Cycle 1
Health 2025-05-14 · Fire 2025-05-14
5 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Lake Charles, LA
Lake Charles Care Center
3-star overall rating with 4-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
2701 Ernest Street, Lake Charles, LA
(337) 439-0336
Overall
3 / 5
CMS overall stars
Health inspections
4 / 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
182
Certified beds
Average residents
128
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1997-05-01
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
0.13
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
1.40
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
2.26
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.79
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.53
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.25
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
0.11
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
0.14
CMS adjusted RN staffing hours
Adjusted total hours
3.98
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
55%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,940
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
14.60
Composite VBP score used to determine payment impact.
Payment multiplier
0.9814
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.21% · Performance 24.49% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.92% · Performance 9.56% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.49
Baseline 49.11% · Performance 53.49% · Measure score 2.49 · Achievement 2.49 · Improvement 0
Adjusted total nurse staffing
3.35
Baseline 3.91 hours · Performance 4.03 hours · Measure score 3.35 · Achievement 3.35 · Improvement 0.14
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.24% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 175 · Observed rate 11.43% · Lower 95% interval 7.83% |
| Discharge to community | 46.95% |
50.57%
3.6 pts worse
|
No Different than the National Rate · Eligible stays 104 · Observed rate 36.54% · Lower 95% interval 38.77% |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 99.27% |
95.27%
4 pts better
|
Numerator 136 · Denominator 137 |
| Falls with major injury | 0.73% |
0.77%
About the same
|
Numerator 1 · Denominator 137 |
| Discharge self-care score | 67.42% |
53.69%
13.7 pts better
|
Numerator 60 · Denominator 89 |
| Discharge mobility score | 65.17% |
50.94%
14.2 pts better
|
Numerator 58 · Denominator 89 |
| Pressure ulcers or injuries, new or worsened | 3.65% |
2.29%
1.4 pts worse
|
Numerator 5 · Denominator 137 · Adjusted rate 3.36% |
| Healthcare-associated infections requiring hospitalization | 9.56% |
7.12%
2.4 pts worse
|
No Different than the National Rate · Eligible stays 124 · Observed rate 12.1% · Lower 95% interval 5.72% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 154 |
| Staff flu vaccination coverage | 10.34% |
42%
31.7 pts worse
|
Numerator 15 · Denominator 145 |
| Discharge function score | 67.42% |
56.45%
11 pts better
|
Numerator 60 · Denominator 89 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 57 · Denominator 57 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 21.31% |
25.2%
3.9 pts worse
|
Numerator 13 · Denominator 61 |
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 3.4 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
2.8
0.5 pts better
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.5 · Expected 1.8 · 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 93.5% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 98.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.2% |
94.9%
4.3 pts better
|
95.5%
3.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.5% |
3.4%
1.1 pts worse
|
3.3%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 5.9% · Q3 5.5% · Q4 4.5% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.0% |
1.8%
0.8 pts better
|
11.4%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 0.0% · Q4 3.3% · 4Q avg 1.0% |
| Percentage of long-stay residents who lose too much weight | 10.9% |
5.2%
5.7 pts worse
|
5.4%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 16.3% · Q3 9.4% · Q4 8.2% · 4Q avg 10.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 39.1% |
23.1%
16 pts worse
|
19.6%
19.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 42.5% · Q2 44.7% · Q3 39.8% · Q4 28.9% · 4Q avg 39.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 52.0% |
24.4%
27.6 pts worse
|
16.7%
35.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 52.8% · Q2 50.0% · Q3 54.3% · Q4 50.6% · 4Q avg 52.0% · 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 | 17.3% |
22.2%
4.9 pts better
|
16.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 21.6% · Q3 16.9% · Q4 17.9% · 4Q avg 17.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.3% |
20.1%
1.8 pts better
|
14.9%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 27.1% · Q3 12.9% · Q4 19.4% · 4Q avg 18.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.4% |
1.6%
0.8 pts worse
|
1.0%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 2.3% · Q3 3.7% · Q4 2.2% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 11.0% |
2.6%
8.4 pts worse
|
1.7%
9.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 9.3% · Q3 13.0% · Q4 11.7% · 4Q avg 11.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.7% |
16.9%
6.2 pts better
|
19.8%
9.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 8.7% · Q3 13.9% · Q4 9.8% · 4Q avg 10.7% |
| Percentage of long-stay residents with pressure ulcers | 5.0% |
6.2%
1.2 pts better
|
5.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 4.7% · Q3 6.1% · Q4 2.4% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
83.6%
16.1 pts better
|
81.7%
18 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 25.0% |
14.7%
10.3 pts worse
|
12.0%
13 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.0% · Observed 25.0% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.2% |
3.3%
0.1 pts better
|
1.6%
1.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 0.0% · Q3 2.0% · Q4 6.1% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.9% |
76.2%
14.7 pts better
|
79.7%
11.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.0% |
27.8%
1.2 pts worse
|
23.9%
5.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.0% · Observed 26.7% · Expected 21.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-08 · Fire 2024-05-08
4 health deficiencies
Top issue: Administration (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-04-26 · Fire 2023-04-26
2 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-05-14
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-05-16
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-05-14
F803 · Nutrition and Dietary Deficiencies
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 2025-06-20
E · Potential for more than minimal harm
2025-05-14
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-20
E · Potential for more than minimal harm
2025-05-14
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-06-20
D · Potential for more than minimal harm
2025-05-14
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 2025-06-20
D · Potential for more than minimal harm
2025-05-14
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-06-20
F · Potential for more than minimal harm
2024-05-08
F803 · Nutrition and Dietary Deficiencies
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 2024-06-14
D · Potential for more than minimal harm
2024-05-08
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-06-14
D · Potential for more than minimal harm
2024-05-08
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-06-14
D · Potential for more than minimal harm
2024-05-08
F838 · Administration Deficiencies
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2024-06-14
D · Potential for more than minimal harm
2023-04-26
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-06-02
D · Potential for more than minimal harm
2023-04-26
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-06-02
Penalties and ownership
What sits behind the stars
Ownership
Fellows, Hugh
W-2 Managing Employee · Individual
May, Brian
5% Or Greater Direct Ownership Interest · Individual
May, Brian
Corporate Director · Individual
Stott, Martin
5% Or Greater Direct Ownership Interest · Individual
Stott, Martin
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Rosewood Nursing Center
Lake Charles, LA
1-star overall rating with 2-star inspections with $58,547 in total fines with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Resthaven Nursing & Rehab Center, LLC
Lake Charles, LA
1-star overall rating with 1-star inspections with $34,369 in total fines with 11 recent health deficiencies
#3
Landmark of Lake Charles
Lake Charles, LA
2-star overall rating with 3-star inspections with 9 recent health deficiencies
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