Legacy Nursing And Rehabilitation faces challenges in its CMS ratings, earning a D grade with a score of 43/100. The facility ranks in the 47th percentile among Texas nursing homes, suggesting significant room for improvement.
With 3.34 total nurse hours per resident per day, Legacy Nursing And Rehabilitation falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 36 deficiencies at Legacy Nursing And Rehabilitation. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.34 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.19 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.87 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.28 | 2.4 | Average |
| Weekend Total Nursing | 2.96 | 3.8 | Below Average |
| Weekend RN Hours | 0.12 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jan 14, 2026 · Quality of Life and Care Deficiencies
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Dec 3, 2025 · Pharmacy Service Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Dec 3, 2025 · Infection Control Deficiencies
- Tag 0644 Severity DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Jun 10, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0690 Severity EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to preventMay 13, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.7% | 4.5% | Better |
| Falls with major injury | 1.5% | 3.0% | Better |
| On antipsychotic medication | 12.4% | 14.5% | Better |
| Urinary tract infections | 0.6% | 2.5% | Better |
| ADL decline (daily activities) | 17.4% | 14.0% | Worse |
| Excessive weight loss | 0.4% | 7.5% | Better |
| New/worsened incontinence | 18.5% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 43 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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