Plaquemine, LA

Legacy Nursing And Rehabilitation Of Plaquemine

1-star overall rating with 2-star inspections with $245,413 in total fines with 3 recent health deficiencies

59215 River West Drive, Plaquemine, LA

(225) 687-0240

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

151

Certified beds

Average residents

106

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Nursing & Rehabilitation

Operator or chain grouping

Approved since

1995-05-01

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

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.12

Registered nurse staffing · state 0.32 · national 0.68

LPN hours / resident day

1.18

Licensed practical nurse staffing · state 1.18 · national 0.87

Aide hours / resident day

2.01

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.31

All reported nurse hours · state 3.81 · national 3.89

Licensed hours

1.30

RN + LPN hours · state 1.49 · national 1.54

Weekend hours

2.76

Weekend nurse staffing · state 3.26 · national 3.43

Weekend RN hours

0.08

Weekend registered nurse coverage · state 0.22 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.11

CMS adjusted RN staffing hours

Adjusted total hours

2.92

CMS adjusted total nurse staffing hours

Case-mix index

1.55

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

45%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,794

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

10.41

Composite VBP score used to determine payment impact.

Payment multiplier

0.9809

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

2.08

Baseline 62.92% · Performance 55.17% · Measure score 2.08 · Achievement 2.08 · Improvement 1.54

Adjusted total nurse staffing

Baseline 2.92 hours · Performance 2.69 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.82%	10.72% 0.1 pts worse	No Different than the National Rate · Eligible stays 34 · Observed rate 14.71% · Lower 95% interval 6.91%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.32	1.02 0.3 pts worse
Drug regimen review with follow-up	97.87%	95.27% 2.6 pts better	Numerator 46 · Denominator 47
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 47
Discharge self-care score	72.41%	53.69% 18.7 pts better	Numerator 21 · Denominator 29
Discharge mobility score	58.62%	50.94% 7.7 pts better	Numerator 17 · Denominator 29
Pressure ulcers or injuries, new or worsened	4.26%	2.29% 2 pts worse	Numerator 2 · Denominator 47 · Adjusted rate 3.6%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	48.67%	8.2% 40.5 pts better	Numerator 55 · Denominator 113
Staff flu vaccination coverage	20.69%	42% 21.3 pts worse	Numerator 24 · Denominator 116
Discharge function score	68.97%	56.45% 12.5 pts better	Numerator 20 · Denominator 29
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	13.33%	25.2% 11.9 pts worse	Numerator 4 · Denominator 30

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.1	2.6 0.5 pts better	1.9 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 3.0 · Expected 2.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.1	2.8 0.7 pts better	1.8 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.5 · Expected 2.0 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	92.0% 8 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.9% 5.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.4%	3.4% 1 pts better	3.3% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.0% · Q3 2.8% · Q4 2.8% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.5%	1.8% 1.3 pts better	11.4% 10.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5%
Percentage of long-stay residents who lose too much weight	2.4%	5.2% 2.8 pts better	5.4% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 4.5% · Q3 2.0% · Q4 2.1% · 4Q avg 2.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.6%	23.1% 7.5 pts better	19.6% 4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 15.2% · Q3 15.5% · Q4 16.7% · 4Q avg 15.6%
Percentage of long-stay residents who received an antipsychotic medication	19.0%	24.4% 5.4 pts better	16.7% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 20.0% · Q3 21.1% · Q4 19.4% · 4Q avg 19.0% · 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	9.9%	22.2% 12.3 pts better	16.3% 6.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 14.0% · Q3 13.1% · Q4 3.2% · 4Q avg 9.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.6%	20.1% 9.5 pts better	14.9% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 12.8% · Q3 16.3% · Q4 8.2% · 4Q avg 10.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.2%	1.6% 1.4 pts better	1.0% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	2.6% 2.6 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.0%	16.9% 1.1 pts worse	19.8% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.1% · Q2 29.2% · Q3 16.1% · Q4 6.7% · 4Q avg 18.0%
Percentage of long-stay residents with pressure ulcers	10.0%	6.2% 3.8 pts worse	5.1% 4.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 10.7% · Q3 7.4% · Q4 11.0% · 4Q avg 10.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.4%	83.6% 14.8 pts better	81.7% 16.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 95.9% · Q2 98.7% · Q3 100.0% · Q4 100.0% · 4Q avg 98.4%
Percentage of short-stay residents who had an outpatient emergency department visit	9.4%	14.7% 5.3 pts better	12.0% 2.6 pts better	Short Stay · 20240701-20250630 · Adjusted 9.4% · Observed 12.2% · Expected 14.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	3.3% 3.3 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	92.3%	76.2% 16.1 pts better	79.7% 12.6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 92.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.7%	27.8% 6.1 pts better	23.9% 2.2 pts better	Short Stay · 20240701-20250630 · Adjusted 21.7% · Observed 26.8% · Expected 29.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-29 · Fire 2026-01-29

3 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2025-01-29 · Fire 2025-01-29

15 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2024-02-09 · Fire 2024-02-09

33 health deficiencies

Top issue: Quality of Life and Care (9 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-29

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-02-16

D · Potential for more than minimal harm 2025-05-29

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-06-13

D · Potential for more than minimal harm 2025-05-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-13

E · Potential for more than minimal harm 2025-01-29

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-02-17

E · Potential for more than minimal harm 2025-01-29

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-01-29

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-01-29

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-01-29

F690 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-17

D · Potential for more than minimal harm 2025-01-29

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-02-17

B · Minimal harm 2025-01-29

F584 · Resident Rights Deficiencies

Health

Honor 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.

Corrected 2025-02-17

B · Minimal harm 2025-01-29

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-02-17

E · Potential for more than minimal harm 2024-12-11

F725 · Nursing and Physician Services Deficiencies

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 2024-12-20

D · Potential for more than minimal harm 2024-12-11

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-09-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-09

G · Actual harm 2024-04-04

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-04-30

D · Potential for more than minimal harm 2024-04-04

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-04-30

D · Potential for more than minimal harm 2024-04-04

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-04-30

D · Potential for more than minimal harm 2024-04-04

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-04-30

L · Immediate jeopardy 2024-02-09

F678 · Quality of Life and Care Deficiencies

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 2024-03-11

L · Immediate jeopardy 2024-02-09

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-03-11

K · Immediate jeopardy 2024-02-09

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-03-11

J · Immediate jeopardy 2024-02-09

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-11

E · Potential for more than minimal harm 2024-02-09

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-03-11

E · Potential for more than minimal harm 2024-02-09

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-03-11

E · Potential for more than minimal harm 2024-02-09

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-11

E · Potential for more than minimal harm 2024-02-09

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-03-11

E · Potential for more than minimal harm 2024-02-09

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-03-11