Cycle 1
Health 2025-03-26 · Fire 2025-03-26
9 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Bastrop, LA
Legrand Healthcare And Rehabilitation Center
2-star overall rating with 3-star inspections with 9 recent health deficiencies
650 Holt Street, Bastrop, LA
(318) 281-0322
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
125
Certified beds
Average residents
71
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Paramount Healthcare Consultants
Operator or chain grouping
Approved since
2002-07-24
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
14 facilities
Chain averages 2 overall / 3 health / 2 staffing / 2 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
Hours and turnover
RN hours / resident day
0.14
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
0.86
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
2.85
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.84
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
0.99
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.32
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
0.16
CMS adjusted RN staffing hours
Adjusted total hours
4.54
CMS adjusted total nurse staffing hours
Case-mix index
1.16
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
49%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,316
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.31
Composite VBP score used to determine payment impact.
Payment multiplier
0.9876
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
0
Baseline 7.07% · Performance 7.80% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.48
Baseline 62.10% · Performance 41.27% · Measure score 5.48 · Achievement 5.48 · Improvement 5.09
Adjusted total nurse staffing
4.51
Baseline 3.84 hours · Performance 4.36 hours · Measure score 4.51 · Achievement 4.51 · Improvement 2.18
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13% |
10.72%
2.3 pts worse
|
No Different than the National Rate · Eligible stays 67 · Observed rate 20.9% · Lower 95% interval 9.42% |
| Discharge to community | 52.65% |
50.57%
2.1 pts better
|
No Different than the National Rate · Eligible stays 47 · Observed rate 42.55% · Lower 95% interval 37.75% |
| Medicare spending per beneficiary | 1.16 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 49 · Denominator 49 |
| Falls with major injury | 10.2% |
0.77%
9.4 pts worse
|
Numerator 5 · Denominator 49 |
| Discharge self-care score | 44.12% |
53.69%
9.6 pts worse
|
Numerator 15 · Denominator 34 |
| Discharge mobility score | 61.76% |
50.94%
10.8 pts better
|
Numerator 21 · Denominator 34 |
| Pressure ulcers or injuries, new or worsened | 4.08% |
2.29%
1.8 pts worse
|
Numerator 2 · Denominator 49 · Adjusted rate 4.21% |
| Healthcare-associated infections requiring hospitalization | 7.8% |
7.12%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 36 · Observed rate 11.11% · Lower 95% interval 4.5% |
| Staff COVID-19 vaccination coverage | 3.85% |
8.2%
4.3 pts worse
|
Numerator 3 · Denominator 78 |
| Staff flu vaccination coverage | 3.75% |
42%
38.2 pts worse
|
Numerator 3 · Denominator 80 |
| Discharge function score | 55.88% |
56.45%
0.6 pts worse
|
Numerator 19 · Denominator 34 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 58.62% |
25.2%
33.4 pts better
|
Numerator 17 · Denominator 29 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
2.6
0.7 pts better
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.6 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.3 |
2.8
0.5 pts worse
|
1.8
1.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.1 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 54.5% |
92.0%
37.5 pts worse
|
93.4%
38.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 80.6% · Q2 68.3% · Q3 39.7% · Q4 32.4% · 4Q avg 54.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.4% |
94.9%
0.5 pts better
|
95.5%
0.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 9.1% |
3.4%
5.7 pts worse
|
3.3%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 6.7% · Q3 14.3% · Q4 11.8% · 4Q avg 9.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.5% |
1.8%
0.7 pts worse
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 1.8% · Q3 0.0% · Q4 3.2% · 4Q avg 2.5% |
| Percentage of long-stay residents who lose too much weight | 8.8% |
5.2%
3.6 pts worse
|
5.4%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 13.2% · Q3 8.2% · Q4 6.9% · 4Q avg 8.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.8% |
23.1%
4.3 pts better
|
19.6%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 18.5% · Q3 16.7% · Q4 15.3% · 4Q avg 18.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 31.3% |
24.4%
6.9 pts worse
|
16.7%
14.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.9% · Q2 28.9% · Q3 35.6% · Q4 32.7% · 4Q avg 31.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.8% |
0.2%
0.6 pts worse
|
0.1%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 1.6% · Q4 0.0% · 4Q avg 0.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | 19.8% |
22.2%
2.4 pts better
|
16.3%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 29.0% · Q4 18.0% · 4Q avg 19.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.3% |
20.1%
1.8 pts better
|
14.9%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 24.0% · Q3 16.0% · Q4 9.3% · 4Q avg 18.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.6% |
1.6%
2 pts worse
|
1.0%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 5.1% · Q3 3.4% · Q4 2.7% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
2.6%
1.8 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.7% · Q4 1.5% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.5% |
16.9%
4.4 pts better
|
19.8%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 12.3% · Q3 15.3% · Q4 5.7% · 4Q avg 12.5% |
| Percentage of long-stay residents with pressure ulcers | 1.5% |
6.2%
4.7 pts better
|
5.1%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 1.5% · Q4 2.5% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 57.7% |
83.6%
25.9 pts worse
|
81.7%
24 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 55.6% · Q2 59.4% · Q3 59.4% · Q4 56.7% · 4Q avg 57.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 26.1% |
14.7%
11.4 pts worse
|
12.0%
14.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.1% · Observed 29.4% · Expected 12.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% |
3.3%
1.5 pts better
|
1.6%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 45.2% |
76.2%
31 pts worse
|
79.7%
34.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 45.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 35.5% |
27.8%
7.7 pts worse
|
23.9%
11.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 35.5% · Observed 35.3% · Expected 23.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-28 · Fire 2024-02-28
8 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2023-02-15 · Fire 2023-02-15
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-02-28
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-04-13
D · Potential for more than minimal harm
2024-02-28
K915 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper power supply for life support equipment.
Corrected 2024-04-17
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-10-01
F726 · Nursing and Physician Services Deficiencies
Health
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.
Corrected 2025-11-15
E · Potential for more than minimal harm
2025-03-26
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 2025-05-02
E · Potential for more than minimal harm
2025-03-26
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2025-05-02
E · Potential for more than minimal harm
2025-03-26
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 2025-05-02
E · Potential for more than minimal harm
2025-03-26
F726 · Nursing and Physician Services Deficiencies
Health
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.
Corrected 2025-05-02
D · Potential for more than minimal harm
2025-03-26
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 2025-05-02
D · Potential for more than minimal harm
2025-03-26
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 2025-05-02
D · Potential for more than minimal harm
2025-03-26
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-05-02
D · Potential for more than minimal harm
2025-03-26
F758 · Pharmacy Service Deficiencies
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 2025-05-02
D · Potential for more than minimal harm
2025-01-08
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 2025-02-14
E · Potential for more than minimal harm
2024-02-28
F657 · Resident Assessment and Care Planning Deficiencies
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 2024-04-13
E · Potential for more than minimal harm
2024-02-28
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2024-04-13
E · Potential for more than minimal harm
2024-02-28
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-04-13
E · Potential for more than minimal harm
2024-02-28
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-04-13
E · Potential for more than minimal harm
2024-02-28
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-04-13
E · Potential for more than minimal harm
2024-02-28
F758 · Pharmacy Service Deficiencies
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 2024-04-13
D · Potential for more than minimal harm
2024-02-28
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-04-13
E · Potential for more than minimal harm
2023-02-15
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 2023-04-01
D · Potential for more than minimal harm
2023-02-15
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-04-01
Penalties and ownership
What sits behind the stars
Ownership
Dupree, Doris
5% Or Greater Direct Ownership Interest · Individual
Vidrine, Teresa
5% Or Greater Direct Ownership Interest · Individual
Redd, Sharon
5% Or Greater Direct Ownership Interest · Individual
Smith, Dawne
5% Or Greater Direct Ownership Interest · Individual
Reynolds, Donnice
5% Or Greater Direct Ownership Interest · Individual
Sistrunk, Tammie
5% Or Greater Direct Ownership Interest · Individual
Reynolds, Gabriel
5% Or Greater Direct Ownership Interest · Individual
Sistrunk, Adam
5% Or Greater Direct Ownership Interest · Individual
Sistrunk, Joseph
5% Or Greater Direct Ownership Interest · Individual
Vyvial, Lauren
5% Or Greater Direct Ownership Interest · Individual
Hillview Nursing Home Inc
5% Or Greater Mortgage Interest · Organization
Stokes, Vinson
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Lagniappe Healthcare
Bastrop, LA
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Cherry Ridge
Bastrop, LA
4-star overall rating with 4-star inspections with 5 recent health deficiencies
#3
Oak Woods Home For The Elderly
Mer Rouge, LA
1-star overall rating with 2-star inspections with $18,349 in total fines with 13 recent health deficiencies
Jump out