3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
West Monroe, LA
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
1611 Wellerman Road, West Monroe, LA
(318) 396-3313
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
Beds
140
Certified beds
Average residents
117
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Central Management Company
Operator or chain grouping
Approved since
1997-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
21 facilities
Chain averages 3 overall / 3 health / 3 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
0.22
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
1.32
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
2.21
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.75
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.54
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.01
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
0.08
Weekend registered nurse coverage · state 0.22 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.21
CMS adjusted RN staffing hours
Adjusted total hours
3.65
CMS adjusted total nurse staffing hours
Case-mix index
1.40
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
54%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
9,203
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.48
Composite VBP score used to determine payment impact.
Payment multiplier
0.9835
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.64
Baseline 22.07% · Performance 20.49% · Measure score 2.64 · Achievement 2.03 · Improvement 2.64
Healthcare-associated infections
3.05
Baseline 6.46% · Performance 6.92% · Measure score 3.05 · Achievement 3.05 · Improvement 0
Total nurse turnover
1.10
Baseline 44.25% · Performance 59.17% · Measure score 1.10 · Achievement 1.10 · Improvement 0
Adjusted total nurse staffing
3
Baseline 3.74 hours · Performance 3.93 hours · Measure score 3 · Achievement 3 · Improvement 0.45
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.48% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 209 · Observed rate 9.57% · Lower 95% interval 7.69% |
| Discharge to community | 42.55% |
50.57%
8 pts worse
|
No Different than the National Rate · Eligible stays 124 · Observed rate 34.68% · Lower 95% interval 35.18% |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 86.1% |
95.27%
9.2 pts worse
|
Numerator 161 · Denominator 187 |
| Falls with major injury | 3.21% |
0.77%
2.4 pts worse
|
Numerator 6 · Denominator 187 |
| Discharge self-care score | 37.6% |
53.69%
16.1 pts worse
|
Numerator 47 · Denominator 125 |
| Discharge mobility score | 55.2% |
50.94%
4.3 pts better
|
Numerator 69 · Denominator 125 |
| Pressure ulcers or injuries, new or worsened | 4.81% |
2.29%
2.5 pts worse
|
Numerator 9 · Denominator 187 · Adjusted rate 4.16% |
| Healthcare-associated infections requiring hospitalization | 6.92% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 135 · Observed rate 5.93% · Lower 95% interval 4.23% |
| Staff COVID-19 vaccination coverage | 6.06% |
8.2%
2.1 pts worse
|
Numerator 10 · Denominator 165 |
| Staff flu vaccination coverage | 6.54% |
42%
35.5 pts worse
|
Numerator 34 · Denominator 520 |
| Discharge function score | 52% |
56.45%
4.5 pts worse
|
Numerator 65 · Denominator 125 |
| Transfer of health information to provider | 84.75% |
95.95%
11.2 pts worse
|
Numerator 50 · Denominator 59 |
| Transfer of health information to patient | 82.05% |
96.28%
14.2 pts worse
|
Numerator 32 · Denominator 39 |
| Resident COVID-19 vaccinations up to date | 3.19% |
25.2%
22 pts worse
|
Numerator 3 · Denominator 94 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.6 |
2.6
1 pts worse
|
1.9
1.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.6 · Observed 3.9 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.9 |
2.8
0.1 pts worse
|
1.8
1.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 3.2 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 86.7% |
92.0%
5.3 pts worse
|
93.4%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 80.7% · Q2 72.2% · Q3 97.1% · Q4 98.1% · 4Q avg 86.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.0% |
94.9%
0.1 pts better
|
95.5%
0.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.5% |
3.4%
3.1 pts worse
|
3.3%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 6.5% · Q3 9.5% · Q4 6.8% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.5% |
1.8%
1.3 pts better
|
11.4%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% |
| Percentage of long-stay residents who lose too much weight | 7.1% |
5.2%
1.9 pts worse
|
5.4%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 9.9% · Q3 11.0% · Q4 4.6% · 4Q avg 7.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 49.5% |
23.1%
26.4 pts worse
|
19.6%
29.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 49.5% · Q2 51.6% · Q3 47.3% · Q4 49.5% · 4Q avg 49.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 30.1% |
24.4%
5.7 pts worse
|
16.7%
13.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.4% · Q2 33.3% · Q3 28.9% · Q4 30.0% · 4Q avg 30.1% · 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 | 38.5% |
22.2%
16.3 pts worse
|
16.3%
22.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 52.2% · Q2 43.1% · Q3 40.5% · Q4 16.5% · 4Q avg 38.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 38.2% |
20.1%
18.1 pts worse
|
14.9%
23.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.5% · Q2 41.2% · Q3 40.0% · Q4 29.8% · 4Q avg 38.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.1% |
1.6%
0.5 pts worse
|
1.0%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 2.6% · Q3 1.9% · Q4 2.6% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 7.5% |
2.6%
4.9 pts worse
|
1.7%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 7.3% · Q3 7.4% · Q4 6.3% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.7% |
16.9%
2.2 pts better
|
19.8%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 20.4% · Q3 16.2% · Q4 5.2% · 4Q avg 14.7% |
| Percentage of long-stay residents with pressure ulcers | 7.7% |
6.2%
1.5 pts worse
|
5.1%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 10.9% · Q3 7.2% · Q4 5.5% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 79.2% |
83.6%
4.4 pts worse
|
81.7%
2.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 68.0% · Q2 66.7% · Q3 82.4% · Q4 93.3% · 4Q avg 79.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.4% |
14.7%
4.7 pts worse
|
12.0%
7.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.4% · Observed 20.1% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.9% |
3.3%
1.6 pts worse
|
1.6%
3.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.4% · Q4 11.1% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 60.7% |
76.2%
15.5 pts worse
|
79.7%
19 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 60.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.1% |
27.8%
4.3 pts worse
|
23.9%
8.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.1% · Observed 33.3% · Expected 24.7% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Infection Control (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-02-10
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-10
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-02-05
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-02-05
Inspection history
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2025-02-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-20
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-02-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-26
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 2024-08-26
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-23
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-06-27
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-05-23
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-09
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 2024-02-09
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-01
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-16
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-25
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 2023-02-27
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 2023-02-27
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-02-27
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-02-27
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2023-02-27
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-02-27
Penalties and ownership
Fine · fine $12,851
Fine
Fine · fine $8,018
Fine
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
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