All states › Louisiana › West Monroe › Guest House Nursing and Rehabilitation
109 Guest House Drive West Monroe, LA 71292 · Ouachita County
All 3 nursing homes in West Monroe, LA (3 take Medicaid)
CMS certification number 195551 · See this home on Medicare Care Compare
Is Guest House Nursing and Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Guest House Nursing and Rehabilitation as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Louisiana average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.83 hours per resident per day at Guest House Nursing and Rehabilitation, above the Louisiana median of 3.73 (US median: 3.72). About 0.25 of those hours are from registered nurses. On weekends it falls to 3.35 hours, 13% below its all-week average. 64.7% of nursing staff left within a year (Louisiana median 46.4%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Guest House Nursing and Rehabilitation: Medicare and Medicaid
Guest House Nursing and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Louisiana's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 30, 2025 and found 9 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 25 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 25 citations at Guest House Nursing and Rehabilitation across 8 inspection dates, 10 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 25 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were freedom from abuse, neglect, and exploitation (5) and pharmacy service (5). The most serious was cited under the CMS rule to "honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely" (tag F0584, level E, July 30, 2025). 5 citations were under CMS's abuse, neglect and exploitation rules.
May 13, 2026 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
July 30, 2025 · 9 citations
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
DProtect each resident from the wrongful use of the resident's belongings or money.
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DRespond appropriately to all alleged violations.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
March 19, 2025 · 1 citation · includes complaint inspection
EEnsure 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.
December 30, 2024 · 3 citations · includes complaint inspection
EVerify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
DEnsure each resident receives an accurate assessment.
DTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
August 13, 2024 · 1 citation · includes complaint inspection
EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
July 24, 2024 · 5 citations
EEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide safe and appropriate respiratory care for a resident when needed.
EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
EImplement 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.
May 16, 2024 · 4 citations · includes complaint inspection
EVerify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
EEnsure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
June 22, 2023 · 1 citation
EEnsure 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.
Questions to ask on a tour of Guest House Nursing and Rehabilitation
- CMS cited the home under its abuse and neglect rules on July 30, 2025. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 64.7% a year. How many of the staff come from agencies?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 3/5 | 1/5 |
| August 2026 | 1/5 | 2/5 | 3/5 | 1/5 |
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Location
Hospitals near Guest House Nursing and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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5.4 mi
Glenwood Regional Medical Center West MonroeEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 38m for patients treated and sent home
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5.7 mi
Ochsner LSU Health Monroe MonroeEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 32m for patients treated and sent home
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6.5 mi
St Francis Medical Center MonroeEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 46m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Guest House Nursing and Rehabilitation › All nursing homes in West Monroe ›
Compare Guest House Nursing and Rehabilitation with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Ridgecrest Community Care Center · West Monroe · 4 stars · 5.9 mi
- Delta Grande Skilled Nursing and Rehabilitation · Monroe · 4 stars · 7.6 mi
- Landmark Nursing & Rehabilitation Center of West Mon · West Monroe · 2 stars · 6.0 mi
- The Oaks · Monroe · 2 stars · 7.3 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.