Nursing homeActive
Guest House Nursing and Rehabilitation
109 Guest House Drive, West Monroe, LA 712923183873900140 certified beds · 105 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
9
since 2023
Deficiencies
27
● 0● 27● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-05-13
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
Staffing 3
Quality 1
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Louisiana Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-13 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-07-30 | Standard | 090 | CMS-2567 (Care Compare) | — |
| 2025-03-19 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-12-30 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2024-08-13 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-07-24 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-05-16 | Complaint | 040 | CMS-2567 (Care Compare) | — |
| 2023-08-02 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2023-06-22 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Louisiana Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-19Record 195551-20260513-F684
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-29Record 195551-20250730-F584
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-29Record 195551-20250730-F602
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-29Record 195551-20250730-F604
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-29Record 195551-20250730-F610
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-29Record 195551-20250730-F644
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-29Record 195551-20250730-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-29Record 195551-20250730-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-29Record 195551-20250730-F695
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-29Record 195551-20250730-F757
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 195551-20250319-F761
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-27Record 195551-20241230-F641
F700Try 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-27Record 195551-20241230-F700
F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-27Record 195551-20241230-F729
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-12Record 195551-20240813-F726
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-12Record 195551-20240724-F640
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-12Record 195551-20240724-F656
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-12Record 195551-20240724-F695
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-12Record 195551-20240724-F756
F758Implement 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-12Record 195551-20240724-F758
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-12Record 195551-20240516-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-12Record 195551-20240516-F610
F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-12Record 195551-20240516-F729
F836Ensure 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.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-12Record 195551-20240516-F836
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-31Record 195551-20230802-F658
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-31Record 195551-20230802-F756
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-28Record 195551-20230622-F761
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.24
Facility
Louisiana
National
Louisiana 0.30 · National 0.69
Total nurse hours per resident day3.93
Facility
Louisiana
National
Louisiana 3.73 · National 3.86
Weekend total nurse hours3.35
Facility
Louisiana
National
Louisiana 3.18 · National 3.42
Total nursing staff turnover64%
Facility
Louisiana
National
Louisiana 48% · National 46%
Registered nurse turnover33%
Facility
Louisiana
National
Louisiana 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Louisiana | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.9% | 5.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 7.2% | 3.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 27.8% | 22.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 4.2% | 2.1% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 31.9% | 17.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 9.6% | 5.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 22.3% | 23.2% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Ashbrook, Michael Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 26% | — | — |
| Goux, Lynette Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | — | — |
| Jeffrey M Ashbrook Testamentary Trust Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | — | — |
| Ronald Anthony Goux Estate Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | — | — |
| 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 | — | — |
| Ashbrook, Michael Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Casto, Cortland Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Goux, Jeremy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Goux, Jeremy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Goux, Lynette Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Goux, Timothy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Krier, Brian Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Landry, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Maison Healthcare Management Company LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ronald Anthony Goux Estate Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rounsaville, Rebecca Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Louisiana.
No county cost figures on file for Ouachita.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Ridgecrest Community Care Center West Monroe | 5.9 mi | 2026-06-03 | 0140 |
| Landmark Nursing & Rehabilitation Ctr Of West Mon West Monroe | 6.0 mi | 2026-03-10 | 0182 |
| The Oaks Monroe | 7.3 mi | 2026-02-24 | 0161 |
| Delta Grande Skilled Nursing And Rehabilitation Monroe | 7.6 mi | 2026-04-08 | 0180 |
| Mary Goss Nursing Home Monroe | 8.8 mi | 2025-08-27 | 0322 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |