Nursing homes › Louisiana › Guest House Nursing and Rehabilitation
109 Guest House Drive, West Monroe, LA 71292 · 3183873900 · 140 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Limited Liability company.
Total nurse staffing: 3.93 (Louisiana median: 3.62). RN hours: 0.24. Weekend total: 3.35. Nursing staff turnover: 64%.
All-time on record: 27 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-13 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-06-19 |
| 2025-07-30 | 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. | E | Health | corrected 2025-08-29 |
| 2025-07-30 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Health | corrected 2025-08-29 |
| 2025-07-30 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2025-08-29 |
| 2025-07-30 | Respond appropriately to all alleged violations. | D | Health | corrected 2025-08-29 |
| 2025-07-30 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2025-08-29 |
| 2025-07-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-08-29 |
| 2025-07-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-08-29 |
| 2025-07-30 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-08-29 |
| 2025-07-30 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2025-08-29 |
| 2025-03-19 | 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. | E | complaint | corrected 2025-04-16 |
| 2024-12-30 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | E | complaint | corrected 2025-01-27 |
| 2024-12-30 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2025-01-27 |
| 2024-12-30 | 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. | D | complaint | corrected 2025-01-27 |
| 2024-08-13 | 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. | E | complaint | corrected 2024-09-12 |
| 2024-07-24 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Health | corrected 2024-09-12 |
| 2024-07-24 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-09-12 |
| 2024-07-24 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2024-09-12 |
| 2024-07-24 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Health | corrected 2024-09-12 |
| 2024-07-24 | 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. | E | Health | corrected 2024-09-12 |
| 2024-05-16 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | E | complaint | corrected 2024-06-12 |
| 2024-05-16 | 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. | E | complaint | corrected 2024-06-12 |
| 2024-05-16 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-06-12 |
| 2024-05-16 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-06-12 |
| 2023-08-02 | Ensure services provided by the nursing facility meet professional standards of quality. | E | complaint | corrected 2023-08-31 |
| 2023-08-02 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | complaint | corrected 2023-08-31 |
| 2023-06-22 | 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. | E | Health | corrected 2023-07-28 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| JEFFREY M ASHBROOK TESTAMENTARY TRUST | 5% Or Greater Direct Ownership Interest | Organization | 25% | since 01/01/2018 |
| RONALD ANTHONY GOUX ESTATE | 5% Or Greater Direct Ownership Interest | Organization | 5% | since 12/29/2020 |
| ASHBROOK, MICHAEL | 5% Or Greater Direct Ownership Interest | Individual | 26% | since 01/01/2011 |
| GOUX, JEREMY | 5% Or Greater Direct Ownership Interest | Individual | 20% | since 12/31/2012 |
| GOUX, LYNETTE | 5% Or Greater Direct Ownership Interest | Individual | 5% | since 01/01/2011 |
| GOUX, TIMOTHY | 5% Or Greater Direct Ownership Interest | Individual | 20% | since 12/31/2012 |
| LANDRY, ROBERT | Corporate Director | Individual | NOT APPLICABLE | since 01/08/2024 |
| ASHBROOK, MICHAEL | Corporate Officer | Individual | NOT APPLICABLE | since 07/18/2009 |
| GOUX, JEREMY | Corporate Officer | Individual | NOT APPLICABLE | since 07/08/2008 |
| ROUNSAVILLE, REBECCA | Corporate Officer | Individual | NOT APPLICABLE | since 07/08/2008 |
| MAISON HEALTHCARE MANAGEMENT COMPANY LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2015 |
| ASHBROOK, MICHAEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2015 |
| CASTO, CORTLAND | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/07/2023 |
| KRIER, BRIAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2013 |
| LANDRY, ROBERT | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/08/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 195551. Corrections: data@carerecords.org.