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Guest House Nursing and Rehabilitation
109 Guest House Drive, West Monroe, LA 71292 (opens Google Maps) · Ouachita County · (318) 387-3900· 140 certified beds · avg 105 residents/day · certified since May 16, 2002 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
2/5
Health inspection rating (on-site)
inspected Jul 30, 2025
0
Serious findings on record
$0
Fines, last 3 years
4.37
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 27 inspection findings. Open the full record below to read every finding.
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 F-0684
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. F-0584
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. F-0602
View all 27 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 13, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
| Jul 30, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Jul 30, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0602 |
| Jul 30, 2025 | D · Potential for more than minimal harm, isolated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604 |
| Jul 30, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0610 |
| Jul 30, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0644 |
| Jul 30, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Jul 30, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jul 30, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Jul 30, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
| Mar 19, 2025 | E · Potential for more than minimal harm, pattern | 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 · F-0761 |
| Dec 30, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0729 |
| Dec 30, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0641 |
| Dec 30, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0700 |
| Aug 13, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0726 |
| Jul 24, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0640 |
| Jul 24, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0656 |
| Jul 24, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0695 |
| Jul 24, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0756 |
| Jul 24, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0758 |
| May 16, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0729 |
| May 16, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0836 |
| May 16, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0609 |
| May 16, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0610 |
| Aug 2, 2023 | E · Potential for more than minimal harm, pattern | 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 · F-0658 |
| Aug 2, 2023 | E · Potential for more than minimal harm, pattern | 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 · F-0756 |
| Jun 22, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 9).
All citationsSerious citations (G–L)
2023
All citations: 3
Serious citations (G–L): 0
2024
All citations: 13
Serious citations (G–L): 0
2025
All citations: 10
Serious citations (G–L): 0
2026
All citations: 1
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | E |
| 2024 | 13 | 0 | E |
| 2025 | 10 | 0 | E |
| 2026 | 1 | 0 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityLouisiana averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.37
Louisiana average: 4.04
U.S. average: 3.95
Registered Nurse hours
This facility: 0.27
Louisiana average: 0.32
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.73
Louisiana average: 3.45
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.93 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Guest House Nursing and Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 20 owning or managing parties CMS has on file are shown — none excluded.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 64% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 20 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 195551.
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