Texas › Cherokee County › Jacksonville
Legacy At Jacksonville
810 Bellaire St., Jacksonville, TX 75766
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Legacy At Jacksonville, in Jacksonville, Texas, is certified for 101 beds under for-profit, corporation ownership and belongs to the Southwest Ltc chain.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 4, staffing 1 and quality measures 2.
Inspectors recorded 12 health deficiencies across the three most recent survey cycles (7, 3, 2 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 11.9 per 100 beds, fewer than the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $27K.
Reported nurse staffing is 3.2 hours per resident per day (0.2 RN), close to the Texas median of 3.3.
Compared with county, state and nation
| Measure | This facility | Cherokee Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 12 | 34 | 25 | 28.7 |
| Citations per 100 beds | 11.9 | 27.1 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.2 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | — | 65.3% | 52.1% | 45.8% |
| Fines listed | $27,345 | $30,933 | $16,801 | — |
County and state figures are medians across facilities (6 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 Apr 2026, 5 Feb 2025.
Severity mix: G ×1 D ×9 E ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 1 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | Past Non-Compliance |
| 11 May 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 12 May 2026 |
| 29 Apr 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 30 Apr 2026 |
| 29 Apr 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 30 Apr 2026 |
| 24 Feb 2026 | F0761 | 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. | D | Complaint investigation | 25 Feb 2026 |
| 21 Nov 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 10 Dec 2025 |
| 21 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 10 Dec 2025 |
| 5 Feb 2025 | F0585 | 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. | E | Standard survey | 6 Feb 2025 |
| 5 Feb 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 Feb 2025 |
| 5 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 6 Feb 2025 |
| 24 Jan 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 1 Feb 2024 |
| 24 Jan 2024 | F0761 | 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. | D | Standard survey | 1 Feb 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 1 Jun 2026 | Fine | $13,065 | |
| 10 Jul 2025 | Fine | $14,280 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, RNs —; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 23.5% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.4% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.4% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.4% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 31.1% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.2% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.8% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Nacogdoches County Hospital District. Chain: Southwest Ltc (10 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Southwest LTC - Bonner, LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2017 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Cherokee County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Jacksonville | Jacksonville | 53 | 5 | 5 | 4 | 11 | 20.8 | — | 25 Feb 2026 |
| Cherokee Trails Nursing Home | Rusk | 140 | 2 | 2 | 2 | 38 | 27.1 | $31K | 20 May 2026 |
| The Arbors Healthcare and Rehabilitation Center | Rusk | 110 | 2 | 3 | 1 | 25 | 22.7 | — | 1 Jul 2026 |
| Twin Oaks Health & Rehabilitation Center | Jacksonville | 116 | 2 | 3 | 1 | 34 | 29.3 | $174K | 31 Dec 2025 |
| Wells LTC Nursing & Rehabilitationabuse iconSFF Candidate | Wells | 90 | 1 | 1 | 3 | 38 | 42.2 | $94K | 23 Jun 2026 |
All 6 facilities in Cherokee County
Questions and answers
How many deficiencies has Legacy At Jacksonville been cited for?
12 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Legacy At Jacksonville been fined?
Yes. CMS lists fines totalling $27K in the period covered.
How does staffing at Legacy At Jacksonville compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Legacy At Jacksonville?
It is part of the Southwest Ltc chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Southwest LTC - Bonner, LLC. Individual owners and managers are not listed on this site.
When was Legacy At Jacksonville last inspected?
The most recent survey or investigation in the CMS record is dated 1 Jun 2026; the most recent standard health survey was 29 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.