Guest House Nursing and Rehabilitation
109 Guest House Drive · West Monroe, LA · 71292 · 3183873900
140 certified beds For profit - Limited Liability company
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 75 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.19 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.92 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.19 | 0.55–0.75 |
| Weekend hours / resident-day | 3.35 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (27 in the current record)
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Potential for harm · E July 30, 2025
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 August 29, 2025 · Resident Rights
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Potential for harm · D July 30, 2025
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected August 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 30, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected August 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 30, 2025
Respond appropriately to all alleged violations.
Corrected August 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 30, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected August 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 30, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 30, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 29, 2025 · Quality of Life and Care
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Potential for harm · D July 30, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 29, 2025 · Quality of Life and Care
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Potential for harm · D July 30, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected August 29, 2025 · Pharmacy Service
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Potential for harm · E March 19, 2025 · found via complaint
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 April 16, 2025 · Pharmacy Service
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Potential for harm · D December 30, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected January 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 30, 2024 · found via complaint
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 January 27, 2025 · Quality of Life and Care
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Potential for harm · E December 30, 2024 · found via complaint
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Corrected January 27, 2025 · Nursing and Physician Services
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Potential for harm · E August 13, 2024 · found via complaint
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 September 12, 2024 · Nursing and Physician Services
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Potential for harm · E July 24, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected September 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 24, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 24, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 12, 2024 · Quality of Life and Care
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Potential for harm · E July 24, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected September 12, 2024 · Pharmacy Service
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Potential for harm · E July 24, 2024
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 September 12, 2024 · Pharmacy Service
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Potential for harm · D May 16, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 16, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 16, 2024 · found via complaint
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Corrected June 12, 2024 · Nursing and Physician Services
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Potential for harm · E May 16, 2024 · found via complaint
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected June 12, 2024 · Administration
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Potential for harm · E August 2, 2023 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 31, 2023 · Resident Assessment and Care Planning
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Potential for harm · E August 2, 2023 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected August 31, 2023 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 195551 · certified since May 16, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.