Federal inspection record · CMS data as of October 1, 2026

Legacy Nursing and Rehabilitation Winnsboro

804 Polk Street, Winnsboro, LA · (318) 435-6116

CMS overall rating

1 of 5

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Certified beds
150
Residents per day
92
Ownership
For-Profit
Chain
Legacy Nursing & Rehabilitation
Medicare / Medicaid
Medicare + Medicaid
Certified since
November 1, 1996

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Louisiana.

  2. Staffing

    −1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Louisiana homes

Legacy Nursing and Rehabilitation Winnsboro carries 75 inspection points. That is fewer than 25% of Louisiana's 264 rated homes.

5★4★3★2★1★+8 homes above 23005102550100200inspection points → fewer is better on the leftThis home · 75 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Louisiana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–15 pts
  • 4★ 15–33 pts
  • 3★ 33–53 pts
  • 2★ 53–88.75 pts
  • 1★ over 88.75 pts

Bars show every rated home in Louisiana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

27 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 1 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 17 4 pts
E 8 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (2)

  1. H

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

    May 15, 2024 · Standard inspection · Quality of Life and Care · F690 · Corrected June 12, 2024

  2. G

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

    February 15, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected March 8, 2024

Everything else, by area of care

Quality of Life and Care10E
  1. D

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

    July 9, 2025 · Standard · F677 · Corrected August 4, 2025

  2. D

    Provide 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.

    July 9, 2025 · Standard · F688 · Corrected August 4, 2025

  3. D

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

    July 9, 2025 · Standard · F689 · Corrected August 4, 2025

  4. D

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

    July 9, 2025 · Standard · F695 · Corrected August 4, 2025

  5. E

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

    May 15, 2024 · Standard · F677 · Corrected June 12, 2024

  6. D

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

    May 15, 2024 · Standard · F689 · Corrected June 12, 2024

  7. D

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

    May 15, 2024 · Standard · F692 · Corrected June 12, 2024

  8. D

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

    May 15, 2024 · Standard · F695 · Corrected June 12, 2024

  9. E

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

    May 7, 2024 · Complaint · F684 · Corrected May 15, 2024

  10. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    May 7, 2024 · Complaint · F686 · Corrected May 15, 2024

Pharmacy Service4D
  1. D

    Ensure medication error rates are not 5 percent or greater.

    July 9, 2025 · Standard · F759 · Corrected August 4, 2025

  2. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    May 15, 2024 · Standard · F756 · Corrected June 12, 2024

  3. D

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

    May 15, 2024 · Standard · F757 · Corrected June 12, 2024

  4. D

    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.

    June 28, 2023 · Standard · F761 · Corrected July 14, 2023

Nursing and Physician Services4E
  1. D

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    November 14, 2024 · Complaint · F726 · Corrected December 2, 2024

  2. E

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    May 15, 2024 · Standard · F726 · Corrected June 12, 2024

  3. E

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    May 7, 2024 · Complaint · F726 · Corrected June 12, 2024

  4. D

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    February 15, 2024 · Complaint · F726 · Corrected March 8, 2024

Resident Rights3E
  1. E

    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.

    July 9, 2025 · Standard · F584 · Corrected August 4, 2025

  2. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    July 9, 2025 · Standard · F550 · Corrected August 4, 2025

  3. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    July 9, 2025 · Standard · F628 · Corrected August 4, 2025

Resident Assessment and Care Planning1E
  1. E

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    July 9, 2025 · Standard · F640 · Corrected August 4, 2025

Nutrition and Dietary1E
  1. E

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

    July 9, 2025 · Standard · F812 · Corrected August 4, 2025

Environmental1E
  1. E

    Keep all essential equipment working safely.

    July 9, 2025 · Standard · F908 · Corrected August 4, 2025

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

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

    February 15, 2024 · Complaint · F609 · Corrected March 8, 2024

Inspection history

  1. 2025-07-09

    11 health deficiencies · 1 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  2. 2024-05-15

    9 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

  3. 2023-06-28

    7 health deficiencies · 3 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 47 min of nursing staff time a day, 17 min of it from a registered nurse.

This home

3 h 47 min

Louisiana average

3 h 49 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 68% of nursing staff and 71% of registered nurses left in the past year, along with 3 administrators.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$160,593 in federal fines on record over the past three years.

DatePenaltyAmount
2024-05-07Fine$151,769
2024-02-15Fine$8,824

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.5 pts better1.92.41.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better2.12.61.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.2 pts better99.0%93.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4 pts better100.0%96.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same3.5%3.5%3.2%
Percentage of long-stay residents who have depressive symptoms1 pts better1.4%2.4%13.5%
Percentage of long-stay residents who lose too much weight1.4 pts worse6.7%5.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication0.9 pts worse24.2%23.3%19.5%
Percentage of long-stay residents who received an antipsychotic medication14.1 pts worse36.9%22.8%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened2.4 pts better12.7%15.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.5 pts worse19.0%16.5%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better0.3%1.0%0.7%
Percentage of long-stay residents with a urinary tract infection1.9 pts better0.0%1.9%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2 pts worse16.9%14.9%18.3%
Percentage of long-stay residents with pressure ulcers1.3 pts better4.2%5.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.9 pts better96.3%86.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.9 pts better13.5%14.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better1.9%3.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.3 pts better83.1%77.8%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.1 pts better23.2%28.3%23.4%

·

Who owns and runs it

27 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Dgprejean, LLCIndirect Ownership Interest · Organization0%7 facilities
Dgprejean, LLCAdp Of The SNF · Organization0%7 facilities
Gum, JohnIndirect Ownership Interest · Individual0%4 facilities
Gum, JohnAdp Of The SNF · Individual0%4 facilities
Gum, VictorCorporate Director · Individual0%10 facilities
Gum, VictorOperational/Managerial Control · Individual0%10 facilities
Gum, VictorIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%10 facilities
Gum, VictorAdp Of The SNF · Individual0%10 facilities
Holyfield, MylesIndirect Ownership Interest · Individual0%5 facilities
Holyfield, MylesAdp Of The SNF · Individual0%5 facilities
Jdgum, LLCIndirect Ownership Interest · Organization0%7 facilities
Jdgum, LLCAdp Of The SNF · Organization0%7 facilities
Laing, JamesOperational/Managerial Control · Individual0%2 facilities
Laing, JamesAdp Of The SNF · Individual0%2 facilities
Legacy Management Group, LLCOperational/Managerial Control · Organization0%7 facilities
Legacy Management Group, LLCAdp Of The SNF · Organization0%7 facilities
Lp Holdings, LLCDirect Ownership Interest · Organization0%4 facilities
Lp Holdings, LLCAdp Of The SNF · Organization0%4 facilities
Lp Therapy, LLCAdp Of The SNF · Organization0%2 facilities
Mylesh, LLCIndirect Ownership Interest · Organization0%7 facilities
Mylesh, LLCAdp Of The SNF · Organization0%7 facilities
Prejean, DanielleIndirect Ownership Interest · Individual0%4 facilities
Prejean, DanielleAdp Of The SNF · Individual0%4 facilities
Smith, RogerOperational/Managerial Control · Individual0%3 facilities
Smith, RogerAdp Of The SNF · Individual0%3 facilities
Vdg LLCIndirect Ownership Interest · Organization0%9 facilities
Vdg LLCAdp Of The SNF · Organization0%9 facilities

·

Fire safety

8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke5E
  1. D

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

    May 15, 2024 · K345 · Corrected June 21, 2024

  2. D

    Install an approved automatic sprinkler system.

    May 15, 2024 · K351 · Corrected June 21, 2024

  3. D

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    May 15, 2024 · K374 · Corrected June 21, 2024

  4. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    June 28, 2023 · K372 · Corrected July 25, 2023

  5. D

    Provide properly protected cooking facilities.

    June 28, 2023 · K324 · Corrected July 11, 2023

Construction1D
  1. D

    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

    July 2, 2026 · K111 · Corrected July 10, 2026

Egress1D
  1. D

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    May 15, 2024 · K223 · Corrected June 21, 2024

Gas, Vacuum, and Electrical Systems1E
  1. E

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    June 28, 2023 · K914 · Corrected July 6, 2023

·

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