Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 The Guest House Skilled Nursing Rehabilitation during CMS and state inspections, most recent first.
A resident with moderate cognitive impairment eloped from the facility by crawling out of a window, highlighting the facility's failure to perform required visual checks on high-risk residents. Video surveillance showed staff did not conduct checks on other residents at risk for elopement, violating facility policy. Interviews confirmed the resident had a history of exit-seeking behaviors, yet effective preventive measures were not in place.
The facility failed to supervise residents at risk for elopement, leading to a resident eloping and being found a mile away. The resident, moderately cognitively impaired, exited through a window and was not missed until a call from a responsible party. Video review showed staff did not perform required checks on other at-risk residents. Interviews confirmed the lack of supervision, highlighting a deficiency in monitoring procedures.
A resident with multiple health issues, including dementia, eloped from the facility through a window and was found at a gas station. The facility failed to report this incident to the State Survey and Certification Agency and did not complete an investigation as required by their policy.
A resident with dementia eloped from the facility and was found at a gas station. The staff failed to conduct a thorough investigation into the incident, despite facility policies requiring such actions. The DON and Administrator acknowledged the lack of investigation.
The facility failed to conduct weekly skin assessments and implement wound care plans for residents with a history of wounds. A resident with a resolved unstageable pressure ulcer, another with a resolved sacral DTI, and a third with a chronic arterial ulcer did not receive necessary assessments or care planning. Staff confirmed these deficiencies, acknowledging the lack of adherence to the facility's procedures for pressure ulcer prevention and risk assessment.
A facility failed to document the destruction of 13 tablets of Sulfamethoxazole-Trimethoprim for a resident. The resident had two orders for the medication, with 32 tablets dispensed and only 19 administered. Interviews with the DON and a Corporate Nurse confirmed the discrepancy, and the facility's logs lacked documentation for the destruction of the remaining tablets.
The facility failed to verify the licensure of two staff members, S6 and S7, before allowing them to perform duties as licensed nurses. S6 was only licensed in Texas, not Louisiana, and S7's licensure status was not verified upon hire or annually, as required.
The facility failed to update the care plan for a resident admitted to Hospice. The resident's physician's orders indicated Hospice admission, but the care plan did not reflect this change or include related interventions. The MDS Coordinator confirmed the oversight during an interview.
The facility failed to ensure that a resident's oxygen concentrator filter was cleaned weekly as required, resulting in the filter being covered with a large amount of fluffy gray particles. The DON acknowledged the oversight.
Failure to Supervise High-Risk Residents Leads to Elopement
Penalty
Summary
The facility failed to adequately supervise cognitively impaired residents who were at high risk for elopement, resulting in an Immediate Jeopardy situation. Resident #1, who had a moderate cognitive impairment and was known for exit-seeking behaviors, managed to elope from the facility by crawling out of a window. The staff was unaware of the resident's absence until they received a call from the resident's responsible party, who found the resident at a gas station approximately one mile away. This incident highlighted the facility's failure to perform visual checks every two hours as required by their policy. Further investigation revealed that the facility's staff did not conduct the necessary visual checks on other residents identified as high risk for elopement, such as Residents #5 and #6. Video surveillance showed that staff failed to perform these checks during the night shift, which was a direct violation of the facility's policy. Both residents had severe cognitive impairments and were at risk for elopement, yet the staff did not enter their rooms to ensure their safety. Interviews with various staff members confirmed that Resident #1 had a history of exit-seeking behaviors, such as following staff and visitors out of the facility. Despite this, the facility did not implement effective measures to prevent the resident from leaving. The lack of supervision and failure to adhere to the facility's policies put multiple residents at risk, demonstrating a significant oversight in maintaining a safe environment for those at risk of elopement.
Failure to Supervise Residents at Risk for Elopement
Penalty
Summary
The facility failed to administer its resources effectively and efficiently, resulting in a deficiency related to the supervision of residents at risk for elopement. Specifically, the facility did not have an adequate system in place to ensure that three of six sampled residents who were at risk for elopement were adequately supervised. This lack of oversight led to an Immediate Jeopardy situation when a moderately cognitively impaired resident, who ambulated with a walker, was able to elope from the facility. The resident crawled out of a window and was found at a gas station approximately one mile away, having traversed a dark single-lane highway and a four-lane divided highway during the night. The resident had been assessed as at risk for elopement, but protective measures were not implemented despite a documented history of exit-seeking behaviors. Further review of the facility's video surveillance revealed that staff failed to perform visual checks on residents every two hours as required by the facility's policy. This was particularly evident on Hall A, where two other residents identified at risk for elopement were not adequately monitored. Interviews with the Corporate Nurse and Assistant Administrator confirmed that the night shift staff did not complete the required visual checks, which had the potential to adversely affect the remaining ten residents at risk for elopement. The facility's failure to ensure that nurses and CNAs were performing routine checks every two hours contributed to the deficiency.
Failure to Report Resident Elopement Incident
Penalty
Summary
The facility failed to report an alleged violation involving neglect to the State Survey and Certification Agency. This deficiency was identified during a review of an incident involving a resident who eloped from the facility. The facility's policy requires that all reports of resident abuse, neglect, exploitation, misappropriation of resident property, mistreatment, and/or injuries of unknown source be promptly reported to local, state, and federal agencies and thoroughly investigated by facility management. However, the facility did not adhere to this policy in the case of the resident's elopement. The incident involved a resident with a history of chronic obstructive pulmonary disease, heart failure, depression, insomnia, problems related to living alone, and a history of falling. The resident was found at a gas station by a responsible party after eloping from the facility through a window. The staff had previously observed what appeared to be the resident asleep in bed, but upon further inspection, it was discovered that the bed was stuffed with pillows and blankets to resemble a body. The facility's incident investigation reports did not document the resident's elopement, and the administrator acknowledged that an investigation was not completed as required.
Failure to Investigate Resident Elopement
Penalty
Summary
The facility failed to thoroughly investigate an alleged violation involving the elopement of a resident with dementia. The resident was found at a gas station by a responsible party after leaving the facility through a window. The staff had previously observed what appeared to be the resident asleep in bed, but upon further inspection, it was discovered that the bed was stuffed with pillows and blankets to resemble a body. The facility's policy required routine resident checks to ensure safety, but it is unclear if these checks were conducted as required. Interviews revealed that the Director of Nursing was notified of the incident the following day, but an investigation was not completed. The Administrator also acknowledged that an investigation should have been conducted but was not. The lack of a thorough investigation into the resident's elopement represents a failure to adhere to the facility's policy on abuse investigation and reporting, which mandates prompt reporting and thorough investigation of all alleged violations.
Failure to Conduct Weekly Skin Assessments and Implement Wound Care Plans
Penalty
Summary
The facility failed to provide necessary treatment and services to residents with wounds or a history of wounds, as required by professional standards of practice. This deficiency was identified for three residents who did not receive weekly skin assessments or have a written wound care plan implemented. The facility's procedures for the prevention of pressure ulcers and injury risk assessment were not followed, as evidenced by the lack of comprehensive skin assessments upon admission and the absence of weekly body audits to identify abnormal skin conditions. Resident 1, with a history of an unstageable pressure ulcer, did not have weekly skin assessments performed after the ulcer resolved, and there was no care plan for wound prevention. Resident 2, with a history of a resolved sacral deep tissue injury, also lacked weekly skin assessments and a care plan for wound history. Resident 3, who had a chronic arterial ulcer of the sacrum, did not receive weekly skin assessments. Interviews with facility staff confirmed these deficiencies, acknowledging that the required assessments and care planning were not conducted.
Failure to Document Medication Disposal
Penalty
Summary
The facility failed to provide pharmaceutical services that met the needs of a resident by not accurately disposing of medications. Specifically, the facility did not document the destruction of 13 tablets of Sulfamethoxazole-Trimethoprim that were not administered to a resident. The facility's policy requires that unused medications be destroyed and documented, but this was not followed in this case. The resident had two separate orders for Sulfamethoxazole-Trimethoprim, with a total of 32 tablets dispensed, but only 19 tablets were documented as administered. Interviews with the Director of Nursing (DON) and a Corporate Nurse confirmed the discrepancy in the medication records. Both acknowledged that the pharmacy dispensed two separate orders for the medication, resulting in 32 tablets, but only 19 were administered according to the records. The facility's medication destruction logs did not show any documentation for the destruction of the remaining 13 tablets, indicating a failure to comply with the facility's policy for medication disposal.
Failure to Verify Nursing Licenses
Penalty
Summary
The facility failed to ensure that two staff members, identified as S6 and S7, were licensed in accordance with applicable state laws before performing duties as licensed nurses. S6 was hired without verification of a practical nurse license for the state of Louisiana, although they held a license for Texas that had expired. During an interview, S6 confirmed they had applied for a Louisiana multistate license but had not yet received it, indicating they only had a license to practice in Texas. Similarly, S7 was hired without verification of their licensure status. The facility provided evidence of a Louisiana practical nurse license that had expired and a registered nurse license with an alert from the Louisiana Registered Nurse Board of Nursing, indicating further verification was needed. The facility did not conduct a license verification for S7 upon hire and had not verified their licensure status annually since their date of hire. This was confirmed by S3 Corporate Nurse, who acknowledged the lack of documentation proving S7 had an active license in Louisiana.
Failure to Update Care Plan for Hospice Admission
Penalty
Summary
The facility failed to ensure the plan of care was revised for a resident who was admitted to Hospice. The resident's physician's orders indicated an admission to Hospice on 03/13/2024. However, a review of the resident's comprehensive care plan revealed that it had not been updated to include the Hospice admission or any related interventions and services. During an interview on 05/08/2024, the MDS Coordinator confirmed that the resident had been admitted to Hospice on 03/13/2024 and acknowledged that the care plan had not been updated accordingly.
Failure to Maintain Oxygen Concentrator Filter
Penalty
Summary
The facility failed to provide necessary respiratory care and services in accordance with accepted professional standards of practice for a resident. Specifically, the facility did not ensure that the oxygen concentrator filter for a resident with chronic obstructive pulmonary disease and other medical conditions was cleaned weekly as required. The resident's physician's orders included instructions to clean the concentrator filter every Wednesday night shift and as needed for contamination. However, an observation revealed that the filter was covered with a large amount of fluffy gray particles, indicating it had not been cleaned. The Director of Nursing acknowledged that the filter was dirty and should have been cleaned during the scheduled maintenance.
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Illustrative
What surveyors actually found near you
We read the 120 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Shreveport
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Southern Hills Healthcare And Rehabilitation | 0.7 mi | ★★★★★ | 3 | 0 |
| The Bradford Skilled Nursing And Rehabilitation | 0.7 mi | ★★★★★ | 8 | 0 |
| Heritage Manor South | 1.3 mi | ★★★★★ | 4 | 0 |
| Garden Park Nursing & Rehab Ctr, Llc | 2.7 mi | ★★★★★ | 9 | 0 |
| Heritage Manor West | 4.1 mi | ★★★★★ | 8 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.