Legacy At Jacksonville
LEGACY AT JACKSONVILLE in JACKSONVILLE, TX — inspection on February 24, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 2/24/26 at 2:30 p.m., the DON said she had only worked at the facility for 6 days and was aware of the allegation but had no direct knowledge.
The DON said she was responsible for supervision of the nursing staff, and her expectation was for controlled medications to be immediately locked up for safe keeping when received.
The DON said risks to residents for unsecured medication could be a resident consumed a medication they were not prescribed.
During an interview on 2/24/26 at 2:45 p.m., the ADM said she was notified of the missing medication immediately after it went missing.
The ADM said she went to the unit and assisted in searching for the medication but was unable to locate it.
The ADM said all staff working the unit were interviewed and all nurses working the South halls were drug-tested with no positive results.
The ADM said all controlled medication logs were audited and all residents who took similar medications received assessments.
The ADM said Resident #1 had a sufficient supply of medication on the med cart and no missed doses occurred.
Record review of facility policy Controlled Medication - Ordering & Receipt dated 2025 indicated .Medications listed in Schedule II, are stored under double lock in a locked cabinet or safe designed for that purpose, separate from all other medications.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.