The Gardens and Guardian

Name: The Gardens and Guardian
Address: 1401 COUNTRY CLUB ROAD, Lake Charles, LA, 70605, US
Telephone: 3374801550

1401 Country Club Road, Lake Charles, LA 70605 · Calcasieu County · 60 certified beds · avg 43 residents/day · certified since Mar 21, 2012

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.44

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

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 (14)

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
Mar 5, 2025	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. · from a complaint
Jul 10, 2024	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.
Jul 10, 2024	D · Potential for harm, one-off	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 23, 2024	E · Potential for harm, repeated	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint
Jan 23, 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
Jan 23, 2024	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. · from a complaint
Jan 23, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Jan 23, 2024	D · Potential for harm, one-off	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
Jun 21, 2023	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.
Jun 21, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jun 29, 2022	E · Potential for harm, repeated	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.
Jun 29, 2022	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.
Jun 29, 2022	D · Potential for harm, one-off	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
Jun 29, 2022	C · Minimal risk, facility-wide	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 stayed about the same across the last two inspection cycles (2 → 2).

Year	Citations	Worst severity that year
2022	4	E
2023	2	D
2024	7	E
2025	1	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)

0 fines totaling $0, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Mar 5, 2025	Payment Denial	1 days from Mar 27, 2025

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)	5.44	4.04	3.95	top 5% in Louisiana; top 8% in the U.S.
Registered Nurse hours	0.32	0.32	0.69	top 33% in Louisiana; bottom 12% in the U.S.
Weekend total nurse staffing	4.58	3.45	3.50	top 6% in Louisiana; top 11% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.36	0.20	0.48	top 6% in Louisiana; bottom 44% in the U.S.
Total nursing staff turnover (%)	62.5	47.6	45.8	bottom 13% in Louisiana; bottom 13% in the U.S.
RN turnover (%)	60.0	41.6	42.9	bottom 27% in Louisiana; bottom 22% 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 5.42, RN 0.32, weekend 4.57. 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: 2/5 · long-stay residents: 1/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Joubert, James	Individual	5% or Greater Direct Ownership Interest	50%	09/01/2018
Joubert, Kimberly	Individual	5% or Greater Direct Ownership Interest	50%	09/01/2018
Joubert, James	Individual	Corporate Director	NOT APPLICABLE	09/01/2018
Wilcoxon, Justin	Individual	W-2 Managing Employee	NOT APPLICABLE	09/01/2018

Questions to ask on your visit

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

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"How do you make sure resident assessments are completed and submitted to the state on time?"
"How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"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
Grand Cove Nursing & Rehabilitation Center	0.6 mi	Lake Charles, LA	★★☆☆☆	3/5
Resthaven Nursing & Rehab Center, LLC	0.6 mi	Lake Charles, LA	★☆☆☆☆	1/5
Lake Charles Care Center	2.7 mi	Lake Charles, LA	★★★☆☆	4/5
Rosewood Nursing Center	3.2 mi	Lake Charles, LA	★★☆☆☆	4/5
Calcasieu Community Care Center	3.7 mi	Lake Charles, LA	★★★☆☆	3/5
Landmark of Lake Charles	4.0 mi	Lake Charles, LA	★★★☆☆	4/5
Holly Hill House	6.7 mi	Sulphur, LA	★☆☆☆☆	1/5	abuse
High Hope Care Center	11.6 mi	Sulphur, LA	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Lake Charles →

Facility data as of CMS processing date 2026-08-01. CCN 195636.

The Care File

Visit checklist — The Gardens and Guardian

1401 Country Club Road, Lake Charles, LA 70605 · 3374801550

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

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "How do you make sure resident assessments are completed and submitted to the state on time?"
☐ "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "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 195636 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)