Inspection visit
Fire Safety inspection
Citations
16 citations recorded*CMS
This is a Fire Safety survey. CMS cites these findings under the Life Safety Code and Emergency Preparedness rules, a separate set from the health (F-tag) deficiencies. The codes and grading differ, so these do not link to the health violation pages.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0001GeneralS&S Dpotential for harm
Establish an Emergency Preparedness Program (EP).
- 0004GeneralS&S Dpotential for harm
Develop and maintain an Emergency Preparedness Program (EP).
- 0013GeneralS&S Dpotential for harm
Develop Emergency Preparedness policies and procedures.
- 0018GeneralS&S Dpotential for harm
Establish procedures for tracking staff and patients during an emergency.
- 0022GeneralS&S Dpotential for harm
Establish policies and procedures for sheltering.
- 0032GeneralS&S Dpotential for harm
Provide primary/alternate means for communication.
- 0033GeneralS&S Dpotential for harm
Establish methods for sharing information.
- 0036GeneralS&S Dpotential for harm
Establish emergency prep training and testing.
- 0039GeneralS&S Dpotential for harm
Conduct testing and exercise requirements.
- 0351GeneralS&S Epotential for harm
Install an approved automatic sprinkler system.
- 0353GeneralS&S Epotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0372GeneralS&S Epotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0521GeneralS&S Fpotential for harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 0741GeneralS&S Epotential for harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- 0918GeneralS&S Dpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0006GeneralS&S Dpotential for harm
Conduct risk assessment and an All-Hazards approach.
FAQ · About this visit
Common questions about this visit
What happened during the October 5, 2023 survey of Legacy Nursing and Rehabilitation of Morgan City?
This was a inspection survey of Legacy Nursing and Rehabilitation of Morgan City on October 5, 2023. The surveyor cited 16 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at Legacy Nursing and Rehabilitation of Morgan City on October 5, 2023?
Yes, 16 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Establish an Emergency Preparedness Program (EP)."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.