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Nursing HomeMedicaid

Legacy at Jacksonville

Strong Medicare quality ratings; families often praise clean and well-maintained facility. Still worth an in-person visit.

810 Bellaire St., Jacksonville, TX 75766101 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 47 Google reviews

5
4
3
2
1

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What this means for your family

This facility offers a clean and pleasant environment with a staff that many find very friendly. However, families should be extremely vigilant regarding medication schedules and communication, as multiple reviewers have reported significant lapses in care coordination and responsiveness.

Google Reviews

Google Reviews

47 reviews analyzed
Families may find a clean and pleasant environment with a staff that many describe as friendly and attentive. However, there are serious allegations regarding inconsistent medication administration, lack of communication between shifts, and issues with rehab therapy documentation and staff attitude.

Quality Themes

Tap a score for details
Food4.0Staff6.0Clean9.0Activities5.0Meds1.0MemoryN/AComms2.0Value2.0

Strengths

  • Clean and well-maintained facility
  • Friendly and attentive nursing staff
  • Pleasant atmosphere and surroundings
  • Effective post-surgery rehabilitation for some patients

Concerns

  • Inconsistent medication management and delayed dosing (mentioned by 2 reviewers)
  • Poor communication between staff and families (mentioned by 2 reviewers)
  • Issues with rehab therapy quality and documentation
  • Inadequate nutritional adherence to dietary needs

Rating Trends

Tap a year to see what changed

2343.12022(14)4.32023(30)5.02024(5)1.02025(1)1.02026(1)

Distribution

5
30
4
7
3
0
2
1
1
8

How They Respond to Reviews

15%response rate
Good

The owner responds to both positive and negative reviews by addressing specific details mentioned in the text. They use a consistent structure of addressing the reviewer by name and acknowledging their specific feedback.

Questions for Your Tour

  • 1We've heard great things about how clean and well-maintained the facility is; how do you ensure the living spaces stay so pleasant for the residents?
  • 2With the high health inspection rating, what specific protocols do you have in place to ensure medication is administered accurately and on schedule?
  • 3How does the nursing team communicate important health updates or changes in condition to family members to ensure we are always in the loop?
  • 4Could you tell us more about how the dietary team manages specific nutritional needs and ensures every resident's meal plan is followed precisely?
  • 5What kind of daily activities or social outings are available to help residents stay engaged with the community?
  • 6In the event of a medical emergency during the night, what is the immediate process for notifying the family and coordinating care?

Personalized based on this facility's data


Key Review Excerpts

The staff was friendly. The place was very clean! It did not smell, like other nursing homes do.

Visitor · 2023★★★★★

The rehab team got her on her feet and home quickly. She loved the food and came back to tell all the staff how much she loved and appreciated them.

Rehab patient's family · 2022★★★★★

The people at Legacy really care about their residents/patients. They are attentive to my husbands needs and helping him get better.

Long-term resident's family · 2023★★★★★
Source: 47 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

10

measures

Worse Than Avg

7

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility34.8%
Worse than Avg
Here
34.8%
US
15.3%
TX
14.9%
Cherokee
15.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
12.1%
TX
2.5%
Cherokee
3.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility25.6%
Worse than Avg
Here
25.6%
US
14.4%
TX
16.1%
Cherokee
15.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.0%
Better than Avg
Here
9.0%
US
15.4%
TX
9.4%
Cherokee
18.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility21.5%
Worse than Avg
Here
21.5%
US
19.4%
TX
14.2%
Cherokee
20.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
93.4%
TX
96.9%
Cherokee
92.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.1%
Better than Avg
Here
97.1%
US
79.7%
TX
88.0%
Cherokee
74.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.4%
Better than Avg
Here
97.4%
US
81.8%
TX
89.2%
Cherokee
81.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Cherokee
2.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
1penalties
Near state avg (9.1)
3 complaint-triggered
$21,645 in fines

This facility has a concerning pattern of recurring deficiencies across multiple care areas, with families filing complaints that triggered inspections in 2025. The most frequent issues involve care planning and assessment, medication management, and infection control, with infection control problems appearing in both complaint-triggered and routine surveys. While all deficiencies show correction dates, the persistence of similar issues across four surveys from 2022 to 2025 suggests ongoing operational challenges that warrant careful consideration.

Feb 24, 2026Complaint
1
0761MinorCorrected

Pharmacy Service Deficiencies

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.

Nov 21, 2025Complaint
2
0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 5, 2025Routine
4
0585ModerateCorrected

Resident Rights Deficiencies

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.

0511ModerateCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jan 24, 2024Routine
2
0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761MinorCorrected

Pharmacy Service Deficiencies

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.

Dec 1, 2022Routine
7
0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0726MinorCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0758MinorCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0761MinorCorrected

Pharmacy Service Deficiencies

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.

0847MinorCorrected

Administration Deficiencies

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

0848MinorCorrected

Administration Deficiencies

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Federal Penalties

Fine

Jul 10, 2025

$14,069

Ownership & Operations

Who Operates This Facility

Owner / Operator

Nacogdoches County Hospital District

Organization Type

for profit

Management Company

SOUTHWEST LTC BONNER LLC

Administrator

BRITTANY WEAVER

Chain Affiliation

Chain Name

Southwest Ltc

Chain Size

13 facilities nationwide

Chain avg rating: 3.4/5 · Rank 4 of 7

Ownership & Management

Key personnel

Emerson, AimeeW-2 Managing EmployeeLindsey, LynnOfficer / DirectorSouthwest Ltc - Bonner, LLCManager
Source: Medicare provider data

Contact

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References & Resources

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