Green Meadow Haven
1110 Ringgold Avenue, Coushatta, LA 71019 · Red River County · (318) 932-5202
157 certified beds, about 83 residents a day · For profit - Corporation · Medicare and Medicaid since 2002
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
CMS note: This facility reported a high number of days without a registered nurse onsite.
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 195562 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 20, 2025, inspectors cited 6 health deficiencies (the Louisiana average is 6.4, the national average 9.2).
Of 10 health citations since June 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,278 in the last three years; the largest was $8,278, and the latest is dated August 20, 2025.
Nurses and nurse aides worked 3.67 hours per resident per day, against 3.76 across Louisiana and 3.86 nationally. Registered nurses accounted for 0.18 of those hours.
Health inspections
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.
206/23
207/24
608/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
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 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
1D
8E
0F
Potential for minimal harm
0A
0B
0C
August 20, 2025Standard inspection · 6 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, record reviews and interviews the facility failed to have a system in place to prevent accident hazards for 1 (#67) of 4 (#4, #46, #67, #84) sampled residents investigated for accidents. The facility failed to ensure coffee was served at a safe temperature to prevent burn injuries. The deficient practice resulted in an actual harm on 08/13/2024 at approximately 8:40 a.m. when Resident #67 spilled her breakfast coffee onto her lap. Resident #67 was not aware she had a burn to her left anterior thigh until S6 CNA (Certified Nursing Assistant) came to help her clean up and her left anterior thigh had a reddened area with blisters. S5 NP (Nurse Practitioner) was notified and identified the burn as a partial thickness burn of left upper thigh (2nd degree) and burn treatment began. [...]
- E Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on record review, observations, and interviews the facility failed to ensure a resident received reasonable accommodation of needs by failing to have an assistive device accessible to 1 (#3) of 19 sampled residents.
- E Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on record review and interviews, the facility failed to ensure a resident with an order for psychotropic medication as needed (PRN) was not subjected to chemical restraints for 1 (#4) of 6 (#1, #2, #4, #9, #12, and #51) residents reviewed for unnecessary medications. The facility failed to ensure Resident #4's PRN order for psychotropic medication was limited to 14 days.
- E Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record reviews and interviews, the facility failed to provide written notice to residents and/or their RP (Responsible Party) which specified the reason for transfer, effective date, location and statement of the resident's appeal rights and duration of the bed hold for 3 (#4, #81, #89) of 3 (#4, #81, #89) residents reviewed for transfers.
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review and interview the facility failed to ensure a physician's order was implemented for 1 (#16) of 1 (#16) resident reviewed for urinary catheter. The facility failed to ensure Resident #16 received a referral appointment to Urology.
- E Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on record review and interview, the facility failed to electronically submit Payroll Based Journal (PBJ) Staffing Data Report 1705D for Fiscal Year Quarter 2 2025 (January 1 - March 31).
July 24, 2024Standard inspection · 2 citations
- E Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record reviews and interview, the facility failed to ensure residents' drug regimens were free of unnecessary medications for 5 (#17, #34, #41, #44, #382) out of 26 total sampled residents. The facility failed to adequately monitor Residents #17, #34, #41, #44, and #382 for edema while receiving a diuretic. The facility failed to adequately monitor Resident #17 for bleeding while receiving an anticoagulant.
- E Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
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 2 2024 (January 1 - March 31).
June 28, 2023Standard inspection · 2 citations
- E Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Inspectors wroteBased on record reviews and interview the facility failed to ensure Adverse Action checks were completed at time of hire and then monthly for 6 [S2 CNA (Certified Nursing Assistant), S3 CNA, S4 CNA, S5 CNA, S6 CNA, S7 CNA] of 6 employees whose personnel files were reviewed.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on record review, observations, and interviews the facility failed to ensure residents who were unable to complete Activities of Daily Living (ADLs) received the necessary services to maintain proper grooming and hygiene for 1 (#40) of 1 (#40) resident reviewed for ADLs. The facility failed to ensure Resident #40 received nail care.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| August 20, 2025 | Fine | $8,278 |
| August 20, 2025 | Payment Denial | 9 days from September 23, 2025 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
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) | 3.67 | 3.76 | 3.86 |
| Registered nurses | 0.18 | 0.31 | 0.69 |
| All nursing staff on weekends | 2.95 | 3.21 | 3.42 |
| Nurse aides | 2.59 | ||
| Licensed practical nurses | 0.91 | ||
| Nursing staff turnover (share who left in a year) | not reported | 47.6% | 45.8% |
| Registered nurse turnover | not reported | 41.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 2.90 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
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 3.96 on weekdays and 2.95 on weekends, 26% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.05 in April to June 2025 to 3.67 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 | 3.67 | 0.18 | 3.96 | 2.95 | 0.0% | 6 of 90 | 83 |
| Oct to Dec 2025 | 4.01 | 0.16 | 4.33 | 3.20 | 0.0% | 8 of 92 | 81 |
| Jul to Sep 2025 | 4.15 | 0.19 | 4.54 | 3.16 | 0.0% | 7 of 92 | 81 |
| Apr to Jun 2025 | 4.05 | 0.23 | 4.43 | 3.11 | 0.0% | 0 of 91 | 81 |
| 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.
Quality measures
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 | 13.7 | 17.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.6 | 1.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.8 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.6 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.0 | 3.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.8 | 17.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.9 | 5.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.6 | 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 | 12.7 | 14.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.9 | 2.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.5 | 2.7 | 1.8 |
Owners and operators
Legal business name: CLD INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bingham, Carla | 5% or greater direct ownership interest | Individual | 9% | 12/29/1998 |
| Bingham, Valerie | 5% or greater direct ownership interest | Individual | 9% | 12/29/1998 |
| Dupree, Doris | 5% or greater direct ownership interest | Individual | 11% | 12/29/1998 |
| Lancaster, John | 5% or greater direct ownership interest | Individual | 5% | 12/29/1998 |
| Lancaster, Pamela | 5% or greater direct ownership interest | Individual | 10% | 12/29/1998 |
| Redd, Sharon | 5% or greater direct ownership interest | Individual | 11% | 12/29/1998 |
| Reynolds, Donnice | 5% or greater direct ownership interest | Individual | 17% | 12/29/1998 |
| Sistrunk, Tammie | 5% or greater direct ownership interest | Individual | 17% | 12/29/1998 |
| Vidrine, Teresa | 5% or greater direct ownership interest | Individual | 11% | 12/29/1998 |
| Bingham, Carla | Corporate director | Individual | 12/29/1998 | |
| Bingham, Valerie | Corporate director | Individual | 12/29/1998 | |
| Dupree, Doris | Corporate director | Individual | 12/29/1998 | |
| Lancaster, John | Corporate director | Individual | 12/29/1998 | |
| Lancaster, Pamela | Corporate director | Individual | 12/29/1998 | |
| Redd, Sharon | Corporate director | Individual | 12/29/1998 | |
| Sistrunk, Tammie | Corporate director | Individual | 12/29/1998 | |
| Vidrine, Teresa | Corporate director | Individual | 12/29/1998 | |
| Reynolds, Donnice | Corporate officer | Individual | 12/29/1998 | |
| Reynolds, Gabriel | Corporate officer | Individual | 01/01/2016 | |
| Reynolds, Gabriel | Operational/managerial control | Individual | 01/01/2016 | |
| Reynolds, Gabriel | Adp of the SNF | Individual | 01/01/2016 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on August 20, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on August 20, 2025: "Reasonably accommodate the needs and preferences of each resident."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on August 20, 2025: "Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on August 20, 2025: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.95 hours per resident per day, below the Louisiana average of 3.21.
Other nursing homes nearby
- Mansfield Nursing Center Mansfield, 20.2 mi · 4 of 5 stars · 15 citations
- Onyx Care of Ringgold Ringgold, 20.2 mi · 4 of 5 stars · 15 citations
- Desoto Retirement & Rehab Ctr, LLC Mansfield, 21.7 mi · 3 of 5 stars · 16 citations
- Courtyard of Natchitoches Natchitoches, 24.6 mi · 1 of 5 stars · 45 citations
- Onyx Care of Natchitoches Natchitoches, 24.6 mi · 1 of 5 stars · 62 citations
Louisiana contacts for a concern about a nursing home
These are the official offices in Louisiana. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Louisiana Department of Health, Health Standards Section, Nursing Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Louisiana Long-Term Care Ombudsman Program, Governor's Office of Elderly Affairs, (866) 632-0922. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Green Meadow Haven's Medicare star rating?
- CMS rates Green Meadow Haven 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Green Meadow Haven get at its last inspection?
- 6 health deficiencies at the standard inspection on August 20, 2025. The Louisiana average is 6.4.
- Has Green Meadow Haven been fined?
- Yes. CMS lists 1 fine totaling $8,278 in the last three years.
- Does Green Meadow Haven accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Green Meadow Haven?
- CMS lists 21 owners and managers. Legal business name: CLD INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.