Cycle 1
Health 2024-12-11 · Fire 2024-12-11
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Arcadia, LA
Leslie Lakes Retirement Center
4-star overall rating with 5-star inspections with $59,670 in total fines with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1355 Sixth Street, Arcadia, LA
(318) 263-9581
Overall
4 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
150
Certified beds
Average residents
82
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Paramount Healthcare Consultants
Operator or chain grouping
Approved since
2003-02-14
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
14 facilities
Chain averages 2 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
Hours and turnover
RN hours / resident day
0.16
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
1.03
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
3.46
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
3.00
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
0.10
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
0.19
CMS adjusted RN staffing hours
Adjusted total hours
4.07
CMS adjusted total nurse staffing hours
Case-mix index
1.16
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
39%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,509
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.65
Composite VBP score used to determine payment impact.
Payment multiplier
0.9926
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Performance 21.82% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
5.03
Baseline 9.95% · Performance 7.21% · Measure score 5.03 · Achievement 2.09 · Improvement 5.03
Total nurse turnover
6.97
Baseline 45.24% · Performance 35.21% · Measure score 6.97 · Achievement 6.97 · Improvement 4.42
Adjusted total nurse staffing
3.87
Baseline 4 hours · Performance 4.18 hours · Measure score 3.87 · Achievement 3.87 · Improvement 0.48
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 15.08% |
10.72%
4.4 pts worse
|
No Different than the National Rate · Eligible stays 73 · Observed rate 23.29% · Lower 95% interval 10.65% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.44 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 73.08% |
95.27%
22.2 pts worse
|
Numerator 38 · Denominator 52 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 52 |
| Discharge self-care score | 52.63% |
53.69%
1.1 pts worse
|
Numerator 20 · Denominator 38 |
| Discharge mobility score | 50% |
50.94%
0.9 pts worse
|
Numerator 19 · Denominator 38 |
| Pressure ulcers or injuries, new or worsened | 1.92% |
2.29%
0.4 pts better
|
Numerator 1 · Denominator 52 · Adjusted rate 1.83% |
| Healthcare-associated infections requiring hospitalization | 7.21% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 39 · Observed rate 7.69% · Lower 95% interval 3.31% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 103 |
| Staff flu vaccination coverage | 0% |
42%
42 pts worse
|
Numerator 0 · Denominator 100 |
| Discharge function score | 65.79% |
56.45%
9.3 pts better
|
Numerator 25 · Denominator 38 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 48.48% |
25.2%
23.3 pts better
|
Numerator 16 · Denominator 33 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
2.6
0.2 pts better
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.1 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.8 |
2.8
2 pts worse
|
1.8
3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.8 · Observed 4.8 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
92.0%
7.7 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.3% |
94.9%
0.6 pts worse
|
95.5%
1.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.2% |
3.4%
1.8 pts worse
|
3.3%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 6.2% · Q3 4.9% · Q4 3.8% · 4Q avg 5.2% · 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 | 0.0% |
5.2%
5.2 pts better
|
5.4%
5.4 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 received an antianxiety or hypnotic medication | 3.5% |
23.1%
19.6 pts better
|
19.6%
16.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.6% · Q3 5.2% · Q4 3.9% · 4Q avg 3.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 37.1% |
24.4%
12.7 pts worse
|
16.7%
20.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.2% · Q2 33.9% · Q3 39.3% · Q4 39.0% · 4Q avg 37.1% · 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 | 13.5% |
22.2%
8.7 pts better
|
16.3%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.6% · Q2 18.8% · Q3 6.2% · Q4 12.7% · 4Q avg 13.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.0% |
20.1%
2.1 pts better
|
14.9%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 22.1% · Q3 13.4% · Q4 9.2% · 4Q avg 18.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.5% |
1.6%
0.9 pts worse
|
1.0%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 4.1% · Q3 0.0% · Q4 2.2% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
2.6%
1.6 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.2% |
16.9%
6.7 pts better
|
19.8%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 7.0% · Q3 8.7% · Q4 6.3% · 4Q avg 10.2% |
| Percentage of long-stay residents with pressure ulcers | 10.2% |
6.2%
4 pts worse
|
5.1%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 11.7% · Q3 5.9% · Q4 11.9% · 4Q avg 10.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.9% |
83.6%
6.3 pts better
|
81.7%
8.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 67.7% · Q2 95.1% · Q3 97.4% · Q4 96.4% · 4Q avg 89.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 21.5% |
14.7%
6.8 pts worse
|
12.0%
9.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 21.5% · Observed 27.0% · Expected 14.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 7.2% |
3.3%
3.9 pts worse
|
1.6%
5.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 9.5% · Q3 4.8% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 51.2% |
76.2%
25 pts worse
|
79.7%
28.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 51.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.1% |
27.8%
2.3 pts worse
|
23.9%
6.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.1% · Observed 35.1% · Expected 27.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-15 · Fire 2023-11-15
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-12-14 · Fire 2022-12-14
8 health deficiencies
Top issue: Resident Rights (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-12-11
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-10
F · Potential for more than minimal harm
2024-12-11
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-10
D · Potential for more than minimal harm
2024-12-11
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-01-10
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-12-11
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 2025-01-06
E · Potential for more than minimal harm
2023-11-15
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-12-09
E · Potential for more than minimal harm
2023-11-15
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-09
E · Potential for more than minimal harm
2023-11-15
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 2023-12-09
E · Potential for more than minimal harm
2023-11-15
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-12-09
E · Potential for more than minimal harm
2023-11-15
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 2023-12-09
G · Actual harm
2023-11-01
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-11-23
D · Potential for more than minimal harm
2023-05-10
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-06-20
E · Potential for more than minimal harm
2022-12-14
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2023-01-27
E · Potential for more than minimal harm
2022-12-14
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 2023-01-27
D · Potential for more than minimal harm
2022-12-14
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-01-27
D · Potential for more than minimal harm
2022-12-14
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-01-27
D · Potential for more than minimal harm
2022-12-14
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 2023-01-27
D · Potential for more than minimal harm
2022-12-14
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-01-27
Penalties and ownership
What sits behind the stars
$59,670
2023-11-01
Fine
Fine · fine $59,670
Fine
$0
2023-11-01
Payment Denial
Payment Denial · denial start 2023-11-29 · 10 days
10 day denial
Ownership
Colvin, David
Operational/Managerial Control · Individual
Leslie Lakes Property, LLC
5% Or Greater Mortgage Interest · Organization
Smith, Angela
Operational/Managerial Control · Individual
Smith, Dawne
Corporate Officer · Individual
Nearby options
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3-star overall rating with 4-star inspections with $10,059 in total fines with 5 recent health deficiencies
#2
Alpine Skilled Nursing and Rehabilitation
Ruston, LA
1-star overall rating with 2-star inspections with 10 recent health deficiencies
#3
Princeton Place-Ruston
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4-star overall rating with 4-star inspections with 5 recent health deficiencies
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