Federal inspection record · CMS data as of October 1, 2026
Twin Oaks Nursing Home
506 West 5th Street, Laplace, LA · (985) 652-9538
- Certified beds
- 148
- Residents per day
- 79
- Ownership
- For-Profit
- Chain
- Inspired Healthcare Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 1, 1994
1
How this home got 2 stars
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
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
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Louisiana homes
Twin Oaks Nursing Home carries 67.5 inspection points. That is fewer than 31% 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
40 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
Freedom from Abuse, Neglect, and Exploitation12E
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 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.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 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.
Quality of Life and Care9E
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide or obtain dental services for each resident.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Rights6E
- D
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.
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Keep residents' personal and medical records private and confidential.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Honor the resident's right to manage his or her financial affairs.
- D
Reasonably accommodate the needs and preferences of each resident.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning3D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pharmacy Service3E
- 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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary2D
- D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration2E
- E
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- D
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Inspection history
2025-08-13
6 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2024-08-07
12 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-11-02
22 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (9 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 22 min of nursing staff time a day, 23 min of it from a registered nurse.
This home
3 h 22 min
Louisiana average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 40% of nursing staff and 33% 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
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 days1.9 pts worse | 4.3 | 2.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same | 2.6 | 2.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.9 pts better | 98.7% | 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 better | 2.7% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.8 pts worse | 4.2% | 2.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.2 pts worse | 6.5% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.9 pts better | 14.4% | 23.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.5 pts better | 21.3% | 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 worsened3.1 pts better | 12.0% | 15.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.7 pts better | 15.8% | 16.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.5% | 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 incontinence2.2 pts worse | 17.1% | 14.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2 pts worse | 7.5% | 5.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.4 pts worse | 82.0% | 86.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit9.2 pts worse | 23.6% | 14.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts worse | 4.1% | 3.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.9 pts better | 85.7% | 77.8% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.6 pts better | 23.7% | 28.3% | 23.4% |
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Who owns and runs it
28 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 |
|---|---|---|---|
| Twin Oaks Nursing Home Inc | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Burch, Felix | 5% Or Greater Indirect Ownership Interest · Individual | 8% | 1 facilities |
| Burch, Guy S. | 5% Or Greater Indirect Ownership Interest · Individual | 8% | 1 facilities |
| Burch, Jeffery | 5% Or Greater Indirect Ownership Interest · Individual | 8% | 1 facilities |
| Burch, Paula | 5% Or Greater Indirect Ownership Interest · Individual | 8% | 1 facilities |
| Burch, Renee | 5% Or Greater Indirect Ownership Interest · Individual | 8% | 1 facilities |
| Kerl, Elise | 5% Or Greater Indirect Ownership Interest · Individual | 8% | 1 facilities |
| Bailey, Colin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bailey, Colin | Adp Of The SNF · Individual | 0% | 1 facilities |
| Burch, Felix | Adp Of The SNF · Individual | 0% | 1 facilities |
| Burch, Guy S. | Corporate Director · Individual | 0% | 1 facilities |
| Burch, Guy S. | Corporate Officer · Individual | 0% | 1 facilities |
| Burch, Guy S. | Adp Of The SNF · Individual | 0% | 1 facilities |
| Burch, Jeffery | Adp Of The SNF · Individual | 0% | 1 facilities |
| Burch, Paula | Adp Of The SNF · Individual | 0% | 1 facilities |
| Burch, Renee | Adp Of The SNF · Individual | 0% | 1 facilities |
| Connor, Karen | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Connor, Karen | Adp Of The SNF · Individual | 0% | 1 facilities |
| Goux, Jeremy | Corporate Director · Individual | 0% | 7 facilities |
| Goux, Jeremy | Corporate Officer · Individual | 0% | 7 facilities |
| Goux, Jeremy | Adp Of The SNF · Individual | 0% | 7 facilities |
| Goux, Timothy | Corporate Director · Individual | 0% | 7 facilities |
| Goux, Timothy | Adp Of The SNF · Individual | 0% | 7 facilities |
| Inspired Healthcare Management, LLC | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Inspired Healthcare Management, LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Kerl, Elise | Adp Of The SNF · Individual | 0% | 1 facilities |
| Leach, Mary Lynn | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Twin Oaks Nursing Home Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
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Fire safety
11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8D
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install corridor and hallway doors that block smoke.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
Emergency Preparedness3E
- E
Establish policies and procedures for medical documentation.
- E
Establish policies and procedures for volunteers.
- E
Provide emergency officials' contact information.
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Chateau St. James Rehab And Retirement
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