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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Shreveport, Louisiana, is home to The Guest House Skilled Nursing Rehabilitation, a 177-bed care residence owned by Christian Bihm on Normandie Drive. Stays are financed through standard billing paths such as Medicare, Medicaid, and private accounts. The local street layout is moderately walkable, allowing visitors to accomplish occasional tasks on foot, though a personal vehicle is practical for general travel.
Records indicate an average occupancy duration of 216 days, meaning the daily workflow accommodates both temporary post-hospital recovery and extended residential care. To monitor daily medical needs, the 24-hour nursing department averages 2 hours and 46 minutes of total care per resident each day, with nurse aides contributing 2 hours and 37 minutes of hands-on support. The clinical layout provides specialized tracks for stroke recovery, cardiac and respiratory therapy, pain management, wound care, outpatient sessions, and temporary respite placements.
For daily schedules, the kitchen staff prepares home-style regional dishes. The social calendar features structured holiday parties, musical performances, and organized group outings. This routine is supported by an interior floor plan containing shared dining areas, common lounges, and visiting spaces where the house crew manages all housekeeping and laundry duties.
Interested individuals can review the advanced wound care protocols, cardiac rehabilitation services, and short-term therapy options. Shared common rooms are situated close to the dining areas and rehabilitation departments, with all interior sanitation and laundry services handled directly by the facility staff.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 178th out of 182 homes in Louisiana for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 13m per day | ▼ 30% State avg: 19m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 45m per day | ▼ 35% State avg: 1h 10m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 46m per day | ▼ 24% State avg: 2h 20m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 28m per day | ▼ 25% State avg: 3h 18m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▲ 18% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 6m per day | ▼ 48% State avg: 12m per day · National avg: 29m per day |
Similar to the Louisiana average: 71.8%Louisiana average 6.5
Last Health inspection on Apr 2025
Louisiana average 25.7
Louisiana average 3.95
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
25 of 48 citations resulted from standard inspections; and 23 of 48 resulted from complaint investigations.
718% worse than Louisiana averageLouisiana average: 1.1
100% worse than Louisiana averageLouisiana average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
14% fewer staff per resident than Louisiana average
9% worse than Louisiana average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursAssists with medical care and medications.
65 total: 23 full-time employees and 42 contractors.
65
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursHelps with daily care and mobility.
115 total: 69 full-time employees and 46 contractors.
115
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
10,212 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 69 | 46 | 115 | 21,884 | 92 | 100% | 7.5 |
| Licensed Practical Nurse | 23 | 42 | 65 | 8,201 | 92 | 100% | 8 |
| Physical Therapy Aide | 0 | 9 | 9 | 2,095 | 70 | 76% | 6.7 |
| Speech Language Pathologist | 0 | 8 | 8 | 1,988 | 70 | 76% | 7.6 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,176 | 79 | 86% | 7.6 |
| RN Director of Nursing | 2 | 2 | 4 | 1,121 | 64 | 70% | 7.7 |
| Registered Nurse | 4 | 0 | 4 | 1,041 | 84 | 91% | 7.9 |
| Qualified Social Worker | 0 | 4 | 4 | 984 | 71 | 77% | 7.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 979 | 67 | 73% | 7.9 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 797 | 64 | 70% | 6.9 |
| Dietitian | 1 | 0 | 1 | 513 | 62 | 67% | 8.3 |
| Mental Health Service Worker | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 504 | 62 | 67% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Administrator | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Occupational Therapy Aide | 0 | 2 | 2 | 73 | 12 | 13% | 6.1 |
| Medical Director | 0 | 2 | 2 | 48 | 8 | 9% | 6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 14 | 2 | 2% | 6.8 |
Includes penalties issued in 2023-2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
237% higher than Louisiana averageLouisiana average: $103K
146% more fines than Louisiana averageLouisiana average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Louisiana averageLouisiana average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
4 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 25, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 14, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 20, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 17, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.2
21% worse than Louisiana averageLouisiana average: 11.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.7
31% worse than Louisiana averageLouisiana average: 20.4
Percent of long-stay residents whose need for help with daily activities has increased
30.2%
47% worse than Louisiana averageLouisiana average: 20.5%
Percent of long-stay residents whose ability to move independently worsened
30.4%
29% worse than Louisiana averageLouisiana average: 23.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.5%
14% worse than Louisiana averageLouisiana average: 17.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
25% worse than Louisiana averageLouisiana average: 3.5%
Percent of long-stay high risk residents with pressure ulcers
3.8%
41% better than Louisiana averageLouisiana average: 6.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Louisiana averageLouisiana average: 2.7%
Percent of long-stay residents who lose too much weight
2.4%
54% better than Louisiana averageLouisiana average: 5.1%
Percent of long-stay residents who have depressive symptoms
1.4%
13% better than Louisiana averageLouisiana average: 1.6%
Percent of long-stay residents who received an antipsychotic medication
14.1%
31% better than Louisiana averageLouisiana average: 20.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
8% better than Louisiana averageLouisiana average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Louisiana averageLouisiana average: 94.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
21% better than Louisiana averageLouisiana average: 82.5%
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
30% better than Louisiana averageLouisiana average: 3.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
31% better than Louisiana averageLouisiana average: 76.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
47% of new residents, usually for short-term rehab.
33% of new residents, often for short stays.
20% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
177Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for The Guest House Skilled Nursing Rehabilitation based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #96 / 186Payroll — State benchmarkedThis home is ranked 96th out of 186 homes in Louisiana. Shows total annual staff payroll benchmarked to the Louisiana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
8.5 miles from city center
Estimated distance in miles from Shreveport's city center to The Guest House Skilled Nursing Rehabilitation's address, calculated via Google Maps.
Add your location
The Guest House Skilled Nursing Rehabilitation is located in SHREVEPORT, Louisiana.
Here are the financial assistance programs available to residents in Louisiana.
The information below is reported by the Louisiana Department of Health, Health Standards Section.
| Heritage Manor of Stratmore Nursing & Rehab Ctr |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Shreveport (Springlake, University Terrace) | 142
Facility
142
LA AVG
113
Rank
#69 / 262 |
80.3%
Facility
80.3%
LA AVG
71.8%
Rank
#62 / 194 | +12% | 3.52
Facility
3.52
LA AVG
4.14
Rank
#135 / 182 | +13% | -15% | $0
Facility
$0
LA AVG
$107.9k
Rank
#1 / 187 | 6
Facility
6
LA AVG
25.7
Rank
#4 / 187 | 3.0
Facility
3.0
LA AVG
3.9
Rank
#36 / 187 | - | 114 | - |
12
Facility
12
LA AVG
37
Rank
#312 / 368 | Catherine Day | $10.9M
Facility
$10.9M
LA AVG
$9.6M
Rank
#67 / 186 | $7.3M
Facility
$7.3M
LA AVG
$3.9M
Rank
#20 / 186 | 67.3%
Facility
67.3%
LA AVG
42%
Rank
#20 / 186 | 195486 | ||||
| The Oaks of Louisiana |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Shreveport (Lucas) | 160
Facility
160
LA AVG
113
Rank
#31 / 262 | - | - | 5.54
Facility
5.54
LA AVG
4.14
Rank
#3 / 182 | -81% | +34% | $0
Facility
$0
LA AVG
$107.9k
Rank
#1 / 187 | 19
Facility
19
LA AVG
25.7
Rank
#59 / 187 | 3.8
Facility
3.8
LA AVG
3.9
Rank
#95 / 187 | - | 91 | A+ |
15
Facility
15
LA AVG
37
Rank
#299 / 368 | Pierre Blanchard | $13.6M
Facility
$13.6M
LA AVG
$9.6M
Rank
#35 / 186 | $6.2M
Facility
$6.2M
LA AVG
$3.9M
Rank
#42 / 186 | 45.6%
Facility
45.6%
LA AVG
42%
Rank
#101 / 186 | 195597 | ||||
| Heritage Manor West |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Shreveport | 140
Facility
140
LA AVG
113
Rank
#73 / 262 |
63.9%
Facility
63.9%
LA AVG
71.8%
Rank
#134 / 194 | -11% | 3.98
Facility
3.98
LA AVG
4.14
Rank
#76 / 182 | +56% | -4% | $0
Facility
$0
LA AVG
$107.9k
Rank
#1 / 187 | 18
Facility
18
LA AVG
25.7
Rank
#51 / 187 | 4.5
Facility
4.5
LA AVG
3.9
Rank
#129 / 187 | - | 116 | - |
35
Facility
35
LA AVG
37
Rank
#195 / 368 | Lena Heritage LLC | $8.0M
Facility
$8.0M
LA AVG
$9.6M
Rank
#135 / 186 | $5.5M
Facility
$5.5M
LA AVG
$3.9M
Rank
#59 / 186 | 68.9%
Facility
68.9%
LA AVG
42%
Rank
#12 / 186 | 195447 | ||||
| Pierremont Healthcare Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Shreveport (Caddo Parish) | 180
Facility
180
LA AVG
113
Rank
#17 / 262 |
67.4%
Facility
67.4%
LA AVG
71.8%
Rank
#121 / 194 | -6% | 3.86
Facility
3.86
LA AVG
4.14
Rank
#91 / 182 | -77% | -7% | $431.5k
Facility
$431.5k
LA AVG
$107.9k
Rank
#184 / 187 | 57
Facility
57
LA AVG
25.7
Rank
#178 / 187 | 3.8
Facility
3.8
LA AVG
3.9
Rank
#95 / 187 | 11 | 117 | A+ |
68
Facility
68
LA AVG
37
Rank
#38 / 368 | Edward Forrest | $19.1M
Facility
$19.1M
LA AVG
$9.6M
Rank
#14 / 186 | $6.4M
Facility
$6.4M
LA AVG
$3.9M
Rank
#32 / 186 | 33.6%
Facility
33.6%
LA AVG
42%
Rank
#172 / 186 | 195312 | ||||
| The Guest House Skilled Nursing Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Shreveport (Caddo Parish) | 177
Facility
177
LA AVG
113
Rank
#18 / 262 |
69.5%
Facility
69.5%
LA AVG
71.8%
Rank
#110 / 194 | -3% | 2.77
Facility
2.77
LA AVG
4.14
Rank
#178 / 182 | -64% | -33% | $267.2k
Facility
$267.2k
LA AVG
$107.9k
Rank
#182 / 187 | 48
Facility
48
LA AVG
25.7
Rank
#165 / 187 | 4.4
Facility
4.4
LA AVG
3.9
Rank
#124 / 187 | 10 | 134 | - |
66
Facility
66
LA AVG
37
Rank
#48 / 368 | Christian Bihm | $13.6M
Facility
$13.6M
LA AVG
$9.6M
Rank
#37 / 186 | $4.6M
Facility
$4.6M
LA AVG
$3.9M
Rank
#96 / 186 | 33.5%
Facility
33.5%
LA AVG
42%
Rank
#174 / 186 | 195380 |
The Guest House Skilled Nursing Rehabilitation is in the Caddo Parish neighborhood of SHREVEPORT.
The legal owner and operator of The Guest House Skilled Nursing Rehabilitation is Pmg Opco-Guest House Llc.
The Guest House Skilled Nursing Rehabilitation has a walk score of 66. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
The Guest House Skilled Nursing Rehabilitation's occupancy is 70%.
The Guest House Skilled Nursing Rehabilitation is registered as a for-profit in LA.
The Guest House Skilled Nursing Rehabilitation received a 1-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
The Guest House Skilled Nursing Rehabilitation has 177 beds.
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