9 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Kinder, LA
1-star overall rating with 2-star inspections with $14,015 in total fines with 9 recent health deficiencies
13938 Hwy 165, Kinder, LA
(337) 738-5671
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
100
Certified beds
Average residents
74
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Rightcare Health Services
Operator or chain grouping
Approved since
2000-08-11
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
13 facilities
Chain averages 3 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
RN hours / resident day
0.36
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
0.91
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
2.32
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.60
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.28
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.17
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
0.27
Weekend registered nurse coverage · state 0.22 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.38
CMS adjusted RN staffing hours
Adjusted total hours
3.77
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
53%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
10,712
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
19.40
Composite VBP score used to determine payment impact.
Payment multiplier
0.9822
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.42% · Performance 21.77% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.56
Baseline 7.60% · Performance 7.07% · Measure score 2.56 · Achievement 2.56 · Improvement 1.52
Total nurse turnover
3.02
Performance 51.32% · Measure score 3.02 · Achievement 3.02 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
2.18
Baseline 3.87 hours · Performance 3.70 hours · Measure score 2.18 · Achievement 2.18 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.48% |
10.72%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 85 · Observed rate 15.29% · Lower 95% interval 8.62% |
| Discharge to community | 44.96% |
50.57%
5.6 pts worse
|
No Different than the National Rate · Eligible stays 50 · Observed rate 30% · Lower 95% interval 30.19% |
| Medicare spending per beneficiary | 1.2 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 96.61% |
95.27%
1.3 pts better
|
Numerator 57 · Denominator 59 |
| Falls with major injury | 3.39% |
0.77%
2.6 pts worse
|
Numerator 2 · Denominator 59 |
| Discharge self-care score | 48.39% |
53.69%
5.3 pts worse
|
Numerator 15 · Denominator 31 |
| Discharge mobility score | 54.84% |
50.94%
3.9 pts better
|
Numerator 17 · Denominator 31 |
| Pressure ulcers or injuries, new or worsened | 1.69% |
2.29%
0.6 pts better
|
Numerator 1 · Denominator 59 · Adjusted rate 2.19% |
| Healthcare-associated infections requiring hospitalization | 7.07% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 46 · Observed rate 6.52% · Lower 95% interval 3.96% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 82 |
| Staff flu vaccination coverage | 10.75% |
42%
31.2 pts worse
|
Numerator 10 · Denominator 93 |
| Discharge function score | 48.39% |
56.45%
8.1 pts worse
|
Numerator 15 · Denominator 31 |
| Transfer of health information to provider | 95.45% |
95.95%
0.5 pts worse
|
Numerator 21 · Denominator 22 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 20 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
2.6
0.1 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.2 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.6 |
2.8
0.2 pts better
|
1.8
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.3 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.5% |
92.0%
3.5 pts worse
|
93.4%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 93.8% · Q3 85.2% · Q4 75.0% · 4Q avg 88.5% |
| 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 | 4.6% |
3.4%
1.2 pts worse
|
3.3%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 3.1% · Q3 4.9% · Q4 6.2% · 4Q avg 4.6% · 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 | 4.2% |
5.2%
1 pts better
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 4.3% · Q3 4.7% · Q4 6.2% · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.7% |
23.1%
3.4 pts better
|
19.6%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 14.3% · Q3 17.0% · Q4 23.5% · 4Q avg 19.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.5% |
24.4%
1.9 pts better
|
16.7%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 29.7% · Q3 18.2% · Q4 15.6% · 4Q avg 22.5% · 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 | 32.6% |
22.2%
10.4 pts worse
|
16.3%
16.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.3% · Q2 36.6% · Q3 32.4% · Q4 30.9% · 4Q avg 32.6% · 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 18.9% · Q2 15.2% · Q3 22.7% · Q4 18.8% · 4Q avg 18.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
1.6%
0.4 pts better
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 3.1% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.6% |
2.6%
1 pts worse
|
1.7%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 6.3% · Q3 0.0% · Q4 0.0% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.6% |
16.9%
2.3 pts better
|
19.8%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.5% · Q2 11.2% · Q3 10.6% · Q4 19.5% · 4Q avg 14.6% |
| Percentage of long-stay residents with pressure ulcers | 5.9% |
6.2%
0.3 pts better
|
5.1%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 5.4% · Q3 7.0% · Q4 6.1% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.8% |
83.6%
11.2 pts better
|
81.7%
13.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.9% · Q3 98.0% · Q4 86.7% · 4Q avg 94.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 23.0% |
14.7%
8.3 pts worse
|
12.0%
11 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 23.0% · Observed 24.1% · Expected 11.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
3.3%
1.8 pts better
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.0% · Q4 2.6% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
76.2%
23.8 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.6% |
27.8%
4.8 pts worse
|
23.9%
8.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.6% · Observed 33.3% · Expected 24.4% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-08-28
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-08-28
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-08-28
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-08-28
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 2025-08-28
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-08-28
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-28
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-03-31
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 2025-03-31
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 2025-01-08
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-01-08
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-07-12
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-07-12
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-07-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-30
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-06-06
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2023-06-06
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-06-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-06
Penalties and ownership
Fine · fine $14,015
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
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