Cycle 1
Health 2025-05-22 · Fire 2025-05-22
10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Minden, LA
Town & Country Health & Rehab
1-star overall rating with 1-star inspections with $503,826 in total fines with 10 recent health deficiencies
614 Weston Street, Minden, LA
(318) 377-5148
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
124
Certified beds
Average residents
97
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2001-10-04
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
0.36
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
1.10
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
2.59
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.06
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.46
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.42
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
0.14
Weekend registered nurse coverage · state 0.22 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.41
CMS adjusted RN staffing hours
Adjusted total hours
4.57
CMS adjusted total nurse staffing hours
Case-mix index
1.21
Higher values indicate more complex resident acuity
RN turnover
14%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
27%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,405
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
44.46
Composite VBP score used to determine payment impact.
Payment multiplier
0.9976
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.67
Baseline 23.88% · Performance 21.02% · Measure score 3.67 · Achievement 0.88 · Improvement 3.67
Healthcare-associated infections
2.24
Baseline 11.53% · Performance 9.74% · Measure score 2.24 · Achievement 0 · Improvement 2.24
Total nurse turnover
9.38
Baseline 28.95% · Performance 25.35% · Measure score 9.38 · Achievement 9.38 · Improvement 8.28
Adjusted total nurse staffing
2.50
Baseline 3.72 hours · Performance 3.79 hours · Measure score 2.50 · Achievement 2.50 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.31% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 130 · Observed rate 10.77% · Lower 95% interval 8.17% |
| Discharge to community | 42.99% |
50.57%
7.6 pts worse
|
No Different than the National Rate · Eligible stays 95 · Observed rate 38.95% · Lower 95% interval 33.74% |
| Medicare spending per beneficiary | 1.36 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 88.89% |
95.27%
6.4 pts worse
|
Numerator 88 · Denominator 99 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 99 |
| Discharge self-care score | 43.86% |
53.69%
9.8 pts worse
|
Numerator 25 · Denominator 57 |
| Discharge mobility score | 47.37% |
50.94%
3.6 pts worse
|
Numerator 27 · Denominator 57 |
| Pressure ulcers or injuries, new or worsened | 2.02% |
2.29%
0.3 pts better
|
Numerator 2 · Denominator 99 · Adjusted rate 2.04% |
| Healthcare-associated infections requiring hospitalization | 9.74% |
7.12%
2.6 pts worse
|
No Different than the National Rate · Eligible stays 83 · Observed rate 13.25% · Lower 95% interval 6.08% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 103 |
| Staff flu vaccination coverage | 63.08% |
42%
21.1 pts better
|
Numerator 82 · Denominator 130 |
| Discharge function score | 52.63% |
56.45%
3.8 pts worse
|
Numerator 30 · Denominator 57 |
| Transfer of health information to provider | 95.08% |
95.95%
0.9 pts worse
|
Numerator 58 · Denominator 61 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 6.38% |
25.2%
18.8 pts worse
|
Numerator 3 · Denominator 47 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.9 |
2.6
0.3 pts worse
|
1.9
1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 3.0 · Expected 2.0 · Used in QM five-star |
| 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 · Adjusted 3.0 · Observed 2.9 · 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 | 98.8% |
94.9%
3.9 pts better
|
95.5%
3.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.1% |
3.4%
1.3 pts better
|
3.3%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.6% · Q3 1.1% · Q4 2.2% · 4Q avg 2.1% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 3.3% |
5.2%
1.9 pts better
|
5.4%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 4.2% · Q3 2.5% · Q4 2.4% · 4Q avg 3.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.1% |
23.1%
13 pts better
|
19.6%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 12.2% · Q3 7.1% · Q4 8.0% · 4Q avg 10.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.2% |
24.4%
5.2 pts better
|
16.7%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 16.4% · Q3 23.9% · Q4 20.5% · 4Q avg 19.2% · 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 | 27.3% |
22.2%
5.1 pts worse
|
16.3%
11 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.5% · Q2 33.6% · Q3 25.4% · Q4 21.3% · 4Q avg 27.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 30.5% |
20.1%
10.4 pts worse
|
14.9%
15.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.2% · Q2 36.2% · Q3 26.8% · Q4 30.5% · 4Q avg 30.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.4% |
1.6%
0.8 pts worse
|
1.0%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.5% · Q3 4.0% · Q4 2.8% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.4% |
2.6%
2.8 pts worse
|
1.7%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 8.1% · Q3 3.6% · Q4 8.0% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.7% |
16.9%
9.8 pts worse
|
19.8%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.1% · Q2 27.1% · Q3 24.8% · Q4 26.0% · 4Q avg 26.7% |
| Percentage of long-stay residents with pressure ulcers | 7.8% |
6.2%
1.6 pts worse
|
5.1%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 10.9% · Q3 6.0% · Q4 7.9% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% |
83.6%
14.5 pts better
|
81.7%
16.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.9% · Q3 96.2% · Q4 96.6% · 4Q avg 98.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.9% |
14.7%
3.8 pts better
|
12.0%
1.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.9% · Observed 11.1% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.1% |
3.3%
1.2 pts better
|
1.6%
0.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 2.0% · Q3 2.1% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.0% |
76.2%
10.8 pts better
|
79.7%
7.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.9% |
27.8%
1.1 pts worse
|
23.9%
5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.9% · Observed 30.6% · Expected 25.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-03 · Fire 2024-04-03
2 health deficiencies
Top issue: Environmental (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-04-19 · Fire 2023-04-19
2 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.
Inspection history
Recent health citations
L · Immediate jeopardy
2025-05-22
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 2025-06-14
L · Immediate jeopardy
2025-05-22
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-06-14
E · Potential for more than minimal harm
2025-05-22
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 2025-06-14
E · Potential for more than minimal harm
2025-05-22
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 2025-06-14
E · Potential for more than minimal harm
2025-05-22
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-06-14
E · Potential for more than minimal harm
2025-05-22
F700 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2025-06-14
E · Potential for more than minimal harm
2025-05-22
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 2025-06-14
D · Potential for more than minimal harm
2025-05-22
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 2025-06-14
D · Potential for more than minimal harm
2025-05-22
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-06-14
D · Potential for more than minimal harm
2025-05-22
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2025-06-14
E · Potential for more than minimal harm
2024-04-03
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2024-05-10
D · Potential for more than minimal harm
2024-04-03
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-05-10
J · Immediate jeopardy
2023-04-05
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 2023-03-30
E · Potential for more than minimal harm
2023-04-05
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
$496,380
2025-05-22
Fine
Fine · fine $496,380
Fine
$0
2025-05-22
Payment Denial
Payment Denial · denial start 2025-06-14 · 9 days
9 day denial
$7,446
2023-04-05
Fine
Fine · fine $7,446
Fine
Ownership
Extended Care Associates, Inc.
5% Or Greater Direct Ownership Interest · Organization
Plantation Management Company, LLC
5% Or Greater Direct Ownership Interest · Organization
Account Management Services Inc
Operational/Managerial Control · Organization
Administrative Systems Inc
Operational/Managerial Control · Organization
Beebe, Bobby
Operational/Managerial Control · Individual
Beebe, Elton
5% Or Greater Indirect Ownership Interest · Individual
Beebe, Elton
Operational/Managerial Control · Individual
Beebe, Elton
Corporate Officer · Individual
Elton G Beebe Sr Revocable Trust
5% Or Greater Indirect Ownership Interest · Organization
Extended Care Associates, Inc.
Operational/Managerial Control · Organization
Lawrence, Pricilla
Operational/Managerial Control · Individual
Parkinson, Toni
Corporate Officer · Individual
Pathway Management Of Louisiana LLC
Operational/Managerial Control · Organization
Provider Professional Services Inc
Operational/Managerial Control · Organization
Qsst Trust For Gene Oliver Quirk Iii
5% Or Greater Indirect Ownership Interest · Organization
Qsst Trust For Marshall Todd Quirk
5% Or Greater Indirect Ownership Interest · Organization
Qsst Trust For Scott Holden Quirk
5% Or Greater Indirect Ownership Interest · Organization
Quirk, Cynthia
5% Or Greater Indirect Ownership Interest · Individual
Quirk, Gene
5% Or Greater Indirect Ownership Interest · Individual
Thibodaux, Earl
Operational/Managerial Control · Individual
Tristar Rehab Inc
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Meadowview Health & Rehab Center
Minden, LA
2-star overall rating with 2-star inspections with 13 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Presbyterian Village Of Homer
Homer, LA
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Ringgold Nursing And Rehabilitation Center, LLC
Ringgold, LA
4-star overall rating with 4-star inspections with 3 recent health deficiencies
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