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.
Camelot Leisure Living runs 3.63 nurse hours per resident day, about 6% under the national average, and weekends drop roughly 12% below its own weekday staffing. Annual turnover sits at 60.9% against a national 45.8%, meaning most of the aides and nurses your family would see are relatively new. The inspection record shows 40 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with a $47,067 fine and a 1-out-of-5 health inspection rating. A corporate-owned home of 91 beds with that citation history and that much churn is worth a careful visit before you decide anything.
Harvest Manor is a for-profit LLC home in Denham Springs with 171 certified beds, and the numbers behind its record are hard to dress up. Nurses provide 3.35 hours of care per resident per day, roughly 13 percent under the national average, and weekend staffing drops about 13 percent below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Its inspection history includes 31 deficiencies, five at harm or jeopardy level and six tied to abuse, with two fines totaling $304,311 and a place in CMS's Special Focus Facility program. Staff turnover, at 44.2 percent, actually sits slightly under the national average, so the trouble looks less like a retention problem and more like persistent shortfalls in care and oversight.
Timber Springs Rehab and Retirement is a for-profit LLC home with 153 beds in Springhill, and its numbers pull in opposite directions. The most recent inspection, from March 2026, came back clean enough to earn a top federal rating, and none of the 12 deficiencies on record involved actual harm, though one was abuse-related, which is worth asking about directly. Staffing is the weak spot: 3.14 nurse hours per resident per day sits about 19 percent under the national average, and weekends run roughly 12 percent thinner than weekdays. Federal quality measures also rate low. A strong inspection can mask thin daily coverage, so ask how many aides are actually on the floor on a Saturday.
Central Guest House in Baton Rouge runs on 3.29 nurse staffing hours per resident day, roughly 15 percent under the national average of 3.86, and weekends drop about 13 percent below what the home itself staffs on weekdays. Turnover sits at 49.3 percent against a national 45.8, so nearly half the nursing staff leaves each year. Inspectors have logged 27 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $26,790; the last inspection was March 2026. Ownership is a for-profit limited liability company, and the staffing and quality measure ratings both come in at two out of five.
Pines Retirement Center Of Baton Rouge runs a for-profit limited liability operation with 85 certified beds, and the numbers carry some weight. Nurse staffing sits at 3.98 hours per resident day, slightly above the national average, but the weekend dips about 12% below weekday levels, and turnover is 73.5% against a national average of 45.8%, that churn matters more than the small staffing edge. Inspections tell the harder story: 68 deficiencies on record, three at the harm or jeopardy level, six tied to abuse, and a single fine of $174,993, with the most recent inspection in September 2025.
The staffing cushion doesn't offset that record. When you're comparing homes, ask specifically about the abuse deficiencies and the harm-level citations.
Tioga Community Care Center runs 154 certified beds in Pineville under nonprofit ownership, and its nurse staffing sits at 4.04 hours per resident day, roughly 5% above the national average of 3.86. That's a real strength. But weekends drop about 17% below the home's own weekday coverage, and annual turnover hits 64.8% against a national 45.8%, meaning nearly two-thirds of the nursing staff leaves each year. The current record carries 21 deficiencies, including one at the harm or jeopardy level and three tied to abuse. Quality measures score 1 out of 5 stars. The most recent inspection was July 23, 2025.
Heritage Healthcare of Hammond runs about 3.16 nurse hours per resident day, roughly 18% under the national average, and weekend coverage drops another 15% below its own weekday level. Staff turnover sits near the national rate, so the problem isn't churn, it's how few hours are on the floor to begin with. On inspections, the record shows 31 deficiencies, one serious enough to involve harm or jeopardy, plus a $13,715 fine and a May 2025 inspection. The quality measure score is the lowest CMS assigns. Limited liability ownership and a for-profit structure don't explain the numbers, but they don't soften them either.
Booker T. Washington Skilled Nursing and Rehab runs about 3.10 nurse hours per resident each day, roughly a fifth below the national average of 3.86, and weekends dip another 9% below its own weekday pace. That thin coverage shows up in the staffing star rating and in turnover: 57.6% of staff left over the past year, against a national average near 46%. The good news sits in the inspection record, 18 deficiencies on file, none at harm or jeopardy level, none abuse-related, and a survey as recent as April 2025. So the care environment itself hasn't drawn serious citations; the question this home raises is whether the people on shift have enough time.
Highland Place is a 227-bed for-profit home in Shreveport, and the federal record shows problems on every measure CMS tracks. Inspectors have logged 74 deficiencies, including six serious enough to cause harm or place residents in immediate jeopardy and four tied to abuse. Two fines totaling $294,723 have been assessed against the building. All three CMS star ratings, health inspections, quality measures, and staffing, sit at the lowest possible score. The most recent inspection was in July 2025, so this isn't an old file; it reflects what surveyors found within the past year. When a home is this large and this consistently flagged, families should ask direct questions about staffing levels, who supervises residents overnight, and how complaints get handled.
Waldon Health Care Center runs 205 certified beds in Kenner under corporate for-profit ownership, and its staffing sits about 10% under the national average, roughly 3.48 nurse hours per resident day against 3.86, with weekends running another 8% thinner than its own weekdays. Turnover is 45.1%, essentially level with the national figure, so that's not where the problem lies. What stands out is the record: 38 deficiencies, four of them serious enough to put residents in harm's way, four tied to abuse, and $120,279 in fines across two penalties. Both CMS ratings for health inspections and quality measures sit at the bottom of the scale. The most recent inspection was January 14, 2026, so the picture is current, not stale.
Oak Haven runs 104 beds in Center Point, under corporate for-profit ownership, and its staffing sits right at the national average of 3.86 nurse hours per resident day, but weekends drop about 14% below what the home itself staffs on weekdays, so coverage thins out when families tend to visit. The bigger concern is the inspection record: 37 deficiencies, five of them serious enough to put residents at risk of harm, and three fines totaling $44,606. Turnover runs 46.8%, slightly above the national figure. The quality measure stars look good on paper, but that score reflects resident assessments, not the state surveyor findings that landed five citations at the harm level.
Jefferson Healthcare Center runs 222 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing that stands out: 3.13 nurse hours per resident day against a national average of 3.86, with weekends running roughly 17% thinner than weekdays. That shortfall shows up in the turnover rate too, 62.4% of staff leaving annually, well above the 45.8% national figure, which means caregivers are cycling through faster than residents can get to know them. The inspection record carries 41 deficiencies, 5 of them abuse-related, though none reached the harm or jeopardy level. A 2/5 inspection rating, 1/5 on quality measures, and last inspection in April 2026 round out a picture worth discussing directly with the administrator.
Nurse staffing at Legacy runs 2.95 hours per resident day against a national average of 3.86, and weekends drop about 18% below what the home staffs on weekdays. That thin coverage matters more when you look at the inspection record: 49 deficiencies, five of them at harm or jeopardy level and seven tied to abuse, with $245,413 in fines across three penalties. Turnover sits at 36.5%, better than the 45.8% national figure, though steady retention can't offset a floor that's short-staffed to begin with. The last inspection was January 29, 2026, so the record is current. It's a 151-bed for-profit LLC.
Legacy Nursing and Rehabilitation of Morgan City runs 88 certified beds as a for-profit corporation, and the staffing numbers are the first thing to look at: 3.34 nurse hours per resident day, roughly 13% under the national average, with weekend coverage dropping about 20% below its own weekday levels. Turnover sits at 50.7%, above the 45.8% national figure, which matters when aides and nurses are the people actually in the building. The inspection record is heavier than you'd want, 33 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus $109,359 in fines. The most recent inspection was August 2025, so the picture is fairly current, not stale.
Golden Age runs 175 beds in Denham Springs under limited liability ownership, and the numbers show where the strain sits. Nurse staffing of 3.31 hours per resident day trails the national average by roughly 14%, weekend coverage drops about 17% below its own weekday level, and annual turnover of 52.4% means more than half the nursing staff leaves each year. The current record holds 26 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus $8,044 in fines. Federal quality and staffing measures both sit at one star, though the health inspection rating is a three and the most recent survey came in March 2026.
The Guest House Care Center runs on 2.89 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about 17 percent below what it manages during the week. Staff turnover sits at 55.4 percent, nearly ten points above the national figure, so residents see a rotating cast of caregivers. Inspectors wrote up 26 deficiencies on the current record, two serious enough to put residents in harm's way and one involving abuse, with $33,001 in fines across three penalties. Ownership is corporate and for-profit, and the last inspection was April 30, 2025. The federal staffing rating of 1 out of 5 reflects what those hours look like at the bedside.
Legacy Nursing and Rehabilitation of Winnsboro runs 150 certified beds as a for-profit LLC, and the numbers tell a story of thin coverage and high churn. Nurse staffing sits at 3.81 hours per resident day, just under the national average, but weekends drop about 17 percent below the home's own weekday level, meaning the days families visit most are the days with the least help. Staff turnover of 65.3 percent is well above the 45.8 percent national figure, and with 28 deficiencies on record, including three at harm or jeopardy level and two tied to abuse, plus $168,036 in fines, there's a pattern worth asking about before you tour.
St Joseph Of Harahan runs about 2.94 nurse hours per resident each day, roughly a quarter below the national average of 3.86, and weekends drop another 13% below its own weekday level. That thin coverage shows up in the numbers: 45 deficiencies on the current record, including one at the harm level and six tied to abuse, with $210,837 in fines across two penalties. Ownership is a for-profit limited liability company, staff turnover sits at 44%, and the last inspection was March 2026. With 206 beds, the quality and staffing ratings both land at one star out of five.
Legacy Nursing and Rehabilitation of Franklin runs lean on nursing hours: 3.08 per resident day against a national average of 3.86, and weekends drop roughly 15% below its own weekday level. That staffing pattern earned a 1 out of 5 from CMS, and the inspection record backs it up, 31 deficiencies, three of them at harm or jeopardy level, six tied to abuse, plus a $176,962 fine. Turnover sits at 46.2%, essentially matching the national rate, so the problem isn't churn so much as how few hands are scheduled. The last inspection was January 7, 2026, recent enough that the findings reflect current conditions, not an old file.
Capitol House runs 132 certified beds in Baton Rouge under corporate for-profit ownership, and its staffing sits at 3.91 nurse hours per resident day, barely above the national average of 3.86, close enough that a single shift change could erase the gap. What stands out more is the churn: 67.2% annual turnover against a national 45.8%, meaning roughly two of every three caregivers leave within a year, and weekend coverage drops about 8% below the home's own weekday levels. Inspectors logged 25 deficiencies on the current record, including one abuse-related citation, though none reached harm or jeopardy. The last inspection was June 2025, so the record is recent.
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?