The Guest House Skilled Nursing Rehabilitation
9225 Normandie Drive · Shreveport, LA · 71118 · 3186860515
177 certified beds For profit - Limited Liability company Chain: Priority Management
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $112,197 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
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.
$112,197 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.75 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
69% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 1 of 5
| Total nurse hours / resident-day | 2.75 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 2.46 | ≈ weekday level |
| Nursing turnover / year | 69% | median 45% |
| Fines (3-yr window) | 4 · $267,179 |
Inspection citations (41 in the current record)
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Potential for harm · E April 10, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 16, 2025 · Resident Rights
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Potential for harm · E April 10, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected May 16, 2025 · Resident Rights
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Potential for harm · E April 10, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected May 16, 2025 · Resident Rights
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Potential for harm · E April 10, 2025
Assess the resident when there is a significant change in condition
Corrected May 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 10, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 10, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 16, 2025 · Quality of Life and Care
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Potential for harm · E April 10, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 16, 2025 · Quality of Life and Care
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Potential for harm · E April 10, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 16, 2025 · Quality of Life and Care
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Potential for harm · E April 10, 2025
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 May 16, 2025 · Quality of Life and Care
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Potential for harm · E April 10, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 16, 2025 · Pharmacy Service
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Potential for harm · E April 10, 2025
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 May 16, 2025 · Pharmacy Service
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Potential for harm · E April 10, 2025
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 May 16, 2025 · Pharmacy Service
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Potential for harm · D April 10, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected May 16, 2025 · Administration
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Potential for harm · E April 10, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected May 16, 2025 · Nursing and Physician Services
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Immediate jeopardy · J September 25, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 9, 2024 · Quality of Life and Care
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Immediate jeopardy · J September 25, 2024 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected October 9, 2024 · Administration
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Potential for harm · D September 25, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 25, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected October 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 28, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 13, 2024 · Quality of Life and Care
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Potential for harm · E June 20, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 19, 2024 · Pharmacy Service
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Potential for harm · E June 20, 2024 · found via complaint
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected July 19, 2024 · Administration
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Potential for harm · D May 9, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 9, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 10, 2024 · Quality of Life and Care
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Actual harm · G March 14, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 14, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected April 11, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 25, 2024 | Fine | $112,197 |
| March 14, 2024 | Fine | $12,761 |
| September 20, 2023 | Fine | $11,174 |
| August 17, 2023 | Fine | $131,047 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 195380 · certified since August 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.