BATON ROUGE — Louisiana ranks last in the country for nursing home care quality, and, according to the Nursing Home Abuse Center database, no other state comes close.

A Baton Rouge woman said her grandmother left a local nursing home in worse condition than when she arrived.

Estelle Davis, nearly 100 years old, was admitted to White Oak Post Acute Care after a hospital stay last fall. Her granddaughter, Sonya Collins, said Davis left with a wound the size of a grapefruit.

A nurse from the facility called Collins 20 days after Davis was admitted.

"She said, 'Hey, Mrs. Sonya, your grandmother's here, and we noticed this morning that she had a small blister,'" Collins said.

But Collins said what she found when she visited in person was far from small.

"When I got there, I was in awe, a state of shock, emotionally disturbed by what I had seen," Collins said.

Records Collins received from the facility show nurses reported Davis was not in any pain. Video from inside the facility contradicts that. Hospital records also show Davis was extremely dehydrated.

"Somebody dropped the ball," Collins said.

Medicare.gov tracks nursing homes across the country and rates their performance and services. Its data show that White Oak is classified as a "Special Focus Facility" because of serious quality issues, which subject the facility to more frequent inspections and potential termination from Medicare and Medicaid.

Over the last three years, federal inspectors issued White Oak five separate penalties totaling more than $616,151.

White Oak is not alone. So many similar facilities in Louisiana have been rated poorly by federal inspectors that the state ranks at the bottom nationally. Louisiana's Department of Health is now looking to develop a quality and oversight initiative to address that.

No one from the department agreed to answer questions on camera, but the health department's chief of staff told lawmakers the agency was committed to improving.

"This is about providing better care to all residents of the state of Louisiana and making sure we have quality health care provided to all," said Monique Cross.

Collins said she hopes her grandmother's story leads to more oversight and change.

"I have to speak up. I must speak up. This goes on a lot," Collins said.

Collins told WBRZ her grandmother is now at a facility in Texas and doing a lot better, but due to her injuries last year, she is unable to wear shoes. WBRZ attempted to contact representatives for White Oak, but they had not responded at the time of this report.