Guest House Nursing and Rehabilitation
109 Guest House Drive, West Monroe, LA 71292
Guest House Nursing and Rehabilitation, a 140-bed for profit - limited liability company nursing facility in West Monroe, LA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #191 of 264 rated homes in LA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 3183873900
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- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #191 of 264
- In-state rank among rated LA homes
- 3.93
- About average · nurse hrs/day · nat'l 3.86
- 27
- Inspection findings
The verdict
Guest House Nursing and Rehabilitation, a 140-bed for profit - limited liability company nursing facility in West Monroe, LA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #191 of 264 rated homes in LA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
- 1 / 5
- CMS overall · national 3.0
- #191 of 264
- In-state rank among rated LA homes
- 3.93
- Nurse hrs/resident-day · national 3.86
- 27
- Inspection findings on file
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 265 LA nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 195551
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 140
- Residents
- 105
- In Hospital
- No
- County
- Ouachita
- Last Inspection
- Jul 30, 2025
Staffing Data
How the 3.93 total nursing hours per resident-day are staffed:
- RN Hours
- 0.24 (nat'l avg: 0.69)
- LPN Hours
- 1.33
- CNA Hours
- 2.36
- Total Nursing Hours
- 3.93 (nat'l avg: 3.86)
- PT Hours
- 0.01
- Nursing Turnover
- 64.1%
- RN Turnover
- 33.3%
What the CMS Record Reveals About Guest House Nursing and Rehabilitation
According to CMS Nursing Home Compare, Guest House Nursing and Rehabilitation ranks #191 of 264 rated nursing homes in LA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Guest House Nursing and Rehabilitation operates 140 certified beds in West Monroe, LA with approximately 105 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 2★ · staffing 3★ · quality 1★).
The inspection file contains 27 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Staffing is reported at 3.93 total nursing hours per resident day (national average 3.86), with RN coverage at 0.24 per resident day.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Guest House Nursing and Rehabilitation falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 64.1% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (27 most recent)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 19, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Aug 29, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 29, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 29, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 29, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 29, 2025
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Aug 29, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Aug 29, 2025
Protect each resident from the wrongful use of the resident's belongings or money.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Aug 29, 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.
Category: Resident Rights Deficiencies
Corrected: Aug 29, 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.
Category: Pharmacy Service Deficiencies
Corrected: Apr 16, 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.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 27, 2025
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 27, 2025
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Category: Nursing and Physician Services Deficiencies
Corrected: Jan 27, 2025
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.
Category: Nursing and Physician Services Deficiencies
Corrected: Sep 12, 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.
Category: Pharmacy Service Deficiencies
Corrected: Sep 12, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category: Pharmacy Service Deficiencies
Corrected: Sep 12, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 12, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Sep 12, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Sep 12, 2024
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 12, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 12, 2024
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.
Category: Administration Deficiencies
Corrected: Jun 12, 2024
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Category: Nursing and Physician Services Deficiencies
Corrected: Jun 12, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category: Pharmacy Service Deficiencies
Corrected: Aug 31, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 31, 2023
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.
Category: Pharmacy Service Deficiencies
Corrected: Jul 28, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 31.9% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.4% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.2% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.2% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 27.2% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.9% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 27.8% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.7% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 9.6% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 2.1% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 98.9% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 22.3% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 90.5% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 23.2% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 90.9% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 85.8% | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Guest House Nursing and Rehabilitation, both outside LA so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside LA (140 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside LA (4.37 here).
Nearby Nursing Homes in LA
264 other nursing homes are on record in LA; 6 are shown here.
Acadia St. Landry Nursing & Rehabilitation Center
Church Point, LA
Adira Medical Resort
Bossier City, LA
Allen Oaks Nursing and Rehab Center
Oakdale, LA
Alpine Skilled Nursing and Rehabilitation
Ruston, LA
Amelia Manor Nursing Home
Lafayette, LA
Arbor Lake Skilled Nursing & Rehabilitation
Farmerville, LA
Understanding Nursing Home Data
What the CMS records show for Guest House Nursing and Rehabilitation
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The LA registry aggregates state averages and the highest-rated homes in this cohort. View LA registry
- Peer homes near 140 beds show how CMS stars vary at a similar scale in LA. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Guest House Nursing and Rehabilitation?
Where does Guest House Nursing and Rehabilitation rank among nursing homes in LA?
What are the staffing levels at Guest House Nursing and Rehabilitation?
How many beds does Guest House Nursing and Rehabilitation have?
Does Guest House Nursing and Rehabilitation have any deficiencies on record?
Has Guest House Nursing and Rehabilitation received any fines or penalties?
Who owns Guest House Nursing and Rehabilitation?
When was Guest House Nursing and Rehabilitation last inspected?
What quality measures are tracked for Guest House Nursing and Rehabilitation?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
