Legend Healthcare and Rehabilitation - Greenville
Greenville, Texas · CCN 675774
24 surveys since 2011, 9 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 92
- Surveys
- 24
- Harm or worse
- 9
- Immediate jeopardy
- 3
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 126
- Ownership
- For profit - Corporation
- Chain
- THE ENSIGN GROUP
- County
- Hunt
- Medicare-certified since
- 1999
CMS ratings
- Overall
- 4
- Health inspection
- 4
- Staffing
- 2
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.
Last survey on record
Aug 28, 2025
438 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.26 | 3.25 |
| Registered-nurse hours per resident day | 0.39 | — |
| Annual nurse turnover | 48.1% | 54.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2268.8% | E1031.3% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F7553×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6902×
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- F7612×
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.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
In the surveyor’s words
From the most serious findings on record at Legend Healthcare and Rehabilitation - Greenville, in the surveyor’s own words.
- Actual harm, isolatedF689Feb 9, 2022
Based on observation, interview, and record review, the facility failed to ensure adequate supervision and assistance devices to prevent accidents for 3 of 4 residents reviewed for accidents. (Residents #5, 58 and 63) The facility failed to ensure CNA AA transferred Resident #5 with two-person assistance. CNA AA transferred Resident #5 from bed to wheelchair without using two-person assistance. Resident #5 lost her balance during the transfer and was lowered to the floor. An x-ray indicated Resident #5 had an acute fracture in the distal right femur (area of the leg just above the knee joint). […]
- No harm, potential for more than minimal, patternF755Aug 28, 2025
Based on interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident for 3 (100 Hall Med Aide Cart, 100 Hall Nurses Cart, and 400 Hall Nurses Cart) of 4 carts and 1 resident (Resident #100) of 8 residents reviewed for pharmacy services. The facility failed to ensure:- LVN K responsible for100 Hall Med Aide Cart, counted controlled drugs every shift change.- RN B responsible for 100 Hall Nurses Cart, counted controlled drugs every shift change.- RN L responsible for 400 Hall Nurses Cart, counted controlled drugs every shift change. […]
- No harm, potential for more than minimal, patternF880Aug 28, 2025
Based on observation, interview, and record review, the facility failed to maintain an Infection Prevention and Control Program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 of 12 residents (Resident #95, and Resident #24) observed for infection control. 1. The facility failed to ensure Hospice Aide G used the required PPE and perform hygiene for Resident #95, who was on enhanced barrier precautions due to her Foley catheter and wound while providing the resident a bath and failed to place soiled linen in a plastic bag and not in the roommate's wheelchair on 08/27/25. 2. […]
- No harm, potential for more than minimal, patternF728Sep 15, 2024
Based on interview and record review, the facility failed to not use any individual working in the facility as a nurse aide for more than four months, on a full-time basis, unless that individual is competent to provide nursing and nursing related services; and that individual has completed a training and competency evaluation program, or a competency evaluation program approved by the State for 4 of 4 Student Nurse Aide (NA) reviewed for training and competency ( NA B, NA C, NA D and NA E). The facility failed to ensure NA B, NA C, NA D and NA E were certified nurse aides and had the appropriate training/competency to provide care to residents within four months of hire. […]
- No harm, potential for more than minimal, patternF755May 30, 2024
Based on interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident for 2 medication carts (Nurses cart hall 300 and Med Aide Cart Hall 400) of 4 medication carts reviewed for pharmacy services. The facility failed to ensure: 1- RN A, responsible for Nurses Cart hall 300, removed medications in unsecure containers from the Nurses Cart. 2- MA C, responsible for Med Aide Cart hall 400, removed medications in unsecure containers from the Med Aide Cart. […]
Read 29 findings in full →The most serious and the most recent: 29 of 92 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 12, 2026Complaint1 finding
- Aug 28, 2025Standard and complaint5 findings
- Apr 9, 2025Complaint2 findings
- Jan 30, 2025Complaint1 finding
- Sep 15, 2024Complaint1 finding
- May 30, 2024Standard and complaint7 findings
- Sep 8, 2023Complaint1 finding
- Mar 22, 2023Standard15 findings
Show the 16 earlier surveys
- Mar 29, 2022Complaint2 findings
- Feb 9, 2022Standard and complaint14 findings · 1 harm
- Aug 8, 2019Standard6 findings
- Aug 24, 2018Standard and complaint5 findings
- Nov 30, 2017Complaint1 finding
- Jun 29, 2017Standard and complaint3 findings
- Jun 19, 2017Complaint3 findings
- May 1, 2017Complaint6 findings · 4 harm
- Apr 19, 2017Complaint4 findings
- Jan 27, 2016Complaint1 finding
- Aug 27, 2015Standard1 finding
- Nov 21, 2014Complaint3 findings · 3 harm
- Aug 13, 2014Standard and complaint3 findings · 1 harm
- Aug 16, 2013—4 findings
- Aug 31, 2012—2 findings
- Jul 22, 2011—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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