LEGACY AT JACKSONVILLE
Grade C — 77/100 composite score
CMS Star Ratings
Certified Beds
101
Ownership
For profit - Corporation
Total Fines
$21,645
Last Survey
N/A
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Staffing Hours & Turnover
Hours per Resident per Day (PBJ)
Turnover Rates
Ownership
SOUTHWEST LTC - BONNER, LLC
LINDSEY, LYNN
EMERSON, AIMEE
Penalties & Fines (1)
| Date | Type | Description | Amount |
|---|---|---|---|
| Jul 10, 2025 | Fine | — | $21,645 |
Health Inspection Deficiencies (14)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
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.
Resident Rights Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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.
Pharmacy Service Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
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.
Nursing and Physician Services Deficiencies
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.
Pharmacy Service Deficiencies
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.
Pharmacy Service Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Administration Deficiencies
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Frequently Asked Questions
What is the CareGrader rating for LEGACY AT JACKSONVILLE?
LEGACY AT JACKSONVILLE in JACKSONVILLE, Texas has a CareGrader grade of C (Average), with a composite score of 77 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.
What is the CMS star rating for LEGACY AT JACKSONVILLE?
LEGACY AT JACKSONVILLE has an overall CMS star rating of 4 out of 5, a health inspection rating of 5/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.
How many health deficiencies does LEGACY AT JACKSONVILLE have?
LEGACY AT JACKSONVILLE has 14 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.
Has LEGACY AT JACKSONVILLE been fined?
Yes. LEGACY AT JACKSONVILLE has $21,645 in total fines from CMS enforcement actions across 1 penalty.
How many beds does LEGACY AT JACKSONVILLE have?
LEGACY AT JACKSONVILLE has 101 certified beds with approximately 86 current residents (85% occupancy). The facility is located at 810 BELLAIRE ST., JACKSONVILLE, Texas 75766. It is a for profit - corporation facility.
Data Disclaimer
Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.