Guest House Nursing and Rehabilitation

Name: Guest House Nursing and Rehabilitation
Address: 109 Guest House Drive, West Monroe, LA, 71292, US
Telephone: 3183873900

109 Guest House Drive, West Monroe, LA 71292 · Ouachita County · 140 certified beds · avg 105 residents/day · certified since May 16, 2002

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.37

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (27)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 13, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jul 30, 2025	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jul 30, 2025	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds.
Jul 30, 2025	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Jul 30, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Jul 30, 2025	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Jul 30, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jul 30, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jul 30, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jul 30, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Mar 19, 2025	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Dec 30, 2024	E · Potential for harm, repeated	The facility did not verify that its nurse aides had completed their required training, or did not retrain aides who had been out of nurse aide work for 2 years. · from a complaint
Dec 30, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Dec 30, 2024	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · from a complaint
Aug 13, 2024	E · Potential for harm, repeated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint
Jul 24, 2024	E · Potential for harm, repeated	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Jul 24, 2024	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jul 24, 2024	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jul 24, 2024	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jul 24, 2024	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
May 16, 2024	E · Potential for harm, repeated	The facility did not verify that its nurse aides had completed their required training, or did not retrain aides who had been out of nurse aide work for 2 years. · from a complaint
May 16, 2024	E · Potential for harm, repeated	The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. · from a complaint
May 16, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
May 16, 2024	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Aug 2, 2023	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Aug 2, 2023	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint
Jun 22, 2023	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 9).

Year	Citations	Worst severity that year
2023	3	E
2024	13	E
2025	10	E
2026	1	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Louisiana avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.37	4.04	3.95	top 29% in Louisiana; top 27% in the U.S.
Registered Nurse hours	0.27	0.32	0.69	top 50% in Louisiana; bottom 7% in the U.S.
Weekend total nurse staffing	3.73	3.45	3.50	top 27% in Louisiana; top 32% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.09	0.20	0.48	bottom 13% in Louisiana; bottom 1% in the U.S.
Total nursing staff turnover (%)	64.1	47.6	45.8	bottom 11% in Louisiana; bottom 11% in the U.S.
RN turnover (%)	33.3	41.6	42.9	top 34% in Louisiana; top 33% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.93, RN 0.24, weekend 3.35. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Ashbrook, Michael	Individual	5% or Greater Direct Ownership Interest	26%	01/01/2011
Goux, Lynette	Individual	5% or Greater Direct Ownership Interest	5%	01/01/2011
Jeffrey M Ashbrook Testamentary Trust	Organization	5% or Greater Direct Ownership Interest	25%	01/01/2018
Ronald Anthony Goux Estate	Organization	5% or Greater Direct Ownership Interest	5%	12/29/2020
Ashbrook, Michael	Individual	Corporate Officer	NOT APPLICABLE	07/18/2009
Ashbrook, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2015
Casto, Cortland	Individual	Operational/Managerial Control	NOT APPLICABLE	08/07/2023
Casto, Cortland	Individual	ADP of the SNF	NOT APPLICABLE	08/07/2023
Goux, Jeremy	Individual	Corporate Officer	NOT APPLICABLE	07/08/2008
Goux, Jeremy	Individual	ADP of the SNF	NOT APPLICABLE	12/31/2012
Goux, Lynette	Individual	ADP of the SNF	NOT APPLICABLE	12/31/2012
Goux, Timothy	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2018
Krier, Brian	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2013
Krier, Brian	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2013
Landry, Robert	Individual	Corporate Director	NOT APPLICABLE	01/08/2024
Landry, Robert	Individual	Operational/Managerial Control	NOT APPLICABLE	01/08/2024
Maison Healthcare Management Company LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2015
Maison Healthcare Management Company LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/16/2026
Ronald Anthony Goux Estate	Organization	ADP of the SNF	NOT APPLICABLE	12/29/2020
Rounsaville, Rebecca	Individual	Corporate Officer	NOT APPLICABLE	07/08/2008

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"What is your policy on physical restraints, and what alternatives do you try first?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Ridgecrest Community Care Center	6.0 mi	West Monroe, LA	★★★★☆	4/5
Landmark Nursing & Rehabilitation Ctr of West Mon	6.0 mi	West Monroe, LA	★★☆☆☆	3/5
The Oaks	7.3 mi	Monroe, LA	★★☆☆☆	3/5
Delta Grande Skilled Nursing and Rehabilitation	7.6 mi	Monroe, LA	★★★☆☆	4/5
Mary Goss Nursing Home	8.8 mi	Monroe, LA	★★☆☆☆	2/5
St Joseph Skilled Nursing and Rehabilitation	9.8 mi	Monroe, LA	★☆☆☆☆	1/5
Ouachita Healthcare and Rehabilitation Center	10.9 mi	Monroe, LA	★★☆☆☆	3/5
Avalon Place	12.0 mi	Monroe, LA	★★☆☆☆	3/5
Northeast la War Veterans Home	13.3 mi	Monroe, LA	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in West Monroe →

Facility data as of CMS processing date 2026-08-01. CCN 195551.

The Care File

Visit checklist — Guest House Nursing and Rehabilitation

109 Guest House Drive, West Monroe, LA 71292 · 3183873900

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "What is your policy on physical restraints, and what alternatives do you try first?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 195551 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)