Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Legacy Nursing and Rehabilitation of Morgan City
Morgan City, LA · 88 certified beds · Last Life Safety survey August 7, 2025
CMS Certification Number 195386 · first certified October 1996
Ownership
Operated by LEGACY NURSING & REHABILITATION · For profit - Corporation
- Ownership changed January 1, 2020 (change of ownership)from PINNACLE HEALTH FACILITIES OF LOUISIANA, LLC
Position within LA
21 citations — more than 100% of the 265 certified nursing homes in LA. Compared within LA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 2 citations; the earlier surveys in the window averaged 9.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Past the typical window (July 2026 to September 2026). Most LA facilities have been surveyed by October 2026. This facility’s last Life Safety survey was August 2025. Facilities in LA are typically surveyed 12–13 months after the last one (median 13), measured over 458 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
Get an email about Legacy Nursing and Rehabilitation of Morgan City
One email when it happens. No account; stop it any time with one click.
2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Emergency preparedness
10 of the 21 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 21 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in LA, and nationally. Surveyors differ markedly between states, so the LA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 21 |
| Median facility in LA | 2 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| October 5, 2023 | 16 |
| August 22, 2024 | 3 |
| August 7, 2025 | 2 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 3 | 2025-08-07 |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 3 | 2025-08-07 |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | 1 | 2023-10-05 |
| K-0351 | Install an approved automatic sprinkler system. | 1 | 2023-10-05 |
| E-0036 | Establish emergency prep training and testing. | 1 | 2023-10-05 |
| E-0022 | Establish policies and procedures for sheltering. | 1 | 2023-10-05 |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | 1 | 2023-10-05 |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | 1 | 2023-10-05 |
What the citations cover
- Emergency Preparedness Deficiencies 10
- Smoke Deficiencies 5
- Services Deficiencies 3
- Miscellaneous Deficiencies 2
- Other 1
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 10 |
| Smoke Deficiencies | 5 |
| Services Deficiencies | 3 |
| Miscellaneous Deficiencies | 2 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
August 7, 2025 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (September 15, 2025) |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Deficient, Provider has date of correction (September 15, 2025) |
August 22, 2024 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (September 26, 2024) |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Waiver has been granted |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (September 26, 2024) |
October 5, 2023 — 16 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0001 | Establish an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (November 14, 2023) |
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (November 14, 2023) |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (November 14, 2023) |
| E-0013 | Develop Emergency Preparedness policies and procedures. | Deficient, Provider has date of correction (November 14, 2023) |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | Deficient, Provider has date of correction (November 14, 2023) |
| E-0022 | Establish policies and procedures for sheltering. | Deficient, Provider has date of correction (November 14, 2023) |
| E-0032 | Provide primary/alternate means for communication. | Deficient, Provider has date of correction (November 14, 2023) |
| E-0033 | Establish methods for sharing information. | Deficient, Provider has date of correction (November 14, 2023) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (November 14, 2023) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (November 14, 2023) |
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (December 5, 2023) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (November 1, 2023) |
| K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Deficient, Provider has date of correction (November 1, 2023) |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Deficient, Provider has date of correction (November 1, 2023) |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Deficient, Provider has date of correction (November 1, 2023) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (November 1, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.