Legacy At Jacksonville
810 BELLAIRE ST., Jacksonville, TX, 75766
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: Southwest Ltc
- Certified beds
- 101 · avg 87 residents/day
- Total nursing staff turnover
- 48.8% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 20% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $21,645 total
State licensing & capacity
- License number
- 147818
- Service type
- Medicare/medicaid
- Licensed capacity
- 101 beds
- Bed type breakdown
- 6 Medicare-only · 95 Medicaid/Medicare
- Current license effective
- April 1, 2023
- Current license expires
- April 1, 2026
- Initial license date
- April 1, 2017
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Nacogdoches County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Southwest Ltc Bonner Llc
- Administrator
- Brittany Weaver
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Southwest Ltc chain — 13 facilities across 2 states. Chain-wide average overall rating 3.3 / 5.
Disclosed owners (8 on record)
- Aimee Emerson
W-2 Managing Employee · since 2022
- Lynn Lindsey
Corporate Officer · 100% · since 2022
- Fred Grover
Other · 20% · since 2022
- Justin Sowell
Other · 20% · since 2022
- Sean Hightower
Other · 20% · since 2022
- Wes Mcknight
Other · 20% · since 2022
+ 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 14)
- D0880·Nov 21, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0656·Nov 21, 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.
- D0880·Feb 5, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0641·Feb 5, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- E0585·Feb 5, 2025
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D0761·Jan 24, 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.
- D0755·Jan 24, 2024
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0848·Dec 1, 2022
Administration Deficiencies
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Federal penalties
By year
- 20251 fine · $22K
Most recent events
- Jul 10, 2025Fine · $22K
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Feb 5, 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 at Jacksonville is a 101-bed nursing home in Cherokee County, Texas, licensed through April 2026 and managed by Southwest LTC. CMS rates it 4 stars overall, with a 5-star health inspection score — but staffing rates 1 star, the lowest tier. The facility holds 86.8 residents on an average day, putting it near full capacity. One CMS fine of $21,645 has been issued.
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 — the lowest of five tiers, a rating shared by about 38% of Texas nursing homes. Residents receive roughly 203 minutes of total nursing care per day, about 38 minutes less than at a 4-star-staffing facility in Texas. RN coverage runs approximately 9 minutes per resident per day, compared to 37 minutes at a 4-star-staffing facility in the state.
RN turnover tells a different story: roughly 2 in 10 registered nurses left in the past year. That places RN retention below the state's 25th-percentile cutoff — better than about three-quarters of nursing homes in Texas on this measure. The low RN turnover and 1-star staffing rating together suggest the issue is headcount, not churn among the nurses who are there.
Legacy at Jacksonville has one CMS fine totaling $21,645. The state median fine across penalized facilities in Texas is $20,699, so this fine sits close to the midpoint for facilities that have received any penalty at all.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
With a 1-star staffing rating and weekend hours reported at 3.08 minutes per resident, ask how many nurses and aides are scheduled on evening and overnight shifts.
RN coverage during off hours
Reported RN hours average about 9 minutes per resident per day; ask whether a registered nurse is on site around the clock or available only by call.
Plans to increase staffing
Given the gap between current staffing and 4-star levels in Texas, ask whether the facility has open positions posted and what the typical timeline is to fill them.
The 2023 CMS fine
One fine of $21,645 is on record; ask what the citation was for and what specific changes were made in response.
Waitlist and bed availability
With 86.8 residents on a typical day against 101 licensed beds, ask whether there is currently a waitlist and how admissions are prioritized.
Resident Council activity
A Resident Council is listed but no Family Council; ask how families are formally notified of council outcomes and how they can raise concerns.
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.