Federal inspection record · CMS data as of October 1, 2026
The Guest House Skilled Nursing and Rehabilitation
9225 Normandie Drive, Shreveport, LA · (318) 686-0515
- Certified beds
- 177
- Residents per day
- 134
- Ownership
- For-Profit
- Chain
- Priority Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 1996
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
★★★★★no change (already 1)
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
The Guest House Skilled Nursing and Rehabilitation carries 118.25 inspection points. That is fewer than 11% 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
38 health citations on record since 2024. 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.
Harm and immediate-jeopardy citations (3)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Quality of Life and Care8E
- E
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- 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 care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Resident Rights7E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- E
Allow residents to self-administer drugs if determined clinically appropriate.
- E
Reasonably accommodate the needs and preferences of each resident.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Assessment and Care Planning6E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- E
Assess the resident when there is a significant change in condition
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service6E
- E
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.
- 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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Freedom from Abuse, Neglect, and Exploitation4E
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nursing and Physician Services2F
- F
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.
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Administration2E
- D
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- E
Employ staff that are licensed, certified, or registered in accordance with state laws.
Inspection history
2026-06-04
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2025-04-10
14 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-03-14
15 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 47 min of nursing staff time a day, 17 min of it from a registered nurse.
This home
2 h 47 min
Louisiana average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 67% of nursing staff and 50% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$124,958 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-25 | Fine | $112,197 |
| 2024-03-14 | Fine | $12,761 |
6
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 days0.2 pts worse | 2.6 | 2.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better | 1.8 | 2.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6 pts better | 99.8% | 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 injury0.8 pts worse | 4.3% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.5 pts better | 0.9% | 2.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.7 pts worse | 6.0% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1 pts worse | 24.3% | 23.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.8 pts better | 14.0% | 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 worsened7.7 pts better | 7.4% | 15.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.8 pts better | 13.7% | 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 incontinence4.2 pts worse | 19.1% | 14.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts better | 5.1% | 5.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.1 pts better | 99.5% | 86.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.3 pts better | 13.1% | 14.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.4 pts worse | 5.5% | 3.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.5 pts better | 96.3% | 77.8% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.1 pts worse | 34.4% | 28.3% | 23.4% |
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Who owns and runs it
12 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 |
|---|---|---|---|
| Sdb Holdings | 5% Or Greater Direct Ownership Interest · Organization | 100% | 8 facilities |
| Bauder, William | Indirect Ownership Interest · Individual | 0% | 42 facilities |
| Bauder, William | Operational/Managerial Control · Individual | 0% | 42 facilities |
| Bihm, Christian | Adp Of The SNF · Individual | 0% | 1 facilities |
| Boulware, Douglas | Indirect Ownership Interest · Individual | 0% | 46 facilities |
| Boulware, Steven | Indirect Ownership Interest · Individual | 0% | 48 facilities |
| Boulware, Steven | Operational/Managerial Control · Individual | 0% | 48 facilities |
| Boulware, Steven | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 48 facilities |
| Mcgraw, Jimika | Adp Of The SNF · Individual | 0% | 1 facilities |
| Priority Management Group, LLC | Operational/Managerial Control · Organization | 0% | 40 facilities |
| Priority Management Group, LLC | Adp Of The SNF · Organization | 0% | 40 facilities |
| Progressive Rehab Solutions, LLC | Adp Of The SNF · Organization | 0% | 36 facilities |
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Other homes nearby
-
Southern Hills Healthcare And Rehabilitation
Shreveport, LA · The Beebe Family
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 3 h 52 min
- Fines
- $61,584
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The Bradford Skilled Nursing And Rehabilitation
Shreveport, LA · Priority Management
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 21 min
- Fines
- $0
-
Heritage Manor South
Shreveport, LA · The Beebe Family
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 50 min
- Fines
- $0