| Carroll Health and Rehab LLC | |
| 307 N Castleman St, Oak Grove, Louisiana 71263 | |
| (318) 428-3249 | |
| Name | Carroll Health and Rehab LLC |
|---|---|
| Location | 307 N Castleman St, Oak Grove, Louisiana |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 120 |
| Occupancy Rate | 63.25% |
| Medicare ID (CCN) | 195423 |
| Legal Business Name | Carroll Health and Rehab LLC |
| Ownership Type | For Profit - Individual |
| NPI Number | 1417554908 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Carroll Health and Rehab LLC |
| Address | 307 N Castleman St, Oak Grove, LA 71263 |
| Phone Number | 318-428-3249 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.13 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.29 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.02 | 0.86 |
| Nurse aide hours per resident per day | 1.82 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.54 | 3.42 |
| RN hours per resident per day on the weekend | 0.12 | 0.48 |
| Physical therapist hours per resident per day | 0.05 | 0.07 |
| Total nursing staff turnover | 42.1% | 45.8% |
| Registered nurse turnover | Not available: the staffing data did not meet CMS's criteria for this measure | 42.9% |
| Number of administrators who have left the nursing home | 2 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $37,884 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jul 28, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection, Complaint inspection | Immediate jeopardy, isolated | Corrected by Sep 1, 2025 |
| Jul 28, 2025 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835, Administration, Complaint inspection | Immediate jeopardy, isolated | Corrected by Sep 1, 2025 |
| Jul 28, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection | Potential for harm, widespread | Corrected by Sep 1, 2025 |
| Jul 28, 2025 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. F0568, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Sep 1, 2025 |
| Jul 28, 2025 | 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. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Sep 1, 2025 |
| Jul 28, 2025 | Try 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. F0700, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Sep 1, 2025 |
| Jul 28, 2025 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Sep 1, 2025 |
| Jul 28, 2025 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. F0838, Administration, Standard inspection | Potential for harm, pattern | Corrected by Sep 1, 2025 |
| Jul 28, 2025 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Sep 1, 2025 |
| Jul 28, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Sep 1, 2025 |
| Jul 28, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Sep 1, 2025 |
| Jul 28, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Sep 1, 2025 |
| Jul 28, 2025 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Sep 1, 2025 |
| Jul 28, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Sep 1, 2025 |
| Jul 28, 2025 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868, Administration, Standard inspection | Potential for harm, isolated | Corrected by Sep 1, 2025 |
| Jul 28, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Sep 1, 2025 |
| Jul 28, 2025 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Sep 1, 2025 |
| Apr 11, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, pattern | Corrected by May 16, 2025 |
| Jan 29, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, pattern | Corrected by Mar 13, 2025 |
| Jan 29, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Mar 13, 2025 |
| Jan 29, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Mar 13, 2025 |
| Jan 29, 2025 | Have policies on smoking. F0926, Environmental, Complaint inspection | Potential for harm, isolated | Corrected by Mar 13, 2025 |
| Nov 12, 2024 | 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. F0584, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by Dec 27, 2024 |
| Nov 12, 2024 | 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. F0726, Nursing and Physician Services, Complaint inspection | Potential for harm, pattern | Corrected by Dec 27, 2024 |
| Nov 12, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 27, 2024 |
| Nov 12, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Dec 27, 2024 |
| Oct 9, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Nov 8, 2024 |
| Sep 17, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Corrected by Nov 1, 2024 |
| Sep 17, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Corrected by Nov 1, 2024 |
| Sep 17, 2024 | Ensure 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. F0836, Administration, Complaint inspection | Potential for harm, pattern | Corrected by Nov 1, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.52 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 9.42 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.92 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.44 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.47 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.02 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.2 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 6.82 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.71 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.8 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.16 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 59.02 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 14.05 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 6.79 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 45.22 | 15.38 |
West Carroll Care Center, Inc Location: 706 Ross Street, Oak Grove, Louisiana 71263 Phone: (318) 428-9612 |