Cycle 1
Health 2025-05-29 · Fire 2025-05-29
8 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Baton Rouge, LA
St Clare Manor Nursing and Rehabilitation
4-star overall rating with 4-star inspections with 8 recent health deficiencies
7435 Bishop Ott Drive, Baton Rouge, LA
(225) 216-3604
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
184
Certified beds
Average residents
136
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2004-02-01
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
Hours and turnover
RN hours / resident day
0.10
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
1.27
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
2.14
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.51
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.38
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
2.98
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
0.09
Weekend registered nurse coverage · state 0.22 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.12
CMS adjusted RN staffing hours
Adjusted total hours
3.96
CMS adjusted total nurse staffing hours
Case-mix index
1.21
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
61%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,052
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
8.75
Composite VBP score used to determine payment impact.
Payment multiplier
0.9808
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Performance 22.68% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
0
Performance 8.28% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
0
Baseline 35.00% · Performance 73.89% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
3.5
Baseline 4.97 hours · Performance 4.07 hours · Measure score 3.5 · Achievement 3.5 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.5% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 29 · Observed rate 10.34% · Lower 95% interval 6.98% |
| Discharge to community | 41.4% |
50.57%
9.2 pts worse
|
No Different than the National Rate · Eligible stays 29 · Observed rate 24.14% · Lower 95% interval 28.43% |
| Medicare spending per beneficiary | 1.5 |
1.02
0.5 pts worse
|
|
| Drug regimen review with follow-up | 60.61% |
95.27%
34.7 pts worse
|
Numerator 40 · Denominator 66 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 66 |
| Discharge self-care score | 20.83% |
53.69%
32.9 pts worse
|
Numerator 10 · Denominator 48 |
| Discharge mobility score | 27.08% |
50.94%
23.9 pts worse
|
Numerator 13 · Denominator 48 |
| Pressure ulcers or injuries, new or worsened | 1.52% |
2.29%
0.8 pts better
|
Numerator 1 · Denominator 66 · Adjusted rate 1.13% |
| Healthcare-associated infections requiring hospitalization | 8.28% |
7.12%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 41 · Observed rate 14.63% · Lower 95% interval 4.85% |
| Staff COVID-19 vaccination coverage | 30.41% |
8.2%
22.2 pts better
|
Numerator 52 · Denominator 171 |
| Staff flu vaccination coverage | 45.14% |
42%
3.1 pts better
|
Numerator 79 · Denominator 175 |
| Discharge function score | 33.33% |
56.45%
23.1 pts worse
|
Numerator 16 · Denominator 48 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 33 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
2.6
0.7 pts better
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.4 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
2.8
0.5 pts better
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.6 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 52.6% |
92.0%
39.4 pts worse
|
93.4%
40.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 83.9% · Q2 86.5% · Q3 14.4% · Q4 18.3% · 4Q avg 52.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.1% |
94.9%
7.8 pts worse
|
95.5%
8.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 87.1% |
| 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 0.8% · Q2 0.8% · Q3 2.7% · Q4 2.8% · 4Q avg 1.7% · 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 | 0.6% |
5.2%
4.6 pts better
|
5.4%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 0.0% · Q4 1.1% · 4Q avg 0.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.9% |
23.1%
10.2 pts better
|
19.6%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 12.9% · Q3 13.8% · Q4 12.6% · 4Q avg 12.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.5% |
24.4%
6.9 pts better
|
16.7%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.5% · Q2 20.9% · Q3 13.9% · Q4 18.3% · 4Q avg 17.5% · 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 | 16.0% |
22.2%
6.2 pts better
|
16.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 24.5% · Q3 7.8% · Q4 7.1% · 4Q avg 16.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.3% |
20.1%
2.8 pts better
|
14.9%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 23.3% · Q3 5.9% · Q4 14.1% · 4Q avg 17.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
1.6%
0.9 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.5% · Q3 0.5% · Q4 1.3% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.4% |
2.6%
1.8 pts worse
|
1.7%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 4.3% · Q3 1.9% · Q4 4.9% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.0% |
16.9%
3.1 pts worse
|
19.8%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 27.2% · Q3 13.8% · Q4 11.4% · 4Q avg 20.0% |
| Percentage of long-stay residents with pressure ulcers | 10.2% |
6.2%
4 pts worse
|
5.1%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 12.2% · Q3 7.8% · Q4 10.4% · 4Q avg 10.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 29.3% |
83.6%
54.3 pts worse
|
81.7%
52.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 57.1% · Q2 42.3% · Q3 16.1% · Q4 5.9% · 4Q avg 29.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.7% |
14.7%
2 pts better
|
12.0%
0.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.7% · Observed 14.5% · Expected 12.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
3.3%
2.4 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 16.3% |
76.2%
59.9 pts worse
|
79.7%
63.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 16.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.9% |
27.8%
4.1 pts worse
|
23.9%
8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.9% · Observed 32.7% · Expected 24.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-03 · Fire 2024-04-03
9 health deficiencies
Top issue: Administration (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-02-02 · Fire 2023-02-02
12 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-05-29
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-06-12
D · Potential for more than minimal harm
2025-05-29
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 2025-06-12
D · Potential for more than minimal harm
2025-05-29
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 2025-06-12
D · Potential for more than minimal harm
2025-05-29
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 2025-06-12
D · Potential for more than minimal harm
2025-05-29
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 2025-06-12
D · Potential for more than minimal harm
2025-05-29
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 2025-06-12
D · Potential for more than minimal harm
2025-05-29
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-12
D · Potential for more than minimal harm
2025-05-29
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 2025-06-12
D · Potential for more than minimal harm
2025-02-20
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 2025-03-07
D · Potential for more than minimal harm
2025-02-20
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-03-07
D · Potential for more than minimal harm
2025-02-20
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 2025-03-07
D · Potential for more than minimal harm
2024-07-11
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 2024-07-30
D · Potential for more than minimal harm
2024-07-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-30
D · Potential for more than minimal harm
2024-05-09
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 2024-05-28
E · Potential for more than minimal harm
2024-04-03
F847 · Administration Deficiencies
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2024-04-17
E · Potential for more than minimal harm
2024-04-03
F848 · Administration Deficiencies
Health
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected 2024-04-17
E · Potential for more than minimal harm
2024-04-03
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-17
E · Potential for more than minimal harm
2023-11-02
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-11-22
D · Potential for more than minimal harm
2023-04-19
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 2023-03-17
F · Potential for more than minimal harm
2023-02-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-15
E · Potential for more than minimal harm
2023-02-02
F567 · Resident Rights Deficiencies
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2023-03-15
E · Potential for more than minimal harm
2023-02-02
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 2023-03-15
E · Potential for more than minimal harm
2023-02-02
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-03-15
E · Potential for more than minimal harm
2023-02-02
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 2023-03-15
D · Potential for more than minimal harm
2023-02-02
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-03-15
D · Potential for more than minimal harm
2023-02-02
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2023-03-15
D · Potential for more than minimal harm
2023-02-02
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 2023-03-15
D · Potential for more than minimal harm
2023-02-02
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 2023-03-15
D · Potential for more than minimal harm
2023-02-02
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-03-15
Penalties and ownership
What sits behind the stars
Ownership
M5 Operations, LLC
5% Or Greater Direct Ownership Interest · Organization
Moody, Charles
5% Or Greater Indirect Ownership Interest · Individual
Clf Investments, LLC
5% Or Greater Direct Ownership Interest · Organization
Landry, Danicus
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
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4-star overall rating with 5-star inspections with 4 recent health deficiencies
#2
Capital Oaks Nursing & Rehabilitation Center LLC
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1-star overall rating with 2-star inspections with $158,019 in total fines with 6 recent health deficiencies
#3
Mid City Community Nursing and Rehab
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4-star overall rating with 4-star inspections with $51,432 in total fines with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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