Cycle 1
Health 2025-12-10 · Fire 2025-12-10
9 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Bossier City, LA
Riverview Care Center
1-star overall rating with 2-star inspections with $7,901 in total fines with 9 recent health deficiencies
4820 Medical Drive, Bossier City, LA
(318) 747-1857
Overall
1 / 5
CMS overall stars
Health inspections
2 / 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
135
Certified beds
Average residents
115
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Beebe Family
Operator or chain grouping
Approved since
2000-09-15
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
0.32
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
1.00
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
2.15
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.48
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.33
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
2.81
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
0.25
Weekend registered nurse coverage · state 0.22 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.33
CMS adjusted RN staffing hours
Adjusted total hours
3.54
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,028
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.27
Composite VBP score used to determine payment impact.
Payment multiplier
0.9819
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 22.57% · Performance 24.37% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 9.53% · Performance 10.65% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
7.31
Baseline 47.62% · Performance 33.80% · Measure score 7.31 · Achievement 7.31 · Improvement 5.57
Adjusted total nurse staffing
0
Baseline 2.76 hours · Performance 2.71 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.66% |
10.72%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 91 · Observed rate 18.68% · Lower 95% interval 9.17% |
| Discharge to community | 36.67% |
50.57%
13.9 pts worse
|
Worse than the National Rate · Eligible stays 55 · Observed rate 23.64% · Lower 95% interval 26.69% |
| Medicare spending per beneficiary | 1.22 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 90.38% |
95.27%
4.9 pts worse
|
Numerator 94 · Denominator 104 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 104 |
| Discharge self-care score | 34.38% |
53.69%
19.3 pts worse
|
Numerator 22 · Denominator 64 |
| Discharge mobility score | 35.94% |
50.94%
15 pts worse
|
Numerator 23 · Denominator 64 |
| Pressure ulcers or injuries, new or worsened | 1.92% |
2.29%
0.4 pts better
|
Numerator 2 · Denominator 104 · Adjusted rate 1.89% |
| Healthcare-associated infections requiring hospitalization | 10.65% |
7.12%
3.5 pts worse
|
No Different than the National Rate · Eligible stays 60 · Observed rate 20% · Lower 95% interval 5.69% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 130 |
| Staff flu vaccination coverage | 27.56% |
42%
14.4 pts worse
|
Numerator 35 · Denominator 127 |
| Discharge function score | 42.19% |
56.45%
14.3 pts worse
|
Numerator 27 · Denominator 64 |
| Transfer of health information to provider | 88.68% |
95.95%
7.3 pts worse
|
Numerator 47 · Denominator 53 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 3.51% |
25.2%
21.7 pts worse
|
Numerator 2 · Denominator 57 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.4 |
2.6
0.8 pts worse
|
1.9
1.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.4 · Observed 3.6 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
2.8
1.2 pts better
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.6 · Expected 1.7 · 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 | 100.0% |
94.9%
5.1 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% |
3.4%
0.1 pts better
|
3.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.1% · Q3 2.9% · Q4 3.9% · 4Q avg 3.3% · 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 1.1% · Q4 0.0% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 4.9% |
5.2%
0.3 pts better
|
5.4%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 4.8% · Q3 9.0% · Q4 2.1% · 4Q avg 4.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.2% |
23.1%
11.9 pts better
|
19.6%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 9.7% · Q3 11.3% · Q4 10.1% · 4Q avg 11.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.9% |
24.4%
4.5 pts worse
|
16.7%
12.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.8% · Q2 31.4% · Q3 25.3% · Q4 24.0% · 4Q avg 28.9% · 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 | 25.7% |
22.2%
3.5 pts worse
|
16.3%
9.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 24.5% · Q3 23.4% · Q4 30.1% · 4Q avg 25.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.0% |
20.1%
0.9 pts worse
|
14.9%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.1% · Q2 18.2% · Q3 26.1% · Q4 21.3% · 4Q avg 21.0% · 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 3.3% · Q2 1.0% · Q3 1.7% · Q4 0.8% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.0% |
2.6%
1.4 pts worse
|
1.7%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 5.6% · Q3 6.3% · Q4 1.0% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.4% |
16.9%
4.5 pts worse
|
19.8%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 16.0% · Q3 20.3% · Q4 30.1% · 4Q avg 21.4% |
| Percentage of long-stay residents with pressure ulcers | 5.6% |
6.2%
0.6 pts better
|
5.1%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 7.3% · Q3 8.8% · Q4 3.1% · 4Q avg 5.6% · 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 98.6% · 4Q avg 99.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.6% |
14.7%
1.9 pts worse
|
12.0%
4.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.6% · Observed 18.2% · Expected 12.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
3.3%
2.6 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.2% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.7% |
76.2%
22.5 pts better
|
79.7%
19 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 33.8% |
27.8%
6 pts worse
|
23.9%
9.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 33.8% · Observed 37.9% · Expected 26.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-10-09 · Fire 2024-10-09
9 health deficiencies
Top issue: Resident Rights (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-09-13 · Fire 2023-09-13
7 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-12-10
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 2026-01-24
E · Potential for more than minimal harm
2025-12-10
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 2026-01-24
E · Potential for more than minimal harm
2025-12-10
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 2026-01-24
D · Potential for more than minimal harm
2025-12-10
F627 · Resident Rights Deficiencies
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2026-01-24
D · Potential for more than minimal harm
2025-12-10
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 2026-01-24
D · Potential for more than minimal harm
2025-12-10
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-01-24
D · Potential for more than minimal harm
2025-12-10
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 2026-01-24
J · Immediate jeopardy
2025-06-18
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-06-09
J · Immediate jeopardy
2025-06-18
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 2025-06-09
E · Potential for more than minimal harm
2024-10-09
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-11-23
E · Potential for more than minimal harm
2024-10-09
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-11-23
E · Potential for more than minimal harm
2024-10-09
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 2024-11-23
D · Potential for more than minimal harm
2024-10-09
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-11-23
D · Potential for more than minimal harm
2024-10-09
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 2024-11-23
D · Potential for more than minimal harm
2024-10-09
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-11-23
D · Potential for more than minimal harm
2024-10-09
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 2024-11-23
D · Potential for more than minimal harm
2024-03-07
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-04-19
D · Potential for more than minimal harm
2024-03-07
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
G · Actual harm
2023-09-13
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 2023-07-27
E · Potential for more than minimal harm
2023-09-13
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-10-27
E · Potential for more than minimal harm
2023-09-13
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 2023-10-27
E · Potential for more than minimal harm
2023-09-13
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 2023-10-27
E · Potential for more than minimal harm
2023-09-13
F740 · Quality of Life and Care Deficiencies
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-10-27
E · Potential for more than minimal harm
2023-09-13
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2023-10-27
D · Potential for more than minimal harm
2023-05-17
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 2023-06-16
Penalties and ownership
What sits behind the stars
$7,901
2023-09-13
Fine
Fine · fine $7,901
Fine
Ownership
Medico LLC
5% Or Greater Direct Ownership Interest · Organization
Beebe, Elton
5% Or Greater Indirect Ownership Interest · Individual
Qsst Tr For Alison Beebe Sadler Danos And Her Descendants
5% Or Greater Indirect Ownership Interest · Organization
Qsst Tr For Felicia Beebe Stallard And Her Descendants
5% Or Greater Indirect Ownership Interest · Organization
Act Investments, LLC
5% Or Greater Direct Ownership Interest · Organization
David & Felicia Stallard Child Tr
5% Or Greater Indirect Ownership Interest · Organization
Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv Tr Ua
5% Or Greater Indirect Ownership Interest · Organization
Aura, Albert
Operational/Managerial Control · Individual
Beebe, Bobby
Operational/Managerial Control · Individual
Gerard And Alison Danos Childrens Tr
5% Or Greater Indirect Ownership Interest · Organization
Joseph & Alison Sadler Children Tr
5% Or Greater Indirect Ownership Interest · Organization
Manasco, James
Operational/Managerial Control · Individual
Parkinson, Toni
Corporate Officer · Individual
Pathway Management Of Louisiana LLC
Operational/Managerial Control · Organization
Providence Care LLC
Operational/Managerial Control · Organization
Provider Professional Services Inc
Operational/Managerial Control · Organization
Qsst Tr For Alison Beebe Sadler Danos And Her Descendants
General Partnership Interest · Organization
Qsst Tr For Felicia Beebe Stallard And Her Descendants
General Partnership Interest · Organization
Stallard, David
Operational/Managerial Control · Individual
Tristar Rehab Inc
Operational/Managerial Control · Organization
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