Louisiana › Ouachita County › West Monroe
Guest House Nursing and Rehabilitation
109 Guest House Drive, West Monroe, LA 71292
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Guest House Nursing and Rehabilitation is a For-profit, limited liability company nursing home in West Monroe, Louisiana, certified for 140 beds and caring for about 105 residents a day.
CMS gives it 1 of 5 stars overall, below the Louisiana median of 2; the health inspection rating is 2, staffing 3 and quality measures 1.
Inspectors recorded 27 health deficiencies across the three most recent survey cycles (10, 10, 7 by cycle, most recent first), none at the actual-harm level. That is 19.3 per 100 beds, about the same as the state median of 18.8.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.9 hours per resident per day (0.2 RN), close to the Louisiana median of 3.6; nursing staff turnover is 64.1%.
Compared with county, state and nation
| Measure | This facility | Ouachita Co. median | Louisiana median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 27 | 27 | 21 | 28.7 |
| Citations per 100 beds | 19.3 | 24.3 | 18.8 | 26.8 |
| Total nurse hours per resident day | 3.9 | 3.5 | 3.6 | 3.9 |
| RN hours per resident day | 0.2 | 0.2 | 0.2 | 0.7 |
| Nursing staff turnover | 64.1% | 50.0% | 47.0% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (10 in the county, 265 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Louisiana average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Jul 2025, 24 Jul 2024.
Severity mix: D ×13 E ×14
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 13 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 19 Jun 2026 |
| 30 Jul 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 29 Aug 2025 |
| 30 Jul 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Standard survey | 29 Aug 2025 |
| 30 Jul 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 29 Aug 2025 |
| 30 Jul 2025 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 29 Aug 2025 |
| 30 Jul 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 29 Aug 2025 |
| 30 Jul 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 29 Aug 2025 |
| 30 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 29 Aug 2025 |
| 30 Jul 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 29 Aug 2025 |
| 30 Jul 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 29 Aug 2025 |
| 19 Mar 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Complaint investigation | 16 Apr 2025 |
| 30 Dec 2024 | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | E | Complaint investigation | 27 Jan 2025 |
| 30 Dec 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 27 Jan 2025 |
| 30 Dec 2024 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Complaint investigation | 27 Jan 2025 |
| 13 Aug 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint investigation | 12 Sep 2024 |
| 24 Jul 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard survey | 12 Sep 2024 |
| 24 Jul 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 12 Sep 2024 |
| 24 Jul 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 12 Sep 2024 |
| 24 Jul 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 12 Sep 2024 |
| 24 Jul 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Standard survey | 12 Sep 2024 |
| 16 May 2024 | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | E | Complaint investigation | 12 Jun 2024 |
| 16 May 2024 | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | E | Complaint investigation | 12 Jun 2024 |
| 16 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 12 Jun 2024 |
| 16 May 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 12 Jun 2024 |
| 2 Aug 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 31 Aug 2023 |
| 2 Aug 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Complaint investigation | 31 Aug 2023 |
| 22 Jun 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 28 Jul 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Louisiana average. Turnover: nursing staff 64.1%, RNs 33.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Louisiana median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 31.9% | 17.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.4% | 0.9% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.2% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.2% | 3.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.7% | 2.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 27.2% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.9% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 27.8% | 21.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: West Monroe Guest House, Inc..
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ronald Anthony Goux Estate | 5% or greater direct ownership interest | 5% | 12/29/2020 |
| Maison Healthcare Management Company LLC | Operational/managerial control | NOT APPLICABLE | 01/01/2015 |
| Maison Healthcare Management Company LLC | Adp of the snf | NOT APPLICABLE | 01/16/2026 |
| Ronald Anthony Goux Estate | Adp of the snf | NOT APPLICABLE | 12/29/2020 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Ouachita County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Northeast La War Veterans Home | Monroe | 8 | 5 | 5 | — | 8 | 100.0 | — | 18 Mar 2026 |
| Ridgecrest Community Care Center | West Monroe | 112 | 4 | 4 | 4 | 14 | 12.5 | — | 3 Jun 2026 |
| Delta Grande Skilled Nursing and Rehabilitation | Monroe | 74 | 3 | 4 | 2 | 18 | 24.3 | — | 8 Apr 2026 |
| Avalon Place | Monroe | 113 | 2 | 3 | 2 | 31 | 27.4 | — | 3 Dec 2025 |
| Landmark Nursing & Rehabilitation Ctr of West Mon | West Monroe | 140 | 2 | 3 | 3 | 20 | 14.3 | $21K | 10 Mar 2026 |
| Mary Goss Nursing Home | Monroe | 91 | 2 | 2 | 2 | 34 | 37.4 | $66K | 27 Aug 2025 |
| Ouachita Healthcare and Rehabilitation Center | Monroe | 167 | 2 | 3 | 1 | 27 | 16.2 | $32K | 16 Jun 2026 |
| The Oaks | Monroe | 125 | 2 | 3 | 3 | 18 | 14.4 | $27K | 24 Feb 2026 |
All 10 facilities in Ouachita County
Questions and answers
How many deficiencies has Guest House Nursing and Rehabilitation been cited for?
27 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Louisiana median is 21 per facility.
Has Guest House Nursing and Rehabilitation been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Guest House Nursing and Rehabilitation compare?
Reported total nurse staffing is 3.9 hours per resident per day against a Louisiana median of 3.6 and a national average of 3.9.
Who operates Guest House Nursing and Rehabilitation?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Ronald Anthony Goux Estate and Maison Healthcare Management Company LLC. Individual owners and managers are not listed on this site.
When was Guest House Nursing and Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 13 May 2026; the most recent standard health survey was 30 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.