Cycle 1
Health 2025-04-17 · Fire 2025-04-17
12 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Marrero, LA
Wynhoven Community Care Center
2-star overall rating with 1-star inspections with 12 recent health deficiencies
1050 Medical Center, Marrero, LA
(504) 347-0777
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
188
Certified beds
Average residents
112
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Commcare Corporation
Operator or chain grouping
Approved since
1987-01-22
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
14 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 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
0.24
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
1.53
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
2.66
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.43
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.77
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.40
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
0.05
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.26
CMS adjusted RN staffing hours
Adjusted total hours
4.81
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
70%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
68%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,620
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.24
Composite VBP score used to determine payment impact.
Payment multiplier
0.9922
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.86
Performance 19.18% · Measure score 4.86 · Achievement 4.86 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
6.16
Performance 6.00% · Measure score 6.16 · Achievement 6.16 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
0.57
Baseline 69.84% · Performance 65.04% · Measure score 0.57 · Achievement 0 · Improvement 0.57
Adjusted total nurse staffing
4.11
Baseline 4.56 hours · Performance 4.25 hours · Measure score 4.11 · Achievement 4.11 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.89% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 54 · Observed rate 12.96% · Lower 95% interval 7.34% |
| Discharge to community | 58.03% |
50.57%
7.5 pts better
|
No Different than the National Rate · Eligible stays 40 · Observed rate 50% · Lower 95% interval 43.11% |
| Medicare spending per beneficiary | 0.96 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 43 · Denominator 43 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 43 |
| Discharge self-care score | 60.61% |
53.69%
6.9 pts better
|
Numerator 20 · Denominator 33 |
| Discharge mobility score | 72.73% |
50.94%
21.8 pts better
|
Numerator 24 · Denominator 33 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 42 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.99% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 44 · Observed rate 2.27% · Lower 95% interval 3.15% |
| Staff COVID-19 vaccination coverage | 13.95% |
8.2%
5.8 pts better
|
Numerator 18 · Denominator 129 |
| Staff flu vaccination coverage | 17.59% |
42%
24.4 pts worse
|
Numerator 35 · Denominator 199 |
| Discharge function score | 84.85% |
56.45%
28.4 pts better
|
Numerator 28 · Denominator 33 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 22 · Denominator 22 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 19.23% |
25.2%
6 pts worse
|
Numerator 5 · Denominator 26 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
2.6
About the same
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 3.2 · Expected 2.3 · 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 1.5 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.1% |
92.0%
7.9 pts worse
|
93.4%
9.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 86.6% · Q2 93.3% · Q3 81.4% · Q4 74.2% · 4Q avg 84.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.8% |
94.9%
1.1 pts worse
|
95.5%
1.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.3% |
3.4%
1.1 pts better
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 3.8% · Q3 2.1% · Q4 1.1% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.6% |
1.8%
1.2 pts better
|
11.4%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 1.1% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents who lose too much weight | 11.9% |
5.2%
6.7 pts worse
|
5.4%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 10.6% · Q3 12.0% · Q4 19.0% · 4Q avg 11.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.8% |
23.1%
10.3 pts better
|
19.6%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 11.6% · Q3 15.7% · Q4 11.5% · 4Q avg 12.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.0% |
24.4%
13.4 pts better
|
16.7%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 8.2% · Q3 10.7% · Q4 13.7% · 4Q avg 11.0% · 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 | 24.2% |
22.2%
2 pts worse
|
16.3%
7.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 37.2% · Q3 13.8% · Q4 20.9% · 4Q avg 24.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.7% |
20.1%
7.6 pts worse
|
14.9%
12.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 30.4% · Q3 31.0% · Q4 29.8% · 4Q avg 27.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
1.6%
0.6 pts better
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.9% · Q3 1.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
2.6%
2.3 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.1% |
16.9%
3.2 pts worse
|
19.8%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 16.8% · Q3 25.0% · Q4 21.7% · 4Q avg 20.1% |
| Percentage of long-stay residents with pressure ulcers | 6.5% |
6.2%
0.3 pts worse
|
5.1%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 8.3% · Q3 9.3% · Q4 4.1% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 65.9% |
83.6%
17.7 pts worse
|
81.7%
15.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 81.2% · Q2 85.1% · Q3 69.9% · Q4 22.2% · 4Q avg 65.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.0% |
14.7%
11.7 pts better
|
12.0%
9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.0% · Observed 2.9% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
3.3%
2.7 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 1.6% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 80.0% |
76.2%
3.8 pts better
|
79.7%
0.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 80.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.7% |
27.8%
3.9 pts worse
|
23.9%
7.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.7% · Observed 31.4% · Expected 23.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-11 · Fire 2024-04-11
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2023-04-27 · Fire 2023-04-27
3 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-04-11
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-04-22
Inspection history
Recent health citations
L · Immediate jeopardy
2025-04-17
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 2025-05-14
E · Potential for more than minimal harm
2025-04-17
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-14
E · Potential for more than minimal harm
2025-04-17
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-14
D · Potential for more than minimal harm
2025-04-17
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-05-14
D · Potential for more than minimal harm
2025-04-17
F584 · Resident Rights Deficiencies
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 2025-05-14
D · Potential for more than minimal harm
2025-04-17
F622 · Resident Rights Deficiencies
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2025-05-14
D · Potential for more than minimal harm
2025-04-17
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 2025-05-14
D · Potential for more than minimal harm
2025-04-17
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 2025-05-14
D · Potential for more than minimal harm
2025-04-17
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-14
D · Potential for more than minimal harm
2025-04-17
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-14
D · Potential for more than minimal harm
2025-04-17
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 2025-05-14
D · Potential for more than minimal harm
2025-04-17
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-05-14
D · Potential for more than minimal harm
2024-07-02
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2024-07-24
E · Potential for more than minimal harm
2024-04-11
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 2024-05-10
E · Potential for more than minimal harm
2024-04-11
F849 · Administration Deficiencies
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 2024-05-10
D · Potential for more than minimal harm
2024-04-11
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-05-10
D · Potential for more than minimal harm
2023-08-10
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 2023-09-01
D · Potential for more than minimal harm
2023-08-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-01
D · Potential for more than minimal harm
2023-06-20
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-07-14
Penalties and ownership
What sits behind the stars
Ownership
Commcare Corporation
5% Or Greater Direct Ownership Interest · Organization
Commcare Management Corporation
Operational/Managerial Control · Organization
Ford, Michael
Corporate Director · Individual
Gardner, George
Operational/Managerial Control · Individual
Harvey Psarellis, Dawn
Operational/Managerial Control · Individual
Harvey Psarellis, Dawn
Corporate Officer · Individual
Hudson, Mary
W-2 Managing Employee · Individual
Lundberg, Alec
W-2 Managing Employee · Individual
Mangun, Garold
Corporate Director · Individual
Mangun, Garold
Corporate Officer · Individual
Plaisance, Wayne
Corporate Director · Individual
Prechter, Patricia
Corporate Director · Individual
Prechter, Patricia
Corporate Officer · Individual
Prechter, Patricia
W-2 Managing Employee · Individual
Tucker, James
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
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Marrero Healthcare Center
Marrero, LA
1-star overall rating with 1-star inspections with $46,261 in total fines with 4 recent health deficiencies
#2
Covenant Home
New Orleans, LA
3-star overall rating with 3-star inspections with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
John J Hainkel Jr Home And Rehabilitation Center
New Orleans, LA
5-star overall rating with 5-star inspections with 3 recent health deficiencies
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