10 of the 266 Medicare-certified nursing homes in Louisiana (4%) are government-run, and all are listed below. They average 5.22 nursing hours per resident per day, 1.46 hours above the 3.76 for every home in Louisiana. Nurse staff turnover runs 36%, 11.6 points lower than the 47.6% across all homes there. Lasalle Nursing Home in Jena grades highest at A (89 out of 100).
How government-run homes in Louisiana compare
This group set against every nursing home in Louisiana, from the current CMS release.
Nursing hours per resident per day
5.22
All homes in Louisiana: 3.76
Better than the local average
Nurse staff turnover
36%
All homes in Louisiana: 47.6%
Better than the local average
Average ElderGrade score
71.9/100
All homes in Louisiana: 67.6/100
Better than the local average
Grade spread
A
B
C
1 grade A, 6 grade B, 3 grade C,
The best-graded government-run home in Louisiana is
Lasalle Nursing Home
in Jena, LA, grade A, 89/100.
LaSalle Nursing Home runs on a hospital district's budget in Jena, and the numbers behind it are mostly steady. Nurse staffing sits at 4.60 hours per resident day, roughly 19% above the national average, and weekend coverage only dips about 13% below its own weekday level, a gap that's real but not dramatic. Turnover is the standout: 23.6% against a national average near 46%, meaning the people caring for residents tend to stay.
The tradeoffs show up elsewhere. Inspectors found seven deficiencies on the current record, one serious enough to reach harm or jeopardy level, though none tied to abuse, and the home carries a single fine of $7,443. Its last inspection was in December 2025, so the picture is recent. Quality measure scores land in the middle at 3 out of 5, which is where the overall grade loses ground.
The Southwest Louisiana War Veterans Home in Jennings is a state-run home with just 8 certified beds, which is a fraction of the size of a typical nursing facility. Inspections are a clear strength: zero deficiencies at the harm or jeopardy level and none related to abuse, with a perfect health inspection rating and a fresh survey from June 2026. Staffing is the weak point, the lowest possible rating, meaning hours per resident fall well below what CMS expects. A state government owner and a spotless inspection record give families real reassurance, but with only eight beds, ask directly how many aides are actually on the floor overnight.
Courtyard of Natchitoches runs on a hospital district's dime, and the staffing shows it: 4.13 nurse hours per resident day, roughly 7% above the national average, with turnover at 19.8%, less than half the national rate of 45.8%. That kind of retention is rare and worth noticing. The tradeoff sits on the inspection side. Forty-five deficiencies on the current record, including five tied to abuse, and a 2-out-of-5 health inspection rating alongside a 1-out-of-5 quality measure score. Weekend staffing drops about 17% below its own weekday level, so coverage thins out when families tend to visit. The last inspection was January 7, 2026.
Gueydan Memorial Guest Home runs on 3.13 nurse hours per resident day, about 19% under the national average of 3.86, and weekends dip roughly 18% below its own weekday coverage. Turnover sits at 31%, better than the 45.8% national figure, which matters for consistency of care. The 26 deficiencies on record include none at the harm or jeopardy level and none abuse-related, and the most recent inspection was August 2025. Quality measures score 2 out of 5, so clinical performance is the weaker side of this home. If your family member needs steady hands on weekends, ask how that gap gets covered.
The Southeast Louisiana War Veterans Home in Reserve is a state-run home with just eight certified beds, which puts it in a category most families never encounter, a facility small enough that staffing and oversight work differently than at a 120-bed nursing home. Its federal inspection record is clean where it matters: three deficiencies total, none at the harm or jeopardy level, no abuse citations, and a September 2025 inspection that's still recent. The staffing picture is where it separates from the national average, and that gap is what holds the grade down despite the strong survey results. For a veteran-eligible family, the inspection history is reassuring; just go in understanding what eight beds means for daily coverage.
Northeast La War Veterans Home is a small state-run home in Monroe, just 8 certified beds, which is closer to a group residence than a typical nursing facility. Its last inspection was in March 2026, recent enough that the record reflects current conditions, and the inspection history shows 8 deficiencies with none rising to actual harm or jeopardy. One abuse-related citation is on the record, which is worth asking about directly. With so few residents, staffing ratios can swing widely from week to week, so ask how many direct-care hours each resident actually gets and who covers nights and weekends.
The Louisiana War Veterans Home in Jackson is a ten-bed state-run home, and its inspection record looks nearly spotless, a single deficiency on the books, nothing at the harm or jeopardy level, no abuse finding, and a fresh survey from December 2025. The problem sits elsewhere. Federal staffing numbers put this home at the bottom of the national range, which is what pulls its overall picture down despite the clean inspections. With only ten beds, one aide calling out can change the whole day, so that thin staffing number matters more here, not less. State ownership means public accountability, but it doesn't guarantee enough hands on the floor. Ask directly how many staff are present on evenings and weekends before you decide.
The Northwest Louisiana Veterans Home is a small state-run home in Bossier City, just 8 certified beds, and its inspection record is genuinely strong: a 5-star health inspection rating, with all 6 deficiencies cited at the lowest severity level and none causing harm or jeopardy. That matters. But there's a real split in the numbers. Quality measures sit at 1 out of 5 stars, the weakest tier, meaning the clinical outcomes tracked by Medicare lag well behind what most homes achieve. One abuse-related deficiency also appears on the current record, which deserves a direct question when you visit. The state inspection from April 2026 is recent enough to reflect current conditions. Small government homes can be excellent or stretched thin; here the care process looks better than the outcomes.
St. Helena Parish Nursing Home runs 4.98 nurse hours per resident day, about 29% above the national average, so the raw staffing number looks like the strongest thing here. But the inspection record tells the opposite story: 32 deficiencies on file, six of them at harm or jeopardy level and four abuse-related, with three fines totaling just under $320,000. Weekend staffing drops about 21% below its own weekday level, which means the coverage families see on a tour isn't what a Saturday looks like. Government hospital-district ownership doesn't change any of that. The most recent inspection was May 6, 2026.
Villa Feliciana Chronic Disease is state-run and holds 299 certified beds in Jackson. Its nurse staffing sits at 2.77 hours per resident day, roughly 28 percent under the national average of 3.86, and weekends drop another 16 percent below its own weekday level. Staff turnover is 69.7 percent a year, well above the national 45.8 percent, which means the people caring for residents are, on average, new to the building. The inspection record shows 38 deficiencies, including three at harm or jeopardy level and ten tied to abuse, with $456,518 in fines across three penalties. The most recent inspection was January 2026.
Frequently asked questions
How many government-run nursing homes are there in Louisiana?
There are 10 government-run Medicare-certified nursing homes in Louisiana, 4% of the 266 nursing homes there.
Are government-run nursing homes better staffed?
In Louisiana they average 5.22 total nursing hours per resident per day, against 3.76 for all nursing homes in Louisiana, a difference of +1.46 hours. Staff turnover averages 36% against 47.6%.
Which government-run nursing home grades best in Louisiana?