SHREVEPORT MANOR SKILLED NURSING & REHABILITATION
3302 MANSFIELD ROAD
SHREVEPORT, LA, 71103
3182229482
CCN: 195515
2
Overall3
Health1
Staffing2
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (2)
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.
SHREVEPORT PROSTHETICS, INC
BRCH SA
Excluded 2021-03-29
SHREVEPORT PROTHETICS, INC
BRCH CIA
Excluded 2021-09-01
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 |
Health Deficiencies (23)
2025-08-27 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
E
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
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F575 · Resident Rights Deficiencies
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
E
F568 · Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
E
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2025-04-09 · Health
E
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.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2024-07-30 · 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
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
E
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
F688 · Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
E
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F577 · Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2024-07-01 · Health
D
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.
2024-05-09 · Health
D
F836 · Administration Deficiencies
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.
D
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.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.32
RN Hrs/Resident/Day0.54
0.13
LPN Hrs/Resident/Day0.81
1.18
CNA Hrs/Resident/Day2.33
2.02
PT Hrs/Resident/Day0.12
0.07
Data as of 2026-03-01