B

THE LEGACY MIDTOWN PARK

8280 MANDERVILLE LANE, DALLAS, TX 75231
Score: 80 / 100

The Legacy Midtown Park earns a solid B grade from CMS data, with a score of 80/100. Performing above average across most metrics, this Dallas facility ranks in the 89th percentile among Texas nursing homes.

The Legacy Midtown Park provides above-average staffing with 6.00 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.

Recent inspections identified 6 deficiencies at The Legacy Midtown Park. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 40 / 40 pts
5 ★ CMS rating
Health Inspections 25 / 25 pts
5 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 6.00 3.8 Above Average
Registered Nurses (RN) 0.72 0.7 Average
Licensed Practical Nurses (LPN) 1.35 0.7 Above Average
Certified Nursing Assistants (CNA) 3.94 2.4 Above Average
Weekend Total Nursing 5.54 3.8 Above Average
Weekend RN Hours 0.52 0.7 Below Average

🔍 Inspection & Deficiency History

6
Total Deficiencies
Nov 20, 2025
Most Recent Inspection
🟠 6 Moderate
View recent deficiencies (5 shown)
  • Tag 0695 Severity D
    Provide safe and appropriate respiratory care for a resident when needed.
    Nov 20, 2025 · Quality of Life and Care Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Nov 18, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0695 Severity D
    Provide safe and appropriate respiratory care for a resident when needed.
    Sep 24, 2025 · Quality of Life and Care Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Aug 28, 2024 · Nutrition and Dietary Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Jul 19, 2023 · Nutrition and Dietary 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 3.8% 4.5% Better
Falls with major injury 0.9% 3.0% Better
On antipsychotic medication 8.6% 14.5% Better
Urinary tract infections 2.0% 2.5% Better
ADL decline (daily activities) 22.0% 14.0% Worse
Excessive weight loss 18.3% 7.5% Worse
New/worsened incontinence 30.9% 45.0% Better

⚠️ Penalties & Fines

4 penalties recorded by CMS

Total fines: $27,523

How This Grade Was Calculated

This facility's grade of B is based on a score of 80 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 5★ → 40 pts (max 40)
  • Health Inspection Rating: 5★ → 25 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -2 pts

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

Facility Details

Ownership
Non profit - Corporation
Certified Beds
54
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 24, 2025
Deficiencies (Cycle 1)
3