LEGACY AT JACKSONVILLE
810 BELLAIRE ST., JACKSONVILLE, TX 75766 · CCN 676092
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★★ 5
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 101
- Avg residents/day
- 86.8
- Phone
- 9035869871
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-02-05 | 5 | 9.1 | 9.5 | -4.1 better |
| 2 | 2024-01-24 | 2 | 9.4 | 9.8 | -7.4 better |
| 3 | 2022-12-01 | 7 | 8.1 | 9.3 | -1.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident assessment and care planning | 2 |
| Resident rights | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.38 | 48.8% |
| RN staffing (reported) | 0.16 | 20.0% |
| Total nurse staffing (adjusted) | 3.82 | — |
Fines & penalties
- Total fines
- $21,645
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- SOUTHWEST LTC
- Facilities in chain
- 13
- Chain avg overall
- 3.30 / 5
Inspection citations (14)
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-11-21 · Health · corrected 2025-12-10
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-11-21 · Health · corrected 2025-12-10
Potential for more than minimal harm
- EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-02-05 · Health · corrected 2025-02-06
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-02-05 · Health · corrected 2025-02-06
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-02-05 · Health · corrected 2025-02-06
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-01-24 · Health · corrected 2024-02-01
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-01-24 · Health · corrected 2024-02-01
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-12-01 · Health · corrected 2023-01-01
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-12-01 · Health · corrected 2023-01-01
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-12-01 · Health · corrected 2023-01-01
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-12-01 · Health · corrected 2023-01-01
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2022-12-01 · Health · corrected 2023-01-01
Potential for more than minimal harm
- DF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2022-12-01 · Health · corrected 2023-01-01
Potential for more than minimal harm
- DF0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.2022-12-01 · Health · corrected 2023-01-01
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SOUTHWEST LTC - BONNER, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 |
| LINDSEY, LYNN | Individual | CORPORATE OFFICER | — | 2022-07-01 |
| EMERSON, AIMEE | Individual | W-2 MANAGING EMPLOYEE | — | 2022-07-01 |
Other facilities in JACKSONVILLE
| Name | Overall | Beds |
|---|---|---|
| AVIR AT JACKSONVILLE | ★★★★★ | 53 |
| TWIN OAKS HEALTH AND REHABILITATION CENTER | ★★★☆☆ | 116 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.