9 health deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Baton Rouge, LA
1-star overall rating with 1-star inspections with Special Focus status with $543,781 in total fines with 9 recent health deficiencies
2828 Westfork, Baton Rouge, LA
(225) 291-7049
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
176
Certified beds
Average residents
89
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ark Post Acute Network
Operator or chain grouping
Approved since
2000-02-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
4 facilities
Chain averages 1 overall / 2 health / 2 staffing / 2 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
RN hours / resident day
0.26
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
0.98
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
2.29
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.53
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.24
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.15
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
0.12
Weekend registered nurse coverage · state 0.22 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.26
CMS adjusted RN staffing hours
Adjusted total hours
3.56
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
80%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
70%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
10,524
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.05
Composite VBP score used to determine payment impact.
Payment multiplier
0.9823
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
1.51
Baseline 56.16% · Performance 57.50% · Measure score 1.51 · Achievement 1.51 · Improvement 0
Adjusted total nurse staffing
2.50
Baseline 3.07 hours · Performance 3.79 hours · Measure score 2.50 · Achievement 2.50 · Improvement 2.16
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.25% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 37 · Observed rate 2.7% · Lower 95% interval 5.72% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.06 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 98.04% |
95.27%
2.8 pts better
|
Numerator 50 · Denominator 51 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 51 |
| Discharge self-care score | 24.24% |
53.69%
29.4 pts worse
|
Numerator 8 · Denominator 33 |
| Discharge mobility score | 24.24% |
50.94%
26.7 pts worse
|
Numerator 8 · Denominator 33 |
| Pressure ulcers or injuries, new or worsened | 5.88% |
2.29%
3.6 pts worse
|
Numerator 3 · Denominator 51 · Adjusted rate 4.84% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 80 |
| Staff flu vaccination coverage | 10% |
42%
32 pts worse
|
Numerator 15 · Denominator 150 |
| Discharge function score | 33.33% |
56.45%
23.1 pts worse
|
Numerator 11 · Denominator 33 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| 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 | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 25 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.5 |
2.6
0.9 pts worse
|
1.9
1.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.5 · Observed 3.8 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 5.7 |
2.8
2.9 pts worse
|
1.8
3.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 5.7 · Observed 5.9 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 87.5% |
92.0%
4.5 pts worse
|
93.4%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 65.0% · Q2 87.8% · Q3 100.0% · Q4 98.7% · 4Q avg 87.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.6% |
94.9%
7.3 pts worse
|
95.5%
7.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 87.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.3% |
3.4%
2.1 pts better
|
3.3%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 1.3% · Q4 2.7% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.4% |
1.8%
1.4 pts better
|
11.4%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.5% · Q4 0.0% · 4Q avg 0.4% |
| Percentage of long-stay residents who lose too much weight | 1.2% |
5.2%
4 pts better
|
5.4%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 1.4% · Q4 0.0% · 4Q avg 1.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.6% |
23.1%
7.5 pts better
|
19.6%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 11.4% · Q3 20.5% · Q4 15.9% · 4Q avg 15.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.1% |
24.4%
1.3 pts better
|
16.7%
6.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 24.5% · Q3 21.7% · Q4 22.0% · 4Q avg 23.1% · 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 | 43.7% |
22.2%
21.5 pts worse
|
16.3%
27.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 60.4% · 4Q avg 43.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.2% |
20.1%
7.1 pts worse
|
14.9%
12.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 16.7% · Q3 42.9% · Q4 28.1% · 4Q avg 27.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.6% |
1.6%
2 pts worse
|
1.0%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 5.2% · Q3 3.0% · Q4 3.3% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.7% |
2.6%
0.9 pts better
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 6.9% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.0% |
16.9%
0.9 pts better
|
19.8%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 17.2% · Q3 17.3% · Q4 18.1% · 4Q avg 16.0% |
| Percentage of long-stay residents with pressure ulcers | 10.8% |
6.2%
4.6 pts worse
|
5.1%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 13.1% · Q3 10.9% · Q4 9.4% · 4Q avg 10.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 79.8% |
83.6%
3.8 pts worse
|
81.7%
1.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 62.9% · Q2 65.0% · Q3 85.3% · Q4 98.1% · 4Q avg 79.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.8% |
14.7%
2.9 pts better
|
12.0%
0.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.8% · Observed 14.6% · Expected 13.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.8% |
3.3%
0.5 pts better
|
1.6%
1.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q4 9.1% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 25.6% |
76.2%
50.6 pts worse
|
79.7%
54.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 25.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 34.6% |
27.8%
6.8 pts worse
|
23.9%
10.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 34.6% · Observed 36.6% · Expected 25.2% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (6 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Assessment and Care Planning (13 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Administration (4 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-10-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-10-30
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-11-18
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-10-28
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2023-09-29
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-09-29
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-08-14
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-26
Inspection history
Health
Ensure each resident receives an accurate assessment.
Corrected 2026-01-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-09
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-01-09
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2026-01-09
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-01-09
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 2026-01-09
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 2026-01-09
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-07-11
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-25
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-03-25
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-03-25
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-25
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 2025-03-25
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-03-25
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-02-14
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-02-14
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-14
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-02-14
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-02-14
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-11-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-21
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 2024-10-21
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-10-21
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 2024-10-21
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-10-21
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-10-21
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 2024-10-21
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2024-10-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-21
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2024-10-21
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-10-21
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-21
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-10-21
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-10-21
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-21
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-21
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-10-21
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-11-16
Health
Post nurse staffing information every day.
Corrected 2024-10-21
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-08-06
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-06
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-08-06
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-08-06
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-08-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-28
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-07-01
Health
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected 2024-07-01
Health
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.
Corrected 2024-07-01
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2024-07-01
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-07-01
Health
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.
Corrected 2024-07-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-01
Health
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected 2024-07-01
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-07-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-01
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-07-01
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-04-22
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-22
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-22
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-01-25
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2024-01-09
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-09-29
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-09-29
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-09-29
Health
Implement a program that monitors antibiotic use.
Corrected 2023-09-29
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-09-29
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-09-29
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 2023-09-29
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-29
Health
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.
Corrected 2023-09-29
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2023-09-29
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-09-29
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-29
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-09-29
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-29
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-09-29
Health
Dispose of garbage and refuse properly.
Corrected 2023-09-29
Penalties and ownership
Fine · fine $116,444
Fine
Payment Denial · denial start 2025-03-27 · 8 days
8 day denial
Fine · fine $208,128
Fine
Payment Denial · denial start 2024-10-22 · 27 days
27 day denial
Fine · fine $219,209
Fine
Payment Denial · denial start 2024-07-06 · 31 days
31 day denial
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
Nearby options
Baton Rouge, LA
4-star overall rating with 4-star inspections with 4 recent health deficiencies
Baton Rouge, LA
1-star overall rating with 1-star inspections with $61,591 in total fines with 7 recent health deficiencies
Baton Rouge, LA
1-star overall rating with 1-star inspections with abuse icon flag with $121,628 in total fines with 12 recent health deficiencies
Jump out