Legend Healthcare And Rehabilitation Greenville
2300 JACK FINNEY BLVD, Greenville, TX, 75402
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 - Corporation · Chain: The Ensign Group
- Certified beds
- 126 · avg 88 residents/day
- Total nursing staff turnover
- 61.5% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 50% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 147343
- Service type
- Medicare/medicaid
- Licensed capacity
- 126 beds
- Bed type breakdown
- 9 Medicare-only · 117 Medicaid/Medicare
- Current license effective
- April 1, 2023
- Current license expires
- April 1, 2026
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fannin County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Jack Finney Healthcare Inc
- Administrator
- Lacey Mccoy
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 (8 on record)
- Gina s Rushing
Adp of The Snf · since 2025
- Kevin Niccum
Adp of The Snf · since 2025
- Ensign Services Inc
Adp of The Snf · since 2017
- Fannin County Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2017
- Jack Finney Healthcare, Inc.
Operational/managerial Control · 100% · since 2017
- National Health Investors, Inc.
Adp of The Snf · since 2016
+ 2 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 32)
- D0761·Aug 28, 2025Complaint
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.
- E0755·Aug 28, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0880·Aug 28, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0690·Aug 28, 2025
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0677·Aug 28, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0689·Apr 9, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0600·Apr 9, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0656·Jan 30, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Legend Healthcare and Rehabilitation Greenville is a 126-bed nursing home in Greenville, TX, licensed to Fannin County Hospital Authority and managed by Jack Finney Healthcare Inc under The Ensign Group. CMS rates it 3 stars overall, with a 1-star staffing rating — the lowest tier, shared by about 38% of Texas nursing homes. Health inspection and quality-measure ratings both come in at 4 stars. The facility is operating at roughly 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 1 star. Each resident receives about 195 minutes of total nursing care per day — roughly 46 minutes less than at a 4-star-staffing facility in Texas. Of that, only 20 minutes comes from a registered nurse, compared to 37 minutes at the 4-star threshold. Residents here require more hands-on care than at a typical facility — more dependent or medically complex on average — so those already-limited nursing hours stretch thinner than the raw numbers suggest.
About 6 in 10 nursing staff left in the past year. That places total turnover above the 75th percentile for Texas nursing homes — meaning more than three-quarters of Texas facilities had lower turnover. A long-stay resident will likely go through two or three primary caregivers over the course of a year.
One administrator has turned over in the past year. That is one change, but paired with the staffing and turnover picture, it reflects an unsettled leadership environment.
The facility is operating at roughly 70% of its 126 licensed beds, with about 88 residents on an average day. Occupancy at this level is below what most facilities in this state carry.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing plan for current residents
With a 1-star staffing rating and only 20 minutes of RN time per resident per day, ask how the facility ensures registered nurse coverage is available when residents need clinical assessment.
Nursing staff retention efforts
Six in 10 nursing staff left in the past year — ask what specific steps are underway to reduce turnover and how the facility assigns consistent caregivers to long-stay residents.
Administrator transition and leadership
The facility had an administrator change in the past year; ask who is now leading day-to-day operations and how long the current administrator has been in the role.
Reason for lower occupancy
At roughly 70% capacity, the building is carrying fewer residents than typical; ask whether recent changes in ownership, management, or staffing have affected admissions.
Family Council availability
CMS records show a Resident Council but no Family Council; ask whether families have a formal channel to raise concerns and how staff communicate with families of current residents.
Weekend staffing levels
Reported weekend nursing hours run about 2.86 minutes per resident below the already-low weekday average; ask how many nurses and aides are on the floor on a typical Saturday or Sunday.
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.