Texas › Randall County › Amarillo
Legacy Rehabilitation and Living
4033 W 51st Ave, Amarillo, TX 79109
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 Rehabilitation and Living is a For-profit, limited liability company nursing home in Amarillo, Texas, certified for 150 beds and caring for about 120 residents a day.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 5.
Inspectors recorded 23 health deficiencies across the three most recent survey cycles (7, 6, 10 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 15.3 per 100 beds, fewer than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $13K.
Reported nurse staffing is 3.2 hours per resident per day (0.5 RN), close to the Texas median of 3.3.
Compared with county, state and nation
| Measure | This facility | Randall Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 23 | 31 | 25 | 28.7 |
| Citations per 100 beds | 15.3 | 25.8 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.1 | 3.3 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | — | 97.7% | 52.1% | 45.8% |
| Fines listed | $13,070 | $13,070 | $16,801 | — |
County and state figures are medians across facilities (3 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: 31 Jul 2025, 7 Jun 2024.
Severity mix: J ×1 D ×14 E ×7 F ×1
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 |
|---|---|---|---|---|---|
| 5 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 18 May 2026 |
| 5 May 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 18 May 2026 |
| 5 May 2026 | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | D | Complaint investigation | 18 May 2026 |
| 21 Jan 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 23 Jan 2026 |
| 9 Sep 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Complaint investigation | 10 Sep 2025 |
| 31 Jul 2025 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Standard survey | 13 Sep 2025 |
| 31 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 13 Sep 2025 |
| 4 Feb 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 2 Feb 2025 |
| 7 Jun 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. | E | Standard survey | 17 Jul 2024 |
| 7 Jun 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 17 Jul 2024 |
| 7 Jun 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 17 Jul 2024 |
| 7 Jun 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 17 Jul 2024 |
| 7 Jun 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 17 Jul 2024 |
| 17 May 2024 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Complaint investigation | 7 Jun 2024 |
| 6 Sep 2023 | 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 | 20 Oct 2023 |
| 14 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 26 May 2023 |
| 14 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 26 May 2023 |
| 14 Apr 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 26 May 2023 |
| 14 Apr 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 26 May 2023 |
| 14 Apr 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 26 May 2023 |
| 14 Apr 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 26 May 2023 |
| 14 Apr 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 26 May 2023 |
| 14 Apr 2023 | 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 | 26 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 5 May 2026 | Fine | $13,070 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, RNs —; — administrators 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 | 16.9% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.8% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.7% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.8% | 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, limited liability company. Legal business name: Stratford Hospital District. Chain: The Ensign Group (342 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Stratford Hospital District | 5% or greater direct ownership interest | 100% | 02/02/2015 |
| Tradewind Healthcare, Inc. | Operational/managerial control | NOT APPLICABLE | 02/02/2015 |
| 51st Avenue Health Holdings LLC | Adp of the snf | NOT APPLICABLE | 02/02/2015 |
| Caretrust Gp LLC | Adp of the snf | NOT APPLICABLE | 02/02/2015 |
| Caretrust Reit Inc | Adp of the snf | NOT APPLICABLE | 02/02/2015 |
| Ctr Partnership LP | Adp of the snf | NOT APPLICABLE | 02/02/2015 |
| Ensign Services Inc | Adp of the snf | NOT APPLICABLE | 08/24/2012 |
| Tradewind Healthcare, Inc. | Adp of the snf | NOT APPLICABLE | 11/24/2025 |
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 Randall County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Georgia Manor Nursing Home | Amarillo | 76 | 2 | 3 | 1 | 36 | 47.4 | $8K | 5 Jun 2026 |
| Hillside Heights Rehabilitation Suitesabuse icon | Amarillo | 120 | 2 | 2 | 2 | 31 | 25.8 | $15K | 4 Jun 2026 |
All 3 facilities in Randall County
Questions and answers
How many deficiencies has Legacy Rehabilitation and Living been cited for?
23 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 Rehabilitation and Living been fined?
Yes. CMS lists fines totalling $13K in the period covered.
How does staffing at Legacy Rehabilitation and Living 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 Rehabilitation and Living?
It is part of the The Ensign Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Stratford Hospital District and Tradewind Healthcare, Inc.. Individual owners and managers are not listed on this site.
When was Legacy Rehabilitation and Living last inspected?
The most recent survey or investigation in the CMS record is dated 5 May 2026; the most recent standard health survey was 31 Jul 2025.
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.