Cycle 1
Health 2024-12-11 · Fire 2024-12-11
4 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Bastrop, LA
Lagniappe Healthcare
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1408 Summerlin Lane, Bastrop, LA
(318) 281-5188
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
112
Certified beds
Average residents
75
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2004-05-02
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
0.22
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
0.97
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
2.93
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.13
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.20
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.71
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
0.03
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.25
CMS adjusted RN staffing hours
Adjusted total hours
4.65
CMS adjusted total nurse staffing hours
Case-mix index
1.21
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
37%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,400
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
44.49
Composite VBP score used to determine payment impact.
Payment multiplier
0.9976
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.23
Baseline 18.77% · Performance 20.40% · Measure score 2.23 · Achievement 2.23 · Improvement 0
Healthcare-associated infections
6.15
Baseline 6.97% · Performance 6.00% · Measure score 6.15 · Achievement 6.15 · Improvement 4.44
Total nurse turnover
4.48
Baseline 36.25% · Performance 45.35% · Measure score 4.48 · Achievement 4.48 · Improvement 0
Adjusted total nurse staffing
4.93
Baseline 5.17 hours · Performance 4.48 hours · Measure score 4.93 · Achievement 4.93 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.15% |
10.72%
1.6 pts better
|
No Different than the National Rate · Eligible stays 87 · Observed rate 4.6% · Lower 95% interval 6.54% |
| Discharge to community | 59.16% |
50.57%
8.6 pts better
|
No Different than the National Rate · Eligible stays 75 · Observed rate 56% · Lower 95% interval 48.47% |
| Medicare spending per beneficiary | 0.97 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 96.72% |
95.27%
1.5 pts better
|
Numerator 59 · Denominator 61 |
| Falls with major injury | 1.64% |
0.77%
0.9 pts worse
|
Numerator 1 · Denominator 61 |
| Discharge self-care score | 68.57% |
53.69%
14.9 pts better
|
Numerator 24 · Denominator 35 |
| Discharge mobility score | 71.43% |
50.94%
20.5 pts better
|
Numerator 25 · Denominator 35 |
| Pressure ulcers or injuries, new or worsened | 1.64% |
2.29%
0.7 pts better
|
Numerator 1 · Denominator 61 · Adjusted rate 1.61% |
| Healthcare-associated infections requiring hospitalization | 6% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 47 · Observed rate 2.13% · Lower 95% interval 3.16% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 90 |
| Staff flu vaccination coverage | 12.12% |
42%
29.9 pts worse
|
Numerator 12 · Denominator 99 |
| Discharge function score | 71.43% |
56.45%
15 pts better
|
Numerator 25 · Denominator 35 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 21 · Denominator 21 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 2.94% |
25.2%
22.3 pts worse
|
Numerator 1 · Denominator 34 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
2.6
0.8 pts better
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.4 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
2.8
0.4 pts better
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.0 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
92.0%
7.2 pts better
|
93.4%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.5% |
94.9%
3.6 pts better
|
95.5%
3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.5% |
| 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 4.8% · Q2 10.6% · Q3 11.9% · Q4 4.7% · 4Q avg 8.1% · 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 | 1.4% |
5.2%
3.8 pts better
|
5.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 0.0% · Q3 1.7% · Q4 0.0% · 4Q avg 1.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.3% |
23.1%
3.8 pts better
|
19.6%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 20.3% · Q3 18.6% · Q4 17.5% · 4Q avg 19.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.4% |
24.4%
10 pts better
|
16.7%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 14.9% · Q3 16.0% · Q4 15.6% · 4Q avg 14.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.8% |
0.2%
0.6 pts worse
|
0.1%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 1.5% · Q4 0.0% · 4Q avg 0.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | 27.5% |
22.2%
5.3 pts worse
|
16.3%
11.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 46.6% · Q2 19.4% · Q3 16.8% · Q4 25.8% · 4Q avg 27.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.8% |
20.1%
3.7 pts worse
|
14.9%
8.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.3% · Q2 25.0% · Q3 17.3% · Q4 24.5% · 4Q avg 23.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
1.6%
1.2 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
2.6%
1.8 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.7% |
16.9%
1.2 pts better
|
19.8%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 13.5% · Q3 14.5% · Q4 16.0% · 4Q avg 15.7% |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
6.2%
2.1 pts better
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 5.2% · Q3 0.0% · Q4 1.9% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
83.6%
16.4 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.8% |
14.7%
3.9 pts better
|
12.0%
1.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.8% · Observed 11.8% · Expected 12.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.3% |
3.3%
1 pts worse
|
1.6%
2.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 0.0% · Q3 6.5% · Q4 6.8% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.6% |
76.2%
18.4 pts better
|
79.7%
14.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.8% |
27.8%
8 pts better
|
23.9%
4.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.8% · Observed 21.6% · Expected 26.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-10-25 · Fire 2023-10-25
5 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Cycle 3
Health 2022-09-21 · Fire 2022-09-21
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
2024-12-11
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-01-17
C · Minimal harm
2023-10-25
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-11-22
C · Minimal harm
2022-09-21
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
2024-12-11
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 2025-01-17
E · Potential for more than minimal harm
2024-12-11
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-01-17
E · Potential for more than minimal harm
2024-12-11
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-12-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-17
E · Potential for more than minimal harm
2023-10-25
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 2023-11-22
E · Potential for more than minimal harm
2023-10-25
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 2023-11-22
E · Potential for more than minimal harm
2023-10-25
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-11-22
E · Potential for more than minimal harm
2023-10-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-22
D · Potential for more than minimal harm
2023-10-25
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 2023-11-22
E · Potential for more than minimal harm
2022-09-21
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 2022-10-21
E · Potential for more than minimal harm
2022-09-21
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 2022-10-21
E · Potential for more than minimal harm
2022-09-21
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-10-21
D · Potential for more than minimal harm
2022-09-21
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-10-21
Penalties and ownership
What sits behind the stars
Ownership
Delta Healthcare, LLC
5% Or Greater Direct Ownership Interest · Organization
Gladney, Andrea
5% Or Greater Indirect Ownership Interest · Individual
Gladney, Charles
5% Or Greater Indirect Ownership Interest · Individual
Gladney 2 LLC
5% Or Greater Direct Ownership Interest · Organization
Gladney, Charles
5% Or Greater Direct Ownership Interest · Individual
Boatright, Amanda
Operational/Managerial Control · Individual
Delta Healthcare Management, LLC
Operational/Managerial Control · Organization
Gladney, Charles
Operational/Managerial Control · Individual
Rogers, Lauren
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Cherry Ridge
Bastrop, LA
4-star overall rating with 4-star inspections with 5 recent health deficiencies
#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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