Deficiency Index

Mary Goss Nursing Home

Monroe, Louisiana · CCN 195596

22 surveys since 2011. The first finding at harm level was recorded in 2024.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
86
Surveys
22
Harm or worse
2
Immediate jeopardy
2
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file15/22

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
91
Ownership
For profit - Corporation
Chain
Independent
County
Ouachita
Medicare-certified since
2003

CMS ratings

Overall
2
Health inspection
2
Staffing
2
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 27 for-profit facilities of 66–99 beds in Louisiana.

Last survey on record

Aug 27, 2025

439 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.343.48
Registered-nurse hours per resident day0.29—
Annual nurse turnover49.0%44.8%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$47,895 across 3 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ25.9%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1029.4%E2161.8%F12.9%
No harm, potential for minimalA—B—C—
CMS’s current file: 34 of the 86 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6894×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F6042×

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

  • F7262×

    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.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F9472×

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

In the surveyor’s words

From the most serious findings on record at Mary Goss Nursing Home, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF689Mar 25, 2024

    Based on observations, record reviews and interviews the facility failed to provide an environment free of accident hazards for 1 (#1) of 1 (#1) residents identified at high risk for elopement. The facility failed to ensure all exit doors were secured to prevent residents at risk for elopement from exiting the facility unsupervised and failed to provide continued monitoring after resident #1 was returned to the facility. This deficient practice resulted in an Immediate Jeopardy situation on 03/15/2024 at 3:30 p.m. when resident #1 (a cognitively impaired resident identified as an elopement risk) was found a 1/2 block away from the facility. Resident #1 was located 10 minutes after he eloped on 03/15/2024 through an unsecured door and was returned to the facility at 3:45 p.m. […]

  • Immediate jeopardy, isolatedF835Mar 25, 2024

    Based on observations, record review and interviews the facility failed to be administered in a manner that enables it to use its resources effectively and efficiently by failing to have an adequate system in place to ensure 1(#1) of 1 ((#1) residents who was at high risk for elopement was adequately supervised to prevent Resident #1 from eloping from the facility. This deficient practice resulted in an Immediate Jeopardy situation on 03/15/2024 at 3:30 p.m. when resident #1 (a cognitively impaired resident identified as an elopement risk) was found a 1/2 block away from the facility. Resident #1 was located 10 minutes after he eloped on 03/15/2024 through an unsecured door and was returned to the facility at 3:45 p.m. […]

  • No harm, potential for more than minimal, widespreadF727Aug 27, 2025

    Based on record review and interview, the facility failed to ensure an RN (Registered Nurse) was on duty for 8 consecutive hours a day, 7 days a week for 4 days within the Fiscal Year, Quarter 2 2025 (January 1-March 31). Findings:Review of the facility's Payroll Based Journal (PBJ) Staffing Data Report for FY Quarter 2 2025 (January 1-March 31) revealed there were no consecutive 8 hours of RN coverage for 3 days within the quarter. Review of the RN time cards revealed on 02/01/2025 and 02/02/2025, the RN did not work 8 consecutive hours within the 24 hour period. Further review of the RN time cards revealed no RN worked on 03/05/2025. During an interview on 08/27/2025 at 1:00 p.m. with S1Administrator, he reported he was responsible for completing the PBJ staffing report. […]

  • No harm, potential for more than minimal, widespreadF888Aug 17, 2022

    Based on interview and record review the facility failed to prevent and contain COVID-19 by: 1.) Not ensuring the facility staff vaccination rate was 100% (current rate was 98%), 2.) Not developing and/or implementing policy and procedure to address staff refusals for COVID-19 testing and tracking proper screening of staff upon entry to facility, and 3.) Having a COVID-19 outbreak in the facility from 06/23/2022 - 08/10/2022 with 24 residents testing positive for COVID-19. Findings: 1. On 08-15-2022 at 8:00AM, an interview was conducted with S2 DON (Director of Nursing). She reported current census is 40 residents with 11 residents (#2, 22, 33, 31, 41, 9, 15, 38, 26, 39, 42) positive for COVID-19. […]

  • No harm, potential for more than minimal, widespreadF838Aug 5, 2021

    Based on record review and interview, the facility failed to conduct and document a facility-wide assessment to determine what resources are necessary to care for its residents competently during both day-to-day operations and emergencies. The facility failed to review and update that assessment, as necessary, and at least annually. Review of the Resident Census and Condition Form revealed the facility's census was 41 residents. Findings: Review of the most recent facility assessment revealed the assessment was dated 08/21/2019. An interview with S1Administrator on 08/05/2021 at 11:45AM confirmed he has not conducted a facility assessment since 08/21/2019.

Read 22 findings in full →The most serious and the most recent: 22 of 86 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 27, 2025Standard6 findings
  • Aug 27, 2024Complaint1 finding
  • Jul 17, 2024Standard15 findings
  • Mar 25, 2024Complaint2 findings · 2 harm
  • Jan 23, 2024Complaint1 finding
  • Dec 12, 2023Complaint1 finding
  • Sep 20, 2023Standard8 findings
  • Aug 17, 2022Standard5 findings
Show the 14 earlier surveys
  • Aug 5, 2021Standard2 findings
  • Jun 30, 2020Infection control1 finding
  • Nov 7, 2019Standard7 findings
  • Mar 13, 2019Complaint3 findings
  • Nov 1, 2018Standard2 findings
  • Dec 14, 2017Standard5 findings
  • Nov 17, 2016Standard1 finding
  • Oct 29, 2015Standard4 findings
  • Nov 6, 2014Standard7 findings
  • Oct 31, 2013—5 findings
  • Oct 18, 2012—7 findings
  • Feb 1, 2012—1 finding
  • Dec 1, 2011—1 finding
  • Oct 4, 2011—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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