Rapides Parish, Louisiana · Nursing home
Legacy Nursing at St. Christina
1 of 5 overall from CMS
122 Hillsdale Drive, Pineville, LA 71360
At a glance
- Overall rating 1 of 5 Below the state average of 2.6
- Nurse time per resident, per day 3.23 hours Below the state average of 3.76
- Nursing staff who left in a year 48.1% Above the state average of 47.6%
- Health citations, last 3 inspection cycles 59 7 at the harm level or above
- Fines in 3 years $646,937 5 fines
- Certified beds in use 91.6% of 140 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Legacy Nursing at St. Christina is a 140-bed nursing home in Pineville, Louisiana (Rapides Parish). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.23 nurse staffing hours per resident per day, below the Louisiana average of 3.76. CMS lists 5 fines totaling $646,937 in the past three years.
- Certified beds
- 140
- Residents per day (average)
- 128.3
- Certified since
- 2004 (22 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Legacy Nursing & Rehabilitation (11 homes)CMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Legacy Nursing at St. Christina
Chosen from this home's public data.
- CMS lists 5 fines totaling $646,937 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 17 health deficiencies in the latest inspection cycle (the standard inspection on Feb 24, 2026 plus complaint and infection-control inspections); the Louisiana average is 6.4. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 48.1%, above the Louisiana average of 47.6%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Louisiana average 2.6
- Health inspections 1 of 5 Louisiana average 2.9
- Staffing 1 of 5 Louisiana average 2.4
- Quality measures 1 of 5 Louisiana average 2.2
The vertical line marks the Louisiana average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.23 h Louisiana average 3.76
- Nurse aides 2.12 h Louisiana average 2.27
- Licensed practical nurses 1.02 h Louisiana average 1.17
- Registered nurses 0.08 h Louisiana average 0.31
- All staff, weekends 2.58 h Louisiana average 3.21
How much nurse staffing is enough? All bars share one scale, 0 to 12 hours. The vertical line marks the Louisiana average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover48.1%
- Louisiana average47.6%
- Registered nurse turnover80.0%
- Louisiana average41.6%
- Administrators who left3
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Louisiana and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Louisiana | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 8.7% | 17.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 1.7% | 5.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 1.2% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.2% | 2.1% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 2.3% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 0.9% | 3.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.2% | 93.4% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 12.7% | 17.9% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 46.5% | 23.2% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 84.3% | 94.9% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.9% | 5.6% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.7% | 15.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 73.1% | 22.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.75 | 2.56 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.88 | 2.74 | 1.78 |
Short-stay residents
| Measure | This home | Louisiana | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 73.8% | 85.9% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 12.5% | 3.1% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 43.8% | 76.3% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.0% | 28.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 18.2% | 14.8% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 59 health deficiencies in the three most recent inspection cycles. Of these, 7 involved actual harm; the rest were graded as no actual harm. 29 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Sep 30, 2025: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Feb 24, 2026 | 17 | 4 |
| Jan 28, 2025 | 21 | 1 |
| Nov 16, 2023 | 21 | 2 |
Louisiana homes averaged 6.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (59)
-
FPotential for more than minimal harm, widespread
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration · Deficient, Provider has date of correction (Mar 27, 2026)
-
FPotential for more than minimal harm, widespread
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (Mar 27, 2026)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Mar 27, 2026)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Mar 27, 2026)
-
EPotential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 27, 2026)
Show 25 more
-
EPotential for more than minimal 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 · Deficient, Provider has date of correction (Mar 27, 2026)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Mar 27, 2026)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 27, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 27, 2026)
-
DPotential for more than minimal harm, isolated
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Mar 27, 2026)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 27, 2026)
-
DPotential for more than minimal harm, isolated
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration · Deficient, Provider has date of correction (Mar 27, 2026)
-
DPotential for more than minimal harm, isolated
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Mar 27, 2026)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 22, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 22, 2025)
-
GActual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 1, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 1, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 22, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 22, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 30, 2025)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 30, 2025)
-
DPotential for more than minimal harm, isolated
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Jul 30, 2025)
-
EPotential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 4, 2025)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jul 4, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 4, 2025)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jul 4, 2025)
-
GActual harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 18, 2025)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 18, 2025)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Jan 29, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights · Deficient, Provider has date of correction (Jan 29, 2025)
Showing the 30 most recent of 59.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Sep 30, 2025 | Fine | $17,713 |
| Feb 27, 2025 | Fine | $34,753 |
| Oct 25, 2024 | Fine | $319,992 |
| Feb 26, 2024 | Fine | $64,344 |
| Nov 16, 2023 | Fine | $210,135 |
| Nov 16, 2023 | Payment Denial | 61 days |
Louisiana homes averaged 0.9 fines and $46,795 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Louisiana
- Size84 of 265 by certified beds
- Louisiana average residents per day90.7
- ChainLegacy Nursing & Rehabilitation
- Chain average overall rating1.5 of 5
- Resident or family councilResident
- Homes in Pineville4
- Homes in Rapides Parish9
Common questions
What is the CMS star rating for Legacy Nursing at St. Christina?
Legacy Nursing at St. Christina has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 1 and quality measures is 1.
How many beds does Legacy Nursing at St. Christina have?
Legacy Nursing at St. Christina has 140 certified beds. It averages 128.3 residents per day, about 91.6% of its certified beds.
How much nursing care do residents get at Legacy Nursing at St. Christina?
The home reports 3.23 hours of nurse staffing per resident per day, including 0.08 hours from registered nurses. The Louisiana average is 3.76 hours and 0.31 hours from registered nurses.
Has Legacy Nursing at St. Christina been fined?
Yes. CMS lists 5 fines totaling $646,937 in the past three years. It also lists 1 payment denial.
Does Legacy Nursing at St. Christina accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Matthews Memorial Health Care Center 124beds 71.6%in use 3.78nurse hours a day
- 2 of 5 Hilltop Nursing & Rehabilitation Center 130beds 69.0%in use 3.93nurse hours a day
- 1 of 5 The Summit 130beds 70.8%in use 3.52nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Rapides Parish
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 195613. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.