Saint Francisville, LA

St. Francisville Nursing And Rehab, LLC

1-star overall rating with 2-star inspections with abuse icon flag with $112,896 in total fines with 10 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

15243 La Hwy 10, Saint Francisville, LA

(225) 635-3346

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 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

128

Certified beds

Average residents

101

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2001-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.10

Registered nurse staffing

LPN hours / resident day

0.91

Licensed practical nurse staffing

Aide hours / resident day

2.17

Nurse aide staffing

Weekend hours

2.90

Weekend nurse staffing

RN turnover

71%

Annual RN turnover

Total nurse turnover

45%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.2
2.6
0.4 pts better
1.9
0.3 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 3.0
2.8
0.2 pts worse
1.8
1.2 pts worse
Long Stay · 20240701-20250630
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
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.1%
94.9%
4.2 pts better
95.5%
3.6 pts better
Long Stay · 2024Q3-2025Q2
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
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
Percentage of long-stay residents who lose too much weight 5.1%
5.2%
0.1 pts better
5.4%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.3%
23.1%
5.8 pts better
19.6%
2.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 41.5%
24.4%
17.1 pts worse
16.7%
24.8 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 27.9%
22.2%
5.7 pts worse
16.3%
11.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 25.1%
20.1%
5 pts worse
14.9%
10.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.2%
1.6%
0.4 pts better
1.0%
0.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 3.1%
2.6%
0.5 pts worse
1.7%
1.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 22.9%
16.9%
6 pts worse
19.8%
3.1 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
83.6%
15.6 pts better
81.7%
17.5 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 22.8%
14.7%
8.1 pts worse
12.0%
10.8 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
3.3%
3.3 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 45.8%
76.2%
30.4 pts worse
79.7%
33.9 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 28.1%
27.8%
0.3 pts worse
23.9%
4.2 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-16 · Fire 2025-04-16

10 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-03-20 · Fire 2024-03-20

8 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-03-30 · Fire 2023-03-30

4 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.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-04-16

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-04-17

Inspection history

Recent health citations

G · Actual harm 2025-04-16

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 2025-05-10

F · Potential for more than minimal harm 2025-04-16

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2025-05-10

E · Potential for more than minimal harm 2025-04-16

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-05-10

E · Potential for more than minimal harm 2025-04-16

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-05-10

E · Potential for more than minimal harm 2025-04-16

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-05-10

E · Potential for more than minimal harm 2025-04-16

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 2025-05-10

E · Potential for more than minimal harm 2025-04-16

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 2025-05-10

D · Potential for more than minimal harm 2025-04-16

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 2025-05-10

D · Potential for more than minimal harm 2025-04-16

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2025-05-10

D · Potential for more than minimal harm 2025-04-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-10

G · Actual harm 2024-12-18

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 2024-12-01

G · Actual harm 2024-12-18

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 2024-12-01

G · Actual harm 2024-05-07

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-05-27

D · Potential for more than minimal harm 2024-05-07

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 2024-05-27

D · Potential for more than minimal harm 2024-03-20

F584 · Resident Rights Deficiencies

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 2024-04-10

D · Potential for more than minimal harm 2024-03-20

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-04-10

D · Potential for more than minimal harm 2024-03-20

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 2024-04-10

B · Minimal harm 2024-03-20

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-04-10

D · Potential for more than minimal harm 2023-06-09

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-07-12

E · Potential for more than minimal harm 2023-03-30

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 2023-05-01

D · Potential for more than minimal harm 2023-03-30

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 2023-05-01

D · Potential for more than minimal harm 2023-03-30

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 2023-05-01

Penalties and ownership

What sits behind the stars

$81,549 2025-04-16

Fine

Fine · fine $81,549

Fine

$8,824 2024-12-18

Fine

Fine · fine $8,824

Fine

$22,523 2024-05-07

Fine

Fine · fine $22,523

Fine

Ownership

Imhoff, James

5% Or Greater Direct Ownership Interest · Individual

0% 2 facilities 2022-02-01
Imhoff, Jordan

W-2 Managing Employee · Individual

0% 1 facilities 2022-02-01
St Francisville Nursing And Rehab LLC

5% Or Greater Direct Ownership Interest · Organization

0% 1 facilities 2022-02-01

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