Freedom Behavioral Hospital of Leesville
A psychiatric hospital in Leesville, Louisiana 71446
1103 Port Arthur Terrace, Leesville, Louisiana 71446. (337) 509-4003.
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The short answer
Record last released by CMS on Oct 20, 2026.
- Not rated CMS’s overall rating
- Not rated patient survey rating
- 2 deficiencies cited in the last three years
- 22 beds
Each figure’s source sits beside it, in its section below.
What these words mean2
- 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 May 6, 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 2026. 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 6, 2026: complaint inspection2 deficiencies
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Rn Supervision Of Nursing Care
The inspectors’ words, 565 words
“RN SUPERVISION OF NURSING CARE CFR(s): 482.23(b)(3) A registered nurse must supervise and evaluate the nursing care for each patient. This Standard is not met as evidenced by: 53243 Based on record review and interview, the facility failed to ensure the registered nurse supervised the care of each patient according to hospital policy. The deficient practice was evidenced by: 1.) failure to ensure an initial nursing assessment was documented within 8 hours of the patient’s admission for 1 (#3) of 3 sampled medical records reviewed; and 2.) failure to ensure a nutritional screen was documented 7 days from the initial nutritional screening and at least every 14 days thereafter for 2 (#1, #2) of 3 sampled medical records reviewed. Findings: 1.) Failure to ensure an initial nursing assessment was documented within 8 hours of the patient’s admission for 1 (#3) of 3 sampled medical records reviewed. Review of the facility’s policy titled “Admission Assessment Management -Assessment and Reassessment,” Policy ID: AS-1006, approval date: Dec 2023 revealed in part: “At the time of admission each patient shall have an initial physical and psychological assessment completed by a registered nurse (RN). The Initial Nursing Assessment shall be performed, and the care plan initiated within eight (8) hours of admission.” Review of Patient #3’s medical record revealed an admission date of 04/27/2026 at 1:25 PM with a diagnosis of vascular dementia, severe, with agitation. Review of MIA-RN Admission Assessment revealed it was performed by S3RN on 04/29/2026 at 8:50 PM. The MIA-RN Admission Assessment failed to be documented within 8 hours of Patient #3’s admission. Interview with S1DON on 05/06/2026 at 11:36 AM confirmed Patient #3’s MIA RN Admission Assessment was not documented within 8 hours of admission. 2.) Failure to ensure a nutritional screen was documented 7 days from the initial nutritional screening and at least every 14 days thereafter for 2 (#1, #2) of 3 sampled medical records reviewed. Review of the facility’s policy titled “ Dietary Management- Nutritional Assessment and Reassessment,” Policy ID: DT-4017, approval date: Dec 2023 revealed in part: “Nutrition Screening shall be completed within 24 hours of admission on all patients to determine nutrition risk and notify the physician and dietitian of any patients that are at nutrition risk. Psychiatric, Alcohol and Drug and Rehabilitation patients shall be rescreened seven days from the initial screen and at least every 14 days thereafter.” Review of Patient #1’s medical record revealed an admission date of 02/10/2026 at 11:39 PM. Review of MIA-RN Admission Assessment dated 02/11/2026 revealed a documented nutritional screening. Further review of Patient #1’s medical record failed to reveal a documented nutritional screening 7 days from the initial screen and at least every 14 days thereafter according to hospital policy. Review of Patient #2’s medical record revealed an admission date of 02/12/2026 at 6:30 PM. Review of MIA-RN Admission Assessment dated 02/12/2026 revealed a documented nutritional screening. Further review of Patient #2’s medical record failed to reveal a documented nutritional screening 7 days from the initial screen and at least every 14 days thereafter according to hospital policy. Interview with S1DON on 5/6/2026 at 3:28 PM stated the nutritional screen was documented upon admission for Patient #1 and Patient #2. S1DON confirmed there was no documentation of a nutritional screening 7 days from the initial screen and at least every 14 days thereafter included in Patient #1 and Patient #2’s medical records.”
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Diets
The inspectors’ words, 302 words
“DIETS CFR(s): 482.28(b)(2) All patient diets, including therapeutic diets, must be ordered by a practitioner responsible for the care of the patient, or by a qualified dietitian or qualified nutrition professional as authorized by the medical staff and in accordance with State law governing dietitians and nutrition professionals. This Standard is not met as evidenced by: 51596 Based on record review and interview, the hospital failed to ensure all practitioners’ orders were contained in patients’ medical records. This deficient practice was evidenced by failing to ensure admission orders were included in the medical record for 1 (#1) of 3 medical records reviewed. Findings: Review of the hospital’s undated document titled “What to Order for Admit Orders” revealed the following, in part: 24 Hour Chart Check, Activity as Tolerated, Activity Education Group, Admit Legal Status, Admit to Inpatient Q15m Observation, Group Psychotherapy, Fall Status Orders, Participate in Exercise Group, Provide Therapeutic Recreational Leisure, Vital Signs Routine, Weight on Admit and Weekly on Saturday, Diet Orders, Appropriate Precaution Orders, and Drug Level Labs. Review of Patient #1’s medical record revealed an admission date of 02/10/2026. Further review revealed Patient #1 was discharged on 03/10/2026 at 1:26 p.m. and returned to the hospital on 03/10/2026 at 11:19 p.m. Review of Patient #1’s Active Orders failed to reveal any orders placed for the admission including failure to place an order for a diet. Interview with S1DON and S2QD on 05/05/2026 at 3:08 p.m. revealed admission orders should have remained in active orders. S1DON and S2QD verified all orders for Patient #1 were discontinued when she was discharged from the hospital on 03/10/2026. S1DON and S2QD verified the discharge was cancelled when Patient #1 returned to the facility later the same day. S1DON and S2QD confirmed Patient #1’s admission orders should have been re-entered, but were not.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 6, 2026 | Complaint inspection | 2 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.: “Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.”
- CMS publishes no patient survey results for it.
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 | Not rated |
Is it certified, and in good standing?
- Medicare-certified psychiatric hospital since Jun 26, 2024.
- Ownership: proprietary.
- 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.
- Proprietary.
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.
- CMS’s HAC Reduction Program file has no result for it: the program covers general acute care hospitals Medicare pays under its inpatient prospective payment system.
- 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.
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Rocknjay Investments LLC owns 85% directly since Apr 1, 2024; TCD Holdings LLC owns 5% directly since Apr 1, 2024; Pkc Investments, LLC owns 5% directly since Apr 1, 2024.
- 16 owners or officers are people: Rock Bordelon (owns 5% or more through other companies, 42.5%); Timothy Jason Reed (owns 5% or more through other companies, 42.5%); Kevin Quinn (owns 5% or more directly, 5%); Thomas C Dansby (owns 5% or more through other companies, 5%); Kelly Coburn (owns 5% or more through other companies, 2.5%); Paul B Coburn (owns 5% or more through other companies, 2.5%); Rock Bordelon (corporate officer); Rock Bordelon (runs it (operational or managerial control)); Tara Cylyce Reed (managing employee (under contract)); Steven D. Waters (managing employee (on the payroll)); Paul B Coburn (corporate officer); Paul B Coburn (runs it (operational or managerial control)); Timothy Jason Reed (corporate officer); Timothy Jason Reed (runs it (operational or managerial control)); Edwin S Urbi (managing employee (under contract)); Azizah Verrett (managing employee (under contract)).
- 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 |
|---|---|---|---|
| Rocknjay Investments LLC | Owns 5% or more directly | 85% | Apr 1, 2024 |
| TCD Holdings LLC | Owns 5% or more directly | 5% | Apr 1, 2024 |
| Pkc Investments, LLC | Owns 5% or more directly | 5% | Apr 1, 2024 |
How does it compare nearby?
- Of the 3 hospitals CMS lists in Vernon Parish, 1 has an overall star rating from CMS: 1 rated 2 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 |
|---|---|
| Byrd Regional Hospital | 2 |
| Bayne-Jones Ach (Ft Johnson) | 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
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.