Legacy Nursing At St. Christina
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
order dated 9/27/2025 to monitor left eye and left side of face daily related to bruising. Observation on 09/29/2025 at 10:40 a.m. revealed Resident #2 had periorbital bruising to the left eye. Interview with Resident #2 at this time revealed he was hit in the eye by another resident. Resident #4 Review of the clinical record for Resident #4 revealed an original admit date of 06/12/2025 with a re-entry date of 09/17/2025 with diagnoses that include in part. Bipolar Disorder; Episodic Manic Severe with Psychotic Features; Anxiety; Depression; Moderate Intellectual Disabilities; Congestive Heart Failure; and Chronic Obstructive Pulmonary Disease. Review of Resident #4's admission MDS with an ARD of 06/24/2025 revealed Resident #4 had a BIMS score of 4, indicating severely impaired cognition. Resident #4 required minimal assistance with ADLs. Review of Resident #4's care plan dated 06/13/2025 read in part. I display behavior related to Impulse Disorder and Moderate Intellectual Disabilities. On 09/21/2025 my roommate was trying to stop me from leaving my room and trying to bite me, so I made contact with roommate.
Interview on 09/29/2025 at 11:47 a.m. with Resident #4 revealed that Resident #2 was lying on a mat on
the floor, attempting to hit and bite Resident #4's legs. Resident #4 reported that the behavior made him angry, and he struck Resident #2 with his left fist. Resident #4 experienced pain and swelling of the left hand following the altercation and, an x-ray was ordered. Observation of Resident #4's left hand revealed minimal swelling. On 09/29/2025 at 1:18 p.m., a telephone interview with S4 Nurse Practitioner revealed
she was notified of the altercation on 09/21/2025 and was informed that Resident #2 sustained facial bruising and bleeding from his nose and left ear. Resident #2 was subsequently sent to the Emergency Department for evaluation and treatment. On 09/29/2025 at 3:51 p.m., an interview with S5 CNA reported that following the incident on 09/21/2025, Resident #4 verbalized to him that he struck Resident #2 in the face because Resident #2 was messing with his legs. On 09/29/2025 at 4:05 p.m., an interview with S6 CNA reported that on 09/21/2025, prior to the physical altercation, Resident #4 threatened Resident #2, stating, If he keeps bothering me, I will blacken his eyes. S6 CNA confirmed she reported these threats immediately to S3 LPN. On 09/29/2025 at 4:30 p.m., an interview with S7 CNA revealed that on 09/21/2025, prior to the physical altercation, Resident #4 threatened Resident #2, stating, I'm going to kill or break his arms if he doesn't stop bothering me. S7 CNA confirmed she reported these threats immediately to S3 LPN. On 09/30/2025 at 8:00 a.m., an interview with S3 LPN revealed that both Resident #2 and Resident #4 exhibited aggressive behaviors. S3 LPN confirmed that Resident #4's threats towards resident #2 were communicated to S2 DON on 09/21/2025. On 09/30/2025 at 11:05 a.m., an interview with S2 DON revealed she was made aware on 09/21/2025 that Resident #4 had made verbal threats of physical harm toward Resident #2. S2 DON stated she went to the residents' room and observed Resident #2 lying on a mat on the floor hollering and cursing, but Resident #4 was not present at that time. S2 DON confirmed the primary care provider or nurse practitioner was not notified after she was made aware of the threats and that no new orders were obtained. On 09/30/2025 at 11:45 a.m., an interview with S1 Administrator revealed he was unaware of any behavioral issues or threats between Resident #2 and Resident #4 prior to
the 09/21/2025 altercation and confirmed that S2 DON should have made him aware of the threats, but had not.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/30/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Legacy Nursing at St. Christina
122 Hillsdale Drive Pineville, LA 71360
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0609
Federal health inspectors cited Legacy Nursing at St. Christina in Pineville, LA for a deficiency under regulatory tag F-F0609 during a complaint investigation conducted on 2025-09-30.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 2 deficiencies cited during this inspection of Legacy Nursing at St. Christina.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-01.
Legacy Nursing at St. Christina in Pineville, LA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Pineville, LA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Legacy Nursing at St. Christina or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.