169 of the 266 Medicare-certified nursing homes in Louisiana (64%) are chain-owned, and all are listed below. 2 of the 169 graded homes earn an A and 21 earn a D or F. They average 3.62 nursing hours per resident per day, 0.14 hours below the 3.76 for every home in Louisiana. Old Brownlee Community Care Center in Bossier City grades highest at A (91 out of 100).
How chain-owned homes in Louisiana compare
This group set against every nursing home in Louisiana, from the current CMS release.
Marrero Healthcare Center runs about 3.23 nurse hours per resident day, roughly 16% under the national average of 3.86, and weekends drop another 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is genuinely better than most: 31.8% against a national 45.8%, which matters for consistent care. But the inspection record shows 18 deficiencies, two at harm or jeopardy level, and one $46,261 fine. The 5/5 inspection star and recent March 2026 visit suggest the last survey went well; the 2/5 staffing star tells the other side of the story.
Jefferson Manor runs 122 certified beds in Baton Rouge, and the staffing numbers alone tell a story. At 3.73 nurse hours per resident day, it sits just under the national average, and weekends drop about 13% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover is 52.1%, meaning more than half the staff leaves each year, well above the 45.8% national figure. The inspection record is where things get more serious: 36 deficiencies, four at the harm or jeopardy level, and six abuse-related. Three CMS fines total $121,628. Medicare's own ratings put health inspections and quality measures at one star each.
Westwood Manor runs about 3.44 nurse staffing hours per resident day, roughly 11 percent under the national average of 3.86, and weekends dip another 11 percent below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Staff turnover sits at 61.3 percent against a national 45.8 percent, which means more than half the nursing staff leaves within a year.
The current record shows 27 deficiencies, though none reached harm or jeopardy and none were abuse-related, and the most recent inspection was in July 2025, so the picture is fairly current. For-profit LLC ownership rounds out the profile. The numbers don't suggest danger, but they do show a building running leaner and with less continuity than average.
Cornerstone At The Ranch runs 148 certified beds in Lafayette under corporate for-profit ownership, and its staffing sits at 3.33 nurse hours per resident day, roughly 14% under the national average of 3.86. Weekends are thinner still, about 12% below its own weekday level, so the coverage gap widens exactly when families tend to visit. The inspection record carries 56 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus two fines totaling $97,417. Its last inspection was July 30, 2025, so the record is recent. If you're weighing this home, ask directly how they staff weekends and what changed after that harm-level citation.
Resthaven Living Center runs 145 certified beds in Bogalusa under for-profit partnership ownership. Nurse staffing sits at 3.34 hours per resident day, about 14 percent under the national average, and weekends drop roughly 17 percent below the home's own weekday coverage, the stretch when families often visit and when problems tend to surface. Annual turnover of 48.9 percent runs a few points above the national figure. The current record shows 25 deficiencies, none at harm or jeopardy level, though one is abuse-related. A January 2026 inspection is recent, and mid-range marks on health inspections and quality measures sit alongside the weakest staffing score. Nothing here reads as dangerous; it reads as thin coverage you'd want to ask about directly.
Colonial Nursing and Rehabilitation Center runs 64 beds in Marksville under for-profit LLC ownership, and the numbers show a building stretched thin. Nurse staffing sits at 3.50 hours per resident day, about 9% under the national average, and weekends drop roughly 15% below what the home manages on weekdays, so coverage is thinnest exactly when families tend to visit. Staff turnover hits 51.7% against a national 45.8%, meaning more than half the nursing workforce leaves each year. The inspection record carries 21 deficiencies, including two at harm or jeopardy level and five tied to abuse, with $21,752 in fines and a survey as recent as May 2025. All three CMS star ratings, health inspections, quality measures, and staffing, sit at 2 out of 5.
Belle Teche runs 150 certified beds as a for-profit LLC, and the numbers tell a mixed story. Nurse staffing sits at 3.90 hours per resident day, barely a percentage point above the national figure, and weekends drop roughly 19% below what the home staffs on weekdays, that gap matters most when families visit and when residents need help. Turnover among nurses runs 47.6%, slightly worse than the national rate, so familiar faces are not a given.
The inspection record is where the real weight sits: 38 deficiencies, including one at the harm level and one tied to abuse. Two out of five stars on health inspections and quality measures, with a May 2025 inspection date that at least means the record is current.
St Frances runs 4.02 nurse hours per resident day, a bit above the national average, so the raw staffing number looks fine. The problems sit underneath it: weekends run about 12% thinner than weekdays, and nearly half the nursing staff turns over each year. Inspectors have logged 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $30,702 in fines across two penalties. The last inspection was April 30, 2025, so the record is recent. The quality measure rating sits at one out of five stars, the lowest CMS gives, which means resident outcomes aren't tracking well regardless of hours logged.
Delta Grande runs lean on nursing hours, 3.18 per resident day against a national average of 3.86, with weekends about 13% thinner than weekdays, so the gaps land when families visit most. Annual turnover of 53.2% tops the national figure of 45.8%, meaning the people caring for your relative are often new to the building and each other. The inspection record shows 18 deficiencies, two tied to abuse, though none rose to harm or jeopardy level, and the most recent survey came in April 2026. State inspectors rated the care highly; the quality and staffing measures tell a different story.
River Oaks runs on thinner staffing than most homes, 3.67 nurse hours per resident day against a national average of 3.86, and weekend coverage doesn't drop off from its weekday level. The bigger concern is the inspection record: 26 deficiencies, including 2 at the harm or jeopardy level and 6 tied to abuse, with $17,388 in fines. Staff turnover sits at 45.8%, right at the national average. The quality measure rating of 5/5 suggests clinical outcomes look good on paper, but the 2/5 inspection rating tells a different story. The most recent inspection was July 2025, so the record is current.
Legacy Nursing and Rehabilitation of Port Allen runs 125 beds as a for-profit LLC, and its last inspection was August 27, 2025. The record behind that visit is heavy: 48 deficiencies, four of them at harm or jeopardy level, five tied to abuse, and two fines totaling $146,447. Nurse staffing sits at 3.24 hours per resident day, roughly 16% under the national average, and weekends drop about 14% below its own weekday coverage. Turnover is 47.1%, slightly above the national 45.8%. The quality measure score looks strong, but the inspection and staffing ratings don't match it.
The Columns runs 140 beds in Jonesville under for-profit LLC ownership, and its nurse staffing sits at 3.42 hours per resident day, roughly 11% under the national average of 3.86. Weekends drop about 18% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover runs 50% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current inspection record carries 25 deficiencies, three tied to abuse, though none reached harm or jeopardy level; the most recent survey was May 2025. Quality and staffing each earned two of five stars from CMS, inspection three.
The Woodlands Healthcare Center runs about 3.33 nurse hours per resident per day, roughly 14 percent under the national average, and weekends drop another 19 percent below its own weekday coverage. Turnover sits at 44.2 percent, statistically close to the 45.8 percent national figure, so retention isn't the standout problem here, daily staffing volume is. Inspectors logged 18 deficiencies on the current record with none at harm or jeopardy level, though one is abuse-related, and the last visit was September 2025. Quality and staffing star ratings both come in at 2 out of 5. It's a for-profit LLC with 152 certified beds, so ask about weekend coverage and that abuse citation directly.
Colonial Oaks runs lean on nursing hours, 3.11 per resident day against a national average of 3.86, and weekends drop roughly 18% below its own weekday pace. That thin coverage is the main reason its staffing rating sits at the bottom of the federal scale, even though turnover at 39.7% is actually better than the 45.8% national figure. The inspection record shows 25 deficiencies, none of them serious enough to cause harm and none tied to abuse, with the most recent survey dated May 2026. Quality measures land below average too. A for-profit LLC operation with 110 beds, this is a home where the care is present but stretched.
Chateau St. James runs on thinner staffing than most homes in the country, 3.37 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 19% below what the home itself staffs on weekdays. That gap matters more than any single number, because it's the stretch when families aren't visiting and residents need the most hands-on help. The inspection record is genuinely solid: 20 deficiencies on file, none at the harm or jeopardy level, none abuse-related, with the most recent inspection in December 2025. So you're looking at a home that passes its health inspections but runs a limited-liability, for-profit operation with a thin staffing margin. Ask what weekend coverage actually looks like on the unit your relative would live on.
New Iberia Manor South runs on thin staffing, 3.72 nurse hours per resident day, under the national average, with weekends about 9% leaner than weekdays. That matters most on Saturdays and Sundays, when families often visit and fewer hands are on the floor. The inspection record is the bigger concern: 46 deficiencies, including one at the harm level and two tied to abuse, plus a $8,169 fine. A 1-out-of-5 health inspection rating and a matching 1 for quality measures point to problems that show up across surveys, not one bad day. Staff turnover at 44.4% is roughly in line with the national rate, so retention isn't the outlier here. The last inspection was July 2025, so the record is recent.
Heritage Manor of Baton Rouge II runs 144 beds under limited-liability, for-profit ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.56 hours per resident day, under the national average, with weekends running roughly 11% thinner than weekdays, so the coverage gaps show up when families tend to visit. Staff turnover is 60.7% against a national 45.8%, meaning more than half the nursing staff leaves each year. On the inspection side, 33 deficiencies are on record, including six at harm or jeopardy level and seven tied to abuse, with four fines totaling $61,591 and a survey dated March 5, 2026. Ask about weekend coverage and how they keep experienced aides.
Mid City Community Nursing and Rehab runs 184 certified beds as a for-profit corporation, and its staffing is the first thing to look at: 3.14 nurse hours per resident day against a national average of 3.86, roughly 19% below. Weekends drop about 13% below its own weekday levels, and turnover sits at 47.7%, a bit above the national 45.8%. The inspection history is the strongest part of the record, a 4-out-of-5 star rating with the most recent survey in April 2026. But there are 22 deficiencies on file, including one at the harm or jeopardy level and three abuse-related, plus a $44,090 fine. Quality measures come in at 2 stars.
Eastridge runs on leaner staffing than most homes its size, 3.57 nurse hours per resident day against a national average of 3.86, with weekends dropping about 14% below its own weekday levels. The bigger concern is turnover: 63.6% of staff leave each year, well above the 45.8% national figure, and that churn shows up in a one-star staffing rating. Inspections are a different story. The most recent visit was December 2025, the health inspection rating sits at 4 of 5, and none of the 19 deficiencies on record rose to harm or jeopardy. One was abuse-related, which is worth asking about directly. Quality measures land at 2 of 5.
Pointe Coupee Healthcare runs 3.06 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 14% below its own weekday staffing. The health inspection side looks steadier at 3 out of 5 stars, but quality measures sit at 1 star, and the record shows 18 deficiencies, two of them serious enough to involve harm or jeopardy, along with one fine of $17,345. Staff turnover is 30%, which is actually well below the 45.8% national figure, so the problem here isn't churn so much as how few hands are on deck at any given time.
Frequently asked questions
How many chain-owned nursing homes are there in Louisiana?
There are 169 chain-owned Medicare-certified nursing homes in Louisiana, 64% of the 266 nursing homes there.
Are chain-owned nursing homes better staffed?
In Louisiana they average 3.62 total nursing hours per resident per day, against 3.76 for all nursing homes in Louisiana, a difference of -0.14 hours. Staff turnover averages 47% against 47.6%.
Which chain-owned nursing home grades best in Louisiana?