9225 Normandie Drive, Shreveport, LA 71118 · Caddo County · (318) 686-0515
177 certified beds, about 134 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 195380 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 4, 2026, inspectors cited 9 health deficiencies (the Louisiana average is 6.4, the national average 9.2).
Of 39 health citations since September 2023, 4 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).
CMS lists 3 fines totaling $136,132 in the last three years; the largest was $112,197, and the latest is dated September 25, 2024.
Nurses and nurse aides worked 2.67 hours per resident per day, against 3.76 across Louisiana and 3.86 nationally. Registered nurses accounted for 0.24 of those hours.
65.8% of nursing staff left within the year CMS measured (Louisiana average 47.6%).
CMS links it to Priority Management, an affiliated group of 38 nursing homes.
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 39 health citations on file.
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 a week, for 2 days within FY (Fiscal Year) Quarter 1, 2025 (October 1- December 31).
Inspectors wroteBased on record review, observation, and interviews, the facility failed to ensure residents' right to a dignified existence in an environment that promotes maintenance and enhancement of quality of life for 1 (#127) of 1 resident reviewed for dignity. The facility failed to provide privacy for Resident #127 while in a community hall shower room.
Inspectors wroteBased on record reviews and interviews, the facility failed to ensure an alleged violation of resident to resident physical abuse was reported to the appropriate state agency within 2 hours after the allegations were made for 2 (#11 and #88) of 27 sampled residents. Resident #11 was subject to physical abuse by Resident #88.
Inspectors wroteBased on record review and interviews, the facility failed to ensure a plan of care had been implemented for 1 (#11) of 27 sampled residents whose care plans were reviewed. The facility failed to administer Resident #11's monthly psychotropic medication dose as ordered.
Inspectors wroteBased on record reviews, observations, and interviews the facility failed to ensure residents who need respiratory care were provided care consistent with professional standards of practice for 3 (#37, #50, and #51) of 3 residents reviewed for respiratory care. The facility failed to ensure:1. O2 (oxygen) tubing was dated when changed for Residents #37, #50, and #51,2. humidification bottle was dated when changed for Resident #37,3. O2 tubing was bagged when not in use for Resident #37,4. nebulizer, Bipap (bi-level positive airway pressure) and Cpap (continuous positive airway pressure) masks were bagged when not in use for Residents #37, #50 and #51 and5. lung sounds were monitored after nebulizer treatment for Resident #50.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident's drug regimen was free of unnecessary medications for 1 (#4) of 5 residents reviewed for unnecessary medications. The facility failed to monitor for edema for a resident receiving a diuretic.
Inspectors wroteBased on observation and interviews, the facility failed to ensure name, address, and telephone numbers of all pertinent State agencies were posted in a manner accessible to residents and resident representatives. The facility failed to post the LDH (Louisiana Department of Health) nursing home complaint phone number.
Inspectors wroteBased on record reviews and interview the facility failed to provide documentation regarding the existence of any written advance directives for 2 (#4, #20) of 2 residents reviewed for Advanced Directives.
Inspectors wroteBased on record review and interview the facility failed to accurately assess each resident's respiratory status by failing to ensure the Minimum Data Set (MDS) assessment was accurate for 1 (#37) of 27 total sampled residents.
Inspectors wroteBased on record reviews, observation, and interviews the facility failed to ensure it was clinically appropriate for a resident to self-administer medications for 1 (Resident #54) of 41 Sampled Residents.
Inspectors wroteBased on record reviews, observations, and interview, the facility failed to accommodate the needs of 3 (#26, #30, #325) of 41 sampled residents. The facility failed to ensure the resident's call lights remained in reach.
Inspectors wroteBased on record reviews and interviews the facility failed to consider the views of residents' grievances voiced during Resident Council Meeting. The facility failed to act promptly upon 1 (#79) of 1(#79) resident's grievances concerning issues of resident care and life in the facility.
Inspectors wroteBased on record reviews and interviews the facility failed to complete a significant change assessment for 1 (#75) of 3 (#14, #75, #84) residents reviewed for hospitalization. The facility failed to complete a significant change assessment after Resident #75 was diagnosed with a cerebral vascular infarction resulting in right dominant side hemiplegia.
Inspectors wroteBased on record reviews and interviews, the facility failed to develop and implement residents comprehensive care plan for 2 (#116, #225) out of 40 total sampled residents reviewed. The facility failed to: 1. develop Resident #116's plan of care to include diabetes with insulin use, diuretic use and oxygen use, and 2. monitor Resident #225's urinary catheter for urine color and consistency.
Inspectors wroteBased on record reviews, observations, and interviews, the facility failed to ensure that each resident receives necessary respiratory care and services in accordance with professional standards of practice and the resident's plan of care for 2 (#54, #116) of 4 (#54, #75, #89, #116) residents reviewed for respiratory care. The facility failed to change the oxygen tubing and humidification bottle, change the nebulizer mask or provide a cover for the oxygen tubing and nebulizer mask when not in use for Resident #54 and Resident #116
Inspectors wroteBased on record reviews and interviews, the facility failed to ensure appropriate care and services were provide for 1 (#52) of 1 (#52) resident reviewed for dialysis. The facility failed ensure Resident #52s dialysis shunt was accurately assessed and monitored.
Inspectors wroteBased on record reviews, observations, and interviews the facility failed to ensure residents were assessed for the risk of entrapment from bed rails prior to installation and use for 2 (#43, #80) of 2 residents reviewed for accident hazards.
Inspectors wroteBased on record reviews and interviews, the facility failed to ensure residents were free from unnecessary medications for 3 (#46, #52, #54) out of 8 (#10, #23, #46, #50, #52, #54, #90, #115, #117) residents review for unnecesary medications . The facility failed to monitor Resident #46, Resident #52, and Resident #54 for edema while receiving a diuretic.
Inspectors wroteBased on record reviews and interviews the facility failed to ensure resident drug regimens were free of unnecessary medications for 1 (#117) of 5 (#10, #23, #90, #115, #117) residents reviewed for unnecessary medications. The facility failed to ensure monitoring of side effects and behaviors had been conducted on Resident #117 who received psychotropic medications.
Inspectors wroteBased on record reviews, observations and interviews, the facility failed to ensure drugs and biologicals used in the facility must be labeled in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date when applicable. The facility failed to ensure 1 out of 4 medication carts and 1 out of 3 medication rooms contained unexpired medications.
Inspectors wroteBased on record reviews and interview the facility failed to ensure CNAs (Certified Nursing Assistants) received required abuse prevention and dementia management training for 4 (S4 CNA, S12 CNA, S13 CNA, S14 Contract CNA) of 6 CNA personnel records reviewed.
Inspectors wroteBased on record reviews and interviews, the facility failed to ensure proper infection control techniques were practiced to prevent urinary tract infection for 1 (#225) of 1 (#14, #61, #225) residents observed during urinary catheter care.
Inspectors wroteBased on record review and interviews the facility to accurately submit mandatory direct care staffing information to Centers for Medicare & Medicaid Services (CMS) for Fiscal Year (FY) Quarter 1 2025 (October 1-December 31).
Inspectors wroteBased on record reviews, video review, and interviews the facility failed to supervise cognitively impaired residents who were high risk for elopement. Resident #1 exited the facility and Residents #5 and #6 remained at high risk for elopement, 3 (#1, #5, #6) of 6 (#1, #2, #3, #4, #5, #6) sampled residents reviewed for elopement. This deficient practice resulted in an Immediate Jeopardy (IJ) on 04/07/2024 at 2:50 a.m. when Resident #1, a moderately cognitively impaired resident who ambulated with a walker, was unsupervised and eloped from the facility. Resident #1 crawled out of the window in her room and exited the facility. Staff did not realize Resident #1 eloped from the facility until staff received a phone call from the S9 Responsible, reporting the Resident #1 was found at a gas station approximately one mile from the facility. [...]
Inspectors wroteBased on record review, video review, an interviews, the facility failed to be administered in a manner that enabled its resources to be used effectively and efficiently by failing to have an adequate system in place to ensure 3 (#1, #5, #6) of 6 (#1, #2, #3, #4, #5, #6) sampled residents who were at risk for elopement were adequately supervised to prevent elopement from the facility. The lack of administrative oversight resulted in an Immediate Jeopardy on 04/07/2024 at 2:50 a.m. when Resident #1, a moderately cognitively impaired resident who ambulated with a walker, was unsupervised and eloped from the facility. Resident #1 crawled out of the window in her room and exited the facility. Staff did not realize Resident #1 eloped from the facility until staff received a phone call from S9 Responsible Party, reporting the Resident #1 was found at a gas station. [...]
Inspectors wroteBased on record reviews and interviews, the facility failed to ensure an alleged violation involving neglect was reported to the State Survey and Certification Agency for 1 (#1) of 6 (#1, #2, #3, #4, #5, #6) sampled residents reviewed for elopement.
Inspectors wroteBased on record reviews and interviews, the facility failed to ensure all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are thoroughly investigated for 1 (#3) of 6 (#1, #2, #3, #4, #5, #6) sampled residents reviewed for elopement.
Inspectors wroteBased on record reviews and interviews the facility failed to ensure a resident with wounds or history of wounds received necessary treatment and services, consistent with professional standards of practice, to promote healing, to prevent infection, and to prevent wounds for 3 (#1, #2, and #3) of 3 (#1, #2, and #3) sampled residents. The facility failed to ensure weekly skin assessments were performed and/or a written wound care plan was implemented.
Inspectors wroteBased on record reviews and interviews the facility failed to provide pharmaceutical services that met resident's needs by failing to accurately dispose of medications for 1 resident (#1) of 3 residents (#1, #2, #3) reviewed for pharmaceutical services.
Inspectors wroteBased on record reviews and interviews the facility failed to ensure 2 (S6, S7) of 44 staff members required to have a professional license were licensed in accordance with applicable State laws before being allowed to perform the duties of a licensed nurse.
Inspectors wroteBased on record review and staff interviews, the facility failed to ensure the plan of care had been revised for 1 (#1) of 3 (#1, 2, 3) residents comprehensive care plans reviewed. The facility failed to ensure resident #1's care plan had been revised for admission to Hospice.
Inspectors wroteBased on record review, observation and interview the facility failed to provide residents necessary respiratory care and services in accordance with accepted professional standards of practice for 1 (#3) of 2 (#1, #3) sampled residents reviewed for respiratory services. The facility failed to ensure Resident #3's oxygen concentrator filter was cleaned weekly.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to protect the resident's right to be free from sexual and mental abuse by a staff member resulting in psychosocial harm for 1 (Resident #64) of 1 resident reviewed for abuse. This deficient practice resulted in sexual and mental abuse causing actual psychosocial harm for Resident #64 when on 02/02/2024 S11CNA (certified nursing assistant) touched her right breast, asked her for oral sex, and took her hand and placed it on his penis. Resident #64 reported feeling scared and afraid of being alone after the incident occurred. She became tearful when explaining how this incident with S11CNA brought back feelings of anxiousness and fear from a sexual assault in her past. [...]
Inspectors wroteBased on record reviews, observations and interviews the facility failed to act promptly to concerns presented in the resident council meetings. The deficient practice affected 4 (#58, #61, #70, #79) of 4 (#58, #61, #70, #79) residents interviewed for resident care and life in the facility. The deficient practice had the potential to affect the total census of 124 residents in the facility.
Inspectors wroteBased on record reviews and interviews the facility failed to implement a comprehensive person-centered care plan to meet each resident's medical, nursing, and mental/psychosocial needs identified in the comprehensive assessment for 2 (#39, #74) of 34 sampled residents. The facility failed to ensure (1) Eliquis and Metoprolol had been administered per physician order for Resident #39 and (2.) Cefdinir had been administered per physician order for Resident #47.
Inspectors wroteBased on observations, record reviews, and interviews the facility failed to ensure ADLs (activities of daily living) were performed for 3 (#22, #92, #104) out of 5 (#22, #61, #92, #104, #121) residents reviewed for ADLs. The facility failed to ensure residents #22, #92 and #104 received nail care.
Inspectors wroteBased on record review and interview the facility failed to monitor edema for 1(#104) of 5(#3, #14, #79, #104, #122) residents reviewed for unnecessary medications. The facility failed to provide adequate monitoring for Resident #104's edema related to the use of a diuretic (Lasix) ordered by the physician.
Inspectors wroteBased on record review and interview the facility failed to ensure an abuse allegation was reported to administration staff in a timely manner per facility policy for 1 (Resident #64) of 1 resident reviewed for abuse.
Inspectors wroteBased on interviews, record reviews, and observations the facility failed to provide adequate supervision for 2 (#1, #2) of 4 (#1, #2, #3, #4) sampled residents reviewed for impaired cognition and/or a diagnosis that may increase their risk of elopement. The deficient practice resulted in Immediate Jeopardy for Resident #1 and Resident #2 on 09/05/2023 at 1:54 p.m. when Resident #1 pushed Resident #2 in her wheelchair and exited through the Hall A door of the facility. At 2:33 p.m. on 09/05/2023, Resident #1 and Resident #2 were seen in the median of a four lane public road and observed crossing over the last two lanes into a grocery store parking lot by S3 Physical Therapist. Physical Therapist called and notified facility of residents being out of the building and at 2:35 p.m. on 09/05/2023 staff members, including S1 Administrator, exited the facility. On 09/05/2023 at 2:46 p.m. [...]
| Date | Penalty | Amount or length |
|---|---|---|
| September 25, 2024 | Fine | $112,197 |
| March 14, 2024 | Fine | $12,761 |
| September 20, 2023 | Fine | $11,174 |
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) | 2.67 | 3.76 | 3.86 |
| Registered nurses | 0.24 | 0.31 | 0.69 |
| All nursing staff on weekends | 2.40 | 3.21 | 3.42 |
| Nurse aides | 1.65 | ||
| Licensed practical nurses | 0.78 | ||
| Nursing staff turnover (share who left in a year) | 65.8% | 47.6% | 45.8% |
| Registered nurse turnover | 55.6% | 41.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.11 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 2.77 on weekdays and 2.40 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 13.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.90 in April to June 2025 to 2.67 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 | 2.67 | 0.24 | 2.77 | 2.40 | 13.0% | 1 of 90 | 134 |
| Oct to Dec 2025 | 2.75 | 0.22 | 2.86 | 2.46 | 9.5% | 0 of 92 | 134 |
| Jul to Sep 2025 | 2.81 | 0.24 | 2.90 | 2.59 | 10.8% | 0 of 92 | 128 |
| Apr to Jun 2025 | 2.90 | 0.21 | 3.01 | 2.62 | 10.2% | 0 of 91 | 120 |
| 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.
| 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 | 20.1 | 17.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 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 | 3.5 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 7.1 | 3.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.2 | 17.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.2 | 5.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.7 | 22.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.5 | 28.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.1 | 14.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 2.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 2.7 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for The Guest House Skilled Nursing and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (29.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
29.9% this home
Worse than 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. 75 eligible stays.
10.1% 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. 94 eligible stays.
8.5% this home
No different from the national rate
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. 57 eligible stays.
47.5% 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. 40 residents counted.
3.0% 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. 67 residents counted.
0.0% 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. 67 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 14 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: PMG OPCO-GUEST HOUSE LLC. CMS links this home to Priority Management, a group of 38 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Sdb Holdings | 5% or greater direct ownership interest | Organization | 100% | 04/01/2019 |
| Bauder, William | Indirect ownership interest | Individual | 04/01/2019 | |
| Boulware, Douglas | Indirect ownership interest | Individual | 04/01/2019 | |
| Boulware, Steven | Indirect ownership interest | Individual | 04/01/2019 | |
| Priority Management Group, LLC | Operational/managerial control | Organization | 04/01/2019 | |
| Bauder, William | Operational/managerial control | Individual | 04/01/2019 | |
| Boulware, Steven | Operational/managerial control | Individual | 04/01/2019 | |
| Boulware, Steven | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 08/14/2025 | |
| Priority Management Group, LLC | Adp of the SNF | Organization | 04/17/2025 | |
| Progressive Rehab Solutions, LLC | Adp of the SNF | Organization | 01/01/2023 | |
| Bihm, Christian | Adp of the SNF | Individual | 04/18/2025 | |
| McGraw, Jimika | Adp of the SNF | Individual | 09/19/2018 |
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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