Cycle 1
Health 2025-07-30 · Fire 2025-07-30
10 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
West Monroe, LA
Guest House Nursing and Rehabilitation
2-star overall rating with 3-star inspections with 10 recent health deficiencies
109 Guest House Drive, West Monroe, LA
(318) 387-3900
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
140
Certified beds
Average residents
110
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2002-05-16
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
0.24
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
1.36
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
2.41
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.01
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.60
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.46
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
0.09
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
0.25
CMS adjusted RN staffing hours
Adjusted total hours
4.14
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
61%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,056
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.95
Composite VBP score used to determine payment impact.
Payment multiplier
0.9848
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.03
Baseline 25.46% · Performance 19.95% · Measure score 6.03 · Achievement 3.19 · Improvement 6.03
Healthcare-associated infections
2.75
Baseline 10.07% · Performance 8.42% · Measure score 2.75 · Achievement 0 · Improvement 2.75
Total nurse turnover
0
Baseline 68.25% · Performance 68.87% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
2.4
Baseline 4.13 hours · Performance 3.76 hours · Measure score 2.4 · Achievement 2.4 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.19% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 166 · Observed rate 6.63% · Lower 95% interval 6.45% |
| Discharge to community | 55.31% |
50.57%
4.7 pts better
|
No Different than the National Rate · Eligible stays 161 · Observed rate 50.31% · Lower 95% interval 47.84% |
| Medicare spending per beneficiary | 1.13 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 91.91% |
95.27%
3.4 pts worse
|
Numerator 125 · Denominator 136 |
| Falls with major injury | 1.47% |
0.77%
0.7 pts worse
|
Numerator 2 · Denominator 136 |
| Discharge self-care score | 65.98% |
53.69%
12.3 pts better
|
Numerator 64 · Denominator 97 |
| Discharge mobility score | 38.14% |
50.94%
12.8 pts worse
|
Numerator 37 · Denominator 97 |
| Pressure ulcers or injuries, new or worsened | 6.62% |
2.29%
4.3 pts worse
|
Numerator 9 · Denominator 136 · Adjusted rate 6.98% |
| Healthcare-associated infections requiring hospitalization | 8.42% |
7.12%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 119 · Observed rate 9.24% · Lower 95% interval 5.58% |
| Staff COVID-19 vaccination coverage | 1.61% |
8.2%
6.6 pts worse
|
Numerator 2 · Denominator 124 |
| Staff flu vaccination coverage | 52.15% |
42%
10.1 pts better
|
Numerator 85 · Denominator 163 |
| Discharge function score | 48.45% |
56.45%
8 pts worse
|
Numerator 47 · Denominator 97 |
| Transfer of health information to provider | 93.55% |
95.95%
2.4 pts worse
|
Numerator 29 · Denominator 31 |
| Transfer of health information to patient | 98.39% |
96.28%
2.1 pts better
|
Numerator 61 · Denominator 62 |
| Resident COVID-19 vaccinations up to date | 3.51% |
25.2%
21.7 pts worse
|
Numerator 2 · Denominator 57 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.1 |
2.6
0.5 pts worse
|
1.9
1.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 2.5 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.8 |
2.8
1 pts worse
|
1.8
2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.8 · Observed 3.4 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.3% |
92.0%
6.3 pts better
|
93.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 94.5% · Q3 100.0% · Q4 98.9% · 4Q avg 98.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.5% |
94.9%
4.4 pts worse
|
95.5%
5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.1% |
3.4%
4.7 pts worse
|
3.3%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 8.8% · Q3 7.8% · Q4 7.5% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.5% |
1.8%
0.3 pts better
|
11.4%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 1.2% · Q4 3.8% · 4Q avg 1.5% |
| Percentage of long-stay residents who lose too much weight | 7.5% |
5.2%
2.3 pts worse
|
5.4%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 6.6% · Q3 8.8% · Q4 7.7% · 4Q avg 7.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.8% |
23.1%
1.3 pts better
|
19.6%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 21.5% · Q3 22.5% · Q4 22.2% · 4Q avg 21.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.4% |
24.4%
4 pts worse
|
16.7%
11.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.1% · Q2 27.7% · Q3 28.8% · Q4 29.0% · 4Q avg 28.4% · 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 | 29.0% |
22.2%
6.8 pts worse
|
16.3%
12.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.4% · Q2 39.7% · Q3 24.3% · Q4 24.5% · 4Q avg 29.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 31.6% |
20.1%
11.5 pts worse
|
14.9%
16.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 32.9% · Q3 39.7% · Q4 31.6% · 4Q avg 31.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.5% |
1.6%
0.9 pts worse
|
1.0%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.2% · Q3 1.7% · Q4 3.4% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.0% |
2.6%
1.4 pts worse
|
1.7%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 3.4% · Q3 2.2% · Q4 7.8% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.1% |
16.9%
2.2 pts worse
|
19.8%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 19.3% · Q3 31.2% · Q4 13.4% · 4Q avg 19.1% |
| Percentage of long-stay residents with pressure ulcers | 3.4% |
6.2%
2.8 pts better
|
5.1%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 4.7% · Q3 3.3% · Q4 4.1% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.0% |
83.6%
4.4 pts better
|
81.7%
6.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 87.6% · Q2 88.2% · Q3 86.4% · Q4 89.5% · 4Q avg 88.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 25.4% |
14.7%
10.7 pts worse
|
12.0%
13.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.4% · Observed 24.5% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.3% |
3.3%
2 pts worse
|
1.6%
3.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 8.3% · Q3 7.9% · Q4 3.8% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.8% |
76.2%
9.6 pts better
|
79.7%
6.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.8% |
27.8%
About the same
|
23.9%
3.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.8% · Observed 26.4% · Expected 22.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-24 · Fire 2024-07-24
13 health deficiencies
Top issue: Nursing and Physician Services (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-06-22 · Fire 2023-06-22
5 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
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
2025-07-30
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 2025-08-29
D · Potential for more than minimal harm
2025-07-30
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-08-29
D · Potential for more than minimal harm
2025-07-30
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 2025-08-29
D · Potential for more than minimal harm
2025-07-30
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-08-29
D · Potential for more than minimal harm
2025-07-30
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 2025-08-29
D · Potential for more than minimal harm
2025-07-30
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 2025-08-29
D · Potential for more than minimal harm
2025-07-30
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 2025-08-29
D · Potential for more than minimal harm
2025-07-30
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-08-29
D · Potential for more than minimal harm
2025-07-30
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-08-29
E · Potential for more than minimal harm
2025-03-19
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-04-16
E · Potential for more than minimal harm
2024-12-30
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 2025-01-27
D · Potential for more than minimal harm
2024-12-30
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-01-27
D · Potential for more than minimal harm
2024-12-30
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 2025-01-27
E · Potential for more than minimal harm
2024-08-13
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 2024-09-12
E · Potential for more than minimal harm
2024-07-24
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 2024-09-12
E · Potential for more than minimal harm
2024-07-24
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 2024-09-12
E · Potential for more than minimal harm
2024-07-24
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-09-12
E · Potential for more than minimal harm
2024-07-24
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 2024-09-12
E · Potential for more than minimal harm
2024-07-24
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 2024-09-12
E · Potential for more than minimal harm
2024-05-16
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 2024-06-12
E · Potential for more than minimal harm
2024-05-16
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 2024-06-12
D · Potential for more than minimal harm
2024-05-16
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 2024-06-12
D · Potential for more than minimal harm
2024-05-16
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-06-12
E · Potential for more than minimal harm
2023-08-02
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-08-31
E · Potential for more than minimal harm
2023-08-02
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 2023-08-31
E · Potential for more than minimal harm
2023-06-22
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 2023-07-28
E · Potential for more than minimal harm
2023-06-22
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-07-28
D · Potential for more than minimal harm
2023-05-31
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-06-22
Penalties and ownership
What sits behind the stars
Ownership
Ashbrook, Michael
5% Or Greater Direct Ownership Interest · Individual
Jeffrey M Ashbrook Testamentary Trust
5% Or Greater Direct Ownership Interest · Organization
Goux, Jeremy
5% Or Greater Direct Ownership Interest · Individual
Goux, Timothy
5% Or Greater Direct Ownership Interest · Individual
Goux, Lynette
5% Or Greater Direct Ownership Interest · Individual
Ronald Anthony Goux Estate
5% Or Greater Direct Ownership Interest · Organization
Ashbrook, Michael
Operational/Managerial Control · Individual
Ashbrook, Michael
Corporate Officer · Individual
Casto, Cortland
Operational/Managerial Control · Individual
Goux, Jeremy
Corporate Officer · Individual
Krier, Brian
Operational/Managerial Control · Individual
Landry, Robert
Operational/Managerial Control · Individual
Landry, Robert
Corporate Director · Individual
Maison Healthcare Management Company LLC
Operational/Managerial Control · Organization
Rounsaville, Rebecca
Corporate Officer · Individual
Nearby options
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#2
Landmark Nursing & Rehabilitation Ctr Of West Mon
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3-star overall rating with 4-star inspections with $20,869 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
The Oaks
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2-star overall rating with 3-star inspections with $27,005 in total fines with 7 recent health deficiencies
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