For profit - Corporation · 101 certified beds · CMS number 676092

Legacy at Jacksonville, Jacksonville, TX

CMS records 12 health deficiencies at Legacy at Jacksonville in Jacksonville, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Apr 29, 2026. The highest severity cited is G (actual harm (not immediate jeopardy)). CMS lists 2 fines totaling $27,345 in the last three years.

Inspections and deficiencies

CMS findings for Legacy at Jacksonville as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Legacy at Jacksonville may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (7 deficiencies)

Standard inspection Apr 29, 2026. CMS counts 7 health deficiencies and 2 fire safety deficiencies in this cycle.

Jun 1, 2026 · Complaint inspection

1 deficiency, highest G

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
G Actual harm (not immediate jeopardy), isolated
Status
Past non-compliance (fixed before the inspection)

May 11, 2026 · 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 May 12, 2026

Apr 29, 2026 · Standard inspection

2 deficiencies, 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 Apr 30, 2026

F655 · Baseline care plan within 48 hours

Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 30, 2026

Feb 24, 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 Feb 25, 2026

Nov 21, 2025 · Complaint inspection

2 deficiencies, highest D

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 Dec 10, 2025

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 Dec 10, 2025
Previous cycle: 3 deficiencies (standard inspection Feb 5, 2025)

Standard inspection Feb 5, 2025. CMS counts 3 health deficiencies and 1 fire safety deficiency in this cycle.

Feb 5, 2025 · Standard inspection

3 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 Feb 6, 2025

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 Feb 6, 2025

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 6, 2025
Earlier cycle: 2 deficiencies (standard inspection Jan 24, 2024)

Standard inspection Jan 24, 2024. CMS counts 2 health deficiencies and 0 fire safety deficiencies in this cycle.

Jan 24, 2024 · Standard inspection

2 deficiencies, 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 Feb 1, 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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 1, 2024

Tags cited in more than one inspection

3 tags cited on more than one inspection date at Legacy at Jacksonville; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F755 Pharmacy services and a consultant pharmacist2Apr 29, 2026; Jan 24, 2024
F761 Drug labeling and secure storage2Feb 24, 2026; Jan 24, 2024
F880 Infection prevention and control program2Nov 21, 2025; Feb 5, 2025

Fines and payment denials

DateTypeAmount / length
Jun 1, 2026Fine$13,065
Jul 10, 2025Fine$14,280

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.17 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.20 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.77 h
Nursing staff turnover
not reported
Administrators who left
1
CMS overall rating
3 of 5
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measure rating
2 of 5

CMS figures for Legacy at Jacksonville, copied as published; Texas medians are ours.

Facility details

Address
810 Bellaire Street, Jacksonville, TX 75766
Phone
(903) 586-9871
County
Cherokee
Accepts
Medicare and Medicaid
Ownership
For profit - Corporation
Chain (CMS)
Southwest LTC
Certified beds
101
Average residents per day
84.9
In Medicare/Medicaid since
Apr 1, 2006
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 new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 2 times)
  • How are medications stored and secured on each unit? (F761, cited 2 times)
  • How do staff track and report infections among residents? (F880, cited 2 times)
  • Who is the grievance official, and how are complaints tracked and answered? (F585, cited 1 time)

Other nursing homes in Jacksonville and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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