Legend Healthcare and Rehabilitation - Greenville

Name: Legend Healthcare and Rehabilitation - Greenville
Address: 2300 JACK FINNEY BLVD, Greenville, TX, 75402, US
Telephone: 9034557942

2300 Jack Finney Blvd, Greenville, TX 75402 · Hunt County · 126 certified beds · avg 85 residents/day · certified since Feb 11, 1999

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.28

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: 4/5

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.

All citations in the current public record (32)

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
Aug 28, 2025	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. · from a complaint
Aug 28, 2025	E · Potential for harm, repeated	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.
Aug 28, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Aug 28, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Aug 28, 2025	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
Apr 9, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Apr 9, 2025	D · Potential for 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
Jan 30, 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
Sep 15, 2024	E · Potential for harm, repeated	The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training. · from a complaint
May 30, 2024	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. · from a complaint
May 30, 2024	E · Potential for harm, repeated	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · from a complaint
May 30, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
May 30, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 30, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
May 30, 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. · from a complaint
May 30, 2024	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
Sep 8, 2023	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. · from a complaint
Mar 22, 2023	E · Potential for harm, repeated	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Mar 22, 2023	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Mar 22, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 22, 2023	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Mar 22, 2023	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Mar 22, 2023	D · Potential for harm, one-off	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.
Mar 22, 2023	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.
Mar 22, 2023	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Mar 22, 2023	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.
Mar 22, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Mar 22, 2023	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Mar 22, 2023	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Mar 22, 2023	D · Potential for harm, one-off	The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows.
Mar 22, 2023	D · Potential for harm, one-off	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
Mar 22, 2023	D · Potential for harm, one-off	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 5).

Year	Citations	Worst severity that year
2023	16	E
2024	8	E
2025	8	E

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)

No fines or payment denials in the published 3-year window.

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)	3.28	3.46	3.95	bottom 47% in Texas; bottom 25% in the U.S.
Registered Nurse hours	0.39	0.44	0.69	top 50% in Texas; bottom 20% 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)	0.20	0.34	0.48	bottom 21% in Texas; bottom 12% in the U.S.
Total nursing staff turnover (%)	48.1	55.3	45.8	top 41% in Texas; bottom 42% in the U.S.
RN turnover (%)	28.6	54.6	42.9	top 15% in Texas; top 26% in the U.S.

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 3.26, RN 0.39, weekend 2.93. Staffing rating: 2/5.

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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Fannin County Hospital Authority	Organization	5% or Greater Direct Ownership Interest	100%	04/01/2017
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2017
Jack Finney Healthcare, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2017
National Health Investors, INC.	Organization	ADP of the SNF	NOT APPLICABLE	04/29/2016
Niccum, Kevin	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/01/2017
Niccum, Kevin	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2017
Niccum, Kevin	Individual	ADP of the SNF	NOT APPLICABLE	04/14/2025
Rushing, Gina	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/05/2016
Rushing, Gina	Individual	ADP of the SNF	NOT APPLICABLE	04/14/2025
Sanderson, Clark	Individual	Corporate Officer	NOT APPLICABLE	10/29/2012
Texas Nhi Investors, LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/29/2016

Questions to ask on your visit

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

"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"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	Flags
Greenville Gardens	2.0 mi	Greenville, TX	★★★☆☆	3/5
Briarcliff Health Center of Greenville	2.1 mi	Greenville, TX	★★★☆☆	2/5
Greenville Health & Rehabilitation Center	2.2 mi	Greenville, TX	★☆☆☆☆	1/5	abuseSFF
Royse City Medical Lodge	11.7 mi	Royse City, TX	★★★☆☆	4/5
Avir at Commerce	13.8 mi	Commerce, TX	★★☆☆☆	2/5
Farmersville Health and Rehabilitation	15.8 mi	Farmersville, TX	★★★★☆	4/5
Lexington Medical Lodge	17.1 mi	Farmersville, TX	★★★★☆	5/5

Compare this facility with the 3 closest →

All facilities in Greenville →

Facility data as of CMS processing date 2026-08-01. CCN 675774.

The Care File

Visit checklist — Legend Healthcare and Rehabilitation - Greenville

2300 Jack Finney Blvd, Greenville, TX 75402 · 9034557942

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "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 675774 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)