Department of Health & Human Services

Centers for Medicare & Medicaid Services
Form Approved

OMB No. 0938-0391

Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number 713029 (X3) Date Survey Completed 05/14/2025
Name of Provider or Supplier Shreveport Rehabilitation Hospital Llc Street Address, City, State 1451 Fern Circle, Shreveport, LA
For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency.
(X4) ID Prefix Tag Summary Statement of Deficiencies

(Each deficiency should be preceded by full regulatory or LSC identifying information)
A0000 Complaint Survey #LA00078120. Abbreviations: CNO- Chief Nursing Officer OT- Occupational Therapist LLE- Left Lower Extremity