Legacy Nursing and Rehabilitation of Lafourche
1002 Tiger Drive, Thibodaux, LA 70301 · Lafourche County · (985) 447-2205
72 certified beds, about 69 residents a day · For profit - Corporation · Medicare and Medicaid since 1997
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
1 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 195449 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 26, 2026, inspectors cited 4 health deficiencies (the Louisiana average is 6.4, the national average 9.2).
Of 8 health citations since October 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $24,501 in the last three years; the largest was $24,501, and the latest is dated March 11, 2025.
Nurses and nurse aides worked 3.50 hours per resident per day, against 3.76 across Louisiana and 3.86 nationally. Registered nurses accounted for 0.46 of those hours.
50.6% of nursing staff left within the year CMS measured (Louisiana average 47.6%).
CMS links it to Legacy Nursing & Rehabilitation, an affiliated group of 11 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
110/23
002/24
111/24
203/25
402/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
2E
0F
Potential for minimal harm
0A
0B
0C
February 26, 2026Standard inspection · 4 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure the kitchen's walk-in cooler was maintained in a sanitary manner.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure staff immediately consulted a physician regarding a resident's change of condition for 1 (Resident #52) of 1 sampled residents reviewed for notification of change.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure a resident's catheter was maintained in a sanitary condition for 1 (Resident #8) of 2 residents investigated for urinary catheter usage. Review of Resident #8's medical record revealed, in part, Resident #8 was admitted to the facility on [DATE] with diagnoses, which included, obstructive uropathy (a blockage that restricts the flow of urine), and benign prostatic hyperplasia (a condition where to prostate grows larger and restricts the flow of urine). Review of Resident #8's Minimum Data Set with an Assessment Reference Date of 01/08/2026 revealed, in part, Resident #8 had a Brief Interview for Mental Status score of 15, which indicated Resident #8 was cognitively intact. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure:1. Staff followed enhanced barrier precautions when providing care to residents with an indwelling catheter (Resident #8, Resident #65); and,2. Staff performed hand hygiene between glove changes (Resident #65). This deficient practice was identified for 2 (Resident #8, Resident #65) of 2 sampled residents observed for catheter care.
March 11, 2025Standard inspection · 2 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to provide adequate supervision to prevent a fall for 1 (Resident #65) of 3 (Resident #44, Resident #55, Resident #65) sampled residents reviewed for falls. This deficient practice resulted in an Immediate Jeopardy situation on 01/17/2025 at 6:35AM, when Resident #65, who required supervision with showers/bathing and had diagnoses, which included, osteoporosis, dementia, and a traumatic brain injury, was able to enter shower room A unattended due to S3Certified Nursing Assistant (CNA) leaving the door propped opened. Resident #65 was found on the floor in shower room A after an unwitnessed fall and had sustained an injury resulting in a C7 (7th cervical vertebrae in the neck) displaced fracture. [...]
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interviews and record reviews, the facility failed to develop a plan of care after a fall for 1 (Resident #55) of 3 (Resident #44, Resident #55, Resident #65) sampled residents investigated for falls.
November 15, 2024Complaint inspection · 1 citation
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interviews and record review, the facility failed to immediately notify the resident's Responsible Party (RP) after a resident sustained a fall for 1 (Resident #3) of 3 (Resident #1, Resident #2, and Resident #3) sampled residents reviewed for falls.
February 22, 2024Standard inspection · 0 citations
October 4, 2023Complaint inspection · 1 citation
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation and interview, the facility failed to ensure incontinence care was provided in a timely manner for residents who required assistance with personal hygiene. This deficient practice was identified for 2 (Resident #2 and Resident #3) of 3 (Resident #1, Resident #2, and Resident #3) and 1 randomly sampled resident (Resident R1).
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| March 11, 2025 | Fine | $24,501 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Louisiana | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.50 | 3.76 | 3.86 |
| Registered nurses | 0.46 | 0.31 | 0.69 |
| All nursing staff on weekends | 2.88 | 3.21 | 3.42 |
| Nurse aides | 1.94 | ||
| Licensed practical nurses | 1.11 | ||
| Nursing staff turnover (share who left in a year) | 50.6% | 47.6% | 45.8% |
| Registered nurse turnover | 50.0% | 41.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.97 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.75 on weekdays and 2.88 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.45 in April to June 2025 to 3.50 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.50 | 0.46 | 3.75 | 2.88 | 0.5% | 0 of 90 | 69 |
| Oct to Dec 2025 | 3.64 | 0.36 | 3.88 | 3.03 | 0.7% | 0 of 92 | 70 |
| Jul to Sep 2025 | 3.70 | 0.44 | 3.99 | 2.96 | 0.6% | 0 of 92 | 69 |
| Apr to Jun 2025 | 3.45 | 0.36 | 3.74 | 2.71 | 0.2% | 0 of 91 | 69 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Louisiana, Jan to Mar 2026 | 3.64 | 0.26 | 3.86 | 3.10 | 3.6% | 0.9% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Louisiana | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 24.2 | 17.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.7 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 4.8 | 3.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.4 | 17.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.8 | 5.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.9 | 22.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 34.1 | 28.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.4 | 14.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.3 | 2.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.7 | 1.8 |
Owners and operators
Legal business name: LAFOURCHE OPCO, LLC. CMS links this home to Legacy Nursing & Rehabilitation, a group of 11 nursing homes averaging 1.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Lafourche Opco, LLC | Direct ownership interest | Organization | 05/01/2025 | |
| Dgprejean, LLC | Indirect ownership interest | Organization | 05/01/2025 | |
| Jdgum, LLC | Indirect ownership interest | Organization | 05/01/2025 | |
| LP Holdings, LLC | Indirect ownership interest | Organization | 05/01/2025 | |
| Mylesh, LLC | Indirect ownership interest | Organization | 05/01/2025 | |
| Vdg LLC | Indirect ownership interest | Organization | 05/01/2025 | |
| Gum, John | Indirect ownership interest | Individual | 05/01/2025 | |
| Gum, Victor | Indirect ownership interest | Individual | 05/01/2025 | |
| Holyfield, Myles | Indirect ownership interest | Individual | 05/01/2025 | |
| Prejean, Danielle | Indirect ownership interest | Individual | 05/01/2025 | |
| Merchants Bank of Indiana | 5% or greater security interest | Organization | 05/01/2025 | |
| Gum Management, LLC | Operational/managerial control | Organization | 05/01/2025 | |
| Bourgeois, Devin | Operational/managerial control | Individual | 05/01/2025 | |
| Gum, Victor | Operational/managerial control | Individual | 05/01/2025 | |
| Steib-Burham, Rhondalette | Operational/managerial control | Individual | 05/01/2025 | |
| Dgprejean, LLC | Adp of the SNF | Organization | 07/15/2025 | |
| Gum Management, LLC | Adp of the SNF | Organization | 09/30/2025 | |
| Jdgum, LLC | Adp of the SNF | Organization | 07/15/2025 | |
| Lafourche Propco, LLC | Adp of the SNF | Organization | 07/15/2025 | |
| LP Holdings, LLC | Adp of the SNF | Organization | 07/15/2025 | |
| Mylesh, LLC | Adp of the SNF | Organization | 07/15/2025 | |
| Vdg LLC | Adp of the SNF | Organization | 07/15/2025 | |
| Bourgeois, Devin | Adp of the SNF | Individual | 05/01/2025 | |
| Gum, John | Adp of the SNF | Individual | 07/15/2025 | |
| Gum, Victor | Adp of the SNF | Individual | 07/15/2025 | |
| Holyfield, Myles | Adp of the SNF | Individual | 07/15/2025 | |
| Prejean, Danielle | Adp of the SNF | Individual | 07/15/2025 | |
| Steib-Burham, Rhondalette | Adp of the SNF | Individual | 05/01/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on February 26, 2026: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on February 26, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on February 26, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on February 26, 2026: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.88 hours per resident per day, below the Louisiana average of 3.21.
Other nursing homes nearby
- Audubon Health and Rehab Thibodaux, 1.8 mi · 4 of 5 stars · 10 citations
- Thibodaux Healthcare and Rehabilitation Center Thibodaux, 2.9 mi · 4 of 5 stars · 19 citations
- Heritage Manor of Houma Houma, 13 mi · 3 of 5 stars · 18 citations
- Chateau Terrebonne Health Care Center Houma, 14.1 mi · 5 of 5 stars · 9 citations
- Terrebonne General Med Ctr SNF Houma, 15 mi · 4 of 5 stars · 10 citations
- The Oaks of Houma Houma, 15.3 mi · 4 of 5 stars · 13 citations
- Chateau Napoleon Caring, LLC Napoleonville, 17 mi · 1 of 5 stars · 57 citations
- Chateau St. James Rehab and Retirement Lutcher, 19.3 mi · 3 of 5 stars · 20 citations
Louisiana contacts for a concern about a nursing home
These are the official offices in Louisiana. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Louisiana Department of Health, Health Standards Section, Nursing Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Louisiana Long-Term Care Ombudsman Program, Governor's Office of Elderly Affairs, (866) 632-0922. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Legacy Nursing and Rehabilitation of Lafourche's Medicare star rating?
- CMS rates Legacy Nursing and Rehabilitation of Lafourche 2 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Legacy Nursing and Rehabilitation of Lafourche get at its last inspection?
- 4 health deficiencies at the standard inspection on February 26, 2026. The Louisiana average is 6.4.
- Has Legacy Nursing and Rehabilitation of Lafourche been fined?
- Yes. CMS lists 1 fine totaling $24,501 in the last three years.
- Does Legacy Nursing and Rehabilitation of Lafourche accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Legacy Nursing and Rehabilitation of Lafourche?
- CMS lists 28 owners and managers, and links the home to Legacy Nursing & Rehabilitation. Legal business name: LAFOURCHE OPCO, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.