614 Weston Street, Minden, LA 71055 (opens Google Maps) · Webster County · (318) 377-5148· 124 certified beds · avg 105 residents/day · certified since Oct 4, 2001 · 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 →
1/5
Health inspection rating (on-site)
inspected May 22, 2025
2
Serious findings on record
most recent May 22, 2025
$322,647
Fines, last 3 years
4.20
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, widespread · May 22, 2025 · F-0689
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): Immediate jeopardy to resident health or safety was cited. The scope was widespread: a systemic or pervasive problem. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jun 14, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, widespread · May 22, 2025 · 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): Immediate jeopardy to resident health or safety was cited. The scope was widespread: a systemic or pervasive problem. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jun 14, 2025 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 12 inspection findings. Open the full record below to read every finding.
L · Immediate jeopardy, widespread
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. F-0689
L · Immediate jeopardy, widespread
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaintF-0835
E · Potential for more than minimal harm, pattern
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. F-0578
View all 12 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 22, 2025
▲ L · Immediate jeopardy, widespread
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
May 22, 2025
▲ L · Immediate jeopardy, widespread
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 · F-0835
May 22, 2025
E · Potential for more than minimal harm, pattern
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. · F-0578
May 22, 2025
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
May 22, 2025
E · Potential for more than minimal harm, pattern
The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
May 22, 2025
E · Potential for more than minimal harm, pattern
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. · F-0700
May 22, 2025
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. · F-0726
May 22, 2025
D · Potential for more than minimal harm, isolated
The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550
May 22, 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
May 22, 2025
D · Potential for more than minimal harm, isolated
The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908
Apr 3, 2024
E · Potential for more than minimal harm, pattern
The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908
Apr 3, 2024
D · Potential for more than minimal harm, isolated
The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 10).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2024
All citations:
2
Serious citations (G–L):
0
2025
All citations:
10
Serious citations (G–L):
2
All bars start at zero. Exact values and supporting details remain below.
Year
Citations
Serious (G–L)
Worst severity that year
2024
2
0
E
2025
10
2
L ▲
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.
1 fine totaling $322,647, plus 1 Medicare payment denial period.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
Date
Type
Amount / length
May 22, 2025
Fine
$322,647
May 22, 2025
Payment Denial
9 days from Jun 14, 2025
Nurse staffing (from payroll records, adjusted for how much care residents need)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityLouisiana averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
4.20
Louisiana average:
4.04
U.S. average:
3.95
Registered Nurse hours
This facility:
0.37
Louisiana average:
0.32
U.S. average:
0.69
Weekend total nurse staffing
This facility:
3.48
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)
4.20
4.04
3.95
top 36% in Louisiana; top 32% in the U.S.
Registered Nurse hours
0.37
0.32
0.69
top 22% in Louisiana; bottom 17% in the U.S.
Weekend total nurse staffing
3.48
3.45
3.50
top 46% in Louisiana; top 43% in the U.S.
Weekend RN hours (not acuity-adjusted)
0.11
0.20
0.48
bottom 22% in Louisiana; bottom 2% in the U.S.
Total nursing staff turnover (%)
22.6
47.6
45.8
top 3% in Louisiana; top 5% in the U.S.
RN turnover (%)
12.5
41.6
42.9
top 9% in Louisiana; top 6% 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 3.69, RN 0.32, weekend 3.06.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.69 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
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.
No verified facility-specific private-pay price is available in our data for Town & Country Health & Rehab. CMS inspection and staffing records do not tell us what this home will charge you.
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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.
CMS records place this facility in Webster, LA — 3 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Facility data as of CMS processing date 2026-08-01. CCN 195532.
This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).
The Care File
Visit checklist — Town & Country Health & Rehab
614 Weston Street, Minden, LA 71055 · (318) 377-5148
Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $322,647
Most serious findings on record:
▲ May 22, 2025 (F-0689, Immediate jeopardy, widespread): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ May 22, 2025 (F-0835, Immediate jeopardy, widespread): The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Questions for the administrator:
☐ "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 record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "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 give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "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 23% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 28 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"
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 195532 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)