Delta Grande Skilled Nursing and Rehabilitation

3001 South Grande Street · Monroe, LA · 71202 · 3183223100

74 certified beds For profit - Partnership Chain: Paramount Healthcare Consultants

  • No federal fines or payment denials in CMS’s 3-year window.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

RN staffing in the bottom 10% nationally

0.13 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 58
Serious harm & abuse 20% 100
Staffing 20% 46
Federal penalties 15% 100
Trend 10% 57
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.353.48 min · 4.1 strong
RN hours / resident-day0.130.55–0.75
Weekend hours / resident-day2.77≈ weekday level
Nursing turnover / year43%median 45%
Fines (3-yr window)none

Inspection citations (18 in the current record)

  • Potential for harm · E February 19, 2025

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected April 1, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 19, 2025

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected April 1, 2025 · Quality of Life and Care

  • Potential for harm · E February 19, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected April 1, 2025 · Quality of Life and Care

  • Potential for harm · E February 19, 2025

    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 April 1, 2025 · Nursing and Physician Services

  • Potential for harm · D February 19, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected April 1, 2025 · Pharmacy Service

  • Potential for harm · E February 19, 2025

    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 April 1, 2025 · Pharmacy Service

  • Potential for harm · E February 19, 2025

    Provide and implement an infection prevention and control program.

    Corrected April 1, 2025 · Infection Control

  • Potential for harm · D January 28, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected February 19, 2025 · Resident Rights

  • Potential for harm · E January 28, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 19, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 27, 2024

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected May 10, 2024 · Quality of Life and Care

  • Potential for harm · D March 27, 2024

    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.

    Corrected May 10, 2024 · Quality of Life and Care

  • Potential for harm · E March 27, 2024

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected May 10, 2024 · Quality of Life and Care

  • Potential for harm · E March 27, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 10, 2024 · Quality of Life and Care

  • Potential for harm · E March 27, 2024

    Provide and implement an infection prevention and control program.

    Corrected May 10, 2024 · Infection Control

  • Potential for harm · E March 28, 2023

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 5, 2023 · Quality of Life and Care

  • Potential for harm · D March 28, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 5, 2023 · Quality of Life and Care

  • Potential for harm · E March 28, 2023

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected May 5, 2023 · Pharmacy Service

  • Potential for harm · E March 28, 2023

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected May 5, 2023 · Pharmacy Service

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 195530 · certified since September 18, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.