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Guest House Nursing And Rehabilitation
109 Guest House Drive, West Monroe, LA 71292
For Pricing & Availability
(800) 780-8101To Reach a Resident
(318) 387-3900Estimated Pricing
Price Comparison
Community Insights
This detailed information was obtained directly from the Administrator at Guest House Nursing And Rehabilitation via email on Nov. 9, 2023.
Staffing
Our department heads consist of myself, our RN DON, RN ADON, RN MDS Coordinator, Director of Rehab, LPN Medicare Coordinator, Social Services Director, certified Bookkeeper, certified Activities Director, Treatment nurse, and registered Dietary Manager. Our floor staff consists of LPNs and CNAs + a CNA Supervisor and CNA lead. We staff floor clinical personnel at 50% higher than the state mandate.
Safety
Aside from higher staffing rates, maintenance ensures that equipment is inspected and working properly on a routine basis. We keep open connection with our local Ombudsman (Resident Advocate) to ensure resident rights are being respected. All grievances are handled by my Social Director and me and are forwarded to the Ombudsman if all parties do not feel that issues were reconciled. Fall mats and other assistive devices are widely implemented to mitigate potential injury. Only one major injury reported within the last quarter and was highly suspected to have been the result of the resident’s fall at home, not in the facility, but was still investigated and treated as if it was from a fall in the facility. Call light systems interconnect all the way to the front of the ward so that call lights can be identified even if personnel are around 2 corners of the building + ward clerk pages overhead if a call light is not answered within 30 seconds. Social Director also meets with residents to assess their personal feelings of safety and security. We also have good and working relationships with outside authorities if ever needed.
Community Transitioning
We follow the state standard “Section Q” for Medicaid Waiver services (when Medicaid is applicable) to transition into the community. This program goes through the Office of Aging and Adult Services to secure sitters in the home and supplies transition coordinators that work with the nursing facility. In addition, residents discharging from therapy often have orders for home health. We always put a plan together for a safe discharge.
Transportation
We offer transportation services at no cost for medical appointments/services only. Medicaid offers transportation services but will have to be set up by the resident or family. We can pick up initially from the hospital, but we do not transport back home due to liability potential.
Dining
Since the facility is split into “neighborhoods”, each neighborhood has their own dining area, as well as a main dining area in the center of the facility. Currently, most residents prefer to dine in their native neighborhoods as aides bring their trays in insulated carts to provide hot meals. We offer a wide range of menu items that also include an alternate meal option, as well as an always available menu. Our dietary manager assesses the residents’ preferences upon admission and when necessary.
Complaints
The complaint procedure model is structured as such: Resident (or loved one on their behalf) states grievance to staff member, who relays to myself, Administrator. Residents often approach my office themselves to file the grievance. Grievances are documented and the investigation/procedure begins, aiming to reconcile the issue within 72 hours or provide an acceptable reason if issue cannot be resolved. Grievances are documented, kept, and reviewed routinely by the Ombudsman and state surveyors. If the grievance cannot be resolved, it can be brought to one of these agencies either by the residents themselves or the facility, preferably the latter. All findings and steps are reported to the resident and/or their responsible party.
Costs of Living
I am a bit unclear on the inquiry of the cost of living. I can say that Medicare (traditional or a managed care within our network) pays for 100% of the stay if resident is in for therapy only. Medicaid + Social Security pays for 100% of a long-term-care stay. Resident can private pay $250/day if no insurances are applicable. All meals, utilities, linens, toiletries, nursing supplies, and other items vital to care are included in this rate. The only common additional items/services identified that would require funds out-of-pocket are personal clothing, beauty shop services, and personal bills. Our facility is also unique in that a television, internet, cable, and land-line phone service are also included for each resident at no additional cost. If you only meant the cost of living in the physical, general area of West Monroe, I would say moderate-low. Residents rarely need to access goods outside of the facility.
Communication
The standard for communicating with a resident’s Responsible Party (the person/people they name as their primary contacts) include notifying them of all order changes, falls, accidents/incidents, changes in condition, moving rooms, treatment changes, therapy updates, treatment refusals, scheduled appointments, care plan updates, new diagnoses, and for policy/billing/general clerical updates. Families are called often. Residents and their RPs can also add any event/incident/variable to the list that they would like to be notified of, and families and residents may absolutely call each other at any time. Resident may install a phone to use on our service, may use the phone in their neighborhood, at the nurse’s station, or can request a staff member to call a family member. I have even called families for residents per their request in my office.
Length of Stay
A resident may discharge at any time they please. We do offer short-term therapy stays, respite/hospice, and have had folks come in and out as their lives and conditions change. While we often advise and organize discharge planning meetings, even a long-term-care resident can discharge at any given point. Residents may also leave the building and return without formally being discharged. Therapy residents must return by midnight same-day to remain on census, long-term residents on Medicaid can be out 14 midnights (but no more than 3 consecutive) per year to remain on census and remain covered by insurance. Private-pay residents may leave however long they would like but will be issued a bed-hold fee if they plan to return. Respite/hospice care are billed through Medicare via the hospice agency at no cost.
Pets
I do know that pets are more than welcome to visit! I actually need to check on our policy on if pets are allowed to stay the entire length of the resident’s stay, but I am positive that they can visit. Naturally, this is assuming they are well behaved and that any potential messes are mitigated. I have several family members who bring their dogs to visit every day.
Feel free to print out this email to go over with loved ones and address any more questions in the meantime. This is a lot of information to consume at once, so I am sure that as you digest it, more questions will come up. You are also more than welcome to visit or send a visitor and I will personally provide a tour.
Shoot me an email, text, or call when needed. I am more than happy to elaborate further. We currently do not have a waitlist and are accepting both skilled and long-term residents.
We Are Dually Certified
We are dually certified, so we accept both Medicare and Medicaid.
Medicare Coverage
For therapy services via Medicare, we accept Vantage, United Healthcare, and Blue Cross as managed care payors (there may be more in our network, but I have not personally come across any others yet).
Any others can be sent up for requested provision, but I know for sure that Aetna and Humana do not provide nursing facility coverage.
Medicaid Coverage
Medicaid covers long-term stays with a patient-liability that can be supplemented with social security.
Private Pay Rates
Private pay rates are currently $250 per day for semi-private rooms without skilled services. Which is one of the lowest private pay rates among any facility in the state.
Assistance with Coverage
Both I and my billing office are more than happy to walk through the coverage process with potential residents and their families to minimize out-of-pocket costs, often to a point where no bill is issued.
Facility Amenities
Our facility is divided into neighborhoods that promote privacy, comfort, and an overall home-like environment. Our therapy team is humbled to be regarded as one of the most efficient groups around and we offer at least 3 well-rounded activities facility-wide every day. Our last 3 state surveys all had zero deficiencies identified.
For pricing & availability call (800) 780-8101
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Care Types at Community
This community offers the following types of care
Skilled Nursing
Skilled nursing provides 24/7 medical care and support by licensed professionals for seniors needing continuous healthcare assistance.
View other Skilled Nursing communities in West Monroe
Review Summary
The following is an AI generated summary of the reviews of the community from across the web.
Summary of Reviews:
- Several reviews report a decline in quality of care and management over the years, with instances of neglect and injury to residents.
- Complaints include staff being rude, unresponsive, and lacking in people skills. There are also reports of staff prioritizing their cell phones over resident interaction.
- Communication issues are prevalent, with reports of unanswered calls and inconsistent information provided.
- Concerns about understaffing leading to resident neglect and abuse, as well as unresolved bedbug problems.
- Some positive feedback mentions the facility being clean, well-equipped, and some staff members being helpful and caring.
- There are mixed reviews about the facility's environment, with some finding it nice and others citing a drastic decline in care quality, especially post-COVID.
- Several reviewers have taken their loved ones out of the facility due to dissatisfaction with the care provided.
- A few reviews highlight satisfactory experiences, mentioning good food, respectful treatment, and effective therapy.
Overall: The facility receives mixed reviews, with a significant number of negative experiences related to management, staff behavior, and resident care. However, there are a few positive comments about the facility's cleanliness and some staff members' dedication.
Reviews
There are currently no reviews that were left on My Caring Plan
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Services
Activities
Community Amenities
Room Amenities
Dining
Information from Centers for Medicare & Medicaid Services
Nursing Home Ratings
Overall rating: 1
Health inspection rating: 2
Staffing rating: 2
Quality measure rating: 1
Long-term quality measure rating:
1
Short-term quality measure rating:
2
Nursing Home Overview
Participation
date: May 16, 2002
Ownership type: For Profit
Provider
type: Medicare and Medicaid
Nursing home capacity: 140
Total current residents: 85
Facility is located in a hospital: No
Automatic sprinkler system: Yes
Resident and family council: Resident
Facility Incident, Complaints and Fines
Number of
facility
incidents: 2
Number of
substantiated complaints: 8
Number of payment denials: 0
Number of fines: 0
Total cost of fines: $0
The Centers for Medicare & Medicaid Services give each Nursing Home a Star Rating from 1-5 with 5 being the highest.
The graph below shows information from this Nursing Home as well as State and National averages over time.
Use the dropdown below to view each data pointThe Centers for Medicare & Medicaid Services gather information about the number of hours of care provided on average to each resident each day by staff as well as the turnover of staff.
The graph below shows information from this Nursing Home as well as State and National averages over time.
Use the dropdown below to view each data pointThe Centers for Medicare & Medicaid Services tracks information around emergency department and hospital visits for residents of Nursing Homes.
The graph below shows information from this Nursing Home as well as State and National averages over time.
Use the dropdown below to view each data pointThe Centers for Medicare & Medicaid Services tracks information around quality measures for residents of Nursing Homes.
The graph below shows information from this Nursing Home as well as State and National averages over time.
Use the dropdown below to view each data pointThe Centers for Medicare & Medicaid Services tracks information around COVID-19 vaccination rates of Nursing Home residents and staff members.
The graph below shows information from this Nursing Home as well as State and National averages over time.
Use the dropdown below to view each data pointHealth and Fire Safety Deficiencies
The Center for Medicare and Medicaid report health and fire safety deficiencies. Some of these deficiencies are more severe than others. The following table shows different levels of severity.
Scope | |||
---|---|---|---|
Severity of Deficiency | Isolated | Pattern | Widespread |
Immediate jeopardy to resident health or safety | J | K | L |
Actual harm that is not immediate jeopardy | G | H | I |
No actual harm with potential for more than minimal harm that is not immediate jeopardy | D | E | F |
No actual harm with potential for minimal harm | A | B | C |
Health Safety Deficiencies
Survey Date | Correction Date | Letter | Category | Description |
---|---|---|---|---|
2023-06-22 | 2023-07-28 | E | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
2023-05-31 | nan | D | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. |
2023-02-15 | 2023-03-29 | D | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
2023-02-15 | 2023-03-29 | E | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
2023-02-15 | 2023-03-29 | D | Quality of Life and Care Deficiencies | Provide medically-related social services to help each resident achieve the highest possible quality of life. |
2023-06-22 | 2023-07-28 | E | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. |
2022-07-20 | 2022-08-22 | D | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
2022-07-20 | 2022-08-22 | E | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
2022-07-20 | 2022-08-22 | D | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. |
2021-10-25 | 2021-12-09 | E | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
2021-10-25 | 2021-12-09 | D | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
2022-06-07 | 2022-07-11 | E | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. |
2022-06-07 | 2022-07-11 | E | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. |
2022-06-07 | 2022-07-11 | E | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. |
2020-08-07 | 2020-09-16 | E | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
2020-08-07 | 2020-09-16 | E | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
2020-08-07 | 2020-09-16 | E | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. |
2021-05-27 | 2021-07-11 | D | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. |
Fines
Fine Date | Fine Amount |
---|---|
2019-07-18 | $87,948 |
2019-07-18 | $87,949 |
What is in the Neighborhood
- The closest city is West Monroe which is 1.4 miles away and has a population of 12,966 (small town).
- The average income is $47,877, which is low compared to other zip codes.
- Weather
- High Temperature: 85
- Low Temperature: 48
- Average Temperature: 68.3
- Day Breakdown: The area gets 168 days of rain, 1 days of snow and 194 days of sun
- Precipitation: 2.7 inches a year
- The crime rate is 16.98 per 100 people which is very high compared to other cities.
- Violent Crime: 3.19 incidents per 100 people
- Property Crime: 8.09 incidents per 100 people
- Drug-Related Crime: 4.85 incidents per 100 people
Click the button above to explore the neighborhood
Supermarkets
Walmart Supercenter
0.5 miles awayBrookshire's
1.1 miles awaySuper 1 Foods
1.1 miles awayAzteca Super Mercado
1.2 miles awayHarvest Foods
1.3 miles awayNone Found
None Found
Banks
Centric Federal Credit Union
0.7 miles awayIberia Bank
0.8 miles awayChase
0.8 miles awayBancorpSouth Bank
0.9 miles awayProgressive Bank
0.9 miles awayHospitals
Glenwood Regional Medical Center
0.7 miles awaySaint Francis Medical Center
2.8 miles awayP&S Surgical Hospital
2.8 miles awayMonroe Surgical Hospital
4.2 miles awayOchsner LSU Health Shreveport - Monroe Medical Center
4.8 miles awayPharmacies
Healthcare Warehous Pharmacy
0.7 miles awayLegends Pharmacy
0.7 miles awayCVS Pharmacy
0.9 miles awayBrookshire's Pharmacy
1.1 miles awayWalgreens
24.7 miles awayDentists
Peach Tree Dental
1.0 miles awayParks
Restoration Park
0.3 miles awayWellness Center walking track
0.9 miles awayCounty Side
1.4 miles awayPrune St Park
2.0 miles awayForsythe Point Recreation Area
2.0 miles awayNone Found
Shopping
Geneva's Plaza
5.7 miles awayPecanland Mall
5.9 miles awayCulture
ULM Brown Auditorium
5.4 miles awayBrown Auditorium
5.4 miles awayRestaurants
Pizza Hut
0.2 miles awayLogan's Roadhouse
0.2 miles awayChili's
0.3 miles awayOutback Steakhouse
0.3 miles awayCracker Barrel
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