Federal inspection record · CMS data as of October 1, 2026
St Joseph Skilled Nursing and Rehabilitation
2301 Sterlington Road, Monroe, LA · (318) 323-3426
- Certified beds
- 130
- Residents per day
- 85
- Ownership
- For-Profit
- Chain
- Priority Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 6, 1995
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Louisiana.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Louisiana homes
St Joseph Skilled Nursing and Rehabilitation carries 85 inspection points. That is fewer than 22% of Louisiana's 264 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Louisiana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–33 pts
- 3★ 33–53 pts
- 2★ 53–88.75 pts
- 1★ over 88.75 pts
Bars show every rated home in Louisiana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
42 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care16E
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
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.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- E
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.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide safe, appropriate pain management for a resident who requires such services.
Resident Rights10E
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- E
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Give residents a notice of rights, rules, services and charges.
- E
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service5E
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
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.
- E
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- F
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- E
Provide and implement an infection prevention and control program.
Nursing and Physician Services3E
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- E
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Resident Assessment and Care Planning3E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Freedom from Abuse, Neglect, and Exploitation2E
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspection history
2025-12-11
9 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2024-10-03
18 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2023-09-13
15 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 17 min of nursing staff time a day, 21 min of it from a registered nurse.
This home
3 h 17 min
Louisiana average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 100% of nursing staff and 100% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 1.7 | 2.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts worse | 3.6 | 2.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.6 pts worse | 93.2% | 93.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4 pts better | 100.0% | 96.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts better | 0.9% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.4 pts better | 0.0% | 2.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.4 pts worse | 7.7% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.8 pts better | 12.5% | 23.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.3 pts better | 13.5% | 22.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened19.6 pts worse | 34.7% | 15.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased11.7 pts worse | 28.2% | 16.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1 pts better | 0.0% | 1.0% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.9 pts better | 0.0% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.1 pts worse | 18.0% | 14.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.4 pts worse | 7.9% | 5.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.5 pts worse | 85.9% | 86.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.2 pts worse | 16.6% | 14.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 3.0% | 3.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.1 pts better | 87.9% | 77.8% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.3 pts worse | 32.6% | 28.3% | 23.4% |
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Who owns and runs it
25 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bauder Family Investments, LLC | 5% Or Greater Direct Ownership Interest · Organization | 33% | 25 facilities |
| Boulware St James LLC | 5% Or Greater Direct Ownership Interest · Organization | 33% | 25 facilities |
| Steven Boulware Family Investments LLC | 5% Or Greater Direct Ownership Interest · Organization | 33% | 19 facilities |
| Bauder, Kelly | 5% Or Greater Indirect Ownership Interest · Individual | 8% | 28 facilities |
| Bauder, Madison | 5% Or Greater Indirect Ownership Interest · Individual | 8% | 28 facilities |
| Bauder, Parker | 5% Or Greater Indirect Ownership Interest · Individual | 8% | 28 facilities |
| Boulware, Thomas | 5% Or Greater Indirect Ownership Interest · Individual | 8% | 30 facilities |
| Walker, Katie | 5% Or Greater Indirect Ownership Interest · Individual | 8% | 30 facilities |
| Bauder Family Investments, LLC | Adp Of The SNF · Organization | 0% | 25 facilities |
| Bauder, Kelly | Adp Of The SNF · Individual | 0% | 28 facilities |
| Bauder, Madison | Adp Of The SNF · Individual | 0% | 28 facilities |
| Bauder, Parker | Adp Of The SNF · Individual | 0% | 28 facilities |
| Bauder, William | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 42 facilities |
| Bauder, William | Adp Of The SNF · Individual | 0% | 42 facilities |
| Boulware St James LLC | Adp Of The SNF · Organization | 0% | 25 facilities |
| Boulware, Douglas | Indirect Ownership Interest · Individual | 0% | 46 facilities |
| Boulware, Steven | Corporate Officer · Individual | 0% | 48 facilities |
| Boulware, Steven | Operational/Managerial Control · Individual | 0% | 48 facilities |
| Boulware, Steven | Adp Of The SNF · Individual | 0% | 48 facilities |
| Boulware, Thomas | Adp Of The SNF · Individual | 0% | 30 facilities |
| Bridgepointe Finanical Services, LLC | Adp Of The SNF · Organization | 0% | 24 facilities |
| Priority Management Group, LLC | Operational/Managerial Control · Organization | 0% | 40 facilities |
| Priority Management Group, LLC | Adp Of The SNF · Organization | 0% | 40 facilities |
| Steven Boulware Family Investments LLC | Adp Of The SNF · Organization | 0% | 19 facilities |
| Walker, Katie | Adp Of The SNF · Individual | 0% | 30 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3D
- D
Provide properly protected cooking facilities.
- D
Provide properly protected cooking facilities.
- D
Install properly constructed windows in hallway walls or doors.
Egress2C
- C
Install resident room doors of proper design and width.
- C
Install resident room doors of proper design and width.
Gas, Vacuum, and Electrical Systems1D
- D
Ensure proper usage of power strips and extension cords.
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Other homes nearby
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Mary Goss Nursing Home
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 27 min
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-
Avalon Place
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- Nursing / resident / day
- 3 h 10 min
- Fines
- $0
-
The Oaks
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