D60

LEGACY NURSING AND REHABILITATION OF POLLOCK

Grade D 60/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
1/5
Health Insp.
2/5
Quality
1/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

103

Ownership

For profit - Limited Liability company

Total Fines

$13,020

Last Survey

N/A

8275 HIGHWAY 165, POLLOCK, LA 71467
3187653557

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.21h
LPN
1.12h
CNA
2.29h
Total
3.63h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

WOODS HAVEN NURSING CARE & REHABILITATION

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2003

100%

LIPSEY, SHANNON

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2003

LIPSEY, WILBUR

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Feb 2003

LIPSEY, SHANNON

IndividualCORPORATE DIRECTORSince Dec 2003

NUGENT, DEBBIE

IndividualW-2 MANAGING EMPLOYEESince Dec 2003

Penalties & Fines (1)

$13,020total fines
DateTypeDescriptionAmount
May 17, 2023Fine$13,020

Health Inspection Deficiencies (27)

October 1, 2025Health7 deficiencies
0561DMinimal harm, Isolated

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Resident Rights Deficiencies

Corrected Oct 31, 2025
0605DMinimal harm, Isolated

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 31, 2025
0677EMinimal harm, Pattern

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Oct 31, 2025
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Oct 31, 2025
0744DMinimal harm, Isolated

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Quality of Life and Care Deficiencies

Corrected Oct 31, 2025
0755EMinimal harm, Pattern

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Oct 31, 2025
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Oct 31, 2025
August 25, 2025Health1 deficiency
0744EMinimal harm, Pattern

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Quality of Life and Care Deficiencies

Corrected Sep 12, 2025
April 2, 2025Health4 deficiencies
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 7, 2025
0657EMinimal harm, Pattern

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 7, 2025
0658EMinimal harm, Pattern

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 7, 2025
0686EMinimal harm, Pattern

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Apr 7, 2025
November 25, 2024Health1 deficiency
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Dec 27, 2024
July 24, 2024Health6 deficiencies
0658EMinimal harm, Pattern

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 26, 2024
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Aug 26, 2024
0803EMinimal harm, Pattern

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Nutrition and Dietary Deficiencies

Corrected Aug 26, 2024
0804EMinimal harm, Pattern

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Aug 26, 2024
0868DMinimal harm, Isolated

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Administration Deficiencies

Corrected Aug 26, 2024
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 26, 2024
May 15, 2024Health2 deficiencies
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Jun 26, 2024
0725DMinimal harm, Isolated

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected Jun 26, 2024
February 8, 2024Health1 deficiency
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 8, 2024
July 19, 2023Health2 deficiencies2 severe
0689JImmediate jeopardy, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jul 20, 2023
0835JImmediate jeopardy, Isolated

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Administration Deficiencies

Corrected Jul 20, 2023
May 17, 2023Health3 deficiencies
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Jun 30, 2023
0585DMinimal harm, Isolated

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Resident Rights Deficiencies

Corrected Jun 30, 2023
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jun 30, 2023

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Frequently Asked Questions

What is the CareGrader rating for LEGACY NURSING AND REHABILITATION OF POLLOCK?

LEGACY NURSING AND REHABILITATION OF POLLOCK in POLLOCK, Louisiana has a CareGrader grade of D (Below Average), with a composite score of 60.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for LEGACY NURSING AND REHABILITATION OF POLLOCK?

LEGACY NURSING AND REHABILITATION OF POLLOCK has an overall CMS star rating of 1 out of 5, a health inspection rating of 2/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does LEGACY NURSING AND REHABILITATION OF POLLOCK have?

LEGACY NURSING AND REHABILITATION OF POLLOCK has 27 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has LEGACY NURSING AND REHABILITATION OF POLLOCK been fined?

Yes. LEGACY NURSING AND REHABILITATION OF POLLOCK has $13,020 in total fines from CMS enforcement actions across 1 penalty.

How many beds does LEGACY NURSING AND REHABILITATION OF POLLOCK have?

LEGACY NURSING AND REHABILITATION OF POLLOCK has 103 certified beds with approximately 87 current residents (84% occupancy). The facility is located at 8275 HIGHWAY 165, POLLOCK, Louisiana 71467. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.