Tallulah, LA

Legacy Nursing And Rehabilitation Of Tallulah

3-star overall rating with 3-star inspections with $3,145 in total fines with 11 recent health deficiencies

32 Crothers Drive, Tallulah, LA

(318) 574-8111

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

156

Certified beds

Average residents

89

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Nursing & Rehabilitation

Operator or chain grouping

Approved since

1997-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.19

Registered nurse staffing

LPN hours / resident day

1.11

Licensed practical nurse staffing

Aide hours / resident day

2.33

Nurse aide staffing

Weekend hours

3.03

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

27%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.7
2.6
0.1 pts worse
1.9
0.8 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 4.0
2.8
1.2 pts worse
1.8
2.2 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.7%
92.0%
7.7 pts better
93.4%
6.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.3%
94.9%
0.6 pts worse
95.5%
1.2 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 1.7%
3.4%
1.7 pts better
3.3%
1.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
1.8%
1.8 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 12.3%
5.2%
7.1 pts worse
5.4%
6.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.3%
23.1%
5.8 pts better
19.6%
2.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 23.2%
24.4%
1.2 pts better
16.7%
6.5 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 8.4%
22.2%
13.8 pts better
16.3%
7.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 22.4%
20.1%
2.3 pts worse
14.9%
7.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.6%
1.6 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 14.7%
16.9%
2.2 pts better
19.8%
5.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 8.3%
6.2%
2.1 pts worse
5.1%
3.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.5%
83.6%
15.9 pts better
81.7%
17.8 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 17.2%
14.7%
2.5 pts worse
12.0%
5.2 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 2.8%
3.3%
0.5 pts better
1.6%
1.2 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88.1%
76.2%
11.9 pts better
79.7%
8.4 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.9%
27.8%
5.9 pts better
23.9%
2 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-26 · Fire 2025-02-26

11 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 2 Health 2024-03-13 · Fire 2024-03-13

6 health deficiencies

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

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-03-15 · Fire 2023-03-15

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-03-13

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-04-30

D · Potential for more than minimal harm 2024-03-13

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-03-13

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2024-04-30

E · Potential for more than minimal harm 2023-03-15

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-05-05

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-04-02

F580 · Resident Rights Deficiencies

Health

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

Corrected 2025-04-15

E · Potential for more than minimal harm 2025-02-26

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-03-28

E · Potential for more than minimal harm 2025-02-26

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-03-28

E · Potential for more than minimal harm 2025-02-26

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2025-03-28

E · Potential for more than minimal harm 2025-02-26

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-03-28

E · Potential for more than minimal harm 2025-02-26

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 2025-03-28

E · Potential for more than minimal harm 2025-02-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-28

E · Potential for more than minimal harm 2025-02-26

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-02-28

D · Potential for more than minimal harm 2025-02-26

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-02-26

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 2025-03-28

D · Potential for more than minimal harm 2025-02-26

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 2025-03-28

E · Potential for more than minimal harm 2024-09-16

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-10-04

D · Potential for more than minimal harm 2024-09-16

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 2024-10-04

E · Potential for more than minimal harm 2024-03-13

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-04-12

E · Potential for more than minimal harm 2024-03-13

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-13

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-04-19

D · Potential for more than minimal harm 2024-03-13

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-02-05

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 2024-03-02

E · Potential for more than minimal harm 2023-03-15

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2023-04-28

E · Potential for more than minimal harm 2023-03-15

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 2023-04-28

E · Potential for more than minimal harm 2023-03-15

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 2023-04-28

Penalties and ownership

What sits behind the stars

$3,145 2023-12-11

Fine

Fine · fine $3,145

Fine

Ownership

Dgprejean, LLC

5% Or Greater Direct Ownership Interest · Organization

0% 4 facilities 2019-05-01
Grady, Paige

Operational/Managerial Control · Individual

0% 1 facilities 2019-05-01
Gum, John

5% Or Greater Indirect Ownership Interest · Individual

0% 7 facilities 2019-05-01
Gum, Victor

5% Or Greater Indirect Ownership Interest · Individual

0% 9 facilities 2019-05-01
Holyfield, Myles

5% Or Greater Indirect Ownership Interest · Individual

0% 5 facilities 2019-05-01
Jdgum, LLC

5% Or Greater Direct Ownership Interest · Organization

0% 4 facilities 2019-05-01
Legacy Management Group, LLC

Operational/Managerial Control · Organization

0% 7 facilities 2019-05-01
Mylesh, LLC

5% Or Greater Direct Ownership Interest · Organization

0% 4 facilities 2019-05-01
Prejean, Danielle

5% Or Greater Indirect Ownership Interest · Individual

0% 7 facilities 2019-05-01
Vdg LLC

5% Or Greater Direct Ownership Interest · Organization

0% 5 facilities 2019-05-01

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#3

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1-star overall rating with 2-star inspections with $12,740 in total fines with 12 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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Fines
$12,740

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