8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Lake Charles, LA
1-star overall rating with 2-star inspections with $58,547 in total fines with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
534 15th Street, Lake Charles, LA
(337) 439-8338
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
150
Certified beds
Average residents
68
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1997-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
RN hours / resident day
0.21
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
1.26
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
1.92
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.39
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.47
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
2.85
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
0.17
Weekend registered nurse coverage · state 0.22 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.20
CMS adjusted RN staffing hours
Adjusted total hours
3.15
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
57%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
10,461
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.3
Composite VBP score used to determine payment impact.
Payment multiplier
0.9823
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.71
Baseline 20.83% · Performance 19.25% · Measure score 4.71 · Achievement 4.71 · Improvement 3.67
Healthcare-associated infections
1.09
Baseline 6.16% · Performance 7.51% · Measure score 1.09 · Achievement 1.09 · Improvement 0
Total nurse turnover
2.32
Baseline 65.75% · Performance 54.24% · Measure score 2.32 · Achievement 2.31 · Improvement 2.32
Adjusted total nurse staffing
0
Baseline 3.41 hours · Performance 3.19 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.69% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 48 · Observed rate 12.5% · Lower 95% interval 6.42% |
| Discharge to community | 33.2% |
50.57%
17.4 pts worse
|
Worse than the National Rate · Eligible stays 47 · Observed rate 19.15% · Lower 95% interval 23.28% |
| Medicare spending per beneficiary | 1.12 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 83.61% |
95.27%
11.7 pts worse
|
Numerator 51 · Denominator 61 |
| Falls with major injury | 1.64% |
0.77%
0.9 pts worse
|
Numerator 1 · Denominator 61 |
| Discharge self-care score | 52.78% |
53.69%
0.9 pts worse
|
Numerator 19 · Denominator 36 |
| Discharge mobility score | 38.89% |
50.94%
12 pts worse
|
Numerator 14 · Denominator 36 |
| Pressure ulcers or injuries, new or worsened | 8.2% |
2.29%
5.9 pts worse
|
Numerator 5 · Denominator 61 · Adjusted rate 6.59% |
| Healthcare-associated infections requiring hospitalization | 7.51% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 40 · Observed rate 10% · Lower 95% interval 4.73% |
| Staff COVID-19 vaccination coverage | 2.11% |
8.2%
6.1 pts worse
|
Numerator 2 · Denominator 95 |
| Staff flu vaccination coverage | 13.79% |
42%
28.2 pts worse
|
Numerator 16 · Denominator 116 |
| Discharge function score | 52.78% |
56.45%
3.7 pts worse
|
Numerator 19 · Denominator 36 |
| Transfer of health information to provider | 90.91% |
95.95%
5 pts worse
|
Numerator 30 · Denominator 33 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 12.5% |
25.2%
12.7 pts worse
|
Numerator 4 · Denominator 32 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
2.6
0.1 pts better
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.9 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.7 |
2.8
0.1 pts better
|
1.8
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.9 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 83.5% |
92.0%
8.5 pts worse
|
93.4%
9.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 85.1% · Q2 76.5% · Q3 85.5% · Q4 86.4% · 4Q avg 83.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 59.3% |
94.9%
35.6 pts worse
|
95.5%
36.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 59.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.2% |
3.4%
1.8 pts worse
|
3.3%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 9.8% · Q3 1.8% · Q4 1.7% · 4Q avg 5.2% · 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 | 12.7% |
5.2%
7.5 pts worse
|
5.4%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 22.7% · Q3 2.1% · Q4 18.4% · 4Q avg 12.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.8% |
23.1%
2.7 pts worse
|
19.6%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 30.4% · Q3 22.0% · Q4 27.5% · 4Q avg 25.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.0% |
24.4%
3.4 pts better
|
16.7%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 17.6% · Q3 28.2% · Q4 23.1% · 4Q avg 21.0% · 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 | 14.6% |
22.2%
7.6 pts better
|
16.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.0% |
20.1%
1.1 pts better
|
14.9%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 25.0% · Q3 18.9% · Q4 12.2% · 4Q avg 19.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
1.6%
1.3 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 0.0% · 4Q avg 0.3% · 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 | 18.6% |
16.9%
1.7 pts worse
|
19.8%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 25.6% · Q2 22.7% · Q3 20.7% · Q4 7.3% · 4Q avg 18.6% |
| Percentage of long-stay residents with pressure ulcers | 5.2% |
6.2%
1 pts better
|
5.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 3.4% · Q3 6.9% · Q4 4.6% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.0% |
83.6%
4.4 pts better
|
81.7%
6.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 79.2% · Q2 80.9% · Q3 97.1% · Q4 96.8% · 4Q avg 88.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 21.7% |
14.7%
7 pts worse
|
12.0%
9.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 21.7% · Observed 25.0% · Expected 12.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.0% |
3.3%
0.7 pts worse
|
1.6%
2.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 5.1% · Q3 5.6% · Q4 2.9% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.9% |
76.2%
5.7 pts better
|
79.7%
2.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.2% |
27.8%
3.6 pts better
|
23.9%
0.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.2% · Observed 25.0% · Expected 24.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Top issue: Quality of Life and Care (8 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Not marked corrected
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Not marked corrected
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-01-10
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-01-10
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-01-10
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-01-10
Inspection history
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-06-30
Health
Post nurse staffing information every day.
Corrected 2024-12-12
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-12-12
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 2024-12-12
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-12-12
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 2024-12-12
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 2024-12-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-09
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-01-26
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-01-05
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-01-05
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-05
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-01-05
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-01-05
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 2024-01-05
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-01-05
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-05
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2023-05-16
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-03-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-03-24
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2023-03-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-03-24
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-03-24
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-01-11
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 2023-01-11
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-01-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-01-11
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-01-11
Penalties and ownership
Fine · fine $15,642
Fine
Fine · fine $15,593
Fine
Fine · fine $4,587
Fine
Fine · fine $4,545
Fine
Fine · fine $4,545
Fine
Fine · fine $4,545
Fine
Fine · fine $4,545
Fine
Fine · fine $4,545
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Limited Partnership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Limited Partnership Interest · Individual
Operational/Managerial Control · Individual
Nearby options
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1-star overall rating with 1-star inspections with $34,369 in total fines with 11 recent health deficiencies
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