Legacy Nursing and Rehabilitation of Port Allen

In the surveyor’s words

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

• Immediate jeopardy, patternF600Dec 21, 2022

  Based on observations, interviews, and record reviews, the facility neglected to provide needed services to residents by failing to ensure: 1. Nursing staff supervised and monitored residents who utilized the outdoor smoker's patio to ensure their safety in accordance with the residents care plan for 9 (#1, #3, #4, #5, R1, R2, R3, R4, R5) of 10 (#1, #2, #3, #4, #5, R1, R2, R3, R4, R5) residents reviewed for supervision; and 2. Staff (S6CNA and S7CNA) did not sleep when responsible for caring for residents during their shift. The deficient practice resulted in an Immediate Jeopardy on [DATE] at approximately 2:00 a.m., when Resident #1, who was moderately cognitively impaired and care planned as requiring supervision when smoking, was last seen by staff (S5CNA). […]

• Immediate jeopardy, patternF835Dec 21, 2022

  Based on observations, record reviews and interviews, the facility failed to be administered in a manner, which enabled it to use its resources effectively and efficiently by failing to ensure administrative staff had systems in place to identify, prevent and monitor resident neglect for 9 (#1, #3, #4, #5, R1, R2, R3, R4, R5) of 10 (#1, #2, #3, #4, #5, R1, R2, R3, R4, R5) residents reviewed for supervision. The deficient practice resulted in an Immediate Jeopardy on [DATE] at approximately 2:00 a.m., when Resident #1, who was moderately cognitively impaired and care planned as requiring supervision when smoking, was last seen by staff (S5CNA). Resident #1 was later found outside behind a storage shed near the smoker's patio on Hall A by another facility resident (R6). […]

• Immediate jeopardy, isolatedF600Mar 18, 2026

  Based on observations, interviews, and record reviews, the facility failed to ensure residents were free from neglect for 1 (#1) of 5 residents reviewed for transportation. This was evidenced by: 1. S3TD neglecting to appropriately secure Resident #1 into the facility van; and2. S3TD neglecting to notify the facility when Resident #1 fell out of the moving van. This deficient practice resulted in an Immediate Jeopardy situation for Resident #1, a wheelchair dependent resident, on 02/17/2026 at 12:30 p.m. when S3TD failed to appropriately secure Resident #1 into the facility's transportation van. As S3TD was driving out of the facility's parking lot, the van hit a pothole, the van's back door opened, ramp fell, and Resident #1 rolled out of the van onto the gravel driveway. […]

• Immediate jeopardy, isolatedF580Jun 24, 2024

  Based on interviews and record reviews, the facility failed to ensure nursing staff communicated a significant change in status to the resident's physician for 2 (#3 and #R4) of 8 (#1, #2, #3, #R1, #R2, #R3, #R4, and #R5) residents reviewed for notification of change. This deficient practice resulted in an Immediate Jeopardy situation on 05/31/2024 at 4:00 a.m. when S4LPN failed to notify Resident #3's physician when the resident had no urine output. On 05/30/2024 at 2:56 p.m., Resident #3 was observed to be lethargic and weak, which resulted in S6NP ordering 500 cc normal saline via intravenous infusion and lab work in the morning. On 05/31/2024 at 4:00 a.m., S4LPN attempted to collect urine from Resident #3 with an in and out catheter which resulted in no urine. […]

• Immediate jeopardy, isolatedF684Jun 24, 2024

  Based on interviews and record reviews, the facility failed to a resident received treatment and care in accordance with professional standards of practice and each resident's physical needs including assess, monitor, and record accurate intake/output for a resident receiving IV therapy for 1 (#3) of 5 (#3, #R1, #R2, #R3, and #R5) residents reviewed for IV therapy. This deficient practice resulted in an Immediate Jeopardy situation on 05/30/2024 at 2:56 p.m., when Resident #3 began receiving IV fluids as ordered for lethargy and weakness. On 05/31/2024 at 4:00 a.m., S4LPN attempted to collect urine from Resident #3 with an in and out catheter which resulted in no urine. The resident's brief was also observed to be dry at that time. […]