Every Medicare-certified nursing home in Louisiana, graded on inspections, staffing, turnover
and enforcement history.
6 homes in the state sit in the federal Special Focus programme.
Oak Lane Wellness & Rehabilitative Center runs on thinner nurse coverage than most homes, 3.41 hours per resident day against a national average of 3.86, and weekends drop roughly another 14% below what it manages on weekdays. Staff turnover sits at 58.2%, well above the 45.8% national figure, which matters because constant churn makes it hard for residents to know who's caring for them. The inspection record is the heavier concern: 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus two fines totaling $96,785. A June 2025 inspection is recent, so that record reflects how the place runs now, not an old problem since fixed.
Good Samaritan Living Center runs 84 certified beds in Franklinton under nonprofit ownership, and its nurse staffing sits at 3.84 hours per resident day, essentially dead even with the national average of 3.86. That parity hides a real gap: weekend coverage drops roughly 23% below what the home staffs on weekdays, so care thins out exactly when families are less likely to be watching. The inspection record is heavier than the staffing number suggests, with 14 deficiencies on file including three at harm or jeopardy level and one tied to abuse, plus a single fine of $168,630. The most recent inspection was May 2026, so the picture is current.
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.
River Oaks Retirement Manor runs 4.52 nurse hours per resident day, about 17% above the national average, which is real and worth noting. But the weekend dips roughly 13% below its own weekday level, and turnover sits at 55.4% against a national 45.8%, so the coverage you see on paper isn't always the coverage your family member gets. The inspection record shows 19 deficiencies, three of them serious enough to put residents at harm or jeopardy, plus two fines totaling $99,451. Louisiana's most recent look at this home was December 2025, and it didn't come back clean.
Nurse staffing at Heritage Manor Of Mandeville runs 3.98 hours per resident day, a touch above the national average of 3.86, but that number hides a staffing drop on weekends of roughly 22% against its own weekday level. Staff turnover sits at 65.5%, far above the 45.8% national average, and the current record shows 27 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, plus a $9,318 fine. The health inspection rating is 3 out of 5, staffing is 2, and quality measures are 1. The most recent inspection was September 24, 2025. The company is a for-profit limited liability entity.
You're looking at 109 beds in Opelousas, and the numbers here deserve a careful read. Nurse staffing sits at 3.72 hours per resident day, a bit under the national figure, and weekends drop about 16% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Staff turnover runs 51.3%, well above the 45.8% national average, which means the people caring for residents are frequently new.
The inspection record shows 35 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $66,824 in fines and a September 2025 inspection. Ownership is a for-profit limited liability company. Two stars on health inspections and one on quality measures round out the picture.
Ascension Oaks runs 102 certified beds in Gonzales under for-profit LLC ownership, and its last inspection was June 12, 2025. Staffing sits at 3.68 nurse hours per resident day, roughly 5% under the national average of 3.86, and weekends drop about 17% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The current record shows 19 deficiencies, including one at the harm or jeopardy level and four tied to abuse; two fines total $158,838. Annual turnover of 45.6% is essentially the national rate, meaning the staff churn here isn't unusual, but it isn't a strength either.
Legacy Nursing and Rehabilitation of Lafourche runs 3.50 nurse hours per resident day, about 9% under the national average, and weekend coverage drops roughly 18% below its own weekday level, so the thinnest shifts land when families tend to visit. Staff turnover sits at 50.6%, above the 45.8% national figure, meaning close to half the nursing staff leaves within a year. The current record shows eight deficiencies, one serious enough to involve harm or jeopardy, plus a $24,501 fine. This for-profit corporate home was last inspected in February 2026. With 72 beds, it's small enough that one bad shift is felt everywhere.
Ruston Nursing and Rehabilitation Center is a for-profit, LLC-owned home with 157 certified beds, and the numbers behind its record are worth a slow read. Nurse staffing sits at 3.63 hours per resident per day, about 6% under the national average, and weekends run roughly 18% lighter than weekdays, so coverage thins out exactly when families tend to visit. Staff turnover is 52.8%, well above the 45.8% national figure, and the current inspection record carries 25 deficiencies, four at harm or jeopardy level and three abuse-related, plus $36,891 in fines. The most recent inspection was April 16, 2025.
Shreveport Manor runs 127 beds as a for-profit partnership, and the numbers that stand out most are on the staffing side. At 2.76 nurse hours per resident day, it sits roughly 29% under the national average of 3.86, weekend coverage drops about 16% below its own weekday levels, and annual turnover hits 61.8% against a national 45.8%. Those aren't small gaps. The inspection record is steadier, 23 deficiencies on file with none at the harm or jeopardy level and nothing abuse-related, and the most recent survey was in August 2025. Quality measures land mid-range at 3 stars. What you're looking at is a home that isn't cited for serious harm but consistently staffs thinner than average, with a workforce that turns over faster than most.
Alpine Skilled Nursing runs 144 beds in Ruston under for-profit LLC ownership, and its staffing numbers are the first thing to notice: 3.15 nurse hours per resident day, roughly 18 percent under the national average, with weekends about 16 percent thinner than weekdays. That thin coverage shows up in the CMS staffing rating, which sits at the lowest mark, and the quality measure rating matches it. Turnover is a relative bright spot at 35.6 percent against a 45.8 percent national figure, and the 20 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related. The last inspection was January 13, 2026.
The Broadway Nursing and Rehabilitation Center runs 126 certified beds as a nonprofit corporation in Lockport, and its staffing sits at 3.74 nurse hours per resident day, roughly 3% under the national average, with weekends about 16% thinner than weekdays. The inspection record is the bigger concern: 23 deficiencies currently on file, two of them at the harm or jeopardy level and two abuse-related, plus two fines totaling $29,126. Staff turnover at 44.7% is essentially at the national average, so retention isn't the outlier here. The quality measure rating of 1 out of 5 is where the clinical picture looks weakest, and that's separate from the staffing and inspection scores.
Metairie Health Care Center runs 202 beds under for-profit LLC ownership, and its staffing sits about 9% under the national average at 3.53 nurse hours per resident day. That shortfall gets worse on weekends, when coverage drops roughly 13% below the home's own weekday level, meaning the thinnest shifts land exactly when families tend to visit. Turnover at 39.5% is actually better than the 45.8% national figure, so the problem isn't retention so much as how few hands are scheduled. What stands out most is the inspection record: 38 deficiencies, including 3 at harm or jeopardy level and 4 abuse-related, with $132,895 in fines across two penalties. The most recent inspection was December 17, 2025.
St. Francisville Nursing and Rehab runs on 2.85 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 10% below its own weekday level. Staff turnover sits at 60.2% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record is the heavier concern: 23 deficiencies, four serious enough to put residents in harm's way, and four tied to abuse, plus $112,896 in fines. The most recent inspection was April 2025, so the picture is current rather than stale.
Valley View runs lean on nursing hours, 3.45 per resident per day, roughly 11% under the national average, and weekends get thinner still, dropping about 13% below its own weekday coverage. That staffing pattern shows up in the federal stars too, where the home earns 2 out of 5 for staffing and just 1 out of 5 on quality measures. Its inspection record carries 16 deficiencies, including one at the harm or jeopardy level and five tied to abuse, with a single $37,310 fine. Turnover is the one bright spot: 34.8% against a national 45.8%. The last inspection was January 2026. The limited liability, for-profit owner keeps the financial risk at arm's length.
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.
Pontchartrain Health Care Center is a 182-bed for-profit home in Mandeville, and the numbers are hard to dress up. Nurse staffing sits at 3.55 hours per resident day against a national average of 3.86, and it gets thinner on weekends, dropping about 17% below the home's own weekday level, so the coverage your relative gets on a Saturday is lighter than what the home itself staffs Monday through Friday. Staff turnover is 54.7%, meaning more than half the nursing workforce turns over in a year, well above the 45.8% national figure. The current record carries 45 deficiencies, three at harm or jeopardy level, one abuse-related, plus a $105,898 fine, and CMS has placed the home in its Special Focus Facility program.
Carroll Health and Rehab runs 3.13 nursing hours per resident day, roughly 19 percent under the national average, and weekends drop another 19 percent below its own weekday staffing. The inspection record is the harder part: 49 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse, with a $37,884 fine and a one-star health inspection rating. Staff turnover sits at 42.1 percent, slightly better than the national 45.8 percent, so retention isn't the main problem here, coverage and compliance are. The most recent inspection was July 28, 2025, so the record is current. For a 120-bed for-profit home owned by an individual, those numbers describe thin staffing and serious findings that a family should ask about directly.
Avoyelles Manor's staffing number is the thing you'd notice first: 0.14 total nurse hours per resident day, which is about 96% below the national average of 3.86. That's not a rounding difference, and the weekend picture is worse, staffing drops roughly 56% below the home's own weekday level. A recent inspection on May 19, 2026 and a clean deficiency record (four total, none at harm or jeopardy level, none abuse-related) work in its favor, and the five-star health inspection rating reflects that. But quality measures sit at three stars and staffing at one, which is what pulls the overall picture down. For-profit corporate ownership. The inspection record is genuinely good; the daily staffing numbers are the reason to ask hard questions before moving someone in.
Twin Oaks runs lean on nursing staff, 3.23 hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday coverage. That kind of dip matters, because fewer nurses on Saturday and Sunday is when problems tend to go unnoticed. The inspection record is heavier than most: 42 deficiencies, including 12 flagged as abuse-related, though none rose to the level of actual harm or jeopardy. Staff turnover sits at 45.3%, almost exactly the national figure, so retention isn't the issue here, the numbers suggest the home simply isn't staffing at the level its 148 residents need, and its recent August 2025 inspection kept the health rating at 2 out of 5.