Ochsner LSU Health Monroe
An acute care hospital in Monroe, Louisiana 71202
4864 Jackson Street, Monroe, Louisiana 71202. (318) 388-7000.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 3of 5 CMS’s overall rating
- 4of 5 patient survey rating
- 2 deficiencies cited in the last three years
- 247 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Aug 12, 2026: a complaint inspection.
2 deficiencies cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited May 2024. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
May 21, 2024: complaint inspection2 deficiencies
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Patient Rights: Review Of Grievances
The inspectors’ words, 532 words
“PATIENT RIGHTS: REVIEW OF GRIEVANCES CFR(s): 482.13(a)(2) [The hospital must establish a process for prompt resolution of patient grievances and must inform each patient whom to contact to file a grievance.] The hospital’s governing body must approve and be responsible for the effective operation of the grievance process, and must review and resolve grievances, unless it delegates the responsibility in writing to a grievance committee. This Standard is not met as evidenced by: 17450 Based on record review and interview, the hospital failed to follow its policy and procedure for grievances as evidenced by failing to properly identify a grievance and failing to inform a patient of any resolution to their grievance per hospital policy and procedure for 1 (Patient #1) of 3 patients (Patient #1, 3, 4) reviewed for complaints/grievances in a total sample of 4. Findings: Review of the hospital policy and procedure titled, Patient Grievance Management (no date), revealed in part that when a patient or family member express a concern or issue to a staff member, the staff member will attempt to promptly resolve the issue as soon as possible. When an issue cannot be promptly resolved, the Patient and Provider Advocacy representative will initiate the grievance process. The Patient and Provider Advocacy Department will send out an initial letter to the patient within 7 business days confirming receipt of the grievance and explaining the grievance process. A written resolution letter will be sent to the patient that addresses the substance of each compliant made. All grievances should be closed within 30 business days. Review of the patient complaint log, provided by S1Compliance, revealed that Patient #1’s daughter filed a complaint on 04/12/2024 (no time) to S2Patient Advocate. Review of the complaint report revealed that the patient’s daughter had concerns regarding: dressings not being changed, patient not being turned often enough, patient having a fall due to staff shortage and family not being notified, bad attitude of a staff member, and an IV being pulled out of the patient’s arm. Further review of the complaint report revealed that on 04/12/2023 at 8:50 a.m., S2Patient Advocate met with the nursing supervisors on the floor the patient was on and verbally shared information regarding the daughter’s concerns and requested review, follow-up and feedback. The report further stated that on 04/12/2024 at 11:18 a.m., the nursing supervisor contacted the Patient #1’s daughter and discussed the patient’s fall and dressing changes. There was no documented evidence that the other issues were addressed. There was no documented evidence that the complaints made by Patient #1’s daughter were treated as a grievance, per the hospital’s grievance policy and procedure. There was no evidence that an initial letter was sent to the patient’s daughter within 7 days or that a written letter was sent to the patient’s daughter upon resolution. On 05/21/2024 at 9:45 a.m., interview with S3Patient Advocate revealed that due to the complexity of the complaints made by Patient #1’s daughter, it should have been treated as a grievance. S3Patient Advocate stated that a thorough investigation should have been completed and letters (initial and resolution) should have been sent to the patient’s daughter. S3Patient Advocate confirmed that the grievance procedure was not followed.”
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Facilities, Supplies, Equipment Maintenance
The inspectors’ words, 452 words
“FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE CFR(s): 482.41(c)(2) Facilities, supplies, and equipment must be maintained to ensure an acceptable level of safety and quality. This Standard is not met as evidenced by: 17450 Based on record review, observation and interview, the hospital failed to ensure all equipment was maintained in a manner to ensure an acceptable level of safety and/or quality as evidenced by failing to ensure the functionality of a nurse call button located on the side rails of 36 of 36 patient beds on the 4th floor medical/surgical unit. Findings: Review of the patient complaint log revealed that on 05/15/2024 at 12:03 p.m., Patient #4’s daughter complained about staff not answering the call light. Review of the complaint report revealed that the patient’s daughter complained to the patient advocate that after pressing the call button multiple times the night before, and no staff came to check on her mother. The report further revealed that on 05/15/2024 at 12:30 p.m., the patient advocate and the manager of the 4th floor, where the patient was located, went to speak to the family regarding their concerns. The daughter stated that at approximately 9:00 a.m. and 11:00 a.m. that day, she needed assistance from an aide to check on her mother, but no one responded after pressing the call light. The report revealed that during the visit, it was discovered that the patient was not actually hitting the correct call bell. She had been using the one on the bed that does not work. On 05/21/2024 at 10:20 a.m., observation of two empty patient rooms on the 4th floor with S1Compliance and S4Director of 4th floor revealed that the patient beds had non-functional nurse call buttons on the side rails of the beds. The nurse call button on the beds were pressed by the surveyor during the observations and no alert of any type was generated when it was pressed. An interview at that time with S1Compliance and S4Director of 4th floor reported that patients/patient families were instructed to use the nurse call feature on the corded call light located at the patient’s bedside to call for staff assistance. The surveyor discussed the possibility of patient/patient family confusion with having the non-functional nurse call feature on the bed available for use as well as the nurse call feature on the corded call light and the potential of the non-functional nurse call feature being pressed to summon help from staff. They agreed that having the non-functional nurse call feature available for use could result in potential confusion when calling for staff assistance. Further interview revealed that all 36 beds on the 4th floor medical/surgical unit had non-functional nurse call buttons on the side rails of the beds.”
All 5 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 12, 2026 | Complaint inspection | No deficiencies cited |
| Oct 30, 2025 | Complaint inspection | No deficiencies cited |
| Jul 29, 2024 | Complaint inspection | No deficiencies cited |
| May 21, 2024 | Complaint inspection | 2 deficiencies cited |
| May 7, 2024 | Complaint inspection | No deficiencies cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 3 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 0 worse of 3; safety of care, 1 better and 0 worse of 5; readmission, 1 better and 0 worse of 5.
- Patients rate it 4 of 5 in CMS’s patient survey (365 surveys completed, Oct 1, 2024 to Sep 30, 2025): 74% rated it 9 or 10 out of 10, and 77% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), no different than national benchmark; surgical site infections after colon surgery, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart failure 11.3%, stroke 12.9%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart failure 21.8%, pneumonia 17%, COPD 19.3%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, no different than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate.
- Emergency department patients spent a median of 152 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 6% left before being seen.
- 68% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 1.12 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 3 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 4 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: voluntary non-profit - private.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Voluntary non-profit - Private.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 4 of 5.
- 83% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Brf Hospital Holdings LLC owns 100% directly since Oct 1, 2018.
- Brf Hospital Holdings LLC and Olh Operational Management Company LLC and Ochsner Clinic Foundation run it.
- 6 owners or officers are people: David L Callecod (managing employee (under contract)); David L Callecod (corporate officer); David Ford Lewis (managing employee (under contract)); Michael D Oneal (managing employee (under contract)); Michael D Oneal (corporate officer); Michael D Oneal (runs it (operational or managerial control)).
- CMS’s Provider of Services file records 6 changes of ownership, the latest on Oct 1, 2013.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Brf Hospital Holdings LLC | Owns 5% or more directly | 100% | Oct 1, 2018 |
| Brf Hospital Holdings LLC | Runs it (operational or managerial control) | 100% | Oct 1, 2018 |
| Ochsner LSU Health System of North Louisiana | Owns 5% or more through other companies | 100% | Oct 1, 2018 |
| Olh Operational Management Company LLC | Runs it (operational or managerial control) | Oct 1, 2018 | |
| Ochsner Clinic Foundation | Runs it (operational or managerial control) | Oct 1, 2018 |
How does it compare nearby?
- Of the 5 hospitals CMS lists in Ouachita Parish, 3 have an overall star rating from CMS: 2 rated 3 of 5, 1 rated 2 of 5.
- CMS rates this one 3 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| Fmol Health St Francis | 3 |
| Glenwood Regional Medical Center | 2 |
| Monroe Surgical Hospital | Not given |
| Freedom Behavioral Hospital of Monroe | Not given |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.