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.
St Joseph runs 130 certified beds in Monroe under for-profit partnership ownership, and the numbers that stand out most are on the staffing side. At 3.13 nurse hours per resident day, it sits about 19% under the national average, and weekends drop roughly another 20% below its own weekday level, so coverage thins out exactly when families tend to visit. Every nursing position turned over last year, against a national rate near 46%. The health inspection rating is 1 out of 5 with 44 deficiencies on record, two tied to abuse, though none reached the harm or jeopardy level. The most recent inspection was December 11, 2025, so the picture is current.
Chateau Living Center runs 215 certified beds in Kenner under for-profit LLC ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.04 hours per resident per day against a national average of 3.86, roughly a fifth less hands-on time than typical, and weekends run about 12% thinner than the home's own weekdays, so coverage drops exactly when families tend to visit. The inspection history is heavy: 58 deficiencies on the current record, including three at harm or jeopardy level and six tied to abuse, with two fines totaling $159,972 and a survey as recent as July 2025. Staff turnover of 47.5% sits just above the national 45.8%, meaning the people providing that already-lean care are frequently new.
White Oak Post Acute Care in Baton Rouge carries 84 deficiencies on its current record, ten of them serious enough to involve actual harm or jeopardy, and five tied to abuse. CMS has fined the home five times for a total of $616,151, and it currently sits in the Special Focus Facility program, the agency's watchlist for the homes with the most persistent problems. Staffing runs 3.33 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below the home's own weekday level. Annual turnover hits 68.7%, well above the 45.8% national figure. For-profit, LLC-owned, 176 beds, inspected most recently in December 2025.
Legacy Nursing At St. Christina runs 140 certified beds in Pineville under for-profit LLC ownership, and the staffing numbers tell the story before anything else does. At 3.23 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends drop roughly 20% below its own weekday level, so the thinnest coverage lands when families tend to visit. The inspection record backs that up: 61 deficiencies, seven at harm or jeopardy level, eleven tied to abuse, and five fines totaling $646,937. Staff turnover of 48.1% edges past the national 45.8%. All three CMS star ratings, health inspections, quality measures, staffing, sit at one out of five, with the most recent inspection dated February 2026.
Colonial Oaks is owned by a limited liability company and carries 21 deficiencies on its current record, three of them serious enough to involve harm or jeopardy, plus three tied to abuse. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems. Nurse staffing sits at 3.23 hours per resident day, roughly 16 percent under the national average, and it thins out further on weekends. Annual turnover runs 72.5 percent against a national 45.8 percent. A $66,170 fine is on record, and the last inspection was June 5, 2025. With 120 certified beds, that staffing and turnover picture matters across every shift.
Pilgrim Manor runs on about 3.40 nurse hours per resident day, roughly 12% under the national average, and weekends drop another 12% below its own weekday levels. That thin coverage sits behind a staffing rating of 1 out of 5, and it shows up in the workforce itself: 69.3% annual turnover, well above the 45.8% national figure. The inspection record carries 22 deficiencies, six of them serious enough to put residents in harm's way and two tied to abuse, plus three fines totaling $186,253. The most recent inspection was February 25, 2026. This for-profit, limited-liability operation holds a 1-star health inspection rating despite a middling 3-star quality measure score.
The Guest House in Shreveport runs on 2.67 nurse hours per resident per day, roughly a third below the national average, and weekends drop about another 10% below its own weekday pace. Staff turnover sits at 65.8% against a national rate of 45.8%, so the people left are often the newest. The current record carries 41 deficiencies, six of them at harm or jeopardy level and four tied to abuse, plus four fines totaling $267,179. Its last inspection was April 2025. For-profit, LLC-owned, 177 beds, with a one-star health inspection rating and a one-star staffing rating. That combination is what drives the grade down.
Lakeshore Manor runs on 2.90 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about 24% below what the building manages Monday through Friday. Staff turnover sits at 56.6%, well above the 45.8% national figure. The inspection record shows 44 deficiencies, nine of them at harm or jeopardy level and four tied to abuse, with three fines totaling $259,803. CMS has placed it in the Special Focus Facility program, which is reserved for the poorest performers. A for-profit LLC owns the 110-bed building; its most recent inspection was December 10, 2025. If you're considering this one, ask what the correction plan actually looks like.
The numbers at Cypress At Lake Providence are hard to explain away. Nurse staffing sits at 2.59 hours per resident per day, roughly a third below the national average, and it thins out further on weekends, about 19% less coverage than during the week. That matters in a building where more than two-thirds of the nursing staff turned over in the past year, well above the national rate. The inspection record shows 69 deficiencies, including 11 tied to abuse and 3 serious enough to put residents in harm's way, with $74,456 in fines. A corporation owns it and takes profit out. If you're weighing this one for someone you love, ask what the daily aide coverage actually looks like.
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?