The Guest House Skilled Nursing and Rehabilitation
The Guest House Skilled Nursing and Rehabilitation is a 177-bed nursing home in Shreveport, Louisiana. CMS has certified it for Medicare and Medicaid since 1996-08-01. It averages 133.9 residents a day.
What harm was found in the violations cited at The Guest House Skilled Nursing and Rehabilitation?
CMS lists 45 health-inspection deficiencies for The Guest House Skilled Nursing and Rehabilitation, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is L; the most recent health inspection was 2026-06-04.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-04 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F |
| 2026-06-04 | F0550, F0609, F0656, F0695, F0757 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident’s drug regimen must be free from unnecessary drugs. | E |
| 2026-06-04 | F0575, F0578, F0636 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. / 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. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D |
| 2025-04-10 | F0554, F0558, F0565, F0637, F0656, F0695, F0698, F0700, F0757, F0758, F0761, F0947 | Allow residents to self-administer drugs if determined clinically appropriate. / Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to organize and participate in resident/family groups in the facility. / Assess the resident when there is a significant change in condition / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / 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. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2025-04-10 | F0690, F0851 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D |
| 2024-09-25 | F0689, F0835 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J |
| 2024-09-25 | F0609, F0610 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. | D |
| 2024-08-28 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E |
| 2024-06-20 | F0755, F0839 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Employ staff that are licensed, certified, or registered in accordance with state laws. | E |
| 2024-05-09 | F0657, F0695 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2024-03-14 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2024-03-14 | F0565, F0656, F0676, F0757 | Honor the resident's right to organize and participate in resident/family groups in the facility. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Ensure each resident’s drug regimen must be free from unnecessary drugs. | E |
| 2024-03-14 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2023-09-20 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2023-08-17 | F0835, F0925 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | L |
| 2023-08-17 | F0557, F0656, F0693, F0921 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
Why was The Guest House Skilled Nursing and Rehabilitation fined 3 times?
| Date | Type | Amount |
|---|---|---|
| 2024-09-25 | Fine | $112,197 |
| 2024-03-14 | Fine | $12,761 |
| 2023-09-20 | Fine | $11,174 |
How is The Guest House Skilled Nursing and Rehabilitation staffed relative to the LA average?
| Measure | This facility | LA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 2.66531 | 3.72501 |
| Total nursing staff turnover (%) | 65.8 | 47.6 |
| Average number of residents per day | 133.9 | 90.7 |
Who owns The Guest House Skilled Nursing and Rehabilitation, and what chain is it in?
The Guest House Skilled Nursing and Rehabilitation is registered with CMS as For profit - Limited Liability company, operates under the legal business name PMG OPCO-GUEST HOUSE LLC and belongs to the PRIORITY MANAGEMENT chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | SDB HOLDINGS | since 04/01/2019 |
| INDIRECT OWNERSHIP INTEREST | BAUDER, WILLIAM, BOULWARE, DOUGLAS, BOULWARE, STEVEN | since 04/01/2019 |
| OPERATIONAL/MANAGERIAL CONTROL | PRIORITY MANAGEMENT GROUP, LLC, BAUDER, WILLIAM, BOULWARE, STEVEN | since 04/01/2019 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | BOULWARE, STEVEN | since 08/14/2025 |
| ADP OF THE SNF | PRIORITY MANAGEMENT GROUP, LLC, PROGRESSIVE REHAB SOLUTIONS, LLC, BIHM, CHRISTIAN, MCGRAW, JIMIKA | since 01/01/2023 |
Were you or a family member harmed at The Guest House Skilled Nursing and Rehabilitation?