LEGACY NURSING AND REHABILITATION OF WINNSBORO
804 POLK STREET, WINNSBORO, LA 71295 · CCN 195392
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 150
- Avg residents/day
- 83.6
- Phone
- 3184356116
Inspection history vs Louisiana & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Louisiana avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-07-09 | 11 | 8.3 | 9.5 | +2.7 worse |
| 2 | 2024-05-15 | 12 | 9.0 | 9.8 | +3.0 worse |
| 3 | 2023-06-28 | 5 | 8.0 | 9.3 | -3.0 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 4 |
| Resident assessment and care planning | 1 |
| Resident rights | 3 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Environmental | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.86 | 55.6% |
| RN staffing (reported) | 0.24 | — |
| Total nurse staffing (adjusted) | 4.06 | — |
Fines & penalties
- Total fines
- $168,036
- Number of fines
- 3
- Number of penalties
- 3
- Payment denials
- 0
Chain
- Chain
- LEGACY NURSING & REHABILITATION
- Facilities in chain
- 9
- Chain avg overall
- 1.70 / 5
Inspection citations (28)3 actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-07-09 · Health · corrected 2025-08-04
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-07-09 · Health · corrected 2025-08-04
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-07-09 · Health · corrected 2025-08-04
Potential for more than minimal harm
- EF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-07-09 · Health · corrected 2025-08-04
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-07-09 · Health · corrected 2025-08-04
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2025-07-09 · Health · corrected 2025-08-04
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-09 · Health · corrected 2025-08-04
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-07-09 · Health · corrected 2025-08-04
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-07-09 · Health · corrected 2025-08-04
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-07-09 · Health · corrected 2025-08-04
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2025-07-09 · Health · corrected 2025-08-04
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-11-14 · Health · corrected 2024-12-02
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-15 · Health · corrected 2024-06-12
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-15 · Health · corrected 2024-06-12
Potential for more than minimal harm
- HF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-05-15 · Health · corrected 2024-06-12
Actual harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-05-15 · Health · corrected 2024-06-12
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-05-15 · Health · corrected 2024-06-12
Potential for more than minimal harm
- EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-05-15 · Health · corrected 2024-06-12
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-05-15 · Health · corrected 2024-06-12
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-05-15 · Health · corrected 2024-06-12
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-07 · Health · corrected 2024-05-15
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-05-07 · Health · corrected 2024-05-15
Potential for more than minimal harm
- EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-05-07 · Health · corrected 2024-06-12
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-02-15 · Health · corrected 2024-03-08
Actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-02-15 · Health · corrected 2024-03-08
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-02-15 · Health · corrected 2024-03-08
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-17 · Health · corrected 2023-08-09
Actual harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2023-06-28 · Health · corrected 2023-07-14
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| DGPREJEAN, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2019-08-01 |
| JDGUM, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2019-08-01 |
| MYLESH, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2019-08-01 |
| VDG LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2019-08-01 |
| GUM, JOHN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-08-01 |
| GUM, VICTOR | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-08-01 |
| HOLYFIELD, MYLES | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-08-01 |
| PREJEAN, DANIELLE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-08-01 |
| LEGACY MANAGEMENT GROUP, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-08-01 |
| THORNTON, HENRY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-08-01 |
| GUM, VICTOR | Individual | CORPORATE DIRECTOR | — | 2019-08-01 |
| THORNTON, HENRY | Individual | W-2 MANAGING EMPLOYEE | — | 2019-08-01 |
Other facilities in WINNSBORO
| Name | Overall | Beds |
|---|---|---|
| PLANTATION MANOR NURSING AND REHAB CENTER, LLC | ★★★☆☆ | 135 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.