Legacy at Jacksonville — nursing home in Jacksonville, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 101 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 78.0 CMS, MDS-derived
CMS Certification Number: 676092
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Apr 1, 2006
Ownership type: For profit - Corporation
Operator (legal business name): Nacogdoches County Hospital District
CMS chain: Southwest Ltc 10 facilities
Phone: (903) 586-9871
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

10

latest Jun 1, 2026

Citations

15

12 health · 3 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D10	E3	F1
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

2

$27,345

Payment denials

0

Latest

Jun 1, 2026

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 676092
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 101
First approved: Apr 1, 2006
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 1, 2026	Health	Health Complaint	1	Actual harm	—	Open →
May 11, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Apr 29, 2026	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Apr 29, 2026	Health	Health Standard	2	Potential harm	—	Open →
Feb 24, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Nov 21, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Feb 5, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Feb 5, 2025	Health	Health Standard	3	Potential harm	—	Open →
Jan 24, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jan 24, 2024	Health	Health Standard	2	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Jun 1, 2026	Civil money penalty (fine)	$13,065	—	676092\|Fine\|140265
Jul 10, 2025	Civil money penalty (fine)	$14,280	—	676092\|Fine\|133927

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D10	E3	F1
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jun 1, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Past non-compliance May 23, 2026	Complaint
May 11, 2026	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 12, 2026	Complaint
Apr 29, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 30, 2026
Apr 29, 2026	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 1, 2026
Apr 29, 2026	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 30, 2026
Apr 29, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Apr 30, 2026
Feb 24, 2026	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 25, 2026	Complaint
Nov 21, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 10, 2025	Complaint
Nov 21, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Dec 10, 2025	Complaint
Feb 5, 2025	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 5, 2025
Feb 5, 2025	F-0585	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Feb 6, 2025
Feb 5, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 6, 2025
Feb 5, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Feb 6, 2025
Jan 24, 2024	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 1, 2024
Jan 24, 2024	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 1, 2024

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.23

State avg 3.42US avg 3.90

Registered nurse (RN)0.39

State avg 0.44US avg 0.69

Licensed practical nurse1.20

State avg 0.94US avg 0.86

Nurse aide1.65

State avg 2.03US avg 2.35

Weekend total nurse2.73

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.48 (case-mix index 1.30).

Staff turnover

Total nursing staff turnoverNot reported

State avg 50.8%US avg 45.3%

Registered nurse turnoverNot reported

State avg 49.8%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Apr 29, 2026
Cycle 1 health score: 48
Total weighted score: 40

Operating entity

Nacogdoches County Hospital District

CMS legal business name of the certified provider. Operates 5 facilities.

VerifiedLinked by exact legal name

CMS chain

Southwest Ltc

10 facilities in 2 states. CMS chain ID 481.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.3

Ownership disclosures

Disclosures

3

Organizations

1

Individuals

2

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Southwest Ltc - Bonner, LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2017
Lynn Lindsey	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jul 1, 2022
Aimee Emerson	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jul 1, 2022

Other facilities operated by Nacogdoches County Hospital District

All 4 →

Facility	Beds	Last inspection	Citations (window)	Fines
Heritage at Longview Healthcare Center 112 Ruthlynn Dr, Longview, TX 75605 CCN 455569	140	Apr 28, 2026	401 IJ1 harm1 open	$82k
Parkwood in the Pines 902 Hill Street, Lufkin, TX 75904 CCN 455673	140	Apr 21, 2026	362 IJ1 harm	$21k
Stonecreek Nursing & Rehabilitation 451 S El Camino Crossing, San Augustine, TX 75972 CCN 675729	90	Apr 1, 2026	24	—
Heritage House of Marshall Health & Rehabilitation 5915 Elysian Fields Road, Marshall, TX 75672 CCN 676187	125	Apr 23, 2026	531 IJ	$68k

Same chain in Texas

All 9 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Cedar Hill Healthcare Center 230 S Clark Rd, Cedar Hill, TX 75104 CCN 675032	110	Aug 27, 2026	482 IJ17 open	$23k
Reunion Plaza Healthcare & Rehabilitation 1401 Rice Rd, Tyler, TX 75703 CCN 675888	99	Aug 7, 2025	19	—
Legacy at Town Creek 2212 W Reagan St, Palestine, TX 75801 CCN 675998	199	Jan 7, 2026	413 IJ2 harm	$295k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 810 Bellaire Street, Jacksonville, TX 75766
ZIP: 75766
County: Cherokee County FIPS 48073
State: Texas
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Twin Oaks Health & Rehabilitation Center 1123 North Bolton Street, Jacksonville, TX 75766 CCN 675183	5 km	116	Dec 31, 2025	492 IJ	$174k
Avir at Jacksonville 305 Bonita St, Jacksonville, TX 75766 CCN 675011	5.1 km	53	Jun 24, 2026	14	—
Cherokee Trails Nursing Home 330 E. Bagley Rd., Rusk, TX 75785 CCN 675835	19.2 km	140	May 20, 2026	661 IJ1 open	$31k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	676092	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	676092	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 676092

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction