Federal inspection record · CMS data as of October 1, 2026
Pilgrim Manor Skilled Nursing and Rehabilitation
1524 Doctors Drive, Bossier City, LA · (318) 742-1623
- Certified beds
- 155
- Residents per day
- 119
- Ownership
- For-Profit
- Chain
- Priority Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 1, 2004
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Louisiana.
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Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Louisiana homes
Pilgrim Manor Skilled Nursing and Rehabilitation carries 155.25 inspection points. That is fewer than 5% of Louisiana's 264 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Louisiana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–33 pts
- 3★ 33–53 pts
- 2★ 53–88.75 pts
- 1★ over 88.75 pts
Bars show every rated home in Louisiana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
22 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (6)
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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L
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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L
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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K
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.
Everything else, by area of care
Resident Assessment and Care Planning4E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Quality of Life and Care4E
- D
Provide enough food/fluids to maintain a resident's health.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Rights3E
- D
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.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- E
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.
Pharmacy Service1E
- E
Ensure medication error rates are not 5 percent or greater.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration1E
- E
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspection history
2026-02-25
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2024-12-17
8 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-01-31
8 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 30 min of nursing staff time a day, 17 min of it from a registered nurse.
This home
3 h 30 min
Louisiana average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 70% of nursing staff and 40% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$186,253 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-09-03 | Fine | $12,425 |
| 2025-09-03 | Payment Denial · 13 day denial | $0 |
| 2024-12-04 | Fine | $52,855 |
| 2024-08-01 | Fine | $120,973 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 2.4 | 2.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.4 pts better | 1.2 | 2.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.2 pts better | 100.0% | 93.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4 pts better | 100.0% | 96.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts worse | 4.0% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.6 pts worse | 10.0% | 2.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts worse | 5.4% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5 pts better | 18.3% | 23.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication12.9 pts better | 9.9% | 22.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.5 pts better | 11.6% | 15.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.3 pts worse | 18.8% | 16.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1 pts better | 0.0% | 1.0% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.9 pts better | 0.0% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence16.3 pts worse | 31.2% | 14.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.4 pts better | 4.1% | 5.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.2 pts better | 99.6% | 86.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.7 pts better | 9.7% | 14.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.8 pts better | 1.3% | 3.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine22.2 pts better | 100.0% | 77.8% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.6 pts better | 25.7% | 28.3% | 23.4% |
·
Who owns and runs it
13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Sdb Holdings | 5% Or Greater Direct Ownership Interest · Organization | 100% | 8 facilities |
| Adams, Angela | Adp Of The SNF · Individual | 0% | 1 facilities |
| Almond, James | Adp Of The SNF · Individual | 0% | 2 facilities |
| Angelo, Michael | Adp Of The SNF · Individual | 0% | 1 facilities |
| Bauder, William | Indirect Ownership Interest · Individual | 0% | 42 facilities |
| Bauder, William | Operational/Managerial Control · Individual | 0% | 42 facilities |
| Boulware, Douglas | Indirect Ownership Interest · Individual | 0% | 46 facilities |
| Boulware, Steven | Indirect Ownership Interest · Individual | 0% | 48 facilities |
| Boulware, Steven | Operational/Managerial Control · Individual | 0% | 48 facilities |
| Colvin, David | Adp Of The SNF · Individual | 0% | 8 facilities |
| Priority Management Group, LLC | Operational/Managerial Control · Organization | 0% | 40 facilities |
| Priority Management Group, LLC | Adp Of The SNF · Organization | 0% | 40 facilities |
| Progressive Rehab Solutions, LLC | Adp Of The SNF · Organization | 0% | 36 facilities |
·
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