Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Legacy Nursing and Rehabilitation Winnsboro

Winnsboro, LA · 150 certified beds · Last Life Safety survey July 2, 2026

CMS Certification Number 195392 · first certified November 1996

Ownership

Operated by LEGACY NURSING & REHABILITATION · For profit - Limited Liability company

  • Ownership changed August 1, 2019 (change of ownership)to LEGACY NURSING & REHABILITATION OF WINNSBORO from CHARLYN ENTERPRISES, LLC
8
Citations on file
Rolling three-year window
4
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within LA

8 citations — more than 91% 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

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 1 citation; the earlier surveys in the window averaged 2.3. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens June 2027 — about 9 months from now. This facility’s last Life Safety survey was July 2026. 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 Winnsboro

One email when it happens. No account; stop it any time with one click.

Which alerts

Physical environment (health survey)

5 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 8 Life Safety citations above. The Physical Environment Index

  • F-0584 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.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0908 Keep all essential equipment working safely.

How that compares

Citations on file over three years

Compared with the median facility in LA, and nationally. Surveyors differ markedly between states, so the LA figure is the meaningful one.

This facility8LA median2National median11
Citations on file over three years, compared
MeasureCitations
This facility8
Median facility in LA2
Median facility nationally11

Survey history

Citations at each Life Safety survey
32023-0642024-0502025-0712026-07
Citations at each Life Safety survey
Survey dateCitations
June 28, 20233
May 15, 20244
July 9, 20250
July 2, 20261

Most-cited tags

Most-cited tags at this facility
K-03721K-03241K-03511K-02231K-03741K-09141K-03451K-01111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12023-06-28
K-0324Provide properly protected cooking facilities.12023-06-28
K-0351Install an approved automatic sprinkler system.12024-05-15
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.12024-05-15
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12024-05-15
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12023-06-28
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12024-05-15
K-0111Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.12026-07-02

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Egress Deficiencies 1
  • Construction Deficiencies 1
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Egress Deficiencies1
Construction Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 2, 2026 — 1 citation

Citations issued on July 2, 2026
TagWhat the surveyor checksStatus
K-0111Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.Deficient, Provider has date of correction (July 10, 2026)

May 15, 2024 — 4 citations

Citations issued on May 15, 2024
TagWhat the surveyor checksStatus
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (June 21, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 21, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (June 21, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (June 21, 2024)

June 28, 2023 — 3 citations

Citations issued on June 28, 2023
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 11, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (July 25, 2023)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (July 6, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.