The Spine Hospital of Louisiana
An acute care hospital in Baton Rouge, Louisiana 70810
10105 Park Row Circle, Suite 250, Baton Rouge, Louisiana 70810. (225) 763-9900.
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The short answer
Record last released by CMS on Oct 20, 2026.
- Not rated CMS’s overall rating
- 4of 5 patient survey rating
- 3 deficiencies cited in the last three years
- 23 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 Apr 18, 2024: a complaint inspection.
3 deficiencies cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
3 deficiencies in 1 month of the last 36. Last cited Apr 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.
Apr 18, 2024: complaint inspection3 deficiencies
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Patient Rights: Care In Safe Setting
The inspectors’ words, 191 words
“PATIENT RIGHTS: CARE IN SAFE SETTING CFR(s): 482.13(c)(2) The patient has the right to receive care in a safe setting. This Standard is not met as evidenced by: 48050 Based on record review and interview, the hospital failed to ensure each patient received care in a safe setting. This is deficient practice is evidenced by the hospital failed to ensure that personnel met the applicable standards (such as continuing education, certification or training) required by State or local law as evidenced by the absence of adolescent competency and PALs certification in the personnel files. Findings: Review of Medical Staff By-Laws last revised 10/01/2016 revealed in part: Scope of Service by patient type: (b) Ages of Patient: Adolescent, Adult, Geriatric. Record review on 04/18/2024 at 9:05 a.m. revealed no evidence of adolescent competencies or PALS certification for 6(S2ICD, S6PCD, S7RN, S8RN, S9RN, S10RN) of 6 (S2ICD, S6PCD, S7RN, S8RN, S9RN, S10RN) RN personnel records reviewed. In an interview on 04/18/2024 at 9:15 a.m., S1CNO stated that the RNs didn’t have adolescent competencies or PALS certification. Furthermore verified that the Medical Staff By-Laws state that the scope of service includes adolescent aged patients.”
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Data Collection & Analysis
The inspectors’ words, 260 words
“DATA COLLECTION & ANALYSIS CFR(s): 482.21(a), (b)(1),(b)(2)(i), (b)(3) (a) Program Scope (1) The program must include, but not be limited to, an ongoing program that shows measurable improvement in indicators for which there is evidence that it will improve health outcomes ... (2) The hospital must measure, analyze, and track quality indicators ... and other aspects of performance that assess processes of care, hospital service and operations. (b)Program Data (1) The program must incorporate quality indicator data including patient care data, and other relevant data such as data submitted to or received from Medicare quality reporting and quality performance programs, including but not limited to data related to hospital readmissions and hospital-acquired conditions. (2) The hospital must use the data collected to-- (i) Monitor the effectiveness and safety of services and quality of care; and .... (3) The frequency and detail of data collection must be specified by the hospital’s governing body. This Standard is not met as evidenced by: 48050 Based on record review and interview, the hospital failed to ensure the Quality Assurance/Performance Improvement program measured, analyzed and tracked quality indicators to monitor the safety and effectiveness of respiratory services and quality of care. This deficient practice was evidenced by failing to review/revise respiratory policies/procedures to reflect current standards of practice. Findings: Review of hospital policies for Respiratory Services revealed the policies/procedures had not be reviewed since 08/2008 and revised since 02/2011. In an interview on 04/18/2024 at 10:30 a.m. S1CNO verified that the 12 respiratory service policies had not been reviewed since 08/2008 or revised since 02/2011.”
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Respiratory Care Personnel Policies
The inspectors’ words, 218 words
“RESPIRATORY CARE PERSONNEL POLICIES CFR(s): 482.57(b)(1) Personnel qualified to perform specific procedures and the amount of supervision required for personnel to carry out specific procedures must be designated in writing. This Standard is not met as evidenced by: 48050 Based on record review and interview the hospital failed to ensure personnel were qualified to perform specific respiratory care procedures. This deficient practice was evidenced by failure to provide policies and procedures that included the qualifications, including job title, education, training and experience of personnel authorized to perform each type of respiratory care service and whether they may perform it without respiratory supervision. Findings: Review of hospital policies for Respiratory Services, provided by S1CNO as current, revealed they did not include the qualifications, education, training, and experience required of personnel authorized to perform each type of respiratory care service. Review of a policy title Wall Nebulizer did not include the above listed required items, or the job title of personnel authorized to deliver the therapy. In an interview on 04/18/2024 at 1:00 p.m., S1CNO verified that nursing performs wall nebulizer treatments for patients and the only duty respiratory therapist performs is monthly ventilator checks. Furthermore S1CNO verifies policies failed to include the qualifications, education, training, and experience required of personnel authorized to perform each type of respiratory care service.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 18, 2024 | Complaint inspection | 3 deficiencies cited |
How do patients fare?
- CMS gives no 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.: “There are too few measures or measure groups reported to calculate a star rating or measure group score.”
- 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 1; safety of care, 0 better and 0 worse of 1; readmission, 0 better and 0 worse of 2.
- Patients rate it 4 of 5 in CMS’s patient survey (337 surveys completed, Oct 1, 2024 to Sep 30, 2025): 84% rated it 9 or 10 out of 10, and 85% would definitely recommend it.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- After outpatient care, compared by CMS: unplanned hospital visits after outpatient surgery, no different than expected.
- Medicare’s spending per patient here is 0.99 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 | Not rated |
| 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 Oct 25, 2004.
- Ownership: physician.
- It is not accredited by a private organisation, so the state carries out its routine inspections for Medicare.
- 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.
- Physician.
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.
- 3 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 5 of 5.
- 91% 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?
- Our Lady of the Lake Hospital Inc. owns 35% directly since Jan 31, 2022.
- 22 owners or officers are people: Eric K Oberlander (owns 5% or more directly, 6.63%); Charles R. Bowie (owns 5% or more directly, 6.41%); Christopher C Harrod (owns 5% or more directly, 6.41%); Gregory Lee Fautheree (owns 5% or more directly, 6.41%); Kevin Mccarthy (owns 5% or more directly, 6.41%); Richard A Stanger (owns 5% or more directly, 6.41%); Kelly J Scrantz (owns 5% or more directly, 6.41%); Samir K Patel (corporate director, 3%); Horace L L Mitchell (owns 5% or more directly, 2%); Susan Pettijohn (corporate officer); Susan Pettijohn (managing employee (on the payroll)); Horace L L Mitchell (corporate officer); Horace L L Mitchell (corporate director); Gregory Lee Fautheree (corporate director); Allison Doherty (corporate officer); Allison Doherty (managing employee (on the payroll)); Jennifer J Clowers (corporate director); Terri Hicks (corporate officer); Terri Hicks (managing employee (on the payroll)); James E Craven (corporate director); Charles L Spicer (corporate director); Kelly J Scrantz (corporate director).
- CMS’s Provider of Services file records no change of ownership.
- 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 |
|---|---|---|---|
| Our Lady of the Lake Hospital Inc. | Owns 5% or more directly | 35% | Jan 31, 2022 |
How does it compare nearby?
- Of the 13 hospitals CMS lists in E. Baton Rouge Parish, 5 have an overall star rating from CMS: 2 rated 4 of 5, 3 rated 3 of 5.
- CMS gives this hospital no overall star rating to compare.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| Surgical Specialty Center of Baton Rouge | Not given |
| Lane Regional Medical Center | 3 |
| Our Lady of the Lake Regional Medical Center | 3 |
| Baton Rouge General Medical Center | 3 |
| Womans Hospital | 4 |
| Ochsner Medical Center - Baton Rouge | 4 |
| The General | Not given |
| Oceans Behavioral Hospital of Baton Rouge | Not given |
| Seaside Health System | Not given |
| Apollo Behavioral Health Hospital, L L C | Not given |
| Baton Rouge Behavioral Hospital | Not given |
| Regions Behavioral Hospital | 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.
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
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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.