21 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Pineville, LA
1-star overall rating with 1-star inspections with abuse icon flag with $656,474 in total fines with 21 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
122 Hillsdale Drive, Pineville, LA
(318) 448-0141
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
140
Certified beds
Average residents
128
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Legacy Nursing & Rehabilitation
Operator or chain grouping
Approved since
2004-12-01
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
0.27
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
1.10
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
2.33
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.70
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.37
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
2.99
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
0.14
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
0.27
CMS adjusted RN staffing hours
Adjusted total hours
3.71
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
89%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
51%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
7,025
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
30.99
Composite VBP score used to determine payment impact.
Payment multiplier
0.9863
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.25
Baseline 22.62% · Performance 18.84% · Measure score 6.25 · Achievement 5.58 · Improvement 6.25
Healthcare-associated infections
1.75
Baseline 7.68% · Performance 7.31% · Measure score 1.75 · Achievement 1.75 · Improvement 0.86
Total nurse turnover
3.35
Baseline 71.30% · Performance 53.41% · Measure score 3.35 · Achievement 2.51 · Improvement 3.35
Adjusted total nurse staffing
1.05
Baseline 3.54 hours · Performance 3.38 hours · Measure score 1.05 · Achievement 1.05 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.85% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 73 · Observed rate 9.59% · Lower 95% interval 7.7% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.22 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 92.68% |
95.27%
2.6 pts worse
|
Numerator 38 · Denominator 41 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 41 |
| Discharge self-care score | 52.38% |
53.69%
1.3 pts worse
|
Numerator 11 · Denominator 21 |
| Discharge mobility score | 42.86% |
50.94%
8.1 pts worse
|
Numerator 9 · Denominator 21 |
| Pressure ulcers or injuries, new or worsened | 7.32% |
2.29%
5 pts worse
|
Numerator 3 · Denominator 41 · Adjusted rate 6.51% |
| Healthcare-associated infections requiring hospitalization | 7.31% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 30 · Observed rate 6.67% · Lower 95% interval 3.11% |
| Staff COVID-19 vaccination coverage | 1.74% |
8.2%
6.5 pts worse
|
Numerator 2 · Denominator 115 |
| Staff flu vaccination coverage | 11.3% |
42%
30.7 pts worse
|
Numerator 13 · Denominator 115 |
| Discharge function score | 52.38% |
56.45%
4.1 pts worse
|
Numerator 11 · Denominator 21 |
| Transfer of health information to provider | 90% |
95.95%
6 pts worse
|
Numerator 18 · Denominator 20 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 51.72% |
25.2%
26.5 pts better
|
Numerator 15 · Denominator 29 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
2.6
0.9 pts better
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 2.3 · Expected 2.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.9 |
2.8
0.1 pts worse
|
1.8
1.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 4.0 · Expected 2.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.7% |
92.0%
0.7 pts better
|
93.4%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 88.2% · Q2 92.9% · Q3 99.0% · Q4 91.2% · 4Q avg 92.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 84.3% |
94.9%
10.6 pts worse
|
95.5%
11.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 84.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% |
3.4%
0.7 pts better
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 3.0% · Q3 3.1% · Q4 0.0% · 4Q avg 2.7% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 0.8% |
5.2%
4.4 pts better
|
5.4%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.4% · Q4 0.0% · 4Q avg 0.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 42.1% |
23.1%
19 pts worse
|
19.6%
22.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.2% · Q2 38.3% · Q3 46.2% · Q4 46.8% · 4Q avg 42.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 73.0% |
24.4%
48.6 pts worse
|
16.7%
56.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 83.9% · Q2 73.3% · Q3 66.7% · Q4 68.4% · 4Q avg 73.0% · 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 | 22.1% |
22.2%
0.1 pts better
|
16.3%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.8% · Q2 37.1% · Q3 10.2% · Q4 9.2% · 4Q avg 22.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.1% |
20.1%
5 pts better
|
14.9%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 30.1% · Q3 9.1% · Q4 4.8% · 4Q avg 15.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
1.6%
0.7 pts better
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
2.6%
2.1 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.9% |
16.9%
6 pts worse
|
19.8%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.3% · Q2 31.8% · Q3 22.9% · Q4 8.8% · 4Q avg 22.9% |
| Percentage of long-stay residents with pressure ulcers | 4.8% |
6.2%
1.4 pts better
|
5.1%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 8.1% · Q3 5.0% · Q4 6.1% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 70.6% |
83.6%
13 pts worse
|
81.7%
11.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 71.4% · Q2 73.9% · Q3 72.6% · Q4 64.7% · 4Q avg 70.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.8% |
14.7%
5.1 pts worse
|
12.0%
7.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.8% · Observed 24.7% · Expected 13.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.8% |
3.3%
1.5 pts worse
|
1.6%
3.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 43.8% |
76.2%
32.4 pts worse
|
79.7%
35.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 43.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.4% |
27.8%
0.4 pts better
|
23.9%
3.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.4% · Observed 27.4% · Expected 23.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (7 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Top issue: Freedom from Abuse and Neglect and Exploitation (6 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Not marked corrected
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2023-12-08
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Not marked corrected
Inspection history
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-12-22
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-12-22
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-10-01
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-10-01
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-08-22
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 2025-08-22
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-07-30
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-07-30
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-04
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-07-04
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-07-04
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-07-04
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-18
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-03-18
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-29
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 2025-01-29
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-01-29
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-29
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-01-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-29
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-29
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 2025-01-29
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-01-28
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-01-28
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-03-27
Health
Respond appropriately to all alleged violations.
Corrected 2024-03-27
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-03-15
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-02-14
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-12-31
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-12-31
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2023-12-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-08
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 2023-12-08
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-12-08
Health
Dispose of garbage and refuse properly.
Corrected 2023-12-08
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-12-08
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 2023-12-08
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-12-08
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-08
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-12-08
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-08
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-10-27
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-08-25
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-08-25
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-06-23
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-06-23
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-05-05
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-04-05
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2023-04-05
Health
Respond appropriately to all alleged violations.
Corrected 2023-04-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-11-11
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-11-11
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2022-11-11
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-11-11
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-11-11
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-11-11
Penalties and ownership
Fine · fine $27,250
Fine
Fine · fine $34,753
Fine
Fine · fine $319,992
Fine
Fine · fine $64,344
Fine
Fine · fine $210,135
Fine
Payment Denial · denial start 2023-12-15 · 61 days
61 day denial
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Alexandria, LA
2-star overall rating with 3-star inspections with $36,140 in total fines with 8 recent health deficiencies
Pineville, LA
1-star overall rating with 1-star inspections with abuse icon flag with $23,265 in total fines with 13 recent health deficiencies
Alexandria, LA
1-star overall rating with 2-star inspections with $14,287 in total fines with 5 recent health deficiencies
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