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.
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.
Natchitoches Nursing and Rehabilitation Center runs 98 certified beds, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average, and it thins out further on weekends, roughly 16% below its own weekday levels. Staff turnover is 66.7% a year, well above the 45.8% national figure, so the people caring for residents keep changing. On the inspection side, 65 deficiencies are on record, six of them serious enough to involve harm or jeopardy, with four fines totaling $616,611 and a March 2026 inspection. Ownership is a for-profit limited liability company.
Farmerville Nursing and Rehabilitation Center runs on 3.06 nursing hours per resident day, roughly a fifth below the national average, and weekend coverage drops another fifth below its own weekday level. Staff turnover sits at 69.5% against a national 45.8%, meaning most of the aides and nurses caring for residents this year likely won't be there next year. The inspection record shows 30 deficiencies, including one at the level of actual harm or jeopardy and three tied to abuse, with $19,667 in fines and a survey completed in June 2025. For-profit corporate ownership, 117 beds, and low marks across staffing and quality measures round out the picture.
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.