Cycle 1
Health 2025-06-13 · Fire 2025-06-13
15 health deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Mandeville, LA
Pontchartrain Health Care Center
1-star overall rating with 1-star inspections with $162,920 in total fines with 15 recent health deficiencies
1401 Highway 190, Mandeville, LA
(985) 626-8581
Overall
1 / 5
CMS overall stars
Health inspections
1 / 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
182
Certified beds
Average residents
106
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Inspired Healthcare Management
Operator or chain grouping
Approved since
1994-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 2 overall / 2 health / 3 staffing / 1 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
0.21
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
1.28
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
2.36
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.85
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
3.33
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
0.09
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.24
CMS adjusted RN staffing hours
Adjusted total hours
4.40
CMS adjusted total nurse staffing hours
Case-mix index
1.20
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
52%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,146
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
30.62
Composite VBP score used to determine payment impact.
Payment multiplier
0.9861
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.68
Baseline 23.06% · Performance 20.54% · Measure score 3.68 · Achievement 1.93 · Improvement 3.68
Healthcare-associated infections
2.85
Baseline 4.99% · Performance 6.98% · Measure score 2.85 · Achievement 2.85 · Improvement 0
Total nurse turnover
2.53
Baseline 72.65% · Performance 58.18% · Measure score 2.53 · Achievement 1.34 · Improvement 2.53
Adjusted total nurse staffing
3.19
Baseline 3.81 hours · Performance 3.99 hours · Measure score 3.19 · Achievement 3.19 · Improvement 0.41
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.46% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 77 · Observed rate 14.29% · Lower 95% interval 6.93% |
| Discharge to community | 40.91% |
50.57%
9.7 pts worse
|
No Different than the National Rate · Eligible stays 34 · Observed rate 26.47% · Lower 95% interval 25.56% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 43.68% |
95.27%
51.6 pts worse
|
Numerator 38 · Denominator 87 |
| Falls with major injury | 2.3% |
0.77%
1.5 pts worse
|
Numerator 2 · Denominator 87 |
| Discharge self-care score | 78% |
53.69%
24.3 pts better
|
Numerator 39 · Denominator 50 |
| Discharge mobility score | 58% |
50.94%
7.1 pts better
|
Numerator 29 · Denominator 50 |
| Pressure ulcers or injuries, new or worsened | 6.9% |
2.29%
4.6 pts worse
|
Numerator 6 · Denominator 87 · Adjusted rate 4.77% |
| Healthcare-associated infections requiring hospitalization | 6.98% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 45 · Observed rate 6.67% · Lower 95% interval 4.31% |
| Staff COVID-19 vaccination coverage | 2.96% |
8.2%
5.2 pts worse
|
Numerator 4 · Denominator 135 |
| Staff flu vaccination coverage | 16.39% |
42%
25.6 pts worse
|
Numerator 20 · Denominator 122 |
| Discharge function score | 66% |
56.45%
9.5 pts better
|
Numerator 33 · Denominator 50 |
| Transfer of health information to provider | 91.89% |
95.95%
4.1 pts worse
|
Numerator 34 · Denominator 37 |
| 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 | 11.11% |
25.2%
14.1 pts worse
|
Numerator 5 · Denominator 45 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 4.9 |
2.6
2.3 pts worse
|
1.9
3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.9 · Observed 4.9 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.3 |
2.8
0.5 pts worse
|
1.8
1.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.3 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.1% |
92.0%
3.1 pts better
|
93.4%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 87.0% · Q2 96.3% · Q3 98.0% · Q4 100.0% · 4Q avg 95.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.6% |
94.9%
1.7 pts better
|
95.5%
1.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
3.4%
1.7 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.9% · Q3 2.0% · Q4 1.1% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
1.8%
1.5 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 11.5% |
5.2%
6.3 pts worse
|
5.4%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 20.5% · Q3 9.5% · Q4 7.6% · 4Q avg 11.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 34.5% |
23.1%
11.4 pts worse
|
19.6%
14.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.4% · Q2 35.1% · Q3 33.3% · Q4 34.9% · 4Q avg 34.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 27.9% |
24.4%
3.5 pts worse
|
16.7%
11.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.8% · Q2 29.6% · Q3 26.9% · Q4 28.6% · 4Q avg 27.9% · 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 | 27.2% |
22.2%
5 pts worse
|
16.3%
10.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 42.0% · Q2 18.8% · Q3 25.6% · Q4 22.5% · 4Q avg 27.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 29.1% |
20.1%
9 pts worse
|
14.9%
14.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.9% · Q2 35.6% · Q3 20.5% · Q4 20.0% · 4Q avg 29.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% |
1.6%
0.1 pts worse
|
1.0%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.9% · Q3 1.6% · Q4 3.6% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 11.8% |
2.6%
9.2 pts worse
|
1.7%
10.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 13.9% · Q3 10.2% · Q4 10.0% · 4Q avg 11.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.8% |
16.9%
6.9 pts worse
|
19.8%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 25.9% · Q3 23.6% · Q4 22.0% · 4Q avg 23.8% |
| Percentage of long-stay residents with pressure ulcers | 4.5% |
6.2%
1.7 pts better
|
5.1%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 6.2% · Q3 3.0% · Q4 3.6% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.4% |
83.6%
0.8 pts better
|
81.7%
2.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 71.7% · Q2 82.8% · Q3 87.6% · Q4 90.2% · 4Q avg 84.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.8% |
14.7%
3.9 pts better
|
12.0%
1.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.8% · Observed 12.5% · Expected 12.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.0% |
3.3%
0.3 pts better
|
1.6%
1.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.0% · Q3 4.3% · Q4 3.3% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.1% |
76.2%
0.1 pts worse
|
79.7%
3.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 76.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.7% |
27.8%
4.9 pts worse
|
23.9%
8.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.7% · Observed 37.5% · Expected 27.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-08 · Fire 2024-05-08
18 health deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-04-27 · Fire 2023-04-27
9 health deficiencies
Top issue: Infection Control (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2023-04-27
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-04-28
D · Potential for more than minimal harm
2023-04-27
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-23
Inspection history
Recent health citations
K · Immediate jeopardy
2025-06-13
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 2025-07-10
K · Immediate jeopardy
2025-06-13
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 2025-07-10
K · Immediate jeopardy
2025-06-13
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-07-10
E · Potential for more than minimal harm
2025-06-13
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 2025-07-10
E · Potential for more than minimal harm
2025-06-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-10
D · Potential for more than minimal harm
2025-06-13
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-07-10
D · Potential for more than minimal harm
2025-06-13
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-07-10
D · Potential for more than minimal harm
2025-06-13
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-10
D · Potential for more than minimal harm
2025-06-13
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-07-10
D · Potential for more than minimal harm
2025-06-13
F849 · Administration Deficiencies
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2025-07-10
C · Minimal harm
2025-06-13
F575 · Resident Rights Deficiencies
Health
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Corrected 2025-07-10
E · Potential for more than minimal harm
2025-04-03
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 2025-04-11
E · Potential for more than minimal harm
2025-03-05
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 2025-03-26
D · Potential for more than minimal harm
2025-03-05
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-26
D · Potential for more than minimal harm
2025-03-05
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 2025-03-26
E · Potential for more than minimal harm
2024-11-13
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 2024-12-11
E · Potential for more than minimal harm
2024-11-13
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-12-11
E · Potential for more than minimal harm
2024-10-11
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-11-25
E · Potential for more than minimal harm
2024-10-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-25
D · Potential for more than minimal harm
2024-10-11
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-11-25
D · Potential for more than minimal harm
2024-10-11
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-25
D · Potential for more than minimal harm
2024-10-11
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-15
E · Potential for more than minimal harm
2024-07-31
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-09-03
F · Potential for more than minimal harm
2024-05-08
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 2024-06-21
F · Potential for more than minimal harm
2024-05-08
F813 · Nutrition and Dietary Deficiencies
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2024-06-21
F · Potential for more than minimal harm
2024-05-08
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2024-06-21
E · 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 2024-06-21
E · Potential for more than minimal harm
2024-05-08
F847 · Administration Deficiencies
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2024-06-21
D · Potential for more than minimal harm
2024-05-08
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-06-21
D · Potential for more than minimal harm
2024-05-08
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 2024-06-21
D · Potential for more than minimal harm
2024-05-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-21
C · Minimal harm
2024-05-08
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-06-21
B · Minimal harm
2024-05-08
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2024-06-21
E · Potential for more than minimal harm
2024-02-15
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 2024-03-30
E · Potential for more than minimal harm
2024-02-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-30
E · Potential for more than minimal harm
2023-04-27
F761 · Pharmacy Service Deficiencies
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 2023-06-11
E · Potential for more than minimal harm
2023-04-27
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 2023-06-11
D · Potential for more than minimal harm
2023-04-27
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 2023-06-11
D · Potential for more than minimal harm
2023-04-27
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-06-11
D · Potential for more than minimal harm
2023-04-27
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 2023-06-11
D · Potential for more than minimal harm
2023-04-27
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 2023-06-11
D · Potential for more than minimal harm
2023-04-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-11
Penalties and ownership
What sits behind the stars
$162,920
2025-06-13
Fine
Fine · fine $162,920
Fine
Ownership
Pontchartrain Guest House Inc
5% Or Greater Direct Ownership Interest · Organization
Goux, Lynette
5% Or Greater Indirect Ownership Interest · Individual
Goux, Jeremy
5% Or Greater Indirect Ownership Interest · Individual
Goux, Timothy
5% Or Greater Indirect Ownership Interest · Individual
Goux, Jeremy
Corporate Director · Individual
Goux, Lynette
Corporate Director · Individual
Goux, Lynette
Corporate Officer · Individual
Goux, Timothy
Corporate Director · Individual
Inspired Healthcare Management, LLC
Operational/Managerial Control · Organization
Laurent, Merrill
Operational/Managerial Control · Individual
Lavarine, Patricia
Operational/Managerial Control · Individual
Leach, Mary Lynn
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Heritage Manor Of Mandeville
Mandeville, LA
2-star overall rating with 3-star inspections with $9,318 in total fines with 5 recent health deficiencies
#2
Trinity Trace Community Care Center
Covington, LA
4-star overall rating with 4-star inspections with 5 recent health deficiencies
#3
Christwood
Covington, LA
4-star overall rating with 5-star inspections with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Jump out