C

LEGACY AT JACKSONVILLE

810 BELLAIRE ST., JACKSONVILLE, TX 75766
Score: 63 / 100

Legacy At Jacksonville is an average performer in CMS ratings, earning a C grade with a score of 63/100. Located in Jacksonville, Texas, the facility meets baseline standards across most quality metrics.

With 3.38 total nurse hours per resident per day, Legacy At Jacksonville falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent inspections identified 14 deficiencies at Legacy At Jacksonville. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 25 / 25 pts
5 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.38 3.8 Below Average
Registered Nurses (RN) 0.16 0.7 Below Average
Licensed Practical Nurses (LPN) 1.23 0.7 Above Average
Certified Nursing Assistants (CNA) 1.99 2.4 Below Average
Weekend Total Nursing 3.08 3.8 Below Average
Weekend RN Hours 0.15 0.7 Below Average

🔍 Inspection & Deficiency History

14
Total Deficiencies
Nov 20, 2025
Most Recent Inspection
🟠 14 Moderate
View recent deficiencies (5 shown)
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Nov 20, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Nov 20, 2025 · Infection Control Deficiencies
  • Tag 0585 Severity E
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt e
    Feb 4, 2025 · Resident Rights Deficiencies
  • Tag 0641 Severity D
    Ensure each resident receives an accurate assessment.
    Feb 4, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Feb 4, 2025 · Infection Control 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 4.5% 4.5% Average
Falls with major injury 1.0% 3.0% Better
On antipsychotic medication 7.6% 14.5% Better
Urinary tract infections 2.1% 2.5% Better
ADL decline (daily activities) 24.5% 14.0% Worse
Excessive weight loss 1.4% 7.5% Better
New/worsened incontinence 25.3% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $21,645

How This Grade Was Calculated

This facility's grade of C is based on a score of 63 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 5★ → 25 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -2 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
101
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 4, 2025
Deficiencies (Cycle 1)
5