Legacy Nursing Plaquemine: Daily Care Assistance Gaps - LA
Inspectors came back the next morning. Same thing. They came back again that same afternoon. Still the same.
The January inspection at Legacy Nursing and Rehabilitation of Plaquemine found the facility had failed to provide basic hygiene assistance to the resident, identified in inspection records only as Resident 102, who has lived at the facility since September 2022. He cannot be interviewed. He has bilateral impairment to all four extremities and depends entirely on staff for every activity of daily living, including personal hygiene. His care plan required bed baths and hair care. His electronic health record contained no documentation that any of it had been done.
When inspectors asked the certified nursing assistant responsible for his care when she had last washed his hair, she said January 22nd. The inspection observations took place on January 27th and 28th. Six days.
The nursing assistant did not dispute what inspectors were seeing. She said Resident 102 should not have had the flakes in his hair. The assistant director of nursing, called in to look, confirmed the same. So did the director of nursing, who arrived at 3:30 in the afternoon on January 28th, rubbed and scratched the left side of the resident's head with her hand, and then confirmed, yes, there were small, dried, white flakes, and no, there should not be.
The director of nursing also confirmed Resident 102 had no diagnosed skin condition that would explain it.
Three observations over two days. Three separate supervisors who looked at the man and agreed the situation was wrong. And yet the first two observations, on the morning and afternoon of January 27th and the morning of January 28th, had passed without anyone washing his hair between them.
The facility's own job description for certified nursing assistants lists providing hygiene assistance and following resident care plans as core duties. Resident 102's care plan, with a target date extending to March 2026, states plainly that his activities of daily living needs would be met by staff.
They were not.
What makes this particular finding sit differently than a paperwork deficiency is the nature of the resident's condition. A person with quadriplegia following a traumatic brain injury cannot reach up and scratch an itch. Cannot run a hand through his hair. Cannot call out clearly to ask for help. He is, as his own records describe him, totally dependent. The care plan exists precisely because he has no other option.
Inspectors rated the violation as causing minimal harm or the potential for actual harm, the lower end of the federal harm scale. The deficiency affected one of five residents sampled for activities of daily living during the survey.
The inspection was completed January 29, 2026.
What the records don't show is how many days before January 22nd his hair had last been washed, or how long the documentation gap in his electronic health record actually runs. The record simply had nothing in it to confirm care had been provided. The nursing assistant's answer of January 22nd was the only timestamp anyone offered.
Resident 102 was still lying on his right side when the director of nursing finished examining his hair and confirmed what inspectors had already noted twice before.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Legacy Nursing and Rehabilitation of Plaquemine from 2026-01-29 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 9, 2026 · Our methodology
LEGACY NURSING AND REHABILITATION OF PLAQUEMINE in PLAQUEMINE, LA was cited for violations during a health inspection on January 29, 2026.
Inspectors came back the next morning.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.