Public Record
Legacy at Jacksonville
Operated by Southwest LTC
From CMS
Facility profile
- CMS overall rating
- 4 / 5
- Certified beds
- 101
- Avg. residents per day
- 83.6
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 15
- Fire safety findings
- 1
- Inspections on file
- 6
- Last inspection
- 2026-02-24
*CMS
*CMS
*CMS
*CMS
Citations
15 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0761Generalpotential for harm
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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0585Generalpotential for harm
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.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0761Generalpotential for harm
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.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0758Generalpotential for harm
Implement 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.
- 0848Generalpotential for harm
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
- 0761Generalpotential for harm
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.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0726Generalpotential for harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0847Generalpotential for harm
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- Inspection1 deficiency
676092 02/24/2026 Legacy at Jacksonville 810 Bellaire St. Jacksonville, TX 75766 F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional…
Read full statement of deficiencies - Inspection2 deficiencies
676092 11/21/2025 Legacy at Jacksonville 810 Bellaire St. Jacksonville, TX 75766 F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be…
Read full statement of deficiencies - View inspection reportInspectionFire Safety1 deficiency
- Inspection3 deficiencies
676092 02/05/2025 Legacy at Jacksonville 810 Bellaire St. Jacksonville, TX 75766 F 0585 Level of Harm - Minimal harm or potential for actual harm Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make…
Read full statement of deficiencies - Inspection2 deficiencies
676092 01/24/2024 Legacy at Jacksonville 810 Bellaire St. Jacksonville, TX 75766 F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed…
Read full statement of deficiencies - Inspection7 deficiencies
676092 12/01/2022 Legacy at Jacksonville 810 Bellaire St. Jacksonville, TX 75766 F 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a…
Read full statement of deficiencies
Ownership
Southwest LTC
13nursing homes nationwide, in CMS records
FAQ
Questions and answers
- What is Legacy at Jacksonville?
- Legacy at Jacksonville is a Medicare- and Medicaid-certified nursing home in Jacksonville, TX, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 676092.
- What is the CMS rating for Legacy at Jacksonville?
- Legacy at Jacksonville has a CMS overall rating of 4 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Legacy at Jacksonville have?
- Legacy at Jacksonville is certified for 101 beds. It serves an average of 83.6 residents per day.
- How many citations does Legacy at Jacksonville have?
- Legacy at Jacksonville has 15 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Legacy at Jacksonville last inspected?
- Legacy at Jacksonville was last inspected on February 24, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/676092-legacy-at-jacksonville