Pilgrim Manor Skilled Nursing and Rehabilitation
1524 Doctors Drive, Bossier City, LA 71111 · Bossier County · 155 certified beds · avg 121 residents/day · certified since Jun 1, 2004
Abuse citation flag (CMS)
Part of chain: PRIORITY MANAGEMENT (38 facilities, chain avg rating 2.9★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Dec 4, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 26, 2024 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Dec 4, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 26, 2024 (Past Non-Compliance)
▲ Immediate jeopardy, facility-wide · Aug 1, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Aug 29, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, facility-wide · Aug 1, 2024 · F-0835 · triggered by a complaint
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Aug 29, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Aug 1, 2024 · F-0726 · triggered by a complaint
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Aug 29, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 3, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 15, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (22)
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 |
|---|---|---|
| Feb 25, 2026 | 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. |
| Feb 25, 2026 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Feb 25, 2026 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Feb 25, 2026 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Feb 25, 2026 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Feb 25, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 3, 2025 | ▲ G · Actual 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. · from a complaint |
| Sep 3, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Dec 17, 2024 | 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. |
| Dec 17, 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. |
| Dec 17, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 17, 2024 | E · Potential for harm, repeated | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Dec 4, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Dec 4, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 1, 2024 | ▲ L · Immediate jeopardy, facility-wide | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 1, 2024 | ▲ L · Immediate jeopardy, facility-wide | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Aug 1, 2024 | ▲ K · Immediate jeopardy, 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 |
| Apr 24, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Jan 31, 2024 | E · Potential for harm, repeated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jan 31, 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. |
| Jan 31, 2024 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jan 31, 2024 | E · Potential for harm, repeated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 14 | 5 | L ▲ |
| 2025 | 2 | 1 | G ▲ |
| 2026 | 6 | 0 | E |
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)
3 fines totaling $186,253, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Sep 3, 2025 | Fine | $12,425 |
| Sep 3, 2025 | Payment Denial | 13 days from Oct 16, 2025 |
| Dec 4, 2024 | Fine | $52,855 |
| Aug 1, 2024 | Fine | $120,973 |
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) | 2.97 | 4.04 | 3.95 | bottom 7% in Louisiana; bottom 13% in the U.S. |
| Registered Nurse hours | 0.19 | 0.32 | 0.69 | bottom 22% in Louisiana; bottom 2% in the U.S. |
| Weekend total nurse staffing | 2.61 | 3.45 | 3.50 | bottom 10% in Louisiana; bottom 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.16 | 0.20 | 0.48 | top 39% in Louisiana; bottom 7% in the U.S. |
| Total nursing staff turnover (%) | 69.3 | 47.6 | 45.8 | bottom 6% in Louisiana; bottom 6% in the U.S. |
| RN turnover (%) | 0.0 | 41.6 | 42.9 | — |
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 3.40, RN 0.22, weekend 2.99. Staffing rating: 1/5.
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: 3/5 · long-stay residents: 3/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bauder, William | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2019 |
| Boulware, Douglas | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2019 |
| Boulware, Steven | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2019 |
| SDB Holdings | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2019 |
| Adams, Angela | Individual | ADP of the SNF | NOT APPLICABLE | 09/19/2018 |
| Almond, James | Individual | ADP of the SNF | NOT APPLICABLE | 04/18/2025 |
| Angelo, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 04/17/2025 |
| Bauder, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Boulware, Steven | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Colvin, David | Individual | ADP of the SNF | NOT APPLICABLE | 04/17/2025 |
| Priority Management Group, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Priority Management Group, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/16/2025 |
| Progressive Rehab Solutions, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "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 | Flags |
|---|---|---|---|---|---|
| Heritage Manor Health & Rehab | 0.9 mi | Bossier City, LA | ★☆☆☆☆ | 1/5 | |
| Adira Medical Resort | 3.1 mi | Bossier City, LA | ★☆☆☆☆ | 2/5 | |
| Northwest Louisiana Veterans Home | 3.2 mi | Bossier City, LA | ★★★★☆ | 5/5 | |
| Highland Place Rehab and Nursing Center | 3.4 mi | Shreveport, LA | ★☆☆☆☆ | 1/5 | |
| Cypress Point Nursing & Rehabilitation Center | 3.9 mi | Bossier City, LA | ★★★★☆ | 4/5 | |
| Harmony House Nursing and Rehabilitation Center, I | 4.3 mi | Shreveport, LA | ★★★★☆ | 5/5 | |
| Old Brownlee Community Care Center | 4.4 mi | Bossier City, LA | ★★★★★ | 4/5 | |
| Magnolia Manor Nursing and Rehab Ctr, LLC | 4.8 mi | Shreveport, LA | ★★★☆☆ | 3/5 | |
| Claiborne Healthcare Center | 4.9 mi | Shreveport, LA | ★☆☆☆☆ | 1/5 | |
| Shreveport Manor Skilled Nursing & Rehabilitation | 5.3 mi | Shreveport, LA | ★☆☆☆☆ | 2/5 | |
| Roseview Nursing and Rehabilitation Center | 5.3 mi | Shreveport, LA | ★★☆☆☆ | 2/5 | abuse |
| Progressive Care Center | 5.4 mi | Shreveport, LA | ★★★☆☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 195594.