023-07-31

D · Potential for more than minimal harm 2023-06-28

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 2023-07-31

Penalties and ownership

What sits behind the stars

$12,735 2025-08-20

Fine

Fine · fine $12,735

Fine

$0 2025-08-20

Payment Denial

Payment Denial · denial start 2025-09-23 · 9 days

9 day denial

Ownership

Reynolds, Donnice

5% Or Greater Direct Ownership Interest · Individual

17% 2 facilities 1998-12-29
Sistrunk, Tammie

5% Or Greater Direct Ownership Interest · Individual

17% 2 facilities 1998-12-29
Dupree, Doris

5% Or Greater Direct Ownership Interest · Individual

11% 4 facilities 1998-12-29
Redd, Sharon

5% Or Greater Direct Ownership Interest · Individual

11% 4 facilities 1998-12-29
Vidrine, Teresa

5% Or Greater Direct Ownership Interest · Individual

11% 4 facilities 1998-12-29
Lancaster, Pamela

5% Or Greater Direct Ownership Interest · Individual

10% 1 facilities 1998-12-29
Bingham, Carla

5% Or Greater Direct Ownership Interest · Individual

9% 1 facilities 1998-12-29
Bingham, Valerie

5% Or Greater Direct Ownership Interest · Individual

9% 1 facilities 1998-12-29
Lancaster, John

5% Or Greater Direct Ownership Interest · Individual

5% 1 facilities 1998-12-29
Bingham, Carla

Corporate Director · Individual

0% 1 facilities 1998-12-29
Bingham, Valerie

Corporate Director · Individual

0% 1 facilities 1998-12-29
Dupree, Doris

Corporate Director · Individual

0% 4 facilities 1998-12-29
Lancaster, John

Corporate Director · Individual

0% 1 facilities 1998-12-29
Lancaster, Pamela

Corporate Director · Individual

0% 1 facilities 1998-12-29
Redd, Sharon

Corporate Director · Individual

0% 4 facilities 1998-12-29
Reynolds, Donnice

Corporate Officer · Individual

0% 2 facilities 1998-12-29
Reynolds, Gabriel

Operational/Managerial Control · Individual

0% 2 facilities 2016-01-01
Reynolds, Gabriel

Corporate Officer · Individual

0% 2 facilities 2016-01-01
Sistrunk, Tammie

Corporate Director · Individual

0% 2 facilities 1998-12-29
Vidrine, Teresa

Corporate Director · Individual

0% 4 facilities 1998-12-29

Nearby options

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4-star overall rating with 4-star inspections with 6 recent health deficiencies

Overall
4 / 5
Health
4 / 5
Staffing
2 / 5
Fines
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#3

Desoto Retirement & Rehab Ctr, LLC

Mansfield, LA

2-star overall rating with 2-star inspections with 13 recent health deficiencies

Overall
2 / 5
Health
2 / 5
Staffing
3 / 5
Fines
$0

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