Rosepine, LA

Rosepine Retirement & Rehab Center, LLC

3-star overall rating with 4-star inspections with $13,046 in total fines with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

18364 Central Avenue, Rosepine, LA

(337) 463-8778

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

108

Certified beds

Average residents

83

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Rightcare Health Services

Operator or chain grouping

Approved since

1997-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

13 facilities

Chain averages 3 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

0.22

Registered nurse staffing · state 0.32 · national 0.68

LPN hours / resident day

1.09

Licensed practical nurse staffing · state 1.18 · national 0.87

Aide hours / resident day

2.41

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.73

All reported nurse hours · state 3.81 · national 3.89

Licensed hours

1.32

RN + LPN hours · state 1.49 · national 1.54

Weekend hours

3.20

Weekend nurse staffing · state 3.26 · national 3.43

Weekend RN hours

0.11

Weekend registered nurse coverage · state 0.22 · national 0.47

Physical therapist

0.11

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.23

CMS adjusted RN staffing hours

Adjusted total hours

3.78

CMS adjusted total nurse staffing hours

Case-mix index

1.35

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

42%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,935

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

21.99

Composite VBP score used to determine payment impact.

Payment multiplier

0.9828

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 24.14% · Performance 24.22% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

3.17

Baseline 9.36% · Performance 7.76% · Measure score 3.17 · Achievement 0 · Improvement 3.17

Total nurse turnover

3.51

Baseline 62.35% · Performance 49.33% · Measure score 3.51 · Achievement 3.51 · Improvement 2.97

Adjusted total nurse staffing

2.12

Baseline 3.51 hours · Performance 3.68 hours · Measure score 2.12 · Achievement 2.12 · Improvement 0.23

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.21%	10.72% 1.5 pts worse	No Different than the National Rate · Eligible stays 112 · Observed rate 16.07% · Lower 95% interval 8.3%
Discharge to community	34.8%	50.57% 15.8 pts worse	Worse than the National Rate · Eligible stays 78 · Observed rate 24.36% · Lower 95% interval 24.74%
Medicare spending per beneficiary	1.43	1.02 0.4 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 106 · Denominator 106
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 106
Discharge self-care score	59.42%	53.69% 5.7 pts better	Numerator 41 · Denominator 69
Discharge mobility score	40.58%	50.94% 10.4 pts worse	Numerator 28 · Denominator 69
Pressure ulcers or injuries, new or worsened	0.94%	2.29% 1.4 pts better	Numerator 1 · Denominator 106 · Adjusted rate 0.71%
Healthcare-associated infections requiring hospitalization	7.76%	7.12% 0.6 pts worse	No Different than the National Rate · Eligible stays 79 · Observed rate 8.86% · Lower 95% interval 4.41%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 85
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 84
Discharge function score	53.62%	56.45% 2.8 pts worse	Numerator 37 · Denominator 69
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 32 · Denominator 32
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 24 · Denominator 24
Resident COVID-19 vaccinations up to date	0%	25.2% 25.2 pts worse	Numerator 0 · Denominator 51

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	2.6 0.8 pts better	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.9 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.6	2.8 0.2 pts better	1.8 0.8 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.6 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	91.5%	92.0% 0.5 pts worse	93.4% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 82.9% · Q2 85.3% · Q3 97.4% · Q4 100.0% · 4Q avg 91.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.8%	94.9% 3.9 pts better	95.5% 3.3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8%
Percentage of long-stay residents experiencing one or more falls with major injury	3.6%	3.4% 0.2 pts worse	3.3% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 4.0% · Q3 2.6% · Q4 3.8% · 4Q avg 3.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.7%	1.8% 1.1 pts better	11.4% 10.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 1.4% · 4Q avg 0.7%
Percentage of long-stay residents who lose too much weight	2.3%	5.2% 2.9 pts better	5.4% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 1.5% · Q3 1.5% · Q4 3.1% · 4Q avg 2.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.2%	23.1% 6.9 pts better	19.6% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 11.4% · Q3 16.9% · Q4 18.9% · 4Q avg 16.2%
Percentage of long-stay residents who received an antipsychotic medication	17.8%	24.4% 6.6 pts better	16.7% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 16.1% · Q3 18.3% · Q4 17.2% · 4Q avg 17.8% · 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	29.4%	22.2% 7.2 pts worse	16.3% 13.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 38.7% · Q2 21.2% · Q3 40.3% · Q4 14.7% · 4Q avg 29.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	26.1%	20.1% 6 pts worse	14.9% 11.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 17.7% · Q3 25.8% · Q4 31.4% · 4Q avg 26.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	4.3%	1.6% 2.7 pts worse	1.0% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 6.9% · Q3 2.0% · Q4 4.1% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	2.6% 2.6 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	10.7%	16.9% 6.2 pts better	19.8% 9.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 10.4% · Q3 16.7% · Q4 7.2% · 4Q avg 10.7%
Percentage of long-stay residents with pressure ulcers	5.4%	6.2% 0.8 pts better	5.1% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 5.8% · Q3 4.6% · Q4 4.3% · 4Q avg 5.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.8%	83.6% 15.2 pts better	81.7% 17.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.5% · Q3 100.0% · Q4 97.8% · 4Q avg 98.8%
Percentage of short-stay residents who had an outpatient emergency department visit	11.8%	14.7% 2.9 pts better	12.0% 0.2 pts better	Short Stay · 20240701-20250630 · Adjusted 11.8% · Observed 12.5% · Expected 11.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	9.8%	3.3% 6.5 pts worse	1.6% 8.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 0.0% · Q3 6.7% · Q4 19.2% · 4Q avg 9.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	90.0%	76.2% 13.8 pts better	79.7% 10.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 90.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.0%	27.8% 2.8 pts better	23.9% 1.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.0% · Observed 26.6% · Expected 25.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-16 · Fire 2024-10-16

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2023-11-01 · Fire 2023-11-01

7 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-09-21 · Fire 2022-09-21

9 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-10-16

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-16

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-11-01

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-10-16

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-11-01

E · Potential for more than minimal harm 2024-10-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-16

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 2024-11-01

D · Potential for more than minimal harm 2024-10-16

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-16

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2024-11-01

J · Immediate jeopardy 2024-06-12

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 2024-05-23

E · Potential for more than minimal harm 2023-11-01

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2023-11-20

D · Potential for more than minimal harm 2023-11-01

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 2023-11-20

D · Potential for more than minimal 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 2023-11-20

D · Potential for more than minimal harm 2023-11-01

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 2023-11-20

D · Potential for more than minimal harm 2023-11-01

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 2023-11-20

D · Potential for more than minimal harm 2023-11-01

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 2023-11-20

D · Potential for more than minimal harm 2023-05-11

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 2023-05-30

D · Potential for more than minimal harm 2023-05-11

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-05-30

E · Potential for more than minimal harm 2022-09-21

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 2022-10-07

E · Potential for more than minimal harm 2022-09-21

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 2022-10-07

D · Potential for more than minimal harm 2022-09-21

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2022-10-07

D · Potential for more than minimal harm 2022-09-21

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2022-10-07

D · Potential for more than minimal harm 2022-09-21

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 2022-10-07

D · Potential for more than minimal harm 2022-09-21

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 2022-10-07

D · Potential for more than minimal harm 2022-09-21

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-10-07

Penalties and ownership

What sits behind the stars

$13,046 2024-06-12

Fine

Fine · fine $13,046

Fine