Monroe, LA

The Oaks

2-star overall rating with 3-star inspections with $27,005 in total fines with 7 recent health deficiencies

1000 Mckeen Place, Monroe, LA

(318) 387-5300

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 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

125

Certified beds

Average residents

63

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2002-03-22

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

0.13

Registered nurse staffing · state 0.32 · national 0.68

LPN hours / resident day

1.42

Licensed practical nurse staffing · state 1.18 · national 0.87

Aide hours / resident day

2.23

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.78

All reported nurse hours · state 3.81 · national 3.89

Licensed hours

1.55

RN + LPN hours · state 1.49 · national 1.54

Weekend hours

3.39

Weekend nurse staffing · state 3.26 · national 3.43

Weekend RN hours

0.13

Weekend registered nurse coverage · state 0.22 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.14

CMS adjusted RN staffing hours

Adjusted total hours

4.04

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

66%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,649

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

15.88

Composite VBP score used to determine payment impact.

Payment multiplier

0.9815

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Performance 21.27% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

0

Baseline 6.35% · Performance 8.55% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

3.15

Baseline 84.72% · Performance 62.86% · Measure score 3.15 · Achievement 0 · Improvement 3.15

Adjusted total nurse staffing

3.20

Baseline 4.21 hours · Performance 3.99 hours · Measure score 3.20 · Achievement 3.20 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.93%
10.72%
0.8 pts better
No Different than the National Rate · Eligible stays 53 · Observed rate 7.55% · Lower 95% interval 6.96%
Discharge to community 56.84%
50.57%
6.3 pts better
No Different than the National Rate · Eligible stays 46 · Observed rate 47.83% · Lower 95% interval 43.5%
Medicare spending per beneficiary 1.17
1.02
0.1 pts worse
Drug regimen review with follow-up 98.44%
95.27%
3.2 pts better
Numerator 63 · Denominator 64
Falls with major injury 3.13%
0.77%
2.4 pts worse
Numerator 2 · Denominator 64
Discharge self-care score 40.54%
53.69%
13.1 pts worse
Numerator 15 · Denominator 37
Discharge mobility score 51.35%
50.94%
0.4 pts better
Numerator 19 · Denominator 37
Pressure ulcers or injuries, new or worsened 12.5%
2.29%
10.2 pts worse
Numerator 8 · Denominator 64 · Adjusted rate 10.79%
Healthcare-associated infections requiring hospitalization 8.55%
7.12%
1.4 pts worse
No Different than the National Rate · Eligible stays 38 · Observed rate 15.79% · Lower 95% interval 5.19%
Staff COVID-19 vaccination coverage 0.93%
8.2%
7.3 pts worse
Numerator 1 · Denominator 108
Staff flu vaccination coverage 0.93%
42%
41.1 pts worse
Numerator 1 · Denominator 108
Discharge function score 51.35%
56.45%
5.1 pts worse
Numerator 19 · Denominator 37
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 24 · Denominator 24
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 20 · Denominator 20
Resident COVID-19 vaccinations up to date 12.9%
25.2%
12.3 pts worse
Numerator 4 · Denominator 31

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.2
2.6
0.6 pts worse
1.9
1.3 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 3.0 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 5.5
2.8
2.7 pts worse
1.8
3.7 pts worse
Long Stay · 20240701-20250630 · Adjusted 5.5 · Observed 5.3 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.8%
92.0%
6.8 pts better
93.4%
5.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 98.4% · Q3 98.4% · Q4 100.0% · 4Q avg 98.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
94.9%
5.1 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 4.1%
3.4%
0.7 pts worse
3.3%
0.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 4.8% · Q3 3.2% · Q4 1.8% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 7.2%
1.8%
5.4 pts worse
11.4%
4.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 13.2% · Q3 12.5% · Q4 0.0% · 4Q avg 7.2%
Percentage of long-stay residents who lose too much weight 4.0%
5.2%
1.2 pts better
5.4%
1.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 4.3% · Q3 6.0% · Q4 4.2% · 4Q avg 4.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.7%
23.1%
0.4 pts better
19.6%
3.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 18.8% · Q3 19.6% · Q4 32.7% · 4Q avg 22.7%
Percentage of long-stay residents who received an antipsychotic medication 28.4%
24.4%
4 pts worse
16.7%
11.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 29.4% · Q3 32.4% · Q4 32.4% · 4Q avg 28.4% · 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 25.9%
22.2%
3.7 pts worse
16.3%
9.6 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 25.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 22.2%
20.1%
2.1 pts worse
14.9%
7.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 22.9% · Q3 38.5% · Q4 9.5% · 4Q avg 22.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 7.5%
1.6%
5.9 pts worse
1.0%
6.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 11.2% · Q3 6.7% · Q4 3.5% · 4Q avg 7.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 3.8%
2.6%
1.2 pts worse
1.7%
2.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 5.0% · Q3 8.2% · Q4 0.0% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 13.8%
16.9%
3.1 pts better
19.8%
6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 4.2% · Q3 23.4% · Q4 13.4% · 4Q avg 13.8%
Percentage of long-stay residents with pressure ulcers 9.9%
6.2%
3.7 pts worse
5.1%
4.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 13.6% · Q3 14.4% · Q4 7.3% · 4Q avg 9.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 87.6%
83.6%
4 pts better
81.7%
5.9 pts better
Short Stay · 2024Q4-2025Q3 · Q1 88.1% · Q2 85.4% · Q3 90.9% · Q4 86.7% · 4Q avg 87.6%
Percentage of short-stay residents who had an outpatient emergency department visit 19.5%
14.7%
4.8 pts worse
12.0%
7.5 pts worse
Short Stay · 20240701-20250630 · Adjusted 19.5% · Observed 19.6% · Expected 11.2% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 83.7%
76.2%
7.5 pts better
79.7%
4 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 83.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.9%
27.8%
5.9 pts better
23.9%
2 pts better
Short Stay · 20240701-20250630 · Adjusted 21.9% · Observed 23.9% · Expected 26.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-11 · Fire 2025-06-11

7 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-06-12 · Fire 2024-06-12

4 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-07-12 · Fire 2023-07-12

6 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.

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-06-11

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-07-11

E · Potential for more than minimal harm 2025-06-11

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-07-11

E · Potential for more than minimal harm 2025-06-11

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 2025-07-11

E · Potential for more than minimal harm 2025-06-11

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2025-07-11

D · Potential for more than minimal harm 2025-06-11

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 2025-07-11

D · Potential for more than minimal harm 2025-06-11

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2025-07-11

D · Potential for more than minimal harm 2025-06-11

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-07-11

E · Potential for more than minimal harm 2024-06-12

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-07-15

E · Potential for more than minimal harm 2024-06-12

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 2024-07-15

E · Potential for more than minimal harm 2024-06-12

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-07-15

D · Potential for more than minimal harm 2024-06-12

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 2024-07-15

G · Actual harm 2023-11-29

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 2023-12-27

D · Potential for more than minimal harm 2023-11-29

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 2023-12-27

E · Potential for more than minimal harm 2023-10-11

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 2023-11-22

D · Potential for more than minimal harm 2023-10-11

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2023-11-22

D · Potential for more than minimal harm 2023-07-12

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 2023-08-29

E · Potential for more than minimal harm 2023-06-07

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 2023-07-10

Penalties and ownership

What sits behind the stars

$27,005 2023-11-29

Fine

Fine · fine $27,005

Fine

Ownership

Jeffrey M Ashbrook Testamentary Trust

5% Or Greater Direct Ownership Interest · Organization

49% 2 facilities 2018-01-01
Ashbrook, Michael

5% Or Greater Direct Ownership Interest · Individual

0% 2 facilities 2008-12-22
Ashbrook, Michael

Corporate Director · Individual

0% 2 facilities 2008-12-22
Krier, Brian

Operational/Managerial Control · Individual

0% 2 facilities 2013-02-01
Landry, Robert

Operational/Managerial Control · Individual

0% 2 facilities 2024-01-08
Landry, Robert

Corporate Director · Individual

0% 2 facilities 2024-01-08
Maison Healthcare Management Company LLC

Operational/Managerial Control · Organization

0% 2 facilities 2015-01-01
Rounsaville, Rebecca

Corporate Officer · Individual

0% 2 facilities 2019-07-01
Stanley, Daniel

Operational/Managerial Control · Individual

0% 1 facilities 2023-07-24

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Staffing
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Staffing
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Fines
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#3

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Overall
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Staffing
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Fines
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