Cycle 1
Health 2025-04-09 · Fire 2025-04-09
11 health deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Rayne, LA
Landmark Of Rayne
1-star overall rating with 2-star inspections with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
2021 Crowley Rayne Highway, Rayne, LA
(337) 783-8101
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
Facility snapshot
Beds
130
Certified beds
Average residents
96
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Beebe Family
Operator or chain grouping
Approved since
2002-04-17
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
48 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
Hours and turnover
RN hours / resident day
0.28
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
1.21
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
2.91
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.40
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.49
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.27
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
0.04
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.28
CMS adjusted RN staffing hours
Adjusted total hours
4.31
CMS adjusted total nurse staffing hours
Case-mix index
1.40
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
68%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,664
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
11.17
Composite VBP score used to determine payment impact.
Payment multiplier
0.9810
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.15
Performance 20.44% · Measure score 2.15 · Achievement 2.15 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
0
Baseline 7.23% · Performance 8.97% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0.66
Baseline 73.64% · Performance 68.00% · Measure score 0.66 · Achievement 0 · Improvement 0.66
Adjusted total nurse staffing
1.67
Baseline 3.74 hours · Performance 3.55 hours · Measure score 1.67 · Achievement 1.67 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.68% |
10.72%
1 pts worse
|
No Different than the National Rate · Eligible stays 59 · Observed rate 15.25% · Lower 95% interval 7.75% |
| Discharge to community | 43.5% |
50.57%
7.1 pts worse
|
No Different than the National Rate · Eligible stays 33 · Observed rate 30.3% · Lower 95% interval 28.28% |
| Medicare spending per beneficiary | 1.09 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 75.47% |
95.27%
19.8 pts worse
|
Numerator 40 · Denominator 53 |
| Falls with major injury | 1.89% |
0.77%
1.1 pts worse
|
Numerator 1 · Denominator 53 |
| Discharge self-care score | 23.08% |
53.69%
30.6 pts worse
|
Numerator 9 · Denominator 39 |
| Discharge mobility score | 17.95% |
50.94%
33 pts worse
|
Numerator 7 · Denominator 39 |
| Pressure ulcers or injuries, new or worsened | 5.66% |
2.29%
3.4 pts worse
|
Numerator 3 · Denominator 53 · Adjusted rate 5.32% |
| Healthcare-associated infections requiring hospitalization | 8.97% |
7.12%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 40 · Observed rate 17.5% · Lower 95% interval 5.34% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 123 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 12.82% |
56.45%
43.6 pts worse
|
Numerator 5 · Denominator 39 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 3.7% |
25.2%
21.5 pts worse
|
Numerator 1 · Denominator 27 |
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 2.8 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.7 |
2.8
0.1 pts better
|
1.8
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.7 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 86.5% |
92.0%
5.5 pts worse
|
93.4%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 91.1% · Q2 83.5% · Q3 84.2% · Q4 87.6% · 4Q avg 86.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.0% |
94.9%
1.1 pts better
|
95.5%
0.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.4% |
3.4%
1 pts better
|
3.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 3.1% · Q3 1.1% · Q4 0.0% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 9.9% |
1.8%
8.1 pts worse
|
11.4%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 3.9% · Q3 14.7% · Q4 18.4% · 4Q avg 9.9% |
| Percentage of long-stay residents who lose too much weight | 3.7% |
5.2%
1.5 pts better
|
5.4%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 4.6% · Q4 8.0% · 4Q avg 3.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.2% |
23.1%
7.1 pts worse
|
19.6%
10.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.9% · Q2 33.7% · Q3 26.4% · Q4 30.0% · 4Q avg 30.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 40.0% |
24.4%
15.6 pts worse
|
16.7%
23.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.5% · Q2 40.0% · Q3 42.6% · Q4 40.7% · 4Q avg 40.0% · 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 | 35.4% |
22.2%
13.2 pts worse
|
16.3%
19.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.3% · Q2 44.6% · Q3 24.2% · Q4 44.9% · 4Q avg 35.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 32.1% |
20.1%
12 pts worse
|
14.9%
17.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.7% · Q2 23.1% · Q3 37.2% · Q4 42.9% · 4Q avg 32.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.6% |
1.6%
1 pts worse
|
1.0%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.7% · Q3 2.0% · Q4 3.5% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 7.2% |
2.6%
4.6 pts worse
|
1.7%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 6.3% · Q3 7.4% · Q4 13.1% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.8% |
16.9%
12.9 pts worse
|
19.8%
10 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.2% · Q2 29.6% · Q3 21.1% · Q4 39.2% · 4Q avg 29.8% |
| Percentage of long-stay residents with pressure ulcers | 4.9% |
6.2%
1.3 pts better
|
5.1%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 6.6% · Q3 3.1% · Q4 5.6% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 80.6% |
83.6%
3 pts worse
|
81.7%
1.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 86.0% · Q2 79.5% · Q3 78.6% · Q4 78.3% · 4Q avg 80.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.8% |
14.7%
4.9 pts better
|
12.0%
2.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.8% · Observed 12.5% · Expected 14.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
3.3%
2.4 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 63.0% |
76.2%
13.2 pts worse
|
79.7%
16.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 63.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.7% |
27.8%
0.1 pts better
|
23.9%
3.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.7% · Observed 32.1% · Expected 27.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-20 · Fire 2024-03-20
9 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-02-15 · Fire 2023-02-15
7 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-04-09
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-05-23
D · Potential for more than minimal harm
2023-02-15
K346 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-03-30
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-16
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-01-16
F · Potential for more than minimal harm
2025-04-09
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-05-09
F · Potential for more than minimal harm
2025-04-09
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 2025-05-09
E · Potential for more than minimal harm
2025-04-09
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 2025-05-09
E · Potential for more than minimal harm
2025-04-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-09
D · Potential for more than minimal harm
2025-04-09
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 2025-05-09
D · Potential for more than minimal harm
2025-04-09
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-05-09
D · Potential for more than minimal harm
2025-04-09
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 2025-05-09
D · Potential for more than minimal harm
2025-04-09
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-05-09
F · Potential for more than minimal harm
2025-03-12
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-04-04
E · Potential for more than minimal harm
2025-03-12
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-04
F · Potential for more than minimal harm
2024-03-20
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 2024-04-19
E · Potential for more than minimal harm
2024-03-20
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-19
E · Potential for more than minimal harm
2024-03-20
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 2024-04-19
D · Potential for more than minimal harm
2024-03-20
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-04-19
D · Potential for more than minimal harm
2024-03-20
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 2024-04-19
D · Potential for more than minimal harm
2024-03-20
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 2024-04-19
D · Potential for more than minimal harm
2024-03-20
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-19
D · Potential for more than minimal harm
2024-03-20
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 2024-04-19
D · Potential for more than minimal harm
2024-03-20
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-19
D · Potential for more than minimal harm
2023-10-24
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-11-17
D · Potential for more than minimal harm
2023-08-22
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 2023-09-08
D · Potential for more than minimal harm
2023-08-22
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 2023-09-08
D · Potential for more than minimal harm
2023-08-22
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-09-08
D · Potential for more than minimal harm
2023-06-27
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-07-10
E · Potential for more than minimal harm
2023-02-15
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-03-17
D · Potential for more than minimal harm
2023-02-15
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 2023-03-17
Penalties and ownership
What sits behind the stars
Ownership
Jefferson Boyd And Jojuana Summit Tr
5% Or Greater Direct Ownership Interest · Organization
Johnson, Terry
5% Or Greater Direct Ownership Interest · Individual
Tr For The Whds Great Grandchildren
5% Or Greater Direct Ownership Interest · Organization
Beebe, Elton
5% Or Greater Indirect Ownership Interest · Individual
Elton G Beebe Sr Revocable Trust
5% Or Greater Indirect Ownership Interest · Organization
Extended Care Associates, Inc.
5% Or Greater Direct Ownership Interest · Organization
Account Management Services Inc
Operational/Managerial Control · Organization
Administrative Systems Inc
Operational/Managerial Control · Organization
Beebe, Bobby
Operational/Managerial Control · Individual
Beebe, Bobby
Corporate Officer · Individual
Beebe, Elton
Operational/Managerial Control · Individual
Beebe, Elton
Corporate Officer · Individual
Extended Care Associates, Inc.
Operational/Managerial Control · Organization
Lancon, Steven
Operational/Managerial Control · Individual
Parkinson, Toni
Operational/Managerial Control · Individual
Parkinson, Toni
Corporate Officer · Individual
Pathway Management Of Louisiana LLC
Operational/Managerial Control · Organization
Provider Professional Services Inc
Operational/Managerial Control · Organization
Ramirez Astacio, Cesar
Operational/Managerial Control · Individual
Saini, Satinder
Operational/Managerial Control · Individual
Speyrer, Melissa
Operational/Managerial Control · Individual
Tristar Rehab Inc
Operational/Managerial Control · Organization
Wilder, Brian
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Southwind Nursing & Rehabilitation Center
Crowley, LA
3-star overall rating with 3-star inspections with 9 recent health deficiencies
#2
The Ellington
Rayne, LA
2-star overall rating with 3-star inspections with $29,007 in total fines with 4 recent health deficiencies
#3
The Encore Healthcare And Rehabilitation Center
Crowley, LA
4-star overall rating with 4-star inspections with 7 recent health deficiencies
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