MAISON DE'VILLE NURSING HOME

The information listed below provides an in-depth look into the type and quality of care offered at Maison De'ville Nursing Home. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

MAISON DE'VILLE NURSING HOME
107 SOUTH HOLLYWOOD DRIVE
HOUMA, LA 70360
(985) 876-3250

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

52%

Number of Residents and Certified Beds

  • Residents: 104
  • Certified Beds: 200

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Raceland | Thibodaux | Lockport

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Maison De'ville Nursing Home. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-167.2%
ADL Index Range: 6-107.9%
Total Percent:15.1%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1617.3%
ADL Index Range: 6-1021.9%
ADL Index Range: 0-514.6%
Total Percent:53.8%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-104.9%
ADL Index Range: 0-52.2%
Total Percent:7.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1611.3%
ADL Index Range: 6-106.3%
ADL Index Range: 0-53.2%
Total Percent:20.9%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Isolation for active infectious disease
0.4%
Total Percent:0.4%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 6-10
- No Signs of depression
2.7%
Total Percent:2.7%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
0.2%
Total Percent:0.2%
 

Rating Details For Maison De'ville Nursing Home

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours20 Minutes1 Hour and 5 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours52 Minutes42 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 39 Minutes2 Hours and 19 Minutes
Total Licensed Nurse Hours1 Hour and 12 Minutes1 Hour and 47 Minutes
Total Nurse Hours2 Hours and 51 Minutes4 Hours and 6 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Louisiana are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityLouisiana Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season73%91%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination88%87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%10%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder29%42%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores13%15%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair7%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain8%4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious21%15%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection4%10%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder8%5%
Percent of Long-Stay Residents Who Lose Too Much Weight7%9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased23%20%
Percent of Long-Stay Residents Who Were Physically Restrained4%8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%2%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season69%83%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination87%80%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-4%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain16%14%
Percent of Short-Stay Residents Who Have Pressure Sores6%12%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 02/25/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 03/23/2010
  • Correction Date: 05/07/2010
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 03/23/2010
  • Correction Date: 05/07/2010
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/11/2011
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/11/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/22/2009
  • Correction Date: 05/08/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/22/2009
  • Correction Date: 05/08/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 03/23/2010
  • Correction Date: 05/07/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/23/2010
  • Correction Date: 05/07/2010
Get Rid of Garbage Properly.
  • Inspection Date: 03/23/2010
  • Correction Date: 05/07/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/11/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 04/22/2009
  • Correction Date: 05/08/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/11/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/22/2009
  • Correction Date: 05/08/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/23/2010
  • Correction Date: 05/07/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 04/22/2009
  • Correction Date: 05/08/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 03/23/2010
  • Correction Date: 05/07/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 03/23/2010
  • Correction Date: 05/07/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 03/23/2010
  • Correction Date: 05/07/2010
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/11/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/11/2011

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 04/22/2009
  • Correction Date: 05/08/2009
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 04/22/2009
  • Correction Date: 05/08/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 03/23/2010
  • Correction Date: 05/07/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 03/23/2010
  • Correction Date: 05/07/2010
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 03/23/2010
  • Correction Date: 05/07/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/11/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/11/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/11/2011
Give or Get Dental Care for Each Resident.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/11/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 03/23/2010
  • Correction Date: 05/07/2010
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Inspection Date: 03/23/2010
  • Correction Date: 05/07/2010
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
  • Inspection Date: 03/23/2010
  • Correction Date: 05/07/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/11/2011
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/11/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/11/2011
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/11/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 03/23/2010
  • Correction Date: 05/07/2010
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/11/2011
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/11/2011
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate.
  • Inspection Date: 02/25/2011
  • Correction Date: 01/01/1900

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Maison De'ville Nursing Home, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 04/24/2008
  • Correction Date: 06/08/2008
Give or Get Lab Tests to Meet the Needs of Residents.
  • Complaint Filed: 04/24/2008
  • Correction Date: 06/08/2008
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Complaint Filed: 10/14/2008
  • Correction Date: 11/12/2008
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Complaint Filed: 02/13/2009
  • Correction Date: 03/15/2009
Hire a Qualified Social Worker; or in Homes with More Than 120 Beds, Hire a Qualified Full-Time Social Worker.
  • Complaint Filed: 11/24/2009
  • Correction Date: 01/08/2010
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 01/27/2010
  • Correction Date: 03/12/2010

Environmental

Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Complaint Filed: 04/24/2008
  • Correction Date: 06/08/2008
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 05/21/2008
  • Correction Date: 07/07/2008
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 10/14/2008
  • Correction Date: 11/12/2008
Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 02/13/2009
  • Correction Date: 03/15/2009
Provide Clean Bed and Bath Linens That Are in Good Condition.
  • Complaint Filed: 02/13/2009
  • Correction Date: 03/15/2009
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 02/13/2009
  • Correction Date: 03/15/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 02/13/2009
  • Correction Date: 03/15/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Complaint Filed: 09/10/2009
  • Correction Date: 10/15/2009

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 01/09/2009
  • Correction Date: 01/15/2009
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 11/24/2009
  • Correction Date: 01/08/2010

Nutrition and Dietary

1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
  • Complaint Filed: 04/24/2008
  • Correction Date: 06/08/2008
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Complaint Filed: 02/13/2009
  • Correction Date: 03/15/2009

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 01/27/2010
  • Correction Date: 03/12/2010
Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 01/27/2010
  • Correction Date: 03/12/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Complaint Filed: 01/27/2010
  • Correction Date: 03/12/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Complaint Filed: 04/24/2008
  • Correction Date: 06/08/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 04/24/2008
  • Correction Date: 06/08/2008
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week.
  • Complaint Filed: 08/27/2008
  • Correction Date: 11/12/2008
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week.
  • Complaint Filed: 10/14/2008
  • Correction Date: 11/12/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 08/08/2009
  • Correction Date: 09/22/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 09/10/2009
  • Correction Date: 10/15/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Complaint Filed: 11/24/2009
  • Correction Date: 01/08/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 06/08/2011
  • Correction Date: 07/23/2011

Resident Assessment

Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Complaint Filed: 04/24/2008
  • Correction Date: 06/08/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 10/14/2008
  • Correction Date: 11/12/2008

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able.
  • Complaint Filed: 04/24/2008
  • Correction Date: 06/08/2008
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 07/09/2008
  • Correction Date: 07/22/2008
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 10/14/2008
  • Correction Date: 11/12/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 08/08/2009
  • Correction Date: 09/22/2009
Try to Resolve Each Resident's Complaints Quickly.
  • Complaint Filed: 11/24/2009
  • Correction Date: 01/08/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Maison De'ville Nursing Home had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 02/25/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/22/2010
  • Correction Date: 03/25/2010
Portable Fire Extinguishers.
  • Inspection Date: 03/22/2010
  • Correction Date: 03/25/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/25/2011
  • Correction Date: 03/16/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/21/2009
  • Correction Date: 04/23/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/21/2009
  • Correction Date: 04/23/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 03/22/2010
  • Correction Date: 05/07/2010
Exits That Are Accessible at All Times.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/11/2011

Furnishings and Decorations

Properly Sized and Located Linen or Trash Receptacles.
  • Inspection Date: 04/21/2009
  • Correction Date: 05/04/2009
Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 02/25/2011
  • Correction Date: 02/25/2011
Properly Sized and Located Linen or Trash Receptacles.
  • Inspection Date: 02/25/2011
  • Correction Date: 02/25/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/11/2011

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 02/25/2011
  • Correction Date: 03/13/2011

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 04/21/2009
  • Correction Date: 04/24/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 04/21/2009
  • Correction Date: 05/04/2009
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 02/25/2011
  • Correction Date: 03/23/2011
Source: Medicare Nursing Home Compare; Department of Health and Hospitals of Louisiana - Health Standards Section - Retrieved 2011