Average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Legrand Healthcare And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with a urinary catheter and diagnoses including retention of urine had a physician order to monitor urine output, but the urine output log had multiple gaps across several shifts. The DON confirmed missing documentation in the log over several days.
A resident with a urinary catheter and diagnoses including retention of urine had an order to monitor urine output. The urine output log showed zero output on multiple shifts over several days, but there was no documentation that CNAs notified nursing staff of the zero urine output, and the DON confirmed the lack of documentation.
Failure to monitor and document refrigerator and freezer temperatures. During a kitchen tour, surveyors observed the reach-in refrigerator, walk-in refrigerator, and walk-in freezer at 35°F, 35°F, and 5°F, respectively, and found no temperature log for any of the units. The Dietary Manager stated she did not keep a log, and the Administrator confirmed daily monitoring and documentation should have been done.
A resident with COPD, bipolar disorder, schizophrenia, seizures, and moderate cognitive impairment had medications left unattended in the room. Staff observed Artificial Tears on the overbed table and an Albuterol Sulfate inhaler in the bathroom, and the DON confirmed the resident should not have medications left in the room.
Nursing staff failed to review all discharge documentation and clarify medication orders with the physician, resulting in a resident not receiving prescribed medications, including a necessary home medication, during their stay. The admission orders were based on incomplete information, leading to discrepancies in medication administration.
Two residents experienced falls in a facility, and the responsible parties were not notified by the LPN on duty. One resident, with severe cognitive impairment, was found on the floor without injuries, while another resident, with profound intellectual disabilities, was kicked by another resident, resulting in a fall and facial injury. The DON confirmed the LPN should have informed the responsible parties.
Failure to Document Urine Output for Resident With Urinary Catheter
Penalty
Summary
The facility failed to ensure appropriate treatment and services to prevent urinary tract infections to the extent possible for a resident with a urinary catheter by failing to document urine output. Resident #59, who was admitted on 09/04/2024 with diagnoses including epilepsy and retention of urine, was observed on 05/11/2026 to have a urinary catheter. The medical record showed a physician order in May 2026 to monitor urine output, but the urine output log had gaps with no documentation on the night shift of 05/07/2026, the night shift of 05/08/2026, all shifts on 05/09/2026 and 05/10/2026, and the evening and night shifts on 05/11/2026. On 05/12/2026, the DON confirmed the gaps in the urine output log from 05/07/2026 through 05/11/2026.
CNA Failed to Report Zero Urine Output for Resident with Urinary Catheter
Penalty
Summary
The facility failed to ensure nurse aides demonstrated competency in skills and techniques necessary to care for resident needs for 1 resident reviewed for urinary catheters. Resident #59, admitted on 09/04/2024 with diagnoses including epilepsy and retention of urine, had a urinary catheter and a physician order in March 2026 to monitor urine output. Review of the urine output log showed zero output recorded on March 28, 29, and 30 on all three shifts. The progress notes contained no documentation that CNAs notified nursing staff that Resident #59 had zero urine output, and the S2DON confirmed on 05/12/2026 that there was no documentation showing the CNAs reported the zero urine output to nursing staff.
Failure to Monitor and Document Refrigerator and Freezer Temperatures
Penalty
Summary
The facility failed to maintain, store, prepare, distribute, and serve food under sanitary conditions because it did not monitor and document refrigerator and freezer temperatures. During a kitchen tour on 05/11/2026 at 8:00 a.m., surveyors observed the reach-in refrigerator at 35 degrees Fahrenheit, the walk-in refrigerator at 35 degrees Fahrenheit, and the walk-in freezer at 5 degrees Fahrenheit. Surveyors also observed that there was no log documenting the temperature readings for the reach-in refrigerator, walk-in refrigerator, or walk-in freezer. At 8:12 a.m., the Dietary Manager stated she did not keep a log documenting the temperatures of the reach-in refrigerator, walk-in refrigerator, or walk-in freezer. At 10:30 a.m., the Administrator confirmed the Dietary Manager should have been monitoring and documenting the temperatures of the refrigerators and freezer daily.
Unsecured Medications Left in Resident Room
Penalty
Summary
Drugs and biologicals were not stored in accordance with the facility’s policy requiring safe, secure, and orderly storage because medications were found unattended in a resident’s room. Resident #14 was admitted on 05/03/2025 and readmitted on 07/04/2025 with diagnoses including COPD, bipolar disorder, schizophrenia, and seizures. The resident’s care plan identified impaired cognitive function/dementia or impaired thought processes and directed staff to administer medications as ordered and assist with all decision making. The annual MDS showed a BIMS score of 12, indicating moderate cognitive impairment for daily decision making. During observations, a bottle of Artificial Tears was seen on the overbed table and an Albuterol Sulfate 90 mcg inhaler was observed in the bathroom. On a later observation with the DON, the same medications were still left in the room, and the DON confirmed the resident should not have medications left unattended in the room.
Failure to Ensure Nursing Staff Competency in Medication Reconciliation
Penalty
Summary
The facility failed to ensure that nursing staff possessed the appropriate competencies and skill sets to provide proper nursing care for one of three sampled residents. Specifically, a nurse did not review the resident's hospital discharge orders when writing admission orders and did not clarify with the physician whether the resident should continue his home medications. The resident was admitted with multiple diagnoses, including surgical aftercare, diabetes with neuropathy, and other chronic conditions. The hospital discharge orders included instructions to continue home medications, such as Pioglitazone 45 mg daily, but did not list Riluzole 50 mg twice daily. However, the admission orders written by the Assistant Director of Nursing (ADON) specified Pioglitazone 30 mg daily and omitted Riluzole entirely. Record review and interviews revealed that the resident and his family brought all home medications to the facility and specifically informed the admitting nurse about the need to continue Riluzole 50 mg twice daily for one month. The nurse took possession of the medications but did not ensure that Riluzole was included in the admission orders or administered during the resident's stay. The resident only discovered the omission upon discharge, when he noticed the Riluzole bottle was still full. The Director of Nursing (DON) and ADON later stated that the medication was not given because it was not on the hospital discharge orders, and the ADON had based admission orders on faxed information rather than the hand-written discharge orders that accompanied the resident. Further interviews confirmed that the admitting nurse did not recall being told about the need to continue Riluzole and did not review the discharge orders that came with the resident. The DON acknowledged that the ADON should have reviewed all discharge documentation and clarified medication orders with the physician, especially regarding the discrepancy in Pioglitazone dosage and the omission of Riluzole. The failure to review all available discharge information and to clarify medication orders resulted in the resident not receiving prescribed medications as intended.
Failure to Notify Responsible Parties After Resident Falls
Penalty
Summary
The facility failed to notify the responsible parties of two residents after incidents involving falls. Resident #1, who has severe cognitive impairment and is at risk for falls due to impaired balance and unsteady gait, was found sitting on the floor without injuries. Despite this incident, there was no documented evidence that the resident's responsible party was informed of the fall by the LPN on duty. Similarly, Resident #2, who has profound intellectual disabilities and multiple risk factors for falls, was involved in an incident where another resident kicked him, resulting in a fall and facial injury. Again, the LPN did not notify the resident's responsible party about the fall. The Director of Nursing confirmed that the LPN should have informed the responsible parties in both cases.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Bastrop
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lagniappe Healthcare | 0.7 mi | ★★★★★ | 4 | 0 |
| Cherry Ridge | 0.9 mi | ★★★★★ | 0 | 0 |
| Oak Woods Home For The Elderly | 4.8 mi | ★★★★★ | 8 | 0 |
| Avalon Place | 17.7 mi | ★★★★★ | 9 | 0 |
| St Joseph Skilled Nursing And Rehabilitation | 20.1 mi | ★★★★★ | 11 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.