The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Legacy at Jacksonville
Jacksonville, TX · Medicare-certified · 101 beds
Needs attention
For-profitChain member
Data as of September 1, 2026
3 of 5 overall
Legacy at Jacksonville in Jacksonville, TX has an overall 3-star rating, with strong health inspection results at 4 stars but very weak staffing at 1 star and quality measures at 2 stars. It reported 3.17 nurse staffing hours per resident per day versus the 4.1 federal benchmark, along with $27,345 in fines in the last 24 months and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.1662 hrs/resident/day
Quality measures
Last inspection: June 1, 2026Penalties, last 24 months: $27,345recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1662.
Staffing detail
- Registered nurses
- 0.20
- Licensed practical nurses
- 1.21
- Nurse aides
- 1.76
- Weekend nursing
- 2.77
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
6.1%9.6%Worsening
Residents with a fall causing major injury
1.3%5.3%Worsening
Residents with pressure ulcers (bedsores)
4.1%3.7%No change
Residents with a urinary tract infection
2.8%0%Improving
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.1%19.6%Worsening
Residents whose ability to walk got worse
—31.1%—
Long-stay residents on antianxiety or sleep medication
22.8%19%Improving
Short-stay residents newly given an antipsychotic
0%1.6%Worsening
Residents with a long-term catheter
2.2%0%Improving
Residents with new or worsening incontinence
26.9%26.1%Improving
Residents with depressive symptoms
0%5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.6%—
Long-stay residents given the pneumonia vaccine
98.7%100%Improving
Short-stay residents given the seasonal flu vaccine
—97.1%—
Short-stay residents given the pneumonia vaccine
96.4%88.4%Worsening
What the inspectors found
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 585 — 42 CFR §483.10 — S/S: E
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited May 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited April 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $13,065 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $14,280 was recorded.
- PENALTY
A federal fine of $14,069 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $27,345 in total fines.
- $13,065
Federal fine
Jun 1, 2026
- $14,280
Federal fine
Jul 10, 2025
Operator & ownership
Recent ownership change · Apr 1, 2017
Now operated by Nacogdoches County Hospital District, previously Southwest Ltc - Bonner, LLC.
- Ownership
- For profit - Corporation
- Chain
- Part of SOUTHWEST LTC · 10 homes · 2.4 stars avg
- Occupancy
- 84.9 residents on an average day (84% of 101 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 20 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.