Nursing homes across Rapides County, Louisiana, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Belle Grande runs 4.61 nurse hours per resident day, about 19% above the national average of 3.86, and that staffing shows up in a 4-out-of-5 staffing rating. The catch is weekends, when hours drop roughly 17% below the home's own weekday level. Turnover sits at 44.7%, essentially the national rate, so the staffing advantage comes from hours scheduled, not from a stable crew. Inspections tell a more mixed story: 15 deficiencies on the current record, one serious enough to reach harm or jeopardy level, no abuse findings, and a single fine of $16,149. That combination, strong hours, weak quality measures at 2/5, a recent September 2025 inspection, is why the home lands in the middle rather than at the top.
Hilltop runs 130 beds in Pineville under limited-liability, for-profit ownership, and its staffing sits just barely above the national average, about 2%, with weekends running roughly 5% thinner than weekdays. That margin is thin enough that a single call-out can shift what your family member actually gets. Turnover is the bigger signal: 53.6% of nursing staff leave each year, against a national rate of 45.8%, meaning the people providing daily care change often. The inspection record is where things get serious, 27 deficiencies on file, two of them at harm or jeopardy level and two abuse-related, plus a $15,387 fine. The last inspection was February 2026, so the record is current, not stale.
Lexington House runs 130 beds in Alexandria under corporate ownership, and its staffing sits slightly above the national average at 3.99 nurse hours per resident day. That margin shrinks on weekends, which run about 11% leaner than weekdays, and turnover is 47.9%, a bit worse than the 45.8% national figure. The bigger issue is the inspection record: 24 deficiencies, including one at the harm level and one tied to abuse, plus a $9,945 fine. CMS rates its health inspections 2 out of 5 and its quality measures just 1 out of 5, even though staffing earns a 3. The most recent inspection was May 2025, so the record is current.
Regency House of Alexandria runs 58 certified beds under corporate ownership, and its staffing numbers are the first thing to look at. Nurse coverage sits at 3.78 hours per resident day, a bit under the national average, but the bigger issue is weekends, when staffing drops roughly 21% below what the home runs Monday through Friday. Annual turnover hits 71.8%, well above the 45.8% national figure, which means aides and nurses are cycling through constantly. The current inspection record shows 39 deficiencies, including one abuse-related citation, though none rose to the harm level. The last inspection was in March 2026. Quality measures score well, but weak staffing and high turnover are the real story here.
The Summit runs 130 certified beds in Alexandria under for-profit LLC ownership, and its staffing sits at 3.52 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 16% below its own weekday coverage, which matters when residents need help on a Saturday night. Staff turnover at 43.8% is slightly better than the national 45.8%, though that's a low bar.
What stands out more is the inspection record: 25 deficiencies, including 2 at harm or jeopardy level and 2 tied to abuse. CMS rated health inspections 2 out of 5, quality measures 1 out of 5, and staffing 2 out of 5. One fine totaling $14,287 is on file, and the most recent inspection came April 8, 2026.
The Oaks Care Center in Pineville runs lean on nursing staff, 3.25 hours per resident day against a national average of 3.86, with weekends about 7% thinner than weekdays. Turnover sits at 49.5%, above the 45.8% national figure, and the 14 deficiencies on record include one abuse-related finding but nothing flagged at harm or jeopardy level. Its inspection history is genuinely strong, though: a 5/5 health inspection rating and a visit as recent as January 2026. The tension between clean inspections and thin day-to-day staffing is worth weighing, ask how many nurses are actually on the floor on a Saturday.
Matthews Memorial runs 124 certified beds in Alexandria under for-profit LLC ownership, and the staffing numbers are the first thing to look at. Total nurse coverage sits at 3.78 hours per resident day, just under the national average, but weekends drop roughly 17% below what the home staffs on weekdays, so care thins out exactly when families tend to visit. Annual turnover of 59.2% is well above the national 45.8%, meaning you'll likely see unfamiliar faces. The current record shows 33 deficiencies, including one at the harm level and one abuse-related, plus a $36,140 fine. Last inspection was December 2025. Ask about weekend coverage and how they've addressed the abuse finding.
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.
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.