Guest House Nursing and Rehabilitation

Nursing Home · West Monroe, LA

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number195551

Contact & location

109 Guest House Drive
West Monroe, LA 71292
Ouachita County
Phone
(318) 387-3900
ZIP code
71292 – all care providers

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Facility details

Certified beds
140
Residents per day
105.3 (75% occupied)
Ownership
For profit - Limited Liability company
Legal name
West Monroe Guest House, INC.
Medicare certified since
May 16, 2002
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.5
Health inspections★★★★★ 2/5
State avg 2.9
Staffing★★★★★ 3/5
State avg 2.4
Quality measures★★★★★ 1/5
State avg 2.2
Long-stay quality★★★★★ 1/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.93 (state 3.73 · U.S. 3.86)
Registered nurses (RN)
0.24 (state 0.30 · U.S. 0.69)
Licensed practical nurses
1.33 (state 1.15 · U.S. 0.86)
Nurse aides
2.36 (state 2.27 · U.S. 2.32)
Weekend total
3.35 (state 3.18 · U.S. 3.42)
Nursing staff turnover
64.1 (state 47.6 · U.S. 45.8)%
RN turnover
33.3 (state 41.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
July 30, 2025
Health deficiencies (last cycle)
10.0 (state 6.7 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
27 health · 0 fire safety
DateCitationSeverityStatus
2026-05-13 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
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.
F0584 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-08-29
2025-07-30 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-29
2025-07-30 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-29
2025-07-30 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-29
2025-07-30 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-29
2025-07-30 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-29
2025-07-30 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0761 · Pharmacy Service Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
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.
F0729 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-01-27
2024-12-30 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
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.
F0700 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
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.
F0726 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
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.
F0640 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
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.
F0656 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-12
2024-07-24 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
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.
F0756 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
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.
F0758 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
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.
F0729 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
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.
F0836 · Administration Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-12
2024-05-16 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-12
2024-05-16 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-12
2023-08-02 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
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.
F0756 · Pharmacy Service Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-07-28

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Ashbrook, Michael (individual)5%+ Direct Ownership Interest · 26%
Goux, Lynette (individual)5%+ Direct Ownership Interest · 5%
Jeffrey M Ashbrook Testamentary Trust (organization)5%+ Direct Ownership Interest · 25%
Ronald Anthony Goux Estate (organization)5%+ Direct Ownership Interest · 5%
Casto, Cortland (individual)Administrator · NOT APPLICABLE
Goux, Jeremy (individual)Administrator · NOT APPLICABLE
Goux, Lynette (individual)Administrator · NOT APPLICABLE
Goux, Timothy (individual)Administrator · NOT APPLICABLE
Krier, Brian (individual)Administrator · NOT APPLICABLE
Maison Healthcare Management Company LLC (organization)Administrator · NOT APPLICABLE
Ronald Anthony Goux Estate (organization)Administrator · NOT APPLICABLE
Landry, Robert (individual)Corporate Director · NOT APPLICABLE
Ashbrook, Michael (individual)Corporate Officer · NOT APPLICABLE
Goux, Jeremy (individual)Corporate Officer · NOT APPLICABLE
Rounsaville, Rebecca (individual)Corporate Officer · NOT APPLICABLE
Ashbrook, Michael (individual)Operational/managerial Control · NOT APPLICABLE
Casto, Cortland (individual)Operational/managerial Control · NOT APPLICABLE
Krier, Brian (individual)Operational/managerial Control · NOT APPLICABLE
Landry, Robert (individual)Operational/managerial Control · NOT APPLICABLE
Maison Healthcare Management Company LLC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Guest House Nursing and Rehabilitation?

Guest House Nursing and Rehabilitation has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Louisiana.

How many beds does Guest House Nursing and Rehabilitation have?

It has 140 certified beds and cares for about 105 residents per day.

Has Guest House Nursing and Rehabilitation been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of Guest House Nursing and Rehabilitation?

(318) 387-3900. The facility is located at 109 Guest House Drive, West Monroe, LA 71292.

Other nursing homes in West Monroe

Compare all nursing homes in West Monroe, LA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.