Legacy Nursing and Rehabilitation Winnsboro
804 Polk Street, Winnsboro, LA 71295
Legacy Nursing and Rehabilitation Winnsboro is a nursing home in Winnsboro, Louisiana. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating1 of 5
- Last standard health inspectionJuly 9, 2025 (1 year ago)
- Health citations since June 28, 202327 (Louisiana average 24)
- Fines in the past three years2, $160,593 in total
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 8, 2026
Name
CMS lists a new name for this home. It was LEGACY NURSING AND REHABILITATION OF WINNSBORO.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 1 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 3 of 5.
Fire safety inspection on July 2, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation K0111. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
CMS lists it as corrected on July 10, 2026.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from not rated by CMS to 4 of 5.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Health inspection on July 9, 2025
11 citationsCMS lists this as a standard inspection.
Show the 11 citations
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on August 4, 2025.
Citation F0640. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS lists it as corrected on August 4, 2025.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on August 4, 2025.
Citation F0908. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep all essential equipment working safely.
CMS lists it as corrected on August 4, 2025.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on August 4, 2025.
Citation F0628. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on August 4, 2025.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on August 4, 2025.
CMS has cited this home for F0677 2 times since 2024.
Citation F0688. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on August 4, 2025.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on August 4, 2025.
CMS has cited this home for F0689 2 times since 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on August 4, 2025.
CMS has cited this home for F0695 2 times since 2024.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on August 4, 2025.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS staffing star rating changed from 3 of 5 to 1 of 5.
Staffing
Total nurse staffing reported to CMS went from 4.2 to 3.6 hours per resident per day.
CMS update of March 26, 2025
CMS abuse icon
CMS removed its abuse icon from this home.
CMS update of December 20, 2024
Star rating
The CMS quality measures star rating changed from 2 of 5 to not rated by CMS.
Fine
CMS changed the fine from May 7, 2024 from $233,490 to $151,769.
Health inspection on November 14, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0726. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on December 2, 2024.
CMS has cited this home for F0726 4 times since 2024.
CMS update of August 29, 2024
Fine
CMS changed the fine from February 15, 2024 from $13,575 to $8,824.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Staffing
Total nurse staffing reported to CMS went from 4.7 to 4.1 hours per resident per day.
Health inspection on May 15, 2024
8 citationsCMS lists this as a standard inspection.
Severity H is the second-highest of CMS's four levels. It means a resident was harmed.
46 of 265 Louisiana homes (17%) got a citation at the actual harm level in 2024.
Show the 8 citations
Citation F0690. Severity H: actual harm, pattern.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on June 12, 2024.
Citation F0677. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on June 12, 2024.
Citation F0726. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on June 12, 2024.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on June 12, 2024.
Citation F0692. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on June 12, 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on June 12, 2024.
Citation F0756. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on June 12, 2024.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on June 12, 2024.
Fire safety inspection on May 15, 2024
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation K0223. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
CMS lists it as corrected on June 21, 2024.
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on June 21, 2024.
Citation K0351. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on June 21, 2024.
Citation K0374. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install smoke barrier doors that can resist smoke for at least 20 minutes.
CMS lists it as corrected on June 21, 2024.
Health inspection on May 7, 2024
3 citationsCMS lists this as a complaint inspection.
CMS fine of $151,769 on May 7, 2024.
Show the 3 citations
Citation F0684. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on May 15, 2024.
Citation F0726. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on June 12, 2024.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on May 15, 2024.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of February 29, 2024
CMS abuse icon
CMS removed its abuse icon from this home.
Health inspection on February 15, 2024
3 citationsCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
46 of 265 Louisiana homes (17%) got a citation at the actual harm level in 2024.
CMS fine of $8,824 on February 15, 2024.
Show the 3 citations
Citation F0600. Severity G: actual harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on March 8, 2024.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on March 8, 2024.
Citation F0726. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 8, 2024.
Health inspection on June 28, 2023
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on July 14, 2023.
Fire safety inspection on June 28, 2023
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on July 25, 2023.
Citation K0914. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
CMS lists it as corrected on July 6, 2023.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on July 11, 2023.
CMS star ratings
- 1 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (318) 435-6116
- Last standard health inspection
- July 9, 2025 (1 year ago)
- Certified beds
- 150
- Residents per day, on average
- 92.2
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Winnsboro Opco LLC
- Chain
- Legacy Nursing & Rehabilitation
- Takes part in
- Medicare and Medicaid
More health citations than the Louisiana average (27 vs 24).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- LP HOLDINGS, LLCDirect ownership interest · not applicable · since 08/01/2019
- DGPREJEAN, LLCIndirect ownership interest · not applicable · since 08/01/2019
- JDGUM, LLCIndirect ownership interest · not applicable · since 08/01/2019
- MYLESH, LLCIndirect ownership interest · not applicable · since 08/01/2019
- VDG LLCIndirect ownership interest · not applicable · since 08/01/2019
Show 7 more
- GUM, JOHNIndirect ownership interest · not applicable · since 08/01/2019
- HOLYFIELD, MYLESIndirect ownership interest · not applicable · since 08/01/2019
- PREJEAN, DANIELLEIndirect ownership interest · not applicable · since 08/01/2019
- LEGACY MANAGEMENT GROUP, LLCOperational/managerial control · not applicable · since 08/01/2019
- GUM, VICTOROperational/managerial control · not applicable · since 08/01/2019
- LAING, JAMESOperational/managerial control · not applicable · since 08/04/2025
- SMITH, ROGEROperational/managerial control · not applicable · since 08/01/2019
Questions
When was Legacy Nursing and Rehabilitation Winnsboro last inspected?
CMS lists July 9, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Legacy Nursing and Rehabilitation Winnsboro have?
CMS lists 27 health citations since June 28, 2023. CMS also calls these deficiencies.
Has Legacy Nursing and Rehabilitation Winnsboro been fined?
CMS lists 2 fines in the past three years, $160,593 in total.
What is the CMS star rating of Legacy Nursing and Rehabilitation Winnsboro?
Its CMS overall star rating is 1 of 5.
Is Legacy Nursing and Rehabilitation Winnsboro a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.