Nursing homeActive

The Gardens And Guardian

1401 Country Club Road, Lake Charles, LA 70605337480155060 certified beds · 43 residentsFor profit - Limited Liability companyMedicare
Surveys on file
5
since 2022
Deficiencies
14
1130
Penalties · 3 yrs
1 action
Last survey
2025-03-05
Complaint
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 3
Quality 2
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Louisiana Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-03-05Complaint010CMS-2567 (Care Compare)
2024-07-10Standard020CMS-2567 (Care Compare)
2024-01-23Complaint050CMS-2567 (Care Compare)
2023-06-21Standard020CMS-2567 (Care Compare)
2022-06-29Standard130CMS-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.

2025-03-05Complaint survey · 1 deficiencyOfficial report
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-28Record 195636-20250305-F812
2024-07-10Standard survey · 2 deficienciesOfficial report
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-24Record 195636-20240710-F578
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-24Record 195636-20240710-F640
2024-01-23Complaint survey · 5 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 195636-20240123-F641
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 2024-03-08Record 195636-20240123-F656
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 195636-20240123-F755
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 DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 195636-20240123-F761
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 195636-20240123-F867
2023-06-21Standard survey · 2 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-03Record 195636-20230621-F641
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-03Record 195636-20230621-F755
2022-06-29Standard survey · 4 deficienciesOfficial report
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-08-12Record 195636-20220629-F692
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-08-12Record 195636-20220629-F880
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-08-12Record 195636-20220629-F947
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 CPaperwork
Medication
Widespread; potential for minimal harm.Corrected 2022-08-12Record 195636-20220629-F761

Penalties & enforcement

DateActionAmountSource
2025-03-05Denial of payment for new admissions
Payment denial for 1 days, from 2025-03-27
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.32
Facility
Louisiana
National
Louisiana 0.30 · National 0.69
Total nurse hours per resident day5.42
Facility
Louisiana
National
Louisiana 3.73 · National 3.86
Weekend total nurse hours4.57
Facility
Louisiana
National
Louisiana 3.18 · National 3.42
Total nursing staff turnover63%
Facility
Louisiana
National
Louisiana 48% · National 46%
Registered nurse turnover60%
Facility
Louisiana
National
Louisiana 42% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityLouisianaNational
Percentage of long-stay residents with pressure ulcers
lower is better
8.8%5.6%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
4.7%3.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
25.0%22.7%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
10.5%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
18.0%17.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
2.1%5.2%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
20.4%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)
EntityRoleInterestSinceRegistry
Joubert, James
Individual
5% OR GREATER DIRECT OWNERSHIP INTEREST50%
Joubert, Kimberly
Individual
5% OR GREATER DIRECT OWNERSHIP INTEREST50%
Joubert, James
Individual
CORPORATE DIRECTORNOT APPLICABLE
Wilcoxon, Justin
Individual
W-2 MANAGING EMPLOYEENOT 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 Calcasieu.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Resthaven Nursing & Rehab Center, LLC
Lake Charles
0.6 mi2025-08-200132
Grand Cove Nursing & Rehabilitation Center
Lake Charles
0.6 mi2026-03-110162
Lake Charles Care Center
Lake Charles
2.7 mi2026-06-100100
Rosewood Nursing Center
Lake Charles
3.2 mi2026-03-310172
Calcasieu Community Care Center
Lake Charles
3.7 mi2025-12-100280
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

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01