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Nursing homeFAID #5266

Guest House Nursing and Rehabilitation

109 GUEST HOUSE DRIVE, WEST MONROE, LA, 71292
(318) 387-3900
140 licensed beds
★★★★★1/5CMS Five-Star overall2/5 health inspections3/5 staffing1/5 quality measuresSource: CMS Care Compare

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Address

109 Guest House Drive
West Monroe, LA 71292
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Public record summary

What we can show you for free.
Bed capacity
140
CMS facility ID
195551
Care type
Nursing home
County
Ouachita
Facility name
Guest House Nursing and Rehabilitation
Street address
109 GUEST HOUSE DRIVE
City / state / ZIP
West Monroe, LA 71292
Phone
(318) 387-3900

About this facility — Guest House Nursing and Rehabilitation

Guest House Nursing and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in West Monroe, Louisiana. It is licensed for 140 beds — close to the median for skilled nursing facilities in Louisiana (122 beds).

It is one of 4 senior care facilities in West Monroe and 266 skilled nursing facilities across Louisiana. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Guest House Nursing and Rehabilitation 27 times across 12 inspections in the last three years; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type
For profit - Limited Liability company

Registered owners & officers

Ashbrook, Michael
Direct owner · Officer · Operational control — 26% stake — since 2009
Jeffrey M Ashbrook Testamentary Trust
Direct owner — 25% stake — since 2018
Goux, Lynette
Direct owner · Additional disclosable party — 5% stake — since 2011
Ronald Anthony Goux Estate
Direct owner · Additional disclosable party — 5% stake — since 2020
Casto, Cortland
Operational control · Additional disclosable party — since 2023
Goux, Jeremy
Officer · Additional disclosable party — since 2008
Goux, Timothy
Additional disclosable party — since 2018
Krier, Brian
Operational control · Additional disclosable party — since 2013
Landry, Robert
Director · Operational control — since 2024
Maison Healthcare Management Company Llc
Operational control · Additional disclosable party — since 2015
Rounsaville, Rebecca
Officer — since 2008

Regulatory standing

Licensed / certified since
2002-05-16
CMS overall rating
1 of 5 stars
Health deficiencies
10 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-07-30
Nurse staffing
3.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$354 per day (≈ $10,760/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
58% Medicaid · 25% Medicare · 18% private/other
Occupancy
70% (fiscal year 2023)
Vs. state median
37% above the LA median of $258/day — full state cost breakdown

Services & coverage

Licensed beds
140
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2026-05-13Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-06-19
2025-07-30Health inspection9 citations
F-0584
E · No harm found
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.
Corrected 2025-08-29
F-0602
D · No harm found
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-08-29
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-08-29
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2025-08-29
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-08-29
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-29
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-29
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-08-29
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-08-29
7 earlier / fire-safety inspections (17 citations)
2025-03-19Health inspectionComplaint-triggered1 citation
F-0761
E · No harm foundFrom a complaint
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.
Corrected 2025-04-16
2024-12-30Health inspectionComplaint-triggered3 citations
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2025-01-27
F-0700
D · No harm foundFrom a complaint
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.
Corrected 2025-01-27
F-0729
E · No harm foundFrom a complaint
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Corrected 2025-01-27
2024-08-13Health inspectionComplaint-triggered1 citation
F-0726
E · No harm foundFrom a complaint
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.
Corrected 2024-09-12
2024-07-24Health inspection5 citations
F-0640
E · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-09-12
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-12
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-09-12
F-0756
E · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-09-12
F-0758
E · No harm found
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.
Corrected 2024-09-12
2024-05-16Health inspectionComplaint-triggered4 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-06-12
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-06-12
F-0729
E · No harm foundFrom a complaint
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Corrected 2024-06-12
F-0836
E · No harm foundFrom a complaint
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.
Corrected 2024-06-12
2023-08-02Health inspectionComplaint-triggered2 citations
F-0658
E · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-08-31
F-0756
E · No harm foundFrom a complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-08-31
2023-06-22Health inspection1 citation
F-0761
E · No harm found
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.
Corrected 2023-07-28
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 195551.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 27 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered