Best Senior Communities in Louisiana

Financially positioned with a 35% profit margin that generated a $3.1 million net income in 2023, Vermilion Health Care Center is a 120-bed facility that focuses primarily on extended care, registering an extensive 796-day average length of stay. The provider maintains a 78% local occupancy rate in a rural setting, with Medicaid recipients accounting for 83% of the resident census. Business reports show the facility reinvests 43.9% of its incoming revenue into direct operational payroll, supporting secure memory care units, long-term nursing, and post-acute physical rehabilitation lines.

A review of state monitoring registries places the home at the top of regional health inspection rankings, backed by strong clinical wellness scores and low deficiency counts. Direct daily nursing time tracks at 4 hours and 25 minutes per resident, ranking 38th highest across Louisiana, with certified nurse assistant hours running 14% ahead of the state baseline. On the compliance side, oversight files note only 14 total citations over a three-year window, averaging 3.5 per inspection, which runs beneath the state baseline.

The facility holds zero history of federal admission payment freezes and carries a low $6,000 fine record, with its most recent September 2024 review logging only minor care plan and resident rights paperwork points. Clinical charts indicate high performance across permanent resident care domains, tracking zero cases of documented depression alongside below-average rates for major injury falls, skin pressure ulcers, unexpected weight loss, and functional physical decline.

Older adults looking for highly rated rural Medicaid or Alzheimer’s care can use these public health tracking data to check out the home’s recent history. Because the official tracking documentation records consistent daily nurse staffing depth, top-tier state inspection rankings, and exceptional long-term physical wellness scores alongside a clear history of low financial penalties, the paperwork describes an organized care environment.

Legacy Nursing and Rehabilitation of Winnsboro is a 150-bed nursing and rehabilitation facility at 804 Polk Street in Winnsboro, Louisiana, operated by Winnsboro Opco LLC in Franklin Parish. Accepted are Medicare, Medicaid, and private pay, averaging a stay length of 230 days and only 7 of 84 current residents on Medicare, a population geared toward long-term Medicaid care despite the short-stay CMS designation. At 43.7 percent occupancy ranked 181st out of 189 Louisiana skilled nursing facilities, the facility has significant availability.

CMS rates the facility 2 stars, 9.9 percent below Louisiana average. Across 8 inspections since 2023, the facility recorded 31 total citations including 4 serious findings, 700 percent above the Louisiana average of 0.5. A $152,000 federal fine was assessed in May 2024, with a payment denial issued the same period, bringing total fines to $219,000 across four penalties, 113 percent above Louisiana average. Nurse hours run 3h 43m per resident per day, roughly aligned with Louisiana average.

Amenities feature an enclosed courtyard, restaurant-style dining, a beauty and barber salon, and transportation to medical appointments. Services include skilled nursing, rehabilitation, hospice, and a Rehab to Home program.

The community serves long-term Medicaid residents and post-acute patients in Franklin Parish.

Lacombe Nursing Centre is a 98-bed skilled nursing and rehabilitation facility at 28119 Highway 190 in Lacombe, Louisiana. It’s operated by Goux Enterprises, Inc., in St. Tammany Parish. Serving the area since 1968, the facility accepts Medicare, Medicaid, and private pay, with an average stay length of 209 days. Services span 24-hour skilled nursing, dedicated rehabilitation, memory care, respite care, and family training and involvement programming. The facility has some availability at 74.7 percent occupancy, above Louisiana’s 71.8 percent average.

The facility is graded 3 stars by CMS, 35.1 percent above Louisiana’s average. Staffing is the defining strength at 96.1 percent above state average; notably, weekend RN hours run 100 percent above the Louisiana mean. Health inspection performance runs 51.5 percent above state average. Quality measures are below Louisiana’s average and are the primary drag on the overall rating. Across 6 inspections since 2023, the facility totaled 26 citations, all low severity, no critical or serious findings, with no fines and payment denials. Nurse hours reach 3h 47m per resident per day, roughly matching Louisiana’s average.

Active resident and family councils, and an on-site nurse aide training program exist.

Lacombe Nursing Centre is designed for long-term skilled nursing and post-acute rehabilitation in St. Tammany Parish, with operational strengths being above-average staffing and inspection performance.

Overview of Senior Village Nursing & Rehabilitation Center

Senior Village Nursing & Rehabilitation Center is a 150-bed skilled nursing and rehabilitation facility at 315 Harry Guilbeau Road in Opelousas, Louisiana, operated by Pathway Management of Louisiana LLC in St. Landry Parish. At 77.2 percent occupancy above Louisiana’s 71.8 percent average, the facility has some availability. Operating for over 40 years, the facility accepts Medicare, Medicaid, and private pay and serves a mix of rehabilitation and long-term care residents, averaging a stay length of 225 days.

CMS scores the facility 3 stars, 35.1 percent above Louisiana average. Staffing is the defining strength at 47.1 percent above state average, nurse hours reach 3h 58m per resident per day, with RN hours running 21 percent above the Louisiana mean. Health inspection performance also runs above state average at 13.6 percent. Across 7 inspections since 2022, the facility totaled 27 citations including 1 serious finding, with a $16,000 federal fine issued in June 2023 and no payment denials or immediate jeopardy findings.

Respite care and memory care are services alongside rehabilitation. An active resident council and on-site nurse aide training are confirmed.

With above-average staffing as the clearest differentiator in St. Landry Parish, the community serves long-term skilled nursing and post-acute rehabilitation patients in Opelousas.

St Agnes Healthcare and Rehab Center is a 128-bed skilled nursing and rehabilitation facility at 606 Latiolais Road in Breaux Bridge, Louisiana, operated as a privately owned corporation in St. Martin Parish. Medicare, Medicaid, and private pay are accepted, with an average stay length of 741 days and only 4 of 98 current residents on Medicare, a profile geared strongly toward long-term Medicaid care. The community has some availability at 76.2 percent occupancy, above Louisiana’s 71.8 percent average.

The facility is graded 3 stars by CMS, 35.1 percent above Louisiana average, with all four sub-ratings above the state mean. Staffing leads at 47.1 percent above Louisiana average, nurse hours reach 5h 13m per resident daily, ranked 10th out of 182 Louisiana skilled nursing facilities, with CNA hours running 28 percent above state figure. Quality measures are 53.1 percent above Louisiana average, reflecting strong clinical outcomes for the long-stay population. Across 6 inspections since 2023, the facility totaled 22 citations, all moderate in severity, no critical or serious findings, with no fines and payment denials.

Services feature respite care, memory care, skilled nursing, and rehabilitation. An active resident council exists.

With staffing levels and quality outcomes among the strongest in Louisiana, the facility is well-suited for long-term Medicaid skilled nursing residents in St. Martin Parish.