Cycle 1
Health 2025-05-15 · Fire 2025-05-15
8 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.
Shreveport, LA
Village Health Care at The Glen
3-star overall rating with 3-star inspections with 8 recent health deficiencies
403 E. Flournoy Lucas, Shreveport, LA
(318) 213-3500
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
126
Certified beds
Average residents
101
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2001-10-08
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
0.18
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
1.13
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
3.11
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.42
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
4.22
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
0.08
Weekend registered nurse coverage · state 0.22 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.19
CMS adjusted RN staffing hours
Adjusted total hours
4.72
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
17%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,064
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
60.32
Composite VBP score used to determine payment impact.
Payment multiplier
1.0155
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.13
Baseline 23.85% · Performance 20.69% · Measure score 4.13 · Achievement 1.59 · Improvement 4.13
Healthcare-associated infections
0
Baseline 6.85% · Performance 7.89% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
10
Baseline 26.45% · Performance 19.51% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
10
Baseline 6.47 hours · Performance 6.81 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.35% |
10.72%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 202 · Observed rate 11.39% · Lower 95% interval 9.13% |
| Discharge to community | 39.61% |
50.57%
11 pts worse
|
Worse than the National Rate · Eligible stays 185 · Observed rate 35.14% · Lower 95% interval 32.84% |
| Medicare spending per beneficiary | 1.06 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 97.89% |
95.27%
2.6 pts better
|
Numerator 139 · Denominator 142 |
| Falls with major injury | 1.41% |
0.77%
0.6 pts worse
|
Numerator 2 · Denominator 142 |
| Discharge self-care score | 57.65% |
53.69%
4 pts better
|
Numerator 49 · Denominator 85 |
| Discharge mobility score | 56.47% |
50.94%
5.5 pts better
|
Numerator 48 · Denominator 85 |
| Pressure ulcers or injuries, new or worsened | 0.7% |
2.29%
1.6 pts better
|
Numerator 1 · Denominator 142 · Adjusted rate 0.71% |
| Healthcare-associated infections requiring hospitalization | 7.89% |
7.12%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 143 · Observed rate 6.99% · Lower 95% interval 5.07% |
| Staff COVID-19 vaccination coverage | 0.72% |
8.2%
7.5 pts worse
|
Numerator 1 · Denominator 139 |
| Staff flu vaccination coverage | 39.66% |
42%
2.3 pts worse
|
Numerator 71 · Denominator 179 |
| Discharge function score | 57.65% |
56.45%
1.2 pts better
|
Numerator 49 · Denominator 85 |
| Transfer of health information to provider | 96.97% |
95.95%
1 pts better
|
Numerator 32 · Denominator 33 |
| Transfer of health information to patient | 98.57% |
96.28%
2.3 pts better
|
Numerator 69 · Denominator 70 |
| Resident COVID-19 vaccinations up to date | 37.88% |
25.2%
12.7 pts better
|
Numerator 25 · Denominator 66 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
2.6
1.3 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
2.8
1.9 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.9 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 61.1% |
92.0%
30.9 pts worse
|
93.4%
32.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 68.8% · Q2 63.5% · Q3 53.8% · Q4 58.6% · 4Q avg 61.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 88.4% |
94.9%
6.5 pts worse
|
95.5%
7.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 88.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% |
3.4%
0.9 pts better
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 1.4% · Q3 2.6% · Q4 2.3% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.0% |
1.8%
0.8 pts better
|
11.4%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.6% · Q4 1.2% · 4Q avg 1.0% |
| Percentage of long-stay residents who lose too much weight | 3.8% |
5.2%
1.4 pts better
|
5.4%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 3.6% · Q3 6.9% · Q4 0.0% · 4Q avg 3.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.3% |
23.1%
4.2 pts worse
|
19.6%
7.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 31.6% · Q3 25.0% · Q4 26.1% · 4Q avg 27.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.8% |
24.4%
4.6 pts better
|
16.7%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 20.5% · Q3 15.7% · Q4 22.8% · 4Q avg 19.8% · 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 | 44.3% |
22.2%
22.1 pts worse
|
16.3%
28 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 56.7% · Q3 41.0% · Q4 28.9% · 4Q avg 44.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 32.1% |
20.1%
12 pts worse
|
14.9%
17.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.6% · Q2 38.5% · Q3 19.6% · Q4 36.1% · 4Q avg 32.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
1.6%
0.3 pts better
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 0.9% · Q4 1.6% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.6% |
2.6%
1 pts better
|
1.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.4% · Q3 1.3% · Q4 2.4% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.7% |
16.9%
3.2 pts better
|
19.8%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 23.6% · Q3 11.5% · Q4 9.6% · 4Q avg 13.7% |
| Percentage of long-stay residents with pressure ulcers | 4.4% |
6.2%
1.8 pts better
|
5.1%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 4.7% · Q3 6.2% · Q4 4.8% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 70.9% |
83.6%
12.7 pts worse
|
81.7%
10.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 69.0% · Q2 61.8% · Q3 70.7% · Q4 84.0% · 4Q avg 70.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.5% |
14.7%
1.2 pts better
|
12.0%
1.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.5% · Observed 12.2% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
3.3%
2.8 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.2% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 52.3% |
76.2%
23.9 pts worse
|
79.7%
27.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 52.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.1% |
27.8%
2.7 pts better
|
23.9%
1.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.1% · Observed 19.4% · Expected 18.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-11 · Fire 2024-04-11
9 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-05-10 · Fire 2023-05-10
3 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
E · Potential for more than minimal harm
2025-05-15
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 2025-06-23
E · Potential for more than minimal harm
2025-05-15
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 2025-06-23
E · Potential for more than minimal harm
2025-05-15
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 2025-06-23
E · Potential for more than minimal harm
2025-05-15
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-03
E · Potential for more than minimal harm
2025-05-15
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-06-23
E · Potential for more than minimal harm
2025-05-15
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 2025-06-23
E · Potential for more than minimal harm
2025-05-15
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2025-06-23
D · Potential for more than minimal harm
2025-05-15
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-06-23
D · Potential for more than minimal harm
2025-02-12
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 2025-03-27
E · Potential for more than minimal harm
2024-09-04
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-04
D · Potential for more than minimal harm
2024-09-04
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 2024-10-04
D · Potential for more than minimal harm
2024-08-06
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 2024-09-19
E · Potential for more than minimal harm
2024-06-24
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 2024-08-02
E · Potential for more than minimal harm
2024-05-08
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-06-13
E · Potential for more than minimal harm
2024-04-11
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2024-05-24
E · Potential for more than minimal harm
2024-04-11
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-05-24
E · Potential for more than minimal harm
2024-04-11
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 2024-05-24
D · Potential for more than minimal harm
2023-12-19
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 2024-01-31
D · Potential for more than minimal harm
2023-05-10
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-06-23
D · Potential for more than minimal harm
2023-05-10
F678 · Quality of Life and Care Deficiencies
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2023-06-23
Penalties and ownership
What sits behind the stars
Ownership
The Glen Retirement System
5% Or Greater Direct Ownership Interest · Organization
Bolton, Michael
Corporate Director · Individual
Burns, Dee
Operational/Managerial Control · Individual
Burns, Dee
Corporate Officer · Individual
Dockendorf, Noreen
Corporate Director · Individual
Fuller, Jeanne
Corporate Director · Individual
Mcgowen, Cheryl
Corporate Director · Individual
Rice, Barbara
Corporate Director · Individual
Simmons, Marla
Corporate Director · Individual
Terry, Barbara
Corporate Director · Individual
The Glen Retirement System
Operational/Managerial Control · Organization
Washington, Allison
Corporate Director · Individual
Westmoreland, Marti
Corporate Director · Individual
Williams, Cynthia
Corporate Director · Individual
Williams, Debra
Operational/Managerial Control · Individual
Williams, Debra
Corporate Officer · Individual
Williams, Joann
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Live Oak
Shreveport, LA
4-star overall rating with 4-star inspections with 3 recent health deficiencies
#2
Heritage Manor Of Stratmore Nursing & Rehab Ctr
Shreveport, LA
5-star overall rating with 5-star inspections with 1 recent health deficiencies
#3
Spring Lake Skilled Nursing And Rehabilitation
Shreveport, LA
3-star overall rating with 4-star inspections with 5 recent health deficiencies
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