The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
Nursing home report
LEGEND HEALTHCARE AND REHABILITATION - GREENVILLE
GREENVILLE, TX · Medicare-certified · 126 beds
In good standing
For-profitChain member
Data as of July 1, 2026
4 of 5 overall
Legend Healthcare and Rehabilitation - Greenville has a 4 out of 5 star overall rating, with strong health inspection and quality scores but a low 2 out of 5 staffing rating. Reported nurse staffing is 3.26 hours per resident per day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.2636 hrs/resident/day
Quality measures
Last inspection: August 28, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2636.
Staffing detail
- Registered nurses
- 0.39
- Licensed practical nurses
- 1.04
- Nurse aides
- 1.84
- Weekend nursing
- 2.93
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 29%
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
9.4%5.3%Improving
Residents with a fall causing major injury
0%2.9%Worsening
Residents with pressure ulcers (bedsores)
3.4%5%Worsening
Residents with a urinary tract infection
0%0%No change
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
19.3%10.2%Improving
Residents whose ability to walk got worse
18.7%6.3%Improving
Long-stay residents on antianxiety or sleep medication
19.7%14.8%Improving
Short-stay residents newly given an antipsychotic
1.2%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
14.8%12.3%Improving
Residents with depressive symptoms
3.7%1.6%Improving
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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—99.2%—
Short-stay residents given the pneumonia vaccine
100%99.3%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to ensure nurse aides were properly trained and competent to provide safe care. Cited September 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 728 — 42 CFR §483.35(e) — S/S: E
The home failed to make sure residents got food that met their allergies, intolerances, and preferences. Cited May 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 806 — 42 CFR §483.60 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
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
Operator & ownership
Recent ownership change · Apr 1, 2017
Now operated by Legend Oaks Healthcare and Rehabilitation-greenville, previously Legend Healthcare and Rehabilitation-greenville.
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
- Occupancy
- 85.2 residents on an average day (68% of 126 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 27 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.