Deficiency Index

Legacy Nursing and Rehabilitation of Tallulah

Tallulah, Louisiana · CCN 195443

26 surveys since 2010, 13 of them producing a finding at harm level or worse.

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

Citations on record
109
Surveys
26
Harm or worse
13
Immediate jeopardy
9
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy9

Findings at the most serious level CMS records.

Beyond CMS’s monthly file19/26

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

The facility

Certified beds
156
Ownership
For profit - Limited Liability company
Chain
LEGACY NURSING & REHABILITATION
County
Madison · rural
Medicare-certified since
1997

CMS ratings

Overall
3
Health inspection
3
Staffing
2
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 98 for-profit facilities with 128 or more beds in Louisiana.

Last survey on record

Apr 22, 2026

201 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 day3.493.53
Registered-nurse hours per resident day0.16—
Annual nurse turnover36.6%48.8%

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

Enforcement

Fines
$3,145 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 jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1145.8%E1354.2%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 24 of the 109 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7573×

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

  • F6092×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

  • F5801×

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

In the surveyor’s words

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

  • No harm, potential for more than minimal, patternF726Apr 22, 2026

    Based on record review and interviews the facility failed to ensure competent nursing staff provided nursing and related services to attain or maintain the highest practical physical, mental and psychosocial well-being of each resident by failing to administer insulin as ordered for 1 (#56) of 5 residents whose medication regimens were reviewed.Findings:Review of the medical record revealed Resident #56 had an admit date of 11/20/2025 with a diagnosis which included diabetes. Review of the 2026 physician orders revealed the resident was to receive insulin as needed by a sliding scale. The sliding scale indicated the resident was to receive 2 units when her blood sugar ranged from 150 to 199. […]

  • No harm, potential for more than minimal, patternF641Feb 26, 2025

    Based on observation, interview, and record review the facility failed to accurately assess safety devices for effectiveness and elimination for 1 (#58) of 1 (#58) residents reviewed for restraints. Findings: Review of the facility's Safety and Supervision of Resident's policy and Procedure (undated) revealed the following, in part: 4. Implementing interventions to reduce accident risks and hazards shall include the following: e. Documenting interventions 5. Monitoring the effectiveness of interventions shall include the following: b. […]

  • No harm, potential for more than minimal, patternF679Feb 26, 2025

    Based on record review and interview, the facility failed to ensure it provided an ongoing program to support the residents in their choice of activities for 1 (#26) of 1 (#26) residents reviewed for activities. The facility failed to provide adequate activities for resident #26 who had a diagnosis of blindness. Findings: On 02/24/2025 at 10:45a.m., interview with resident #26 revealed he was blind and didn't receive any activities. Review of the medical record of resident #26 revealed he had a diagnosis of blindness in the right eye category 3 and blindness in the left eye category 3 indicating a significant degree of vision loss in both eyes. Review of the quarterly activity assessment dated [DATE] revealed resident #26 was provided with the monthly activity calendar. […]

  • No harm, potential for more than minimal, patternF700Feb 26, 2025

    Based on observations, record reviews and interviews, the facility failed to: 1) ensure residents had a physician's order for bed rails, 2) obtain informed consent from the resident or resident's representative for bed rail use, and 3) assess residents for the risk of entrapment from bed rails prior to the installation of bed rails for 4 (#23, #30, #34, and #60) of 4 (#23, #30, #34, and #60) residents reviewed for bed rails. Findings: Review of the facility's policy (undated), Restraint Devices - Physical Policy and Procedure revealed the following in part: Procedure: 1. Assess the resident's need for the safety device use. 2. Obtain informed consent for restraint device use. 3. […]

  • No harm, potential for more than minimal, patternF757Feb 26, 2025

    Based on record reviews and interviews, the facility failed to ensure each resident's medication regimen was free from unnecessary medications by failing to monitor for bleeding for a resident who received anticoagulant medication for 1 (#15) of 1 (#15) residents reviewed for anticoagulants. Findings: Review of medical records for resident #15 revealed an admitted [DATE] with diagnosis including cerebral infarction, transient cerebral ischemic attack, atherosclerotic heart disease of native coronary artery without angina pectoris, old myocardial infarction, long term (current) use of anticoagulants, and chronic atrial fibrillation Review of the February 2025 physician orders revealed that resident #15 was ordered Eliquis (anticoagulant) 5 milligrams (mg) every 12 hours and Aspirin… […]

Read 33 findings in full →The most serious and the most recent: 33 of 109 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 22, 2026Standard5 findings
  • Feb 23, 2026Complaint1 finding
  • Apr 2, 2025Complaint1 finding
  • Feb 26, 2025Standard10 findings
  • Sep 16, 2024Complaint2 findings
  • Mar 13, 2024Standard4 findings
  • Feb 5, 2024Complaint1 finding
  • Mar 15, 2023Standard3 findings
Show the 18 earlier surveys
  • Mar 9, 2022Standard3 findings
  • Oct 28, 2020Standard3 findings
  • Oct 16, 2019Complaint2 findings
  • Mar 14, 2019Standard2 findings
  • Oct 25, 2018Complaint1 finding
  • Apr 26, 2018Standard9 findings
  • Mar 16, 2017Standard5 findings
  • Nov 3, 2016Standard2 findings
  • Dec 17, 2015Standard7 findings · 2 harm
  • Jun 18, 2015Standard6 findings
  • Mar 4, 2015Complaint5 findings · 5 harm
  • Aug 6, 2014Complaint1 finding
  • May 8, 2014Standard11 findings · 4 harm
  • Dec 11, 2013—2 findings
  • Jun 13, 2013—5 findings
  • Jul 26, 2012—9 findings
  • Oct 13, 2011—6 findings
  • Sep 1, 2010—3 findings · 2 harm

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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