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LEGACY NURSING AND REHABILITATION OF TALLULAH Inspection Report, Violations & Safety Grade (TALLULAH, Louisiana)

32 CROTHERS DRIVE, TALLULAH, Louisiana 71282

Phone: 3185748111

CMS Overall:3/5

Overview & Bed Count

Certified Beds
156
Avg Residents/Day
92
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Madison
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health3/5
Staffing2/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityLouisiana AvgDifference
RN Hours per Resident per Day0.160.31-0.15
Total Nurse Hours per Resident per Day3.443.82-0.38
CMS Staffing Rating2/52.4/5-
Nursing Staff Turnover31.2%47.1%-

Health Citation History

24 health citations on record

DateCategoryDescriptionSeverity
2026-04-22Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E – Moderate Harm Potential
2026-04-22Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D – Moderate Harm Potential
2026-04-22Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2026-04-22Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2026-04-22Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2026-02-23Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2025-04-02Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2025-02-26Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.E – Moderate Harm Potential
2025-02-26Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.E – Moderate Harm Potential
2025-02-26Quality of Life and Care DeficienciesTry 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.E – Moderate Harm Potential
2025-02-26Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.E – Moderate Harm Potential
2025-02-26Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2025-02-26Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2025-02-26Environmental DeficienciesKeep all essential equipment working safely.E – Moderate Harm Potential
2025-02-26Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2025-02-26Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2025-02-26Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-09-16Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.E – Moderate Harm Potential
2024-09-16Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2024-03-13Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.E – Moderate Harm Potential
2024-03-13Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.E – Moderate Harm Potential
2024-03-13Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2024-03-13Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyD – Moderate Harm Potential
2024-02-05Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential

Fire Safety Citation History

3 fire safety citations on record

DateCategoryDescriptionSeverity
2024-03-13Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.D – Moderate Harm Potential
2024-03-13Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.D – Moderate Harm Potential
2024-03-13Gas, Vacuum, and Electrical Systems DeficienciesHave proper power supply for life support equipment.D – Moderate Harm Potential

Total Penalties & Fines

$3,145
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2023-12-11Fine$3,145-

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