nursing home in West Monroe, LA
Guest House Nursing and Rehabilitation
109 Guest House Drive, West Monroe, LA 71292 · (318) 387-3900
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Guest House Nursing and Rehabilitation at a glance
Guest House Nursing and Rehabilitation is a 140-bed for-profit nursing home in West Monroe, Louisiana (Ouachita County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Louisiana average of 2.6.
Residents receive about 3.9 hours of nursing care per day (0.2 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (July 30, 2025) found 10 health citations. The Louisiana average is 6.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 64.1% per year (state average 47.6%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 140
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- May 16, 2002
- Resident/family council
- Resident
- County
- Ouachita County
- CMS Certification Number
- 195551
Ratings
| Measure | This facility | Louisiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.6 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 2.4 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 2.2 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 2.5 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 2 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Louisiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.93 hrs | 3.76 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.24 hrs | 0.31 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.36 hrs | 2.27 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.35 hrs | 3.21 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 64.1% | 47.6% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 33.3% | 41.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Louisiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 10 | 6 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 57 | 65.4 | 80.6 | Better |
Penalties
| Measure | This facility | Louisiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $46,795 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Louisiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 140 | 122 | 107 | |
| Average residents per day | 105 | 91 | 86 | |
| Occupancy | 75.2% | 74.1% | 80.9% |
Long-stay residents
| Measure | This facility | Louisiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 7.2% | 3.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3.9% | 5.6% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 27.8% | 22.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 4.2% | 2.1% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 3.4% | 1.2% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 31.9% | 17.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 27.2% | 17.9% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 9.6% | 5.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 2.1% | 2.3% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 22.3% | 23.2% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 23.2% | 15.8% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 90.5% | 94.9% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.9% | 93.4% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Louisiana avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3.7% | 3.1% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 85.8% | 76.3% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 90.9% | 85.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 25 health deficiencies and 0 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 13, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected June 19, 2026 |
| July 30, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected August 29, 2025 |
| July 30, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected August 29, 2025 |
| July 30, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 29, 2025 |
| July 30, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected August 29, 2025 |
| July 30, 2025 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected August 29, 2025 |
| July 30, 2025 Standard | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected August 29, 2025 |
| July 30, 2025 Standard | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected August 29, 2025 |
| July 30, 2025 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected August 29, 2025 |
| July 30, 2025 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected August 29, 2025 |
| March 19, 2025 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected April 16, 2025 |
| December 30, 2024 Complaint | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Nursing and Physician Services Deficiencies · Tag F0729 | E Potential harm, pattern | Corrected January 27, 2025 |
| December 30, 2024 Complaint | 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. Quality of Life and Care Deficiencies · Tag F0700 | D Potential harm, isolated | Corrected January 27, 2025 |
| December 30, 2024 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected January 27, 2025 |
| August 13, 2024 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0726 | E Potential harm, pattern | Corrected September 12, 2024 |
| July 24, 2024 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | E Potential harm, pattern | Corrected September 12, 2024 |
| July 24, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | E Potential harm, pattern | Corrected September 12, 2024 |
| July 24, 2024 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | E Potential harm, pattern | Corrected September 12, 2024 |
| July 24, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected September 12, 2024 |
| July 24, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected September 12, 2024 |
| May 16, 2024 Complaint | 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. Administration Deficiencies · Tag F0836 | E Potential harm, pattern | Corrected June 12, 2024 |
| May 16, 2024 Complaint | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Nursing and Physician Services Deficiencies · Tag F0729 | E Potential harm, pattern | Corrected June 12, 2024 |
| May 16, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected June 12, 2024 |
| May 16, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected June 12, 2024 |
| June 22, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected July 28, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ASHBROOK, MICHAEL Individual | 5% or greater direct ownership interest | 26% | 01/01/2011 |
| GOUX, LYNETTE Individual | 5% or greater direct ownership interest | 5% | 01/01/2011 |
| JEFFREY M ASHBROOK TESTAMENTARY TRUST Organization | 5% or greater direct ownership interest | 25% | 01/01/2018 |
| RONALD ANTHONY GOUX ESTATE Organization | 5% or greater direct ownership interest | 5% | 12/29/2020 |
| CASTO, CORTLAND Individual | adp of the snf | NOT APPLICABLE | 08/07/2023 |
| GOUX, JEREMY Individual | adp of the snf | NOT APPLICABLE | 12/31/2012 |
| GOUX, LYNETTE Individual | adp of the snf | NOT APPLICABLE | 12/31/2012 |
| GOUX, TIMOTHY Individual | adp of the snf | NOT APPLICABLE | 01/01/2018 |
| KRIER, BRIAN Individual | adp of the snf | NOT APPLICABLE | 02/01/2013 |
| MAISON HEALTHCARE MANAGEMENT COMPANY LLC Organization | adp of the snf | NOT APPLICABLE | 01/16/2026 |
| RONALD ANTHONY GOUX ESTATE Organization | adp of the snf | NOT APPLICABLE | 12/29/2020 |
| LANDRY, ROBERT Individual | corporate director | NOT APPLICABLE | 01/08/2024 |
| ASHBROOK, MICHAEL Individual | corporate officer | NOT APPLICABLE | 07/18/2009 |
| GOUX, JEREMY Individual | corporate officer | NOT APPLICABLE | 07/08/2008 |
| ROUNSAVILLE, REBECCA Individual | corporate officer | NOT APPLICABLE | 07/08/2008 |
| ASHBROOK, MICHAEL Individual | operational/managerial control | NOT APPLICABLE | 01/01/2015 |
| CASTO, CORTLAND Individual | operational/managerial control | NOT APPLICABLE | 08/07/2023 |
| KRIER, BRIAN Individual | operational/managerial control | NOT APPLICABLE | 02/01/2013 |
| LANDRY, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 01/08/2024 |
| MAISON HEALTHCARE MANAGEMENT COMPANY LLC Organization | operational/managerial control | NOT APPLICABLE | 01/01/2015 |
Other nursing homes near Guest House Nursing and Rehabilitation
Ridgecrest Community Care Center
1616 Wellerman Road, West Monroe, LA 71291 · 5.9 mi
Non-profit · 112 beds · Part of Commcare Corporation
★★★★★4Above averageLandmark Nursing & Rehabilitation Ctr of West Mon
1611 Wellerman Road, West Monroe, LA 71291 · 6 mi
For-profit · 140 beds · Part of Central Management Company
★★★★★2Below average- ★★★★★2Below average
Delta Grande Skilled Nursing and Rehabilitation
3001 South Grande Street, Monroe, LA 71202 · 7.6 mi
For-profit · 74 beds · Part of Paramount Healthcare Consultants
★★★★★3Average- ★★★★★2Below average
St Joseph Skilled Nursing and Rehabilitation
2301 Sterlington Road, Monroe, LA 71203 · 9.8 mi
For-profit · 130 beds · Part of Priority Management
- New owner (last 12 months)
★★★★★1Much below average
Frequently asked questions
What is Guest House Nursing and Rehabilitation's rating?
Guest House Nursing and Rehabilitation has 1 out of 5 stars on the CMS overall star rating. The average for Louisiana nursing homes is 2.6 stars.
How many inspection citations did Guest House Nursing and Rehabilitation receive?
Its most recent standard health inspection found 10 citations, compared with a Louisiana average of 6.4. Every citation is listed on this page with its severity.
Does Guest House Nursing and Rehabilitation accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Guest House Nursing and Rehabilitation?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Guest House Nursing and Rehabilitation and how do I contact it?
Guest House Nursing and Rehabilitation is at 109 Guest House Drive, West Monroe, LA 71292. Phone: (318) 387-3900.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.