Pilgrim Manor Skilled Nursing and Rehabilitation
1524 Doctors Drive · Bossier City, LA · 71111 · 3187421623
155 certified beds For profit - Limited Liability company Chain: Priority Management
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $186,253 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
5 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$186,253 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.20 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.31 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.20 | 0.55–0.75 |
| Weekend hours / resident-day | 2.92 | ≈ weekday level |
| Nursing turnover / year | 58% | median 45% |
| Fines (3-yr window) | 3 · $186,253 |
Inspection citations (23 in the current record)
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Potential for harm · D February 25, 2026
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected April 8, 2026 · Resident Rights
-
Potential for harm · E February 25, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 8, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 25, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 8, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 25, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected April 8, 2026 · Quality of Life and Care
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Potential for harm · E February 25, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected April 8, 2026 · Pharmacy Service
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Potential for harm · D February 25, 2026
Provide and implement an infection prevention and control program.
Corrected April 8, 2026 · Infection Control
-
Actual harm · G September 3, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 15, 2025 · Quality of Life and Care
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Potential for harm · D September 3, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E December 17, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 17, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 7, 2025 · Quality of Life and Care
-
Potential for harm · E December 17, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 7, 2025 · Nutrition and Dietary
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Potential for harm · E December 17, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected February 7, 2025 · Administration
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Immediate jeopardy · J December 4, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J December 4, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 26, 2024 · Quality of Life and Care
-
Immediate jeopardy · L August 1, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 29, 2024 · Quality of Life and Care
-
Immediate jeopardy · K August 1, 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 August 29, 2024 · Nursing and Physician Services
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Immediate jeopardy · L August 1, 2024 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected August 29, 2024 · Administration
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Potential for harm · D April 24, 2024 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected June 8, 2024 · Resident Rights
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Potential for harm · E January 31, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected February 16, 2024 · Resident Rights
-
Potential for harm · E January 31, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected February 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · E January 31, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 16, 2024 · Quality of Life and Care
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Potential for harm · E January 31, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 16, 2024 · Quality of Life and Care
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Potential for harm · D June 7, 2023 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected June 8, 2023 · Nursing and Physician Services
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 3, 2025 | Fine | $12,425 |
| September 3, 2025 | Payment Denial | 13 days |
| December 4, 2024 | Fine | $52,855 |
| August 1, 2024 | Fine | $120,973 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 195594 · certified since June 1, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.