12 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Morgan City, LA
1-star overall rating with 2-star inspections with abuse icon flag with $115,210 in total fines with 12 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
740 Justa Street, Morgan City, LA
(985) 384-1726
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
88
Certified beds
Average residents
80
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Legacy Nursing & Rehabilitation
Operator or chain grouping
Approved since
1996-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 2 overall / 2 health / 2 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.17
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
1.33
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
2.09
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.60
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.51
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.15
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
0.11
Weekend registered nurse coverage · state 0.22 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.18
CMS adjusted RN staffing hours
Adjusted total hours
3.77
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
56%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
13,093
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
8.43
Composite VBP score used to determine payment impact.
Payment multiplier
0.9807
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.72% · Performance 23.67% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.47
Baseline 8.06% · Performance 7.15% · Measure score 2.47 · Achievement 2.30 · Improvement 2.47
Total nurse turnover
0.9
Baseline 55.36% · Performance 60.00% · Measure score 0.9 · Achievement 0.9 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.12 hours · Performance 3.2 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.88% |
10.72%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 87 · Observed rate 14.94% · Lower 95% interval 8.46% |
| Discharge to community | 38.88% |
50.57%
11.7 pts worse
|
Worse than the National Rate · Eligible stays 75 · Observed rate 30.67% · Lower 95% interval 30.72% |
| Medicare spending per beneficiary | 1.42 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 97.53% |
95.27%
2.3 pts better
|
Numerator 79 · Denominator 81 |
| Falls with major injury | 1.23% |
0.77%
0.5 pts worse
|
Numerator 1 · Denominator 81 |
| Discharge self-care score | 62.75% |
53.69%
9.1 pts better
|
Numerator 32 · Denominator 51 |
| Discharge mobility score | 41.18% |
50.94%
9.8 pts worse
|
Numerator 21 · Denominator 51 |
| Pressure ulcers or injuries, new or worsened | 3.7% |
2.29%
1.4 pts worse
|
Numerator 3 · Denominator 81 · Adjusted rate 3.1% |
| Healthcare-associated infections requiring hospitalization | 7.15% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 71 · Observed rate 7.04% · Lower 95% interval 4.42% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 107 |
| Staff flu vaccination coverage | 6.86% |
42%
35.1 pts worse
|
Numerator 7 · Denominator 102 |
| Discharge function score | 47.06% |
56.45%
9.4 pts worse
|
Numerator 24 · Denominator 51 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 30 · Denominator 30 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 26 · Denominator 26 |
| Resident COVID-19 vaccinations up to date | 10.81% |
25.2%
14.4 pts worse
|
Numerator 4 · Denominator 37 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
2.6
1.1 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
2.8
0.5 pts better
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.2 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.7% |
92.0%
3.7 pts better
|
93.4%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 92.6% · Q3 94.4% · Q4 95.8% · 4Q avg 95.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 71.6% |
94.9%
23.3 pts worse
|
95.5%
23.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 71.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% |
3.4%
0.9 pts better
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 2.9% · Q3 1.4% · Q4 1.4% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.8% |
1.8%
9 pts worse
|
11.4%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 10.6% · Q3 12.9% · Q4 9.0% · 4Q avg 10.8% |
| Percentage of long-stay residents who lose too much weight | 9.8% |
5.2%
4.6 pts worse
|
5.4%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 5.0% · Q3 17.2% · Q4 14.5% · 4Q avg 9.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.3% |
23.1%
5.2 pts worse
|
19.6%
8.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.0% · Q2 27.0% · Q3 23.5% · Q4 33.8% · 4Q avg 28.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 29.2% |
24.4%
4.8 pts worse
|
16.7%
12.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.8% · Q3 29.4% · Q4 27.1% · 4Q avg 29.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 19.5% |
22.2%
2.7 pts better
|
16.3%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.9% · Q2 39.0% · Q3 0.0% · Q4 2.5% · 4Q avg 19.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.2% |
20.1%
2.1 pts worse
|
14.9%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.4% · Q2 36.8% · Q3 11.5% · Q4 6.6% · 4Q avg 22.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
1.6%
1.2 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
2.6%
1.5 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.5% |
16.9%
2.4 pts better
|
19.8%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 13.6% · Q3 19.6% · Q4 9.5% · 4Q avg 14.5% |
| Percentage of long-stay residents with pressure ulcers | 9.0% |
6.2%
2.8 pts worse
|
5.1%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 16.9% · Q3 1.4% · Q4 8.5% · 4Q avg 9.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 82.1% |
83.6%
1.5 pts worse
|
81.7%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.2% · Q2 84.9% · Q3 80.5% · Q4 70.4% · 4Q avg 82.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 29.8% |
14.7%
15.1 pts worse
|
12.0%
17.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.8% · Observed 33.3% · Expected 12.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.8% |
3.3%
0.5 pts worse
|
1.6%
2.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.9% · Q3 4.9% · Q4 4.8% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 30.3% |
76.2%
45.9 pts worse
|
79.7%
49.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 30.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.3% |
27.8%
2.5 pts worse
|
23.9%
6.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.3% · Observed 31.8% · Expected 25.1% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Quality of Life and Care (4 deficiencies)
16 fire-safety deficiencies
Top issue: Emergency Preparedness (10 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-15
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-09-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-26
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-09-26
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Not marked corrected
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-11-01
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-12-05
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-01
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-11-01
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-11-01
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2023-11-14
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2023-11-14
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2023-11-14
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2023-11-14
Fire Safety
Provide primary/alternate means for communication.
Corrected 2023-11-14
Fire Safety
Establish methods for sharing information.
Corrected 2023-11-14
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-11-14
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-11-14
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-11-14
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-11-14
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-01
Inspection history
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-01-30
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-08-08
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-08-29
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-29
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-08-08
Health
Respond appropriately to all alleged violations.
Corrected 2025-08-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-29
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-08-29
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-29
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-08-29
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-05-02
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2025-05-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-15
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-15
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-15
Health
Ensure 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.
Corrected 2024-09-15
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2024-09-15
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-09-15
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-11-14
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-11-14
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-11-14
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-11-14
Health
Ensure 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.
Corrected 2023-11-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-14
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-11-14
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-14
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2023-11-14
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-14
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-11-14
Health
Post nurse staffing information every day.
Corrected 2023-11-14
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2023-11-14
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2023-11-14
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-09-01
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2023-03-31
Penalties and ownership
Fine · fine $17,215
Fine
Payment Denial · denial start 2025-09-09 · 6 days
6 day denial
Fine · fine $97,995
Fine
Payment Denial · denial start 2024-09-20 · 6 days
6 day denial
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Operational/Managerial Control · Organization
W-2 Managing Employee · Individual
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