Legacy Rehabilitation And Living
4033 W 51ST AVE, Amarillo, TX, 79109
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: The Ensign Group
- Certified beds
- 150 · avg 105 residents/day
- Total nursing staff turnover
- 61% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 66.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 149364
- Service type
- Medicare/medicaid
- Licensed capacity
- 150 beds
- Bed type breakdown
- 8 Medicare-only · 142 Medicaid/Medicare
- Current license effective
- February 20, 2024
- Current license expires
- February 20, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Stratford Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Tradewind Healthcare Inc
- Administrator
- Stephen Ritchey
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (12 on record)
- Tradewind Healthcare, Inc.
Adp of The Snf · since 2025
- Ron k Rankin
Adp of The Snf · since 2020
- 51st Avenue Health Holdings Llc
Adp of The Snf · since 2015
- Caretrust gp Llc
Adp of The Snf · since 2015
- Caretrust Reit Inc
Adp of The Snf · since 2015
- Ctr Partnership lp
Adp of The Snf · since 2015
+ 6 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 20)
- D0695·Jan 21, 2026Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- E0757·Sep 9, 2025Complaint
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E0880·Jul 31, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0576·Jul 31, 2025
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
- D0609·Feb 4, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E0803·Jun 7, 2024
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E0761·Jun 7, 2024
Pharmacy Service Deficiencies
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.
- D0695·Jun 7, 2024
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Jul 31, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Legacy Rehabilitation And Living is a 150-bed nursing home in Amarillo, Texas, licensed through February 2027 and managed by Tradewind Healthcare Inc under Stratford Hospital District. CMS rates it 4 stars overall, with a matching 4-star health inspection score and a 5-star rating for long-stay resident outcomes. Staffing is rated 2 stars, and two administrators have left in the past year. The facility is operating at about 70% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 206 minutes of nursing care per day — roughly 35 minutes less than at a 4-star-staffing facility in Texas. About 31% of Texas nursing homes share this staffing rating, so this gap is common but not negligible.
Roughly 6 in 10 nursing staff left in the past year. Texas nursing homes at the 75th percentile of turnover sit at 60% — this facility is at that threshold. A long-stay resident will likely cycle through two or three primary caregivers over the course of a year.
Two administrators have left in the past year. That level of leadership turnover tends to affect day-to-day operations — staffing decisions, complaint follow-through, and staff morale often reflect who is running the building.
The facility is operating at about 70% of its 150 licensed beds, with 105 residents on an average day. Paired with high staff turnover and a 2-star staffing rating, that occupancy level warrants a closer look at whether staffing levels are adjusted to resident count or remain below par regardless.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current administrator tenure
With two administrators having left in the past year, ask how long the current administrator has been in place and whether they are permanent or interim.
Staffing levels on weekends
CMS data shows weekend nursing hours drop to 2.95 per resident per day — lower than the reported daily average of 3.44 — so ask how many nurses and aides are on the floor on a Saturday or Sunday.
Why occupancy is at 70%
The facility averages about 105 residents in a 150-bed building; ask whether beds are held, closed, or simply unfilled, and what the typical wait is for admission.
How turnover affects care continuity
Six in ten nursing staff left in the past year; ask how the facility assigns consistent caregivers to residents and what the current open-position count looks like.
Short-stay rehabilitation outcomes
Long-stay quality is rated 5 stars, but short-stay rates 3 stars — ask what the typical rehab program looks like and what percentage of short-stay residents return home.
Resident Council meeting schedule
The facility has a Resident Council but no Family Council; ask how family members are formally notified of concerns raised in council meetings.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.