Deficiency Index

Legacy Nursing and Rehabilitation of Lafourche

Thibodaux, Louisiana · CCN 195449

13 surveys since 2011. The first finding at harm level was recorded in 2023.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
25
Surveys
13
Harm or worse
4
Immediate jeopardy
4
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy4

Findings at the most serious level CMS records.

Beyond CMS’s monthly file9/13

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
72
Ownership
For profit - Corporation
Chain
LEGACY NURSING & REHABILITATION
County
Lafourche
Medicare-certified since
1997

CMS ratings

Overall
2
Health inspection
3
Staffing
2
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=17, floor 20).

Last survey on record

Feb 26, 2026

256 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.503.48
Registered-nurse hours per resident day0.46—
Annual nurse turnover50.6%44.8%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$24,501 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ112.5%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD562.5%E225.0%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 8 of the 25 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5802×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F6561×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6771×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F6891×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F6901×

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

In the surveyor’s words

From the most serious findings on record at Legacy Nursing and Rehabilitation of Lafourche, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF835Feb 16, 2023

    Based on interviews, observation, and record review, the facility failed to ensure it was administered in a manner that enabled it to use its resources effectively and efficiently to have a system in place to prevent and control the transmission of COVID-19 infections in the facility by: 1.) failing to ensure staff used personal protective equipment (PPE) with COVID-19 positive residents (Resident #44, Resident#47, Resident #55 and Resident #66); 2.) failing to ensure staff quarantined and immediately tested residents (Resident #22 and Resident #46) who displayed symptoms of COVID-19; and 3.) failing to ensure COVID-19 screenings for signs and symptoms were completed by visitors and staff. […]

  • Immediate jeopardy, widespreadF880Feb 16, 2023

    45877 Based on interviews, observation, and record review, the facility failed to ensure it was administered in a manner that enabled it to use its resources effectively and efficiently to have a system in place to prevent and control the transmission of COVID-19 infections in the facility by: 1.) failing to ensure staff used personal protective equipment (PPE) with COVID-19 positive residents (Resident #44, Resident#47, Resident #55 and Resident #66); 2.) failing to ensure staff quarantined and immediately tested residents (Resident #22 and Resident #46) who displayed symptoms of COVID-19; and 3.) failing to ensure COVID-19 screenings for signs and symptoms were completed by visitors and staff. […]

  • Immediate jeopardy, widespreadF882Feb 16, 2023

    Based on observation, interview and record review, the facility failed to ensure the Infection Preventionist established and maintained an effective infection prevention and control program to prevent the transmission of COVID-19 infections in the facility by: 1.) failing to ensure staff used personal protective equipment (PPE) with COVID-19 positive residents (Resident #44, Resident#47, Resident #55 and Resident #66); 2.) failing to ensure staff quarantined and immediately tested residents (Resident #22 and Resident #46) who displayed symptoms of COVID-19; and 3.) failing to ensure COVID-19 screenings for signs and symptoms were completed by visitors and staff. […]

  • Immediate jeopardy, isolatedF689Mar 11, 2025

    Based on observation, interviews, and record reviews, the facility failed to provide adequate supervision to prevent a fall for 1 (Resident #65) of 3 (Resident #44, Resident #55, Resident #65) sampled residents reviewed for falls. This deficient practice resulted in an Immediate Jeopardy situation on 01/17/2025 at 6:35AM, when Resident #65, who required supervision with showers/bathing and had diagnoses, which included, osteoporosis, dementia, and a traumatic brain injury, was able to enter shower room A unattended due to S3Certified Nursing Assistant (CNA) leaving the door propped opened. Resident #65 was found on the floor in shower room A after an unwitnessed fall and had sustained an injury resulting in a C7 (7th cervical vertebrae in the neck) displaced fracture. […]

  • No harm, potential for more than minimal, patternF812Feb 26, 2026

    Based on observation, interviews, and record review, the facility failed to ensure the kitchen's walk-in cooler was maintained in a sanitary manner. Findings: Review of the facility's undated Food Safety and Sanitization policy and procedure revealed, in part, stored food was to have been protected from contamination and growth of any pathogenic organisms. Review of the facility's undated Dietary Manager job description revealed, in part, the duties and responsibilities of the Dietary Manager included ensuring the kitchen was maintained as required by state and federal governing agencies regulations and standards, keeping the kitchen clean and organized, and keeping the work areas clean. […]

Read 20 findings in full →The most serious and the most recent: 20 of 25 on record.

Every survey on record

FindingsAt actual harm or above

  • Feb 26, 2026Standard4 findings
  • Mar 11, 2025Standard2 findings · 1 harm
  • Nov 15, 2024Complaint1 finding
  • Oct 4, 2023Complaint1 finding
  • Feb 16, 2023Standard6 findings · 3 harm
  • Sep 8, 2022Complaint2 findings
  • Apr 29, 2021Standard1 finding
  • Nov 6, 2020Complaint2 findings
Show the 5 earlier surveys
  • Jul 25, 2019Standard1 finding
  • Aug 9, 2018Standard2 findings
  • Oct 6, 2016Standard1 finding
  • Nov 29, 2012—1 finding
  • Sep 9, 2011—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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