Legacy Hospice LLC
Tyler, Texas · CCN 451740
6770 Old Jacksonville Hwy Suite 102a
13 federal deficiencies across 1 survey, December 18, 2025.
Excludes the inspector’s preamble, which is not a finding
Federal surveys with at least one deficiency
Findings against a Condition of Participation — a compliance grade, not a measure of harm
What level the findings sit at
- Standard-level13100.0%
- A requirement within a Condition of Participation. The Condition itself was not cited.
These are compliance grades, not harm grades: how deep in the regulation a finding sits, not whether anyone was harmed.
Who conducted the surveys
ACHC.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0512Rights of the Patient1
- L0530Content of Comprehensive Assessment1
- L0531Content of Comprehensive Assessment1
- L0540Approach to Service Delivery1
- L0545Content of Plan of Care1
Survey record
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Dec 18, 2025 | Initial with CCN | 13 | — |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Hospice findings published by CMS on QCOR, covering surveys from December 18, 2025 to December 18, 2025. The inspectors’ written findings come from a single CMS survey-report extract.
Federal survey findings only. State licensure findings for hospices are not shown.
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