Pilgrim Manor Skilled Nursing and Rehabilitation
1524 Doctors Drive
Bossier City, LA, 71111
3187421623
CCN: 195594
1
Overall1
Health1
Staffing3
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
RIVER PALMS NURSING AND REHAB,
1128b4
Excluded 2022-02-20
Ownership
| Name | Role | % |
|---|---|---|
| SDB HOLDINGS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| BAUDER, WILLIAM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% |
| BOULWARE, DOUGLAS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% |
| BOULWARE, STEVEN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% |
| PRIORITY MANAGEMENT GROUP, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BAUDER, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BOULWARE, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (4)
| Date | Type | Amount |
|---|---|---|
| 2025-09-03 | Fine | $19K |
| 2025-09-03 | Payment Denial | 13 days |
| 2024-12-04 | Fine | $53K |
| 2024-08-01 | Fine | $121K |
Health Deficiencies (21)
2025-09-03 · Health
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-12-17 · Health
E
F851 · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
E
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
2024-12-04 · Health
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-08-01 · Health
L
F835 · Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
K
F726 · Nursing and Physician Services Deficiencies
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.
L
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-04-24 · Health
D
F585 · Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
2024-01-31 · Health
E
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
F640 · Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
E
F578 · Resident Rights Deficiencies
Honor 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.
2023-06-07 · Health
D
F725 · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
2023-01-31 · Health
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F693 · Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
F584 · Resident Rights Deficiencies
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.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.05
RN Hrs/Resident/Day0.54
0.14
LPN Hrs/Resident/Day0.81
0.99
CNA Hrs/Resident/Day2.33
1.91
PT Hrs/Resident/Day0.12
0.05
Data as of 2026-03-01