Cycle 1
Health 2024-08-20 · Fire 2024-08-20
11 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Lake Charles, LA
Resthaven Nursing & Rehab Center, LLC
1-star overall rating with 1-star inspections with $34,369 in total fines with 11 recent health deficiencies
1103 W Mcneese, Lake Charles, LA
(337) 477-6371
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
162
Certified beds
Average residents
107
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Central Management Company
Operator or chain grouping
Approved since
1997-06-01
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
Hours and turnover
RN hours / resident day
0.34
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
1.12
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
2.00
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.45
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.45
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.03
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
0.43
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
0.39
CMS adjusted RN staffing hours
Adjusted total hours
4.06
CMS adjusted total nurse staffing hours
Case-mix index
1.16
Higher values indicate more complex resident acuity
RN turnover
11%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,339
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
36.54
Composite VBP score used to determine payment impact.
Payment multiplier
0.9899
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.57
Baseline 21.35% · Performance 19.78% · Measure score 3.57 · Achievement 3.57 · Improvement 3.15
Healthcare-associated infections
5.23
Baseline 6.21% · Performance 6.27% · Measure score 5.23 · Achievement 5.23 · Improvement 0
Total nurse turnover
3.73
Baseline 53.70% · Performance 48.45% · Measure score 3.73 · Achievement 3.73 · Improvement 1.32
Adjusted total nurse staffing
2.09
Baseline 3.17 hours · Performance 3.67 hours · Measure score 2.09 · Achievement 2.09 · Improvement 1.43
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.92% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 117 · Observed rate 8.55% · Lower 95% interval 6.46% |
| Discharge to community | 62.64% |
50.57%
12.1 pts better
|
Better than the National Rate · Eligible stays 82 · Observed rate 54.88% · Lower 95% interval 53.23% |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 84.52% |
95.27%
10.8 pts worse
|
Numerator 71 · Denominator 84 |
| Falls with major injury | 7.14% |
0.77%
6.4 pts worse
|
Numerator 6 · Denominator 84 |
| Discharge self-care score | 70.91% |
53.69%
17.2 pts better
|
Numerator 39 · Denominator 55 |
| Discharge mobility score | 78.18% |
50.94%
27.2 pts better
|
Numerator 43 · Denominator 55 |
| Pressure ulcers or injuries, new or worsened | 1.19% |
2.29%
1.1 pts better
|
Numerator 1 · Denominator 84 · Adjusted rate 1.33% |
| Healthcare-associated infections requiring hospitalization | 6.27% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 65 · Observed rate 3.08% · Lower 95% interval 3.56% |
| Staff COVID-19 vaccination coverage | 8.57% |
8.2%
0.4 pts better
|
Numerator 12 · Denominator 140 |
| Staff flu vaccination coverage | 13.57% |
42%
28.4 pts worse
|
Numerator 27 · Denominator 199 |
| Discharge function score | 74.55% |
56.45%
18.1 pts better
|
Numerator 41 · Denominator 55 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 46 · Denominator 46 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 12.5% |
25.2%
12.7 pts worse
|
Numerator 5 · Denominator 40 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
2.6
0.1 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 1.9 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.0 |
2.8
1.2 pts worse
|
1.8
2.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.0 · Observed 3.2 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
92.0%
8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.3% |
94.9%
3.4 pts better
|
95.5%
2.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.7% |
3.4%
1.3 pts worse
|
3.3%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 4.4% · Q3 5.7% · Q4 3.9% · 4Q avg 4.7% · 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 | 0.3% |
5.2%
4.9 pts better
|
5.4%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 36.4% |
23.1%
13.3 pts worse
|
19.6%
16.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.1% · Q2 35.7% · Q3 37.2% · Q4 34.4% · 4Q avg 36.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.7% |
24.4%
2.7 pts better
|
16.7%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 23.8% · Q3 24.1% · Q4 21.6% · 4Q avg 21.7% · 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 | 34.4% |
22.2%
12.2 pts worse
|
16.3%
18.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.2% · Q2 44.3% · Q3 26.4% · Q4 31.7% · 4Q avg 34.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 32.6% |
20.1%
12.5 pts worse
|
14.9%
17.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 39.1% · Q3 28.1% · Q4 34.1% · 4Q avg 32.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.2% |
1.6%
0.6 pts worse
|
1.0%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 2.6% · Q3 1.8% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.2% |
2.6%
0.6 pts worse
|
1.7%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 3.7% · Q3 4.1% · Q4 2.0% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.6% |
16.9%
6.3 pts better
|
19.8%
9.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 8.4% · Q3 10.1% · Q4 15.4% · 4Q avg 10.6% |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
6.2%
2.1 pts better
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 5.8% · Q3 4.3% · Q4 4.1% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
83.6%
16 pts better
|
81.7%
17.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.4% · 4Q avg 99.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 33.9% |
14.7%
19.2 pts worse
|
12.0%
21.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 33.9% · Observed 30.9% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
3.3%
2.1 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.4% · Q4 2.3% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
76.2%
23.8 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.7% |
27.8%
2.9 pts worse
|
23.9%
6.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.7% · Observed 25.0% · Expected 19.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-07-26 · Fire 2023-07-26
5 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-07-20 · Fire 2022-07-20
4 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2022-07-20
K133 · Construction Deficiencies
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2022-08-05
D · Potential for more than minimal harm
2022-07-20
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-08-05
Inspection history
Recent health citations
L · Immediate jeopardy
2024-08-20
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 2024-09-17
L · Immediate jeopardy
2024-08-20
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-09-17
F · Potential for more than minimal harm
2024-08-20
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-09-17
E · Potential for more than minimal harm
2024-08-20
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 2024-09-17
E · Potential for more than minimal harm
2024-08-20
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-09-17
D · Potential for more than minimal harm
2024-08-20
F693 · Quality of Life and Care Deficiencies
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 2024-09-17
D · Potential for more than minimal harm
2024-08-20
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-09-17
D · Potential for more than minimal harm
2024-08-20
F726 · Nursing and Physician Services Deficiencies
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 2024-09-17
D · Potential for more than minimal harm
2024-08-20
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 2024-09-17
D · Potential for more than minimal harm
2024-08-20
F850 · Administration Deficiencies
Health
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected 2024-09-17
D · Potential for more than minimal harm
2024-08-20
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-17
E · Potential for more than minimal harm
2023-07-26
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-07-31
D · Potential for more than minimal harm
2023-07-26
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2023-07-31
D · Potential for more than minimal harm
2023-07-26
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-07-28
D · Potential for more than minimal harm
2023-07-26
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 2023-07-31
D · Potential for more than minimal harm
2023-07-26
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 2023-07-31
D · Potential for more than minimal harm
2022-07-20
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-08-19
D · Potential for more than minimal harm
2022-07-20
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2022-08-19
D · Potential for more than minimal harm
2022-07-20
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 2022-08-19
D · Potential for more than minimal harm
2022-07-20
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-08-19
Penalties and ownership
What sits behind the stars
$34,369
2024-08-20
Fine
Fine · fine $34,369
Fine
Ownership
Kisatchie Health, LLC
5% Or Greater Direct Ownership Interest · Organization
Price, Teddy
5% Or Greater Indirect Ownership Interest · Individual
Freda Zimmerman Trust
5% Or Greater Direct Ownership Interest · Organization
Price, Teddy
5% Or Greater Direct Ownership Interest · Individual
Central Management Company, LLC
Operational/Managerial Control · Organization
Price, Teddy
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Grand Cove Nursing & Rehabilitation Center
Lake Charles, LA
4-star overall rating with 4-star inspections with $29,042 in total fines with 9 recent health deficiencies
#2
The Gardens And Guardian
Lake Charles, LA
5-star overall rating with 5-star inspections with 3 recent health deficiencies
#3
Lake Charles Care Center
Lake Charles, LA
3-star overall rating with 4-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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