Cycle 1
Health 2025-09-04 · Fire 2025-09-04
7 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Leesville, LA
The Woodlands Healthcare Center
3-star overall rating with 4-star inspections with 7 recent health deficiencies
144 Thad Bailes Rd, Leesville, LA
(337) 239-6578
Overall
3 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
152
Certified beds
Average residents
143
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Priority Management
Operator or chain grouping
Approved since
2000-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
38 facilities
Chain averages 3 overall / 3 health / 2 staffing / 3 quality stars
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
0.32
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
0.99
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
1.69
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.00
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.31
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
2.43
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
0.16
Weekend registered nurse coverage · state 0.22 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.31
CMS adjusted RN staffing hours
Adjusted total hours
2.83
CMS adjusted total nurse staffing hours
Case-mix index
1.45
Higher values indicate more complex resident acuity
RN turnover
43%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,620
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
11.43
Composite VBP score used to determine payment impact.
Payment multiplier
0.9810
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 16.96% · Performance 22.27% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 9.54% · Performance 11.67% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.57
Baseline 55.26% · Performance 45.00% · Measure score 4.57 · Achievement 4.57 · Improvement 2.87
Adjusted total nurse staffing
0
Baseline 2.79 hours · Performance 2.94 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.09% |
10.72%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 138 · Observed rate 14.49% · Lower 95% interval 8.85% |
| Discharge to community | 43.55% |
50.57%
7 pts worse
|
No Different than the National Rate · Eligible stays 97 · Observed rate 37.11% · Lower 95% interval 35.06% |
| Medicare spending per beneficiary | 1.7 |
1.02
0.7 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 190 · Denominator 190 |
| Falls with major injury | 1.05% |
0.77%
0.3 pts worse
|
Numerator 2 · Denominator 190 |
| Discharge self-care score | 34.38% |
53.69%
19.3 pts worse
|
Numerator 33 · Denominator 96 |
| Discharge mobility score | 32.29% |
50.94%
18.6 pts worse
|
Numerator 31 · Denominator 96 |
| Pressure ulcers or injuries, new or worsened | 5.79% |
2.29%
3.5 pts worse
|
Numerator 11 · Denominator 190 · Adjusted rate 5.2% |
| Healthcare-associated infections requiring hospitalization | 11.67% |
7.12%
4.5 pts worse
|
Worse than the National Rate · Eligible stays 102 · Observed rate 15.69% · Lower 95% interval 8.08% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 141 |
| Staff flu vaccination coverage | 48.09% |
42%
6.1 pts better
|
Numerator 88 · Denominator 183 |
| Discharge function score | 32.29% |
56.45%
24.2 pts worse
|
Numerator 31 · Denominator 96 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 62 · Denominator 62 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 30 · Denominator 30 |
| Resident COVID-19 vaccinations up to date | 7.29% |
25.2%
17.9 pts worse
|
Numerator 7 · Denominator 96 |
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 1.7 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
2.8
1.4 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.4 · Expected 1.6 · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 7.2% |
3.4%
3.8 pts worse
|
3.3%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 6.7% · Q3 8.0% · Q4 8.7% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 12.9% |
1.8%
11.1 pts worse
|
11.4%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 8.4% · Q3 8.4% · Q4 13.9% · 4Q avg 12.9% |
| Percentage of long-stay residents who lose too much weight | 6.2% |
5.2%
1 pts worse
|
5.4%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 4.4% · Q3 7.3% · Q4 4.4% · 4Q avg 6.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.9% |
23.1%
7.2 pts better
|
19.6%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.8% · Q2 16.0% · Q3 14.6% · Q4 16.1% · 4Q avg 15.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.3% |
24.4%
2.1 pts better
|
16.7%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 26.5% · Q3 22.2% · Q4 17.0% · 4Q avg 22.3% · 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 | 22.4% |
22.2%
0.2 pts worse
|
16.3%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 18.4% · Q3 25.6% · Q4 33.4% · 4Q avg 22.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.3% |
20.1%
3.2 pts worse
|
14.9%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 22.8% · Q3 25.9% · Q4 25.6% · 4Q avg 23.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.6%
1.6 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
2.6%
2.6 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.0% |
16.9%
6.1 pts worse
|
19.8%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.6% · Q2 29.2% · Q3 21.7% · Q4 16.3% · 4Q avg 23.0% |
| Percentage of long-stay residents with pressure ulcers | 6.2% |
6.2%
About the same
|
5.1%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 4.6% · Q3 5.5% · Q4 5.9% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
83.6%
16.4 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.5% |
14.7%
8.2 pts better
|
12.0%
5.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.5% · Observed 7.8% · Expected 13.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
3.3%
2.6 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
76.2%
23.8 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.7% |
27.8%
5.1 pts better
|
23.9%
1.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.7% · Observed 25.2% · Expected 26.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-25 · Fire 2024-06-25
3 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-06-13 · Fire 2023-06-13
5 health deficiencies
Top issue: Nutrition and Dietary (2 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
2025-09-04
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 2025-10-10
D · Potential for more than minimal harm
2025-09-04
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2025-10-10
D · Potential for more than minimal harm
2025-09-04
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 2025-10-10
D · Potential for more than minimal harm
2025-09-04
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-10-10
D · Potential for more than minimal harm
2025-09-04
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-10-10
D · Potential for more than minimal harm
2025-09-04
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-10-10
D · Potential for more than minimal harm
2025-09-04
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-10
D · Potential for more than minimal harm
2025-01-29
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 2025-02-26
E · Potential for more than minimal harm
2024-06-25
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-07-31
E · Potential for more than minimal harm
2024-06-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-31
E · Potential for more than minimal harm
2023-10-25
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-11-30
E · Potential for more than minimal harm
2023-10-25
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 2023-11-30
D · Potential for more than minimal harm
2023-10-25
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2023-11-30
D · Potential for more than minimal harm
2023-06-13
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-07-13
D · Potential for more than minimal harm
2023-06-13
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-06-13
Penalties and ownership
What sits behind the stars
Ownership
Dns Healthcare, LLC
5% Or Greater Direct Ownership Interest · Organization
Boulware, Douglas
5% Or Greater Indirect Ownership Interest · Individual
Boulware, Sandra
5% Or Greater Indirect Ownership Interest · Individual
Lord, Gregory
5% Or Greater Direct Ownership Interest · Individual
Jdr&C Nursing Home Inv, LLC
5% Or Greater Direct Ownership Interest · Organization
Rogenmoser, Robert
5% Or Greater Indirect Ownership Interest · Individual
Lubbos, Hanna
5% Or Greater Direct Ownership Interest · Individual
Boulware, Douglas
5% Or Greater Security Interest · Individual
Boulware, Sandra
5% Or Greater Security Interest · Individual
Boulware, Steven
Operational/Managerial Control · Individual
Dns Healthcare, LLC
5% Or Greater Security Interest · Organization
Jdr&C Nursing Home Inv, LLC
5% Or Greater Security Interest · Organization
Priority Management Group, LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Rosepine Retirement & Rehab Center, LLC
Rosepine, LA
3-star overall rating with 4-star inspections with $13,046 in total fines with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Westwood Manor Nursing Home, Inc
Deridder, LA
3-star overall rating with 3-star inspections with 8 recent health deficiencies
#3
Deridder Retirement & Rehab Center
Deridder, LA
3-star overall rating with 3-star inspections with $24,119 in total fines with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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