Home / Louisiana / Bossier City
4405 Airline Drive, Bossier City, LA 71111 · Bossier County · (318) 747-5440
77 certified beds, about 30 residents a day · For profit - Limited Liability company · Medicare since 1990
CMS Care Compare ratings, data as of September 1, 2026 · CCN 195247 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on January 21, 2026, inspectors cited 3 health deficiencies (the Louisiana average is 6.4, the national average 9.2).
Of 36 health citations since October 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 1 fine totaling $8,281 in the last three years; the largest was $8,281, and the latest is dated June 23, 2025.
Nurses and nurse aides worked 3.41 hours per resident per day, against 3.76 across Louisiana and 3.86 nationally. Registered nurses accounted for 0.41 of those hours.
86.7% of nursing staff left within the year CMS measured (Louisiana average 47.6%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 36 health citations on file.
Inspectors wroteBased on record reviews and interview the facility failed to ensure physician orders were followed for 3 (#1, #2, and #5) of 5 (#1, #2, #3, #4, #5) sampled residents reviewed for wounds. The facility failed to ensure evidence that wound care was conducted as ordered.
Inspectors wroteBased on record reviews and interview, the facility failed to ensure CNA's were able to demonstrate competency in skills necessary to care for residents' needs as identified through resident assessments and described in residents' plans of care for 2 (S5, S6) of 5 CNA personnel records reviewed.
Inspectors wroteBased on record reviews and interview, the facility failed to obtain a CNA registry verification prior to hire for 2 (S4CNA, S7CNA) of 5 CNA personnel records reviewed.
Inspectors wroteBased on observation, interviews, and record review, the facility failed to honor and accommodate resident food allergies, intolerances, and preferences by failing to ensure a resident received meals that did not include food allergies for 1 (#20) of 1 (#20) resident reviewed for food. This deficient practice had the potential to affect all 20 residents who consumed meals from the kitchen.
Inspectors wroteBased on record review, observations, and interviews, the facility failed to assess a resident upon readmission for the risk of elopement and failed to identify the need for supervision related to wandering tendencies displayed by a resident for 1 (#1) of 3 (#1, #2, #3) sampled residents reviewed for elopement. The deficient practice resulted in an Immediate Jeopardy for Resident #1 on 06/10/2025 when Resident #1 walked out of the facility's locked front door with S1Medical Director and was left unattended on the facility's front porch. Resident #1 walked along a busy 4 lane road without supervision and entered a dental office business approximately 37 feet from the facility's parking lot. Resident #1 was last observed in the facility at approximately 9:00 a.m. when Resident #1 was observed sitting in the day area on the couch. [...]
Inspectors wroteBased on record review and interviews, the facility failed to be administered in a manner that enabled its resources to be used effectively and efficiently to attain or maintain the highest practicable physical, mental and psychosocial well-being for 1 (Resident #1) of 3 (#1, #2, #3) sampled residents reviewed for elopement. S3Director of Nursing (DON) failed to ensure the nursing staff conducted a risk for elopement assessment for Resident #1 at the time of readmission to the facility and failed to implement elopement precautions. The deficient practice resulted in an Immediate Jeopardy for Resident #1 on 06/10/2025 when Resident #1 walked out of the facility's locked front door with S1Medical Director and was left unattended on the facility's front porch. [...]
Inspectors wroteBased on record review and interviews, the facility failed to assess a resident for the risk of elopement and failed to ensure an assessment accurately reflected the resident's status for 1 (#1) of 3 (#1, #2, #3) residents reviewed for elopement, impaired cognition and/or a diagnosis which may increase the risk of elopement by failing to: 1. Ensure a nursing assessment and elopement risk assessment were completed for Resident #1 at the time of readmission on [DATE]. 2. Ensure Resident #1's behavioral section on Minimum Data Set (MDS) with an assessment reference date (ARD) of 03/31/2025 was completed accurately.
Inspectors wroteBased on record review and interview the facility failed to implement the plan of care to meet the needs of 1 (#1) out of a total of 3, (#1, #2, #3) sampled residents by failing to complete an x-ray as ordered by the physician.
Inspectors wroteBased on observation and interviews the facility failed to ensure a resident received the necessary care and services to maintain the highest practicable physical, mental and psychosocial well-being, consistent with the resident's comprehensive assessment and plan of care for 1( #3) resident out of 3 (#1,#2, #3) sampled residents. The facility failed to ensure a resident request for toileting assistance was answered in a timely manner.
Inspectors wroteBased on record reviews and interviews, the faciity failed to implement the care plan for 2 (#2, #3) of 3 (#1, #2, #3) sampled residents reviewed. The facility failed to administer antibiotic for Resident #2 and provide wound care for Resident #3 as ordered.
Inspectors wroteBased on observation and interview, the facility failed to ensure the nurse staffing data was posted on a daily basis at the beginning of each shift.
Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to ensure medications were available for administration for 1 (#1) of 3 (#1, #2, #3) sampled residents reviewed. The facility failed to ensure a controlled drug was available and administered to Resident #1.
Inspectors wroteBased on record review and interview the facility failed to immediately notify the resident's representative after an incident with an injury for 1 (#2) of 3 (#1, #2, #3) sampled residents reviewed.
Inspectors wroteBased on record review and interviews the facility failed to ensure a baseline care plan was developed for 1 (#2) of 3 (#1, #2, #3) sampled residents. The facility failed to ensure a baseline care plan was developed for Resident #2.
Inspectors wroteBased on record review and interview, the facility failed to ensure an RN (Registered Nurse) was on duty for 8 consecutive hours per day 7 days per week. This deficient practice had the potential to affect all 24 residents residing in the facility.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure an effective system was in place for advanced directives. The facility failed to ensure: 1. Resident's medical records accurately reflected the residents' wishes for emergency basic life support for 8 (#1, #15, #9, #76, #77, #126, #127, #175 ) residents; 2. Failed to document residents and/or resident's representative were given information on Advanced Directives on admission for 12 (#9, #76, #77, #126, #127, #175, #4, #11, #12, #20, #75, #125) residents, of 19 (#9, #77, #11, #75, #12, #76, #125, #126, #1, #127, #4, #20, #15, #175, #2, #8, #22, #24, and #18) residents reviewed for Advanced Directives. Total facility census was 23.
Inspectors wroteBased on record reviews, observations, and interviews, the facility failed to ensure residents were assessed for the risk of entrapment from bed rails and received a written order from the physician for bed rails prior to installation for 7 (#4, #20, #125, #22, #75, #9, #126) of 7 (#4, #20, #125, #22, #75, #9, #126) residents reviewed for accident hazards.
Inspectors wroteBased on record reviews and interviews, the facility failed to ensure each resident's drug regimen was free of unnecessary medications for 4 (#9, #11, #76, #175) of 5 (#9, #11, #76, #127 and #175) residents reviewed for unnecessary medications. The facility failed to ensure adequate monitoring of: Resident #9 for edema related to the use of diuretic Bumex. Resident #11 for edema related to the use of the diuretic Furosemide (Lasix). Resident #11 for bleeding related to the use of an anticoagulant Apixaban (Eliquis). Resident #76 for edema related to the use of the diuretic Furosemide. Resident #175 for bleeding related to the use of the anticoagulant Dabigatran Etexillate Mesylate.
Inspectors wroteBased on record reviews and interviews, the facility failed to ensure each resident's drug regimen was free of unnecessary medications for 2 (#9, #175) out of 5 (#9, #11, #76, #127, #175) residents reviewed for unnecessary medications. The facility failed to ensure monitoring of side effects and behaviors had been conducted for Resident #9 and Resident #175 who were each receiving a psychotropic.
Inspectors wroteBased on record reviews and interviews the facility failed to comply with Federal, State, and Local Laws, and Professional Standards by: 1. Failing to ensure CNA (Certified Nursing Assistant) staff had undergone and passed criminal background checks prior to working in the facility for 2 CNAs (S12, S14) of 5 CNA personnel records reviewed. 2. Failing to ensure the nurse aide registry/adverse action list was searched monthly for 3 CNAs (S12, S13, S14) of 5 CNA personnel records reviewed.
Inspectors wroteBased on record reviews and interviews the facility failed to ensure a baseline care plan was completed within 48 hours of admission for 2 (#75, #76) of 20 sampled residents.
Inspectors wroteBased on record review, observations and interviews the facility failed to ensure oxygen therapy was provided according to the facility's Policy and Procedure for Oxygen therapy for 3 (#12, #15, and #175) of 3 residents reviewed for respiratory care. The facility failed to ensure: Resident #12 had a physician order for oxygen therapy when Resident #12 had been receiving oxygen for several days. Resident #15's CPAP (continuous positive airway pressure) mask and tubing was stored properly when not in use. Resident #175 had a physician order for CPAP and was care planned for the use of CPAP. Resident #175's CPAP mask and tubing was stored properly when not in use.
Inspectors wroteBased on record reviews and an interview, the facility failed to ensure that a resident who required dialysis received services consistent with professional standards of practice for 1 (#18) of 1 resident reviewed for dialysis by failing to obtain weekly weights according to the plan of care and communicate and collaborate with the dialysis facility by completing the hemodialysis communication record form.
Inspectors wroteBased on record reviews and interview, the facility failed to ensure the use of services of a registered nurse (RN) for at least 8 consecutive hours a day, 7 days a week during FY (Fiscal Year) Quarter 3 2024 (April 1- June 30).
Inspectors wroteBased on record reviews and interview the facility failed to ensure annual performance evaluations were conducted on 2 CNAs [Certified Nursing Assistants (S13 CNA, S14 CNA)] out of 5 CNA personnel records reviewed.
Inspectors wroteBased on record review and interviews the facility failed to accurately submit mandatory direct care staffing information to Centers for Medicare & Medicaid Services (CMS) for Fiscal Year (FY) Quarter 3 2024 (April 1- June 30).
Inspectors wroteBased on record review and interview, the facility failed to conduct Quality Assessment and Assurance (QAA) meeting at least quarterly with required staff present since last annual survey dated 10/04/2023.
Inspectors wroteBased on record reviews and interviews the facility failed to ensure immunizations were administered to residents who consented to receive the influenza, pneumococcal and/or COVID-19 immunizations during the admission process for 2 (#11, #77) of 2 (#11, #77) residents reviewed for immunizations.
Inspectors wroteBased on record reviews and interview the facility failed to ensure CNAs (Certified Nursing Assistants) received the required training for 1 CNA (S12) out of 5 CNA personnel records reviewed.
Inspectors wroteBased on record review, observations and interviews, the facility failed to ensure 2 (#2, #3) out of 3 (#1, #2, #3) sampled resident's received treatment and care in accordance with professional standards of practice and the comprehensive care plan. The facility failed to: 1. Identify Resident #2 and Resident #3 as high risk falls, and 2. Ensure Resident #3 was wearing proper foot wear to prevent falls.
Inspectors wroteBased on interviews, the facility failed to notify resident representative of changes in condition for 1 (#2) out of 3 (#1, #2, #3) sampled residents reviewed. The facility failed to notify Resident #2's resident representative of a fall requiring treatment at a hospital.
Inspectors wroteBased on record review and interview, the facility failed to develop a care plan for 1 (#1) out of 3 (#1, #2, #3) sampled residents reviewed.
Inspectors wroteBased on observation, record review, and interviews, the facility failed to ensure appropriate care and services had been provided for 1 (#177) of 1 (#177) resident reviewed for Dialysis. The facility failed to ensure Resident #177's dialysis shunt was accurately assessed and monitored.
Inspectors wroteBased on record reviews and interview the facility failed to ensure State Registry verifications were completed prior to hire for 1 [S6 CNA (Certified Nursing Assistant)] of 5 CNA personnel files reviewed.
Inspectors wroteBased on record reviews and interview, the facility failed to complete an annual performance review of every nurse aide at least once every 12 months for 4 [S4 CNA (Certified Nursing Assistant) S5 CNA, S7 CNA, and S8 CNA)] of 5 CNA personnel files reviewed.
Inspectors wroteBased on record review and interview, the facility failed to obtain orders on admission for Oxygen, Foley catheter and Trilogy Machine use, care and treatment for 1 (#24) of 2 (#24, #25) closed records reviewed.
1 fire safety citation on file: 1 on October 17, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| June 23, 2025 | Fine | $8,281 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Louisiana | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.41 | 3.76 | 3.86 |
| Registered nurses | 0.41 | 0.31 | 0.69 |
| All nursing staff on weekends | 2.97 | 3.21 | 3.42 |
| Nurse aides | 1.45 | ||
| Licensed practical nurses | 1.55 | ||
| Nursing staff turnover (share who left in a year) | 86.7% | 47.6% | 45.8% |
| Registered nurse turnover | 100.0% | 41.6% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.82 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.58 on weekdays and 2.97 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.08 in April to June 2025 to 3.41 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.41 | 0.41 | 3.58 | 2.97 | 0.8% | 0 of 90 | 30 |
| Oct to Dec 2025 | 3.81 | 0.54 | 3.95 | 3.45 | 3.8% | 0 of 92 | 28 |
| Jul to Sep 2025 | 4.18 | 0.60 | 4.32 | 3.84 | 0.0% | 0 of 92 | 26 |
| Apr to Jun 2025 | 4.08 | 0.55 | 4.22 | 3.74 | 1.1% | 0 of 91 | 27 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Louisiana, Jan to Mar 2026 | 3.64 | 0.26 | 3.86 | 3.10 | 3.6% | 0.9% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Louisiana, all employers | |||
| CNAs (nursing assistants) | $14.67 | $13.97 to $16.87 | 20,690 |
| LPNs and LVNs | $27.63 | $23.87 to $29.43 | 17,600 |
| Registered nurses | $38.57 | $33.19 to $45.00 | 48,970 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Louisiana | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 30.0 | 17.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.3 | 1.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.7 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 5.2 | 3.1 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.7 | 5.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 25.0 | 22.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.6 | 28.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.2 | 14.8 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Adira Medical Resort's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (59.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
59.3% this home
No different from the national rate
US median of homes 51.5% · Louisiana: 16 better, 33 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 47 eligible stays.
11.2% this home
No different from the national rate
US median of homes 10.7% · Louisiana: 0 better, 3 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 47 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Louisiana: 1 better, 7 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 20 eligible stays.
33.9% this home
Median of homes: Louisiana50.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 62 residents counted.
0.8% this home
Median of homes: Louisiana1.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 118 residents counted.
7.4% this home
Median of homes: Louisiana2.8% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 118 residents counted.
89.3% this home
Median of homes: Louisiana100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 28 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: 4405 AIRLINE DRIVE OPCO LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Airline Drive Bossier LLC | 5% or greater direct ownership interest | Organization | 100% | 03/01/2024 |
| Doodle La Holdings, LLC | 5% or greater indirect ownership interest | Organization | 03/01/2024 | |
| Rmg Enterprises Solutions, Inc. | 5% or greater indirect ownership interest | Organization | 03/01/2024 | |
| Frankel, Raizy | 5% or greater indirect ownership interest | Individual | 03/01/2024 | |
| Mushell, Shlomo | 5% or greater indirect ownership interest | Individual | 03/01/2024 | |
| Bass, Pat | Contracted managing employee | Individual | 03/01/2024 | |
| Mize, Gary | W-2 managing employee | Individual | 03/01/2024 | |
| Mushell, Shlomo | Corporate officer | Individual | 03/01/2024 | |
| Bass, Pat | Operational/managerial control | Individual | 12/04/2024 | |
| Mize, Gary | Operational/managerial control | Individual | 12/04/2024 | |
| Mushell, Shlomo | Operational/managerial control | Individual | 12/04/2024 | |
| Pelican Care Group LLC | Adp of the SNF | Organization | 12/04/2024 | |
| Bass, Pat | Adp of the SNF | Individual | 12/04/2024 | |
| Mize, Gary | Adp of the SNF | Individual | 12/04/2024 | |
| Mushell, Shlomo | Adp of the SNF | Individual | 12/04/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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