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F
Critical

Guest House Nursing and Rehabilitation

109 GUEST HOUSE DRIVE · WEST MONROE, LA 71292

3183873900 · For profit - Limited Liability company

140 beds110.3 residents257 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
F
Critical
RN Staff
F
Critical
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Guest House Nursing and Rehabilitation receives an overall staffing grade of F (Critical). With 4.0125 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.2416 HPRD, below the recommended 0.75. It is 0.12 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 18.01% compared to weekdays. The facility uses a moderate level of agency staff (8.02% of hours), suggesting some reliance on temporary workers.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.2416 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.0125hrs/resident/day▲ 0.12
CMS benchmark: 3.48
RN HPRD
0.2416hrs/resident/day▼ 0.44
Recommended: 0.75
Weekend Drop-off
18.01%
4.2277 weekday → 3.4663 weekend
Agency Staff
8.02%
0.31% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.4101hrs/resident/day
Direct care aides
LPN HPRD
1.3609hrs/resident/day
Licensed practical nurses
Consistency
0.4312std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Ouachita County Average+0.24 HPRD
3.78
04.01 HPRD
vs. Louisiana State Average+0.17 HPRD
3.84
04.01 HPRD
vs. National Average+0.12 HPRD
3.90
04.01 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Guest House Nursing and Rehabilitation ★
WEST MONROE · This facility
—
F
4.01250.2416★★☆☆☆
Ridgecrest Community Care Center
West Monroe
5.9 mi
C
4.360.4321★★★★☆
LANDMARK NURSING & REHABILITATION CTR OF WEST MON
WEST MONROE
6 mi
F
3.75330.2184★★★☆☆
The Oaks
MONROE
7.3 mi
F
3.77360.132★★☆☆☆
DELTA GRANDE SKILLED NURSING AND REHABILITATION
MONROE
7.6 mi
F
3.49310.1205★★☆☆☆
St. Joseph Continuing Care Center
MONROE
9.8 mi
F
3.36850.2496★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

10
Inspections
31
Total Deficiencies
$0
Fines Assessed
Jul 30, 2025Health
9 deficiencies cited
▼
Mar 19, 2025Health
1 deficiency cited
▼
Dec 30, 2024Health
3 deficiencies cited
▼
Aug 13, 2024Health
1 deficiency cited
▼
Jul 24, 2024Health
5 deficiencies cited
▼
May 16, 2024Health
4 deficiencies cited
▼
Aug 2, 2023Health
2 deficiencies cited
▼
Jun 22, 2023Health
2 deficiencies cited
▼
May 31, 2023Health
1 deficiency cited
▼
Feb 15, 2023Health
3 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.