Non profit - Corporation · 54 certified beds · CMS number 676489
The Legacy Midtown Park, Dallas, TX
CMS records 7 health deficiencies at The Legacy Midtown Park in Dallas, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Sep 25, 2025. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists 4 fines totaling $27,523 in the last three years.
- 7deficiencies, 3 cycles (TX median 25)
- 4in the latest cycle (TX median 8)
- Ehighest severity · Potential for harm
- $27,523fines, last 3 years
- 5CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for The Legacy Midtown Park as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and The Legacy Midtown Park may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (4 deficiencies)
Standard inspection Sep 25, 2025. CMS counts 4 health deficiencies and 0 fire safety deficiencies in this cycle.
Jun 16, 2026 · Complaint inspection
1 deficiency, highest D
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 Jul 3, 2026
Nov 21, 2025 · 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 Nov 22, 2025
Nov 19, 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
- Correction date Nov 20, 2025
Sep 25, 2025 · Standard 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 Sep 30, 2025
Previous cycle: 1 deficiency (standard inspection Aug 29, 2024)
Standard inspection Aug 29, 2024. CMS counts 1 health deficiency and 0 fire safety deficiencies in this cycle.
Aug 29, 2024 · Standard inspection
1 deficiency, highest E
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 9, 2024
Earlier cycle: 2 deficiencies (standard inspection Jul 20, 2023)
Standard inspection Jul 20, 2023. CMS counts 2 health deficiencies and 2 fire safety deficiencies in this cycle.
Jul 20, 2023 · Standard inspection
2 deficiencies, highest E
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 24, 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 Jul 24, 2023
Tags cited in more than one inspection
3 tags cited on more than one inspection date at The Legacy Midtown Park; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F695 Respiratory and oxygen care | 2 | Nov 21, 2025; Sep 25, 2025 |
| F761 Drug labeling and secure storage | 2 | Jun 16, 2026; Jul 20, 2023 |
| F812 Food safety and sanitation | 2 | Aug 29, 2024; Jul 20, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Nov 20, 2023 | Fine | $4,587 |
| Nov 13, 2023 | Fine | $4,587 |
| Nov 6, 2023 | Fine | $4,587 |
| Oct 17, 2023 | Fine | $13,762 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 5.71 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.72 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 5.21 h
- Nursing staff turnover
- 33.3% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 5 of 5
- Health inspection rating
- 5 of 5
- Staffing rating
- 5 of 5
- Quality measure rating
- 4 of 5
CMS figures for The Legacy Midtown Park, copied as published; Texas medians are ours.
Facility details
- Address
- 8280 Manderville Lane, Dallas, TX 75231
- Phone
- (972) 468-6207
- County
- Dallas
- Accepts
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 54
- Average residents per day
- 53.1
- In Medicare/Medicaid since
- Jul 31, 2020
- Inside a hospital
- No
- Continuing care retirement community
- Yes
- 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 2 times)
- How are medications stored and secured on each unit? (F761, cited 2 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 2 times)
- Who at the home is responsible for reporting incidents to the state? (F609, cited 1 time)
Other nursing homes in Dallas
- South Dallas Nursing & Rehabilitation
Dallas · 62 deficiencies - Five Points at Lake Highlands Nursing and Rehab
Dallas · 53 deficiencies - Forest Park Nursing & Rehabilitation
Dallas · 51 deficiencies - Avir at The Meadow
Dallas · 44 deficiencies - Lakewest Rehabilitation and Skilled Care
Dallas · 44 deficiencies - The Hillcrest of North Dallas
Dallas · 44 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.