Legacy at Jacksonville

Name: Legacy at Jacksonville
Address: 810 BELLAIRE ST., Jacksonville, TX, 75766, US
Telephone: 9035869871

810 Bellaire St., Jacksonville, TX 75766 · Cherokee County · 101 certified beds · avg 85 residents/day · certified since Apr 1, 2006

Part of chain: SOUTHWEST LTC (10 facilities, chain avg rating 2.4★)

4/5

Health inspection rating (on-site)

Serious findings on record

$27,345

Fines, last 3 years

3.37

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Jun 1, 2026 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

All citations in the current public record (12)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 1, 2026	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
May 11, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Apr 29, 2026	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Apr 29, 2026	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Feb 24, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Nov 21, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Nov 21, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Feb 5, 2025	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Feb 5, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 5, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 24, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jan 24, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (3 → 2).

Year	Citations	Serious (G–L)	Worst severity that year
2024	2	0	D
2025	5	0	E
2026	5	1	G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

2 fines totaling $27,345.

Date	Type	Amount / length
Jun 1, 2026	Fine	$13,065
Jul 10, 2025	Fine	$14,280

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.37	3.46	3.95	top 45% in Texas; bottom 30% in the U.S.
Registered Nurse hours	0.21	0.44	0.69	bottom 9% in Texas; bottom 3% in the U.S.
Weekend total nurse staffing	2.95	3.04	3.50	top 47% in Texas; bottom 28% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.17	0.34	0.48	bottom 14% in Texas; bottom 8% in the U.S.
Total nursing staff turnover (%)	0.0	55.3	45.8	—
RN turnover (%)	0.0	54.6	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.17, RN 0.20, weekend 2.77. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Emerson, Aimee	Individual	W-2 Managing Employee	NOT APPLICABLE	07/01/2022
Lindsey, Lynn	Individual	Corporate Officer	NOT APPLICABLE	07/01/2022
Southwest LTC - Bonner, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2017

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Twin Oaks Health & Rehabilitation Center	3.1 mi	Jacksonville, TX	★★☆☆☆	3/5
Avir at Jacksonville	3.2 mi	Jacksonville, TX	★★★★★	5/5
Cherokee Trails Nursing Home	11.9 mi	Rusk, TX	★★☆☆☆	2/5
The Arbors Healthcare and Rehabilitation Center	13.1 mi	Rusk, TX	★★☆☆☆	3/5
Bluebonnet Point Wellness	15.4 mi	Bullard, TX	★☆☆☆☆	2/5
Oak Brook Health Care Center	17.3 mi	Whitehouse, TX	★★★☆☆	4/5

Compare this facility with the 3 closest →

All facilities in Jacksonville →

Facility data as of CMS processing date 2026-08-01. CCN 676092.

The Care File

Visit checklist — Legacy at Jacksonville

810 Bellaire St., Jacksonville, TX 75766 · 9035869871

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $27,345

Most serious findings on record:

▲ Jun 1, 2026 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676092 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)