For profit - Corporation · 126 certified beds · CMS number 675774
Legend Healthcare and Rehabilitation - Greenville, Greenville, TX
CMS records 32 health deficiencies at Legend Healthcare and Rehabilitation - Greenville in Greenville, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Aug 28, 2025. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 32deficiencies, 3 cycles (TX median 25)
- 5in the latest cycle (TX median 8)
- Ehighest severity · Potential for harm
- $0fines, last 3 years
- 4CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Legend Healthcare and Rehabilitation - Greenville as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Legend Healthcare and Rehabilitation - Greenville may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (5 deficiencies)
Standard inspection Aug 28, 2025. CMS counts 5 health deficiencies and 0 fire safety deficiencies in this cycle.
Aug 28, 2025 · Standard + complaint inspection
5 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 Oct 6, 2025
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 Oct 6, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 6, 2025
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 6, 2025
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 6, 2025
Previous cycle: 11 deficiencies (standard inspection May 30, 2024)
Standard inspection May 30, 2024. CMS counts 11 health deficiencies and 0 fire safety deficiencies in this cycle.
Apr 9, 2025 · Complaint inspection
2 deficiencies, highest D
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Past non-compliance (fixed before the inspection), Dec 23, 2024
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Past non-compliance (fixed before the inspection), Oct 3, 2024
Jan 30, 2025 · 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 Jan 31, 2025
Sep 15, 2024 · Complaint inspection
1 deficiency, highest E
F728 · Nurse aide training and competency
Requirement cited (CMS): Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 16, 2024
May 30, 2024 · Standard + complaint inspection
7 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 Jul 22, 2024
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 22, 2024
F806 · Allergies, preferences, and meal substitutes
Requirement cited (CMS): Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 22, 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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 22, 2024
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 22, 2024
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 22, 2024
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 22, 2024
Earlier cycle: 16 deficiencies (standard inspection Mar 22, 2023)
Standard inspection Mar 22, 2023. CMS counts 16 health deficiencies and 0 fire safety deficiencies in this cycle.
Sep 8, 2023 · Complaint inspection
1 deficiency, highest E
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 26, 2023
Mar 22, 2023 · Standard inspection
15 deficiencies, highest E
F868 · Quality committee membership and meetings
Requirement cited (CMS): Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 28, 2023
F813 · Food brought in by visitors
Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 28, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 28, 2023
F808 · Physician-ordered therapeutic diets
Requirement cited (CMS): Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 28, 2023
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 28, 2023
F790 · Dental care in skilled nursing facilities
Requirement cited (CMS): Provide routine and 24-hour emergency dental care for each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 28, 2023
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 28, 2023
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 28, 2023
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 Apr 28, 2023
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 28, 2023
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 28, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 28, 2023
F585 · Grievances and how they are handled
Requirement cited (CMS): Honor 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 28, 2023
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 28, 2023
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 Apr 28, 2023
Tags cited in more than one inspection
6 tags cited on more than one inspection date at Legend Healthcare and Rehabilitation - Greenville; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F755 Pharmacy services and a consultant pharmacist | 3 | Aug 28, 2025; May 30, 2024; Sep 8, 2023 |
| F656 Comprehensive person-centered care plan | 2 | Jan 30, 2025; Mar 22, 2023 |
| F690 Bladder, bowel, and catheter care | 2 | Aug 28, 2025; May 30, 2024 |
| F761 Drug labeling and secure storage | 2 | Aug 28, 2025; May 30, 2024 |
| F812 Food safety and sanitation | 2 | May 30, 2024; Mar 22, 2023 |
| F880 Infection prevention and control program | 2 | Aug 28, 2025; May 30, 2024 |
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.26 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.39 h (about the same as the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.93 h
- Nursing staff turnover
- 48.1% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 4 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
CMS figures for Legend Healthcare and Rehabilitation - Greenville, copied as published; Texas medians are ours.
Facility details
- Address
- 2300 Jack Finney Blvd, Greenville, TX 75402
- Phone
- (903) 455-7942
- County
- Hunt
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- The Ensign Group
- Certified beds
- 126
- Average residents per day
- 85.2
- In Medicare/Medicaid since
- Feb 11, 1999
- Inside a hospital
- Yes
- 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 new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 3 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
- How does the home support residents who need help with toileting or incontinence? (F690, cited 2 times)
- How are medications stored and secured on each unit? (F761, cited 2 times)
Other nursing homes in Greenville and the same chain
- Greenville Health & Rehabilitation Center
Greenville · 90 deficiencies - Greenville Gardens
Greenville · 45 deficiencies - Briarcliff Health Center of Greenville
Greenville · 38 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.