Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Legacy Nursing And Rehabilitation Of Morgan City during CMS and state inspections, most recent first.
A resident who required staff assistance for all ADLs had multiple instances where care provided or refusals were not documented in the electronic medical record. Staff interviews revealed that system limitations prevented CNAs from recording care when it was provided by someone other than the assigned staff or outside of scheduled bath days, resulting in incomplete records. Supervisory staff confirmed the missing documentation and acknowledged no alternative records were available.
The facility did not consistently provide the required number of nursing staff, as shown by staffing records and confirmed by resident and staff interviews. On multiple days, actual LPN and CNA hours fell short of the facility's own staffing requirements, leading to delays in care and reports of staff burnout. Residents and staff reported unmet care needs, especially on the skilled unit, and the administrator could not provide evidence to dispute these findings.
A resident did not receive ordered physical therapy services for a period of time due to the unavailability of a physical therapist following an insurance change. Despite physician orders for PT evaluation and treatment five times per week, the services were not provided as required.
Two residents with cognitive impairments suffered burns from hot coffee due to inadequate supervision in the dining area. One resident, with severe cognitive impairment, sustained a burn on her hand, while another, with moderate impairment, suffered burns on her abdomen and legs. Despite the presence of staff, the coffee dispenser was unsupervised, and the coffee temperature was dangerously high. Staff interviews confirmed the need for assistance, but no effective measures were implemented to prevent such incidents.
The facility failed to ensure proper hand hygiene and infection control practices, as staff did not perform hand hygiene during resident care, handled medication with ungloved hands, and improperly stored clean items in the laundry room. Additionally, a cluster of bacterial urinary tract infections was not identified or addressed by the facility's infection preventionist.
A resident at high risk for skin breakdown was not provided with a pressure-reducing wheelchair cushion, as required by their care plan. Despite having a history of chronic ulcers and diabetes, the resident was observed multiple times without the cushion, and staff interviews confirmed the oversight. The resident reported discomfort, and the DON acknowledged that all residents should have a cushion on their wheelchair.
An LPN failed to properly dispose of a controlled medication after it was removed from its blister pack but could not be administered due to timing. Instead, the LPN placed the medication back into the blister pack, contrary to the facility's policy. The DON confirmed that the medication should have been disposed of once it was removed.
A facility failed to maintain an updated hospice plan of care and recertification of terminal illness for a resident receiving hospice services. The hospice binder contained only an outdated interim plan, and staff were unaware of the contracted hospice agency's responsibilities and the frequency of updates. The administrator was not aware of the lack of current documentation, and the hospice agency confirmed that updates should occur every 60 days and be provided to the facility biweekly.
The facility failed to transmit MDS assessments within the required 14-day period for three residents. The assessments were completed but not transmitted until several days past the deadline, as confirmed by the S4MDS Corporate Nurse.
Incomplete Documentation of Activities of Daily Living for a Resident
Penalty
Summary
The facility failed to maintain complete and accurate medical records for a resident who required staff assistance with all activities of daily living (ADLs), including toileting, showering, and bathing. The resident was cognitively intact and had a care plan indicating dependence on staff for hygiene and grooming, with specific instructions for staff to assist as needed and to document both care provided and refusals. However, review of the resident's documentation for October and November revealed multiple dates with missing entries for morning and evening care, as well as inconsistencies in recording refusals of baths or showers. Interviews with certified nursing assistants (CNAs) and supervisory staff revealed that the resident frequently refused care from certain staff members but would accept care from others. When care was provided by a CNA not assigned to the resident, that CNA was unable to document the care in the electronic medical record due to system limitations. Additionally, the electronic system only allowed documentation on assigned bath days and for the day shift, preventing accurate recording of care provided at other times or by other staff. As a result, care that was provided or refused was often not documented, leaving gaps in the resident's medical record. Supervisory staff, including the Director of Nursing and Assistant Director of Nursing, confirmed the missing documentation and acknowledged that the only record of ADL care was the electronic medical record, with no alternative documentation available. The administrator and previous Director of Nursing also confirmed the deficiency and noted that a change in computer software had occurred during the period in question, but there was no evidence that the documentation issues were identified or corrected. No further documentation was available to address the missing records.
Failure to Meet Required Nursing Staff Levels
Penalty
Summary
The facility failed to provide the required number of nursing staff members on 22 out of 53 days reviewed, as evidenced by staffing records and interviews. The facility's own Facility Assessment outlined specific daily staffing requirements based on an average census of 83 residents, including required hours for LPNs, CNAs, RNs, and behavioral health staff. On multiple dates, the actual nursing staff hours provided fell short of these requirements, with deficits ranging from just over 2 hours to more than 33 hours on certain days. These shortfalls were documented in the facility's staffing pattern reporting forms, which were signed as complete and accurate by the administrator. Resident Council meeting minutes from January and February indicated that residents experienced delays in receiving care, such as not being changed in a timely manner and not being checked on at night. Residents specifically expressed the need for more CNAs. Multiple interviews with residents, family members, and staff corroborated these concerns, with reports of insufficient staffing, particularly on the skilled nursing unit. Staff members, including CNAs and LPNs, described frequent understaffing, increased workload, burnout, and residents having to wait longer for care. The administrator was unable to provide evidence to dispute the findings of insufficient staffing. The deficiency was further supported by direct statements from residents and staff about the negative impact of inadequate staffing on care delivery, including delays in assistance and unmet care needs. The documentation and interviews consistently indicated that the facility did not meet its own established staffing requirements on numerous occasions.
Failure to Provide Ordered Physical Therapy Services
Penalty
Summary
The facility failed to ensure that a resident received the required physical therapy (PT) services as ordered by the physician. Physician's orders dated 02/27/2025 and 03/06/2025 specified that the resident was to be evaluated and treated with PT five times per week for eight weeks. However, review of the electronic medical record showed that the resident did not receive any PT services between 02/27/2025 and 03/06/2025. According to the Director of Rehabilitation, this lapse occurred because a physical therapist was not available to evaluate the resident after her insurance changed during the week of 02/23/2025. The Medical Director confirmed that the resident had been admitted specifically to receive therapy services and acknowledged that a physical therapist should have been available to provide the required evaluation and treatment during this period.
Inadequate Supervision Leads to Resident Burns
Penalty
Summary
The facility failed to ensure adequate supervision and safety measures to prevent thermal burns for two residents. Resident #19, who had severe cognitive impairment and required supervision with eating, sustained a superficial burn from hot coffee on her fingers and palm. The incident occurred when the coffee pot in the main dining area was left unsupervised, as confirmed by a Licensed Practical Nurse. Similarly, Resident #49, with moderately impaired cognition and requiring assistance with eating, suffered burns on her abdomen and legs after spilling hot coffee on herself. Observations revealed that Resident #49 attempted to fill her coffee cup without staff intervention, despite the presence of a staff member whose back was turned to the coffee dispenser. The coffee temperature was measured at 150.8 degrees Fahrenheit, which is within the range that can cause burns. Interviews with staff, including a CNA and the Dietary Supervisor, indicated that Resident #49 needed assistance with the coffee pot due to her cognitive condition, and that the coffee dispenser was not consistently supervised. The Dietary Supervisor acknowledged that although attempts were made to address the hot coffee issue, no effective measures were implemented, and supervision was not increased. The facility administrator admitted that residents should not be burned, highlighting the lack of adequate supervision and safety protocols in place.
Infection Control and Hand Hygiene Deficiencies
Penalty
Summary
The facility failed to ensure proper hand hygiene practices were followed by staff during resident care, leading to multiple deficiencies. A Certified Nursing Assistant (CNA) did not remove gloves or perform hand hygiene after providing incontinence care to a resident, subsequently touching various items in the resident's room with contaminated gloves. Similarly, a Treatment Nurse (TN) failed to perform hand hygiene between handling soiled dressings and applying clean dressings during wound care for two residents, despite using double gloves. A Licensed Practical Nurse (LPN) was observed handling a resident's medication with ungloved hands and failed to perform hand hygiene after removing gloves during medication administration. Additionally, clean items were improperly stored in the contaminated area of the facility's laundry room, with soiled laundry bags leaning against racks of clean clothing. The facility also did not identify or take corrective action when a cluster of bacterial urinary tract infections was found among residents living in close proximity. The Assistant Director of Nursing/Infection Preventionist (ADON/IP) did not recognize the cluster or the common bacteria involved, nor did they conduct audits or provide staff education on infection control practices. This oversight was confirmed by the Director of Nursing (DON), who acknowledged the lack of monitoring and preventative measures.
Failure to Provide Pressure-Reducing Cushion for High-Risk Resident
Penalty
Summary
The facility failed to ensure the use of a pressure-reducing wheelchair cushion for a resident assessed as being at high risk for skin breakdown. Resident #5, who had a history of a non-pressure chronic ulcer, chronic venous hypertension with ulcer and inflammation, and diabetes, was observed multiple times without the necessary cushion in place. The resident's care plan indicated that he remained in his wheelchair all day and often slept in it, which increased his risk for skin breakdown. Despite the special instructions in his care tasks to use a wheelchair cushion, observations on several occasions revealed the absence of the cushion. Interviews with the resident and staff further highlighted the deficiency. Resident #5 reported experiencing discomfort and mentioned it to the CNA during incontinence care. However, the CNA could not recall the last time the cushion was used, and the Director of Nursing confirmed that all residents should have a cushion on their wheelchair. The repeated observations and staff interviews indicate a failure to adhere to the care plan and special instructions, leading to the deficiency in providing appropriate pressure ulcer care for Resident #5.
Improper Disposal of Controlled Medication by LPN
Penalty
Summary
The facility failed to ensure proper disposal of a resident's medication by a Licensed Practical Nurse (LPN), identified as S6LPN, during medication administration. According to the facility's Medication Administration Policy and Procedure, medications should be prepared immediately prior to administration, and if a medication is held, a notation should be made on the resident's medication record. Additionally, wasted controlled drugs must be witnessed and co-signed. However, during an observation, S6LPN assessed a resident who reported a pain level of 8 out of 10 and attempted to administer Oxycodone/Acetaminophen, a controlled medication, but realized it was too early to administer the dose. Instead of disposing of the medication as required, S6LPN placed the tablet back into the blister pack and sealed it with tape. Interviews conducted with S6LPN and the Director of Nursing (DON) confirmed that the medication should have been disposed of once it was removed from the blister pack and could not be administered. The DON indicated that S6LPN's action of placing the medication back into the blister pack was incorrect and not in compliance with the facility's policy. This incident highlights a failure in adhering to medication administration protocols, specifically regarding the handling and disposal of controlled substances.
Failure to Maintain Updated Hospice Plan of Care
Penalty
Summary
The facility failed to ensure that a resident's most recent hospice plan of care and recertification of terminal illness were obtained from the contracted hospice agency. This deficiency was identified for a resident who was receiving hospice services while residing in the facility. The facility's hospice care plan required coordination with the contracted hospice agency, but the only documented hospice plan of care was an interim plan dated several months prior, which did not specify the resident's hospice service needs or the scope and frequency of services. There was no evidence of a current certification of the resident's terminal illness, and the facility was unable to provide any updated hospice information. Additionally, the facility staff were not aware of the contracted hospice agency's responsibilities in implementing the hospice plan of care. Interviews revealed that staff, including the Director of Nursing and a Licensed Practical Nurse, were unsure about the frequency of updates to the resident's hospice binder and the frequency of hospice personnel visits. The facility's administrator, who was responsible for ensuring compliance with the hospice agreement, was unaware that the hospice binder was not up to date. The contracted hospice agency's case manager confirmed that hospice care plans were updated at least every 60 days and should be provided to the facility every two weeks, but this was not reflected in the facility's records.
Delayed Transmission of MDS Assessments
Penalty
Summary
The facility failed to ensure that Minimum Data Set (MDS) assessments were transmitted within 14 days of completion for three residents. Resident #28's Quarterly MDS, with an Assessment Reference Date (ARD) of 07/17/2024, was completed on 07/18/2024 but was not transmitted until 08/20/2024, exceeding the 14-day requirement. Similarly, Resident #44's Quarterly MDS, completed on 07/31/2024, and Discharge MDS, completed on 08/01/2024, were both transmitted on 08/20/2024, beyond the 14-day timeframe. Resident #241's Discharge MDS, completed on 08/03/2024, was also transmitted late on 08/20/2024. The deficiency was confirmed during an interview with the S4MDS Corporate Nurse, who acknowledged that the MDS assessments should have been transmitted within 14 days of their completion. The delay in transmission for these residents' assessments was identified through a review of the facility's MDS 3.0 Nursing Home Final Validation Report, which documented the late transmission dates.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 26 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Morgan City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Patterson Healthcare Center | 8.1 mi | — | 10 | 0 |
| Chateau Napoleon Caring, Llc | 19.9 mi | — | 9 | 0 |
| Legacy Nursing And Rehabilitation Of Lafourche | 21.5 mi | — | 0 | 0 |
| Legacy Nursing And Rehabilitation Of Franklin | 21.5 mi | — | 5 | 0 |
| Audubon Health And Rehab | 22.9 mi | — | 2 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Legacy Nursing And Rehabilitation Of Morgan City.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.