D68

LEGACY NURSING AND REHABILITATION OF WINNSBORO

Grade D 68/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
4/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

150

Ownership

For profit - Limited Liability company

Total Fines

$168,036

Last Survey

N/A

804 POLK STREET, WINNSBORO, LA 71295
3184356116

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.26h
LPN
1.25h
CNA
2.55h
Total
4.06h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

DGPREJEAN, LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Aug 2019

JDGUM, LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Aug 2019

MYLESH, LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Aug 2019

VDG LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Aug 2019

GUM, JOHN

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2019

GUM, VICTOR

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2019

HOLYFIELD, MYLES

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2019

PREJEAN, DANIELLE

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2019

LEGACY MANAGEMENT GROUP, LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Aug 2019

THORNTON, HENRY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2019

GUM, VICTOR

IndividualCORPORATE DIRECTORSince Aug 2019

THORNTON, HENRY

IndividualW-2 MANAGING EMPLOYEESince Aug 2019

Penalties & Fines (3)

$168,036total fines
DateTypeDescriptionAmount
May 7, 2024Fine$151,769
Feb 15, 2024Fine$8,824
Aug 17, 2023Fine$7,443

Health Inspection Deficiencies (31)

July 9, 2025Health11 deficiencies
0550DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Aug 4, 2025
0584EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Aug 4, 2025
0628DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Aug 4, 2025
0640EMinimal harm, Pattern

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

Resident Assessment and Care Planning Deficiencies

Corrected Aug 4, 2025
0677DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 4, 2025
0688DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Aug 4, 2025
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 4, 2025
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 4, 2025
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Aug 4, 2025
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Aug 4, 2025
0908EMinimal harm, Pattern

Keep all essential equipment working safely.

Environmental Deficiencies

Corrected Aug 4, 2025
November 14, 2024Health1 deficiency
0726DMinimal harm, Isolated

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.

Nursing and Physician Services Deficiencies

Corrected Dec 2, 2024
May 15, 2024Health8 deficiencies1 severe
0677EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Jun 12, 2024
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 12, 2024
0690HActual harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Jun 12, 2024
0692DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 12, 2024
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 12, 2024
0726EMinimal harm, Pattern

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.

Nursing and Physician Services Deficiencies

Corrected Jun 12, 2024
0756DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Jun 12, 2024
0757DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Jun 12, 2024
May 7, 2024Health3 deficiencies
0684EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected May 15, 2024
0686DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected May 15, 2024
0726EMinimal harm, Pattern

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.

Nursing and Physician Services Deficiencies

Corrected Jun 12, 2024
February 15, 2024Health3 deficiencies1 severe
0600GActual harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 8, 2024
0609DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 8, 2024
0726DMinimal harm, Isolated

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.

Nursing and Physician Services Deficiencies

Corrected Mar 8, 2024
August 17, 2023Health1 deficiency1 severe
0689GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 9, 2023
June 28, 2023Health1 deficiency
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Jul 14, 2023
January 11, 2023Health3 deficiencies1 severe
0600GActual harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Feb 28, 2023
0609DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Feb 28, 2023
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Feb 28, 2023

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Frequently Asked Questions

What is the CareGrader rating for LEGACY NURSING AND REHABILITATION OF WINNSBORO?

LEGACY NURSING AND REHABILITATION OF WINNSBORO in WINNSBORO, Louisiana has a CareGrader grade of D (Below Average), with a composite score of 67.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for LEGACY NURSING AND REHABILITATION OF WINNSBORO?

LEGACY NURSING AND REHABILITATION OF WINNSBORO has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does LEGACY NURSING AND REHABILITATION OF WINNSBORO have?

LEGACY NURSING AND REHABILITATION OF WINNSBORO has 31 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has LEGACY NURSING AND REHABILITATION OF WINNSBORO been fined?

Yes. LEGACY NURSING AND REHABILITATION OF WINNSBORO has $168,036 in total fines from CMS enforcement actions across 3 penalties.

How many beds does LEGACY NURSING AND REHABILITATION OF WINNSBORO have?

LEGACY NURSING AND REHABILITATION OF WINNSBORO has 150 certified beds with approximately 83 current residents (55% occupancy). The facility is located at 804 POLK STREET, WINNSBORO, Louisiana 71295. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.