Average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Central Guest House Healthcare & Rehabilitation Ce during CMS and state inspections, most recent first.
A resident with quadriplegia, severe cognitive impairment, and protein-calorie malnutrition had physician and RD orders for a NAS diet with double meats and a Magic Cup supplement with each meal as part of a comprehensive malnutrition plan. During a survey observation, the breakfast meal ticket showed a Magic Cup was ordered, but the item was missing from the tray. An LPN confirmed the supplement should have been present, the dietary supervisor stated kitchen staff must follow the meal ticket when preparing trays, and the DON acknowledged that ordered dietary supplements are required to be on the tray with meals.
Improper Freezer Food Storage: Surveyors observed multiple food items in the freezer stored in unsealed bags inside open cardboard boxes, including sausage patties, biscuit dough, diced ham, chicken breast patties, fish fingers, and egg rolls. The D M confirmed the items were open and not sealed, and the ADM stated the food should have been sealed and not left open to air.
A resident with a right BKA and severe cognitive impairment was observed in bed without his ordered shrinker sock in place, despite a sign indicating it should be worn while in bed. The resident stated he had not refused care, and staff, including CNAs, an LPN, and the DON, confirmed the shrinker sock should have been applied and that staff were expected to follow the physician’s order.
Failure to Shampoo Resident’s Hair During Scheduled Bathing: A resident who needed partial/moderate help with personal hygiene was scheduled for baths three times weekly and preferred morning showers, but her hair was not washed for weeks despite repeated requests. The resident reported an itchy scalp and oily, dirty hair, and a CNA confirmed the hair wash was not done during the bed bath and was not reported to the nurse. Staff acknowledged that washing hair was part of the bath and should have been completed when requested.
Failure to Administer Ordered Prednisone: A resident with COPD, cough, congestion, and other respiratory diagnoses was ordered Prednisone for 4 days, but the MAR and nursing notes showed doses were not given because staff were waiting on pharmacy. The resident was observed coughing up phlegm and stated she had been supposed to start a steroid but had not. An LPN confirmed the medication was not delivered and was not administered as ordered, and the NP confirmed the order was expected to be carried out.
Failure to Follow EBP During Catheter Care: A resident with an indwelling urinary catheter was on EBP per orders, care plan, and posted room signage requiring gloves and a gown for high-contact care, including catheter care and hygiene. During observation, a CNA provided catheter care and peri care without wearing a gown, and later confirmed the PPE was not worn as required; the DON confirmed staff were expected to follow EBP for residents with urinary catheters.
The facility did not ensure dietary staff with facial hair wore beard restraints while preparing food, as observed in the kitchen where three male aides with beards were preparing drinks without restraints. This was confirmed by the dietary manager and administrator, potentially affecting 155 residents.
A facility failed to complete a Significant Change in Status MDS Assessment within 14 days for a resident admitted to hospice care. The resident was admitted to hospice, but a review of their MDS assessments showed no submission reflecting this change. Interviews with staff confirmed the oversight.
The facility failed to accurately code MDS assessments for a resident's planned discharge and another resident's hospice services. Staff confirmed the discrepancies, acknowledging that the discharge was planned and hospice services were provided, but the MDS assessments did not reflect these statuses.
The facility failed to label insulin vials with the open date and did not discard medications by their expiration date, as observed in two medication carts. An LPN confirmed that insulin vials should be labeled and discarded after 28 days, and all medications should be discarded by their expiration date. The DON also confirmed these requirements.
A facility failed to maintain an effective infection prevention and control program as staff did not adhere to Enhanced Barrier Precautions (EBP) during high-contact care for a resident with a pressure ulcer and antibiotic resistance. Despite a posted EBP sign requiring gowns and gloves, staff members did not wear gowns during brief changes and wound care. Interviews confirmed the oversight, which had the potential to affect other residents on EBP.
The facility failed to post nurse staffing data in a prominent area accessible to residents and visitors. Observations during a tour revealed the absence of posted data, and interviews with staff confirmed that the information was kept in a binder behind the nurses' station, requiring residents or family members to request access. The facility administrator acknowledged the deficiency.
A resident reported an incident of verbal abuse by a CNA, which was not reported to the administrator or state survey agency within the required timeframe. The resident, who was cognitively intact, stated that the CNA cursed at him and waved her finger in his face. An LPN who witnessed the incident confirmed the verbal abuse but did not report it, and the administrator was unaware of the incident.
A facility failed to complete and transmit MDS assessments for a resident within the required timeframe. The Admission MDS and Quarterly MDS were found incomplete and in progress beyond the 14-day requirement. Interviews with the MDS coordinator and DON confirmed the delay in completion and transmission to CMS.
Failure to Provide Ordered Dietary Supplement With Meals
Penalty
Summary
The facility failed to ensure that a resident received ordered dietary supplements with each meal. The resident was admitted with diagnoses including quadriplegia, unspecified level of spinal cord injury, and unspecified protein-calorie malnutrition, and had a BIMS score of 5 indicating severe cognitive impairment. Physician orders dated 03/16/2026 directed that the resident receive a Magic Cup with meals. The most recent registered dietician assessment further specified a NAS diet with regular texture and thin consistency, double portion meats, Magic Cup with meals three times a day, liquid protein three times a day, a house supplement four times a day, and Glucerna in the evening with supper as part of a malnutrition plan to provide meals, snacks, and supplements to meet nutrient needs. On 04/20/2026 at 9:25 a.m., surveyors observed the resident’s breakfast tray and meal ticket, which documented a Magic Cup with meals; however, the Magic Cup was not present on the tray. At 9:34 a.m., this omission was confirmed during an observation of the tray and meal ticket with an LPN, who stated the tray did not have the ordered Magic Cup and that it should have. The dietary supervisor stated that Magic Cups came from the kitchen and that kitchen staff were responsible for preparing trays according to the meal ticket, confirming that if Magic Cups were on the ticket they should be on the tray. The DON also stated that if a resident had dietary supplements ordered with meals, they should be on the resident’s tray as ordered.
Improper Freezer Food Storage
Penalty
Summary
The facility failed to store food in accordance with professional standards for food service safety. During an initial kitchen tour, surveyors observed multiple food items in the freezer stored in unsealed bags inside open cardboard boxes, including a 10 pound bag of fully cooked sausage patties, a 1.2 ounce plastic bag of cheese and garlic biscuit dough, a 1.5 pound plastic bag of diced ham, a 10.35 pound plastic bag of fully cooked chicken breast patties, a 10 pound plastic bag of fish fingers, and a 1 pound bag of egg rolls. The dietary manager confirmed the items were open and not sealed and stated that all foods stored in the freezer should have been sealed and not left open to air. The administrator was later informed of the findings and stated the opened food items should have been sealed and not open to air in the freezer, and that they were not stored in accordance with professional standards for food service safety.
Failure to Apply Ordered Shrinker Sock to BKA
Penalty
Summary
The facility failed to implement Resident #114’s person-centered plan of care by not ensuring his shrinker sock was applied to his right below-the-knee amputation (BKA) as ordered. Resident #114 was admitted with an acquired absence of the right leg below the knee and had an annual MDS showing a BIMS of 06, indicating severe cognitive impairment. His physician’s order directed that the shrinker sock be applied to the right BKA anytime the prosthetic leg and silicone liner with screw were removed. During observations, Resident #114 was found lying in bed without the shrinker sock in place on his right BKA, despite a sign above his bed stating that the gray shrinker sock was to be worn while in bed. On two separate observations, he stated that he had not refused staff to apply the shrinker sock. Staff interviews confirmed that the sock should have been in place while he was in bed, that CNAs were responsible for applying it, and that he had not refused care. One CNA acknowledged she was assigned to him and had not attempted to apply the shrinker sock, and the DON confirmed staff were expected to follow the physician’s order.
Failure to Shampoo Resident’s Hair During Scheduled Bathing
Penalty
Summary
The facility failed to ensure a resident who required assistance with ADLs received the necessary services to maintain good grooming and personal hygiene when her hair was not shampooed. Resident #59 was admitted with diagnoses including abnormalities of gait and mobility, generalized muscle weakness, anxiety disorder, idiopathic progressive neuropathy, COPD with acute exacerbation, and acute on chronic respiratory failure with hypoxemia. Her MDS indicated she was cognitively intact with a BIMS of 15 and required partial/moderate assistance with personal hygiene. Her care plan noted that she preferred morning showers, and her ADL documentation showed she was scheduled for baths on Mondays, Wednesdays, and Fridays. Review of the bathing documentation showed no record that Resident #59’s hair was washed after 03/02/2026. The resident stated her hair had not been washed in about 3 weeks, her scalp itched, and her hair felt oily and dirty. A CNA confirmed the resident had requested her hair be washed during a bed bath but it was not done, and the CNA did not notify the nurse. Nursing staff confirmed that washing a resident’s hair was part of the bath and should have been done when requested. During observation, the resident’s hair was noted to be oily, with stray hairs sticking up and hair by the temples and ears appearing greasy and stuck to the side of her head.
Failure to Administer Ordered Prednisone
Penalty
Summary
The facility failed to provide pharmaceutical services to ensure medications were accurately acquired, received, dispensed, and administered as ordered for one resident. Resident #162 was admitted with diagnoses including pneumonia, obstructive sleep apnea, cough, shortness of breath, acute upper respiratory infection, diastolic congestive heart failure, tobacco use, hypoxemia, COPD, and acute on chronic respiratory failure. Her quarterly MDS showed a BIMS of 15, indicating she was cognitively intact. A physician ordered Prednisone 20 mg, 2 tablets by mouth daily for 4 days beginning 03/20/2026 for cough and congestion related to COPD. The MAR showed Prednisone was not administered on 03/21/2026 and 03/22/2026. Nursing notes documented the medication was not given because staff were waiting on pharmacy. The resident was observed coughing up light tan phlegm, and she stated she had been supposed to start a steroid over the weekend but had not. An LPN confirmed the medication was not delivered from the pharmacy and that she did not administer it on those days. The NP confirmed she expected the Prednisone to be administered as ordered. The DON stated staff should have checked the emergency medication kits when the dose was not available, and confirmed the medication should have been administered as ordered.
Failure to Follow EBP During Catheter Care
Penalty
Summary
The facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary environment to help prevent the development and transmission of infection for 1 of 4 residents reviewed for infection control. Resident #135 was admitted with diagnoses including retention of urine, overactive bladder, urinary incontinence, and neuromuscular dysfunction of the bladder, and had physician orders and a care plan directing Enhanced Barrier Precautions (EBP) because of an indwelling urinary catheter. The facility’s EBP policy stated that residents with indwelling medical devices such as urinary catheters require gown and gloves during high-contact care activities, including hygiene and device care or use. On observation, S7CNA was providing catheter care and peri care to Resident #135 while not wearing a gown, despite the resident being on EBP and the posted sign outside the room stating that staff must wear gloves and a gown for high-contact resident care activities, including device care or use. During interview, S7CNA confirmed the resident was on EBP due to the urinary catheter and acknowledged that she did not wear a gown during catheter care and peri care and should have. S3DON also confirmed that staff were expected to follow EBP guidelines when providing high-contact care to residents with an indwelling medical device such as a urinary catheter.
Failure to Use Beard Restraints in Food Preparation
Penalty
Summary
The facility failed to adhere to professional standards for food service safety by not ensuring that dietary staff with facial hair wore beard restraints while preparing to serve food. During an observation in the facility's kitchen, three male dietary aides with beards were seen preparing drinks and placing lids on cups without wearing facial hair restraints. This was confirmed through interviews with the dietary manager and the administrator, who acknowledged that the staff should have been wearing beard restraints as per the facility's policy. This deficiency had the potential to affect any of the 155 residents receiving food from the facility's kitchen.
Failure to Complete Significant Change MDS for Hospice Admission
Penalty
Summary
The facility failed to complete a Significant Change in Status Minimum Data Set (MDS) Assessment within 14 days for a resident who was admitted to hospice care. The resident was admitted to the facility on an unspecified date and later admitted to hospice services on April 30, 2024. A review of the resident's MDS assessments from April 30, 2024, onward revealed that no Significant Change MDS was submitted to reflect the provision of hospice services. Interviews with the MDS coordinator and the Director of Nursing confirmed that the required assessment was not completed following the resident's admission to hospice, which was acknowledged as a necessary action that was overlooked.
Inaccurate MDS Coding for Discharge and Hospice Services
Penalty
Summary
The facility failed to ensure that Minimum Data Set (MDS) assessments accurately reflected the residents' status, leading to deficiencies in the documentation of discharge dispositions and hospice services. For one resident, the clinical record indicated a planned discharge home with Home Health Services, but the discharge MDS assessment was inaccurately coded as an unplanned discharge. Interviews with staff confirmed the discrepancy, acknowledging that the discharge was indeed planned and should have been coded as such. Another resident's clinical record showed they were admitted to hospice services, but the Quarterly MDS assessment failed to reflect this accurately. The section of the MDS that should have indicated hospice care was marked incorrectly, despite staff confirmation that the resident was receiving hospice services. These inaccuracies in MDS coding highlight the facility's failure to ensure accurate assessments of residents' statuses.
Medication Labeling and Expiration Deficiencies
Penalty
Summary
The facility failed to ensure that drugs and biologicals were labeled and stored according to accepted professional principles, as observed in two of the three medication carts reviewed. Specifically, insulin vials were not labeled with the date they were opened, and medications were not discarded by their expiration date. On Cart A, a bottle of Mucus Relief was found to be expired and still available for use. The LPN present confirmed that the medication should have been discarded by the manufacturer's expiration date. On Cart B, several vials of insulin belonging to different residents were found to be opened without being labeled with the open date, and one vial was labeled but not discarded after 28 days as required. Additionally, a tube of Premarin Vaginal Cream was available for use despite being past its expiration date. The LPN confirmed these observations and acknowledged that insulin vials should be labeled with the open date and discarded after 28 days, and all medications should be discarded by their expiration date. The Director of Nursing also confirmed these requirements during an interview.
Failure to Adhere to Enhanced Barrier Precautions
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by staff not adhering to Enhanced Barrier Precautions (EBP) during high-contact resident care. Specifically, staff members S11CNA and S10LPN did not don gowns while performing brief changes and wound care for Resident #18, who was on EBP due to a pressure ulcer and resistance to multiple antibiotics. The facility's policy, effective from April 1, 2024, mandates the use of gowns and gloves during high-contact care activities for residents with chronic wounds or indwelling medical devices, even if the resident is not known to be infected. During observations, it was noted that an EBP sign was posted on Resident #18's door, indicating the requirement for staff to wear gloves and gowns for high-contact care activities. However, both S11CNA and S10LPN confirmed in interviews that they did not wear gowns during the care provided, despite acknowledging the requirement. The Director of Nursing (S2DON) also confirmed that Resident #18 was on EBP and that staff were expected to wear gowns during such care activities. This oversight in following the facility's infection control policy had the potential to affect any of the 33 residents in the facility who had EBP implemented.
Failure to Post Nurse Staffing Data
Penalty
Summary
The facility failed to ensure that nurse staffing data was posted in a prominent place readily accessible to residents and visitors. During a tour of the facility's common areas, it was observed that no nurse staffing data was posted. An interview with a staff member responsible for writing the nurse staffing data revealed that the information was kept in a binder behind the nurses' station, requiring residents or family members to ask to view it. The staff member confirmed that the data was not posted in a prominent area. Additionally, the facility administrator confirmed the lack of prominently posted nurse staffing data.
Failure to Report Verbal Abuse Incident Timely
Penalty
Summary
The facility failed to report an alleged incident of verbal abuse involving a resident and a certified nursing assistant (CNA) within the required timeframe. According to the facility's policy, any suspicion of verbal abuse must be reported to the administrator immediately and to the state survey agency within two hours. However, the incident involving the resident and the CNA was not reported as required. The resident, who was cognitively intact with a Brief Interview for Mental Status (BIMS) score of 15, reported that the CNA waved her finger in his face and cursed at him, which made him feel angry. An interview with a Licensed Practical Nurse (LPN) who witnessed the incident confirmed that the CNA pointed her finger at the resident and called him a racist, which she acknowledged as verbal abuse. Despite being present during the incident, the LPN did not report it to anyone, acknowledging that she should have done so. The facility administrator was unaware of the incident and confirmed that such allegations should have been reported immediately to the state survey agency. The failure to report the incident in a timely manner constitutes a deficiency in the facility's adherence to its abuse prevention policy.
Failure to Timely Complete and Transmit MDS Assessments
Penalty
Summary
The facility failed to ensure that Minimum Data Set (MDS) assessments were completed and transmitted in a timely manner for one resident. The facility's policy requires that all MDS assessments be completed and transmitted according to the most current Resident Assessment Instrument manual. However, a review of the clinical record for a resident revealed that both the Admission MDS with an Assessment Reference Date (ARD) of August 30, 2024, and the Quarterly MDS with an ARD of September 11, 2024, were incomplete and marked as in progress as of October 14, 2024. Interviews with the MDS coordinator and the Director of Nursing confirmed that these assessments were not completed within the required 14 days after the ARD date and had not been transmitted to the Centers for Medicare & Medicaid Services (CMS).
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Baton Rouge
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Flannery Oaks Guest House | 5.6 mi | ★★★★★ | 0 | 0 |
| Baton Rouge Health Care Center | 5.7 mi | ★★★★★ | 3 | 0 |
| Capitol House Nursing And Rehab Center | 5.9 mi | ★★★★★ | 0 | 0 |
| The Guest House Care Center | 6.1 mi | ★★★★★ | 0 | 0 |
| Pines Retirement Center Of Baton Rouge | 6.6 mi | ★★★★★ | 10 | 0 |
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