For profit - Limited Liability company · 150 certified beds · CMS number 676010
Legacy Rehabilitation and Living, Amarillo, TX
CMS records 25 health deficiencies at Legacy Rehabilitation and Living in Amarillo, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 31, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level. CMS lists 1 fine totaling $13,070 in the last three years.
- 25deficiencies, 3 cycles (TX median 25)
- 9in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $13,070fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Legacy Rehabilitation and Living as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Legacy Rehabilitation and Living may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (9 deficiencies)
Standard inspection Jul 31, 2025. CMS counts 9 health deficiencies and 2 fire safety deficiencies in this cycle.
Jul 18, 2026 · Complaint inspection
2 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 15, 2026
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 15, 2026
May 5, 2026 · Complaint inspection
3 deficiencies, highest J
F837 · Governing body and administrator
Requirement cited (CMS): Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 18, 2026
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date May 18, 2026
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 18, 2026
Jan 21, 2026 · Complaint inspection
1 deficiency, highest D
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 23, 2026
Sep 9, 2025 · Complaint inspection
1 deficiency, highest E
F757 · Avoiding unnecessary drugs
Requirement cited (CMS): Ensure each resident’s drug regimen must be free from unnecessary drugs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 10, 2025
Jul 31, 2025 · Standard inspection
2 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 13, 2025
F576 · Phone, mail, and internet access
Requirement cited (CMS): Ensure residents have reasonable access to and privacy in their use of communication methods.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 13, 2025
Previous cycle: 6 deficiencies (standard inspection Jun 7, 2024)
Standard inspection Jun 7, 2024. CMS counts 6 health deficiencies and 1 fire safety deficiency in this cycle.
Feb 4, 2025 · Complaint inspection
1 deficiency, highest D
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Past non-compliance (fixed before the inspection), Feb 2, 2025
Jun 7, 2024 · Standard inspection
5 deficiencies, highest E
F803 · Menus that meet nutritional needs
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 17, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): Ensure 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 17, 2024
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 17, 2024
F561 · Making everyday choices
Requirement cited (CMS): Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 17, 2024
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 17, 2024
Earlier cycle: 10 deficiencies (standard inspection Apr 14, 2023)
Standard inspection Apr 14, 2023. CMS counts 10 health deficiencies and 0 fire safety deficiencies in this cycle.
May 17, 2024 · Complaint inspection
1 deficiency, highest E
F576 · Phone, mail, and internet access
Requirement cited (CMS): Ensure residents have reasonable access to and privacy in their use of communication methods.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 7, 2024
Sep 6, 2023 · Complaint inspection
1 deficiency, highest D
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 20, 2023
Apr 14, 2023 · Standard inspection
8 deficiencies, highest F
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 26, 2023
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date May 26, 2023
F761 · Drug labeling and secure storage
Requirement cited (CMS): Ensure 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 26, 2023
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 26, 2023
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 26, 2023
F636 · Full assessment at admission and yearly
Requirement cited (CMS): Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 26, 2023
F578 · Refusing treatment and advance directives
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 26, 2023
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 26, 2023
Tags cited in more than one inspection
6 tags cited on more than one inspection date at Legacy Rehabilitation and Living; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F695 Respiratory and oxygen care | 3 | Jan 21, 2026; Jun 7, 2024; Apr 14, 2023 |
| F880 Infection prevention and control program | 3 | Jul 18, 2026; Jul 31, 2025; Apr 14, 2023 |
| F550 Dignity and the right to exercise rights | 2 | Jun 7, 2024; Apr 14, 2023 |
| F576 Phone, mail, and internet access | 2 | Jul 31, 2025; May 17, 2024 |
| F609 Reporting suspected abuse and crimes | 2 | May 5, 2026; Feb 4, 2025 (PNC) |
| F761 Drug labeling and secure storage | 2 | Jun 7, 2024; Apr 14, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| May 5, 2026 | Fine | $13,070 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.24 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.49 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.80 h
- Nursing staff turnover
- not reported
- Administrators who left
- not reported
- CMS overall rating
- 2 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 5 of 5
CMS figures for Legacy Rehabilitation and Living, copied as published; Texas medians are ours.
Facility details
- Address
- 4033 W 51st Ave, Amarillo, TX 79109
- Phone
- (806) 355-4488
- County
- Randall
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- The Ensign Group
- Certified beds
- 150
- Average residents per day
- 119.9
- In Medicare/Medicaid since
- Mar 29, 2004
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are oxygen equipment and breathing treatments managed and checked? (F695, cited 3 times)
- How do staff track and report infections among residents? (F880, cited 3 times)
- How do staff learn about and respect each resident's personal routines and choices? (F550, cited 2 times)
- Where can residents make private phone calls, and is Wi-Fi available to them? (F576, cited 2 times)
Other nursing homes in Amarillo and the same chain
- Kirkland Court Health and Rehabilitation Center
Amarillo · 38 deficiencies - Georgia Manor Nursing Home
Amarillo · 36 deficiencies - Hillside Heights Rehabilitation Suites
Amarillo · 30 deficiencies - Ussery Roan Texas State Veterans Home
Amarillo · 29 deficiencies - Windflower Health Center
Amarillo · 29 deficiencies - Landmark of Amarillo Rehabilitation and Nursing Ce
Amarillo · 28 deficiencies - The Eden of Las Colinas
Irving · 65 deficiencies - Northeast Rehabilitation and Healthcare Center
San Antonio · 57 deficiencies - Westpark Rehabilitation and Living
Euless · 54 deficiencies - Park Village Healthcare and Rehabilitation
DeSoto · 52 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.