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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
A community that aims to live a legacy in Dallas, as the name suggests, The Legacy Midtown Park aims to blaze a trail in the modern approach to senior living. Through their luxurious resort-like amenities, residents are able to feel like they’re on a vacation. Their beautifully designed interiors surrounding their ten-acre land promotes an energetic and youthful lifestyle offered by their independent living, assisted living, and memory care living options. The Legacy Midtown Park is guaranteed to provide a modern approach of living to make their elderly residents feel a new vibrant social scenery and lifestyle during their golden years.
Luxurious amenities boast through their studio-style private suites with a full private bath and a walk-in shower; individual heat and air-conditioning controls; and a kitchenette with refrigerator and a microwave; as well as an inclusion of basic cable service, electricity and water. Residents are encouraged to live an independent lifestyle while getting the highest standard of living. Through their assisted living and memory care program, medication management and ADLs (assistance with daily living) are included in the service; however seniors under independent living also get service with day-to-day living such as housekeeping and transportation services, to name a few.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 14th out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 43m per day | ▲ 65% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 21m per day | ▲ 42% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 56m per day | ▲ 95% State avg: 2h 1m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 53m per day | ▲ 64% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 13m per day | ▲ 225% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 31m per day | ▲ 55% State avg: 20m per day · National avg: 28m per day |
Higher than the Texas average: 63.5%The Legacy Midtown Park is legally operated by The Legacy Midtown Park, Inc., and administrated by Graciela Gandara.
Key information about the people who lead and staff this community.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 1 | 6 | This facility has 83% fewer total citations than a typical Texas nursing home (1 vs. TX avg 6).↓ 83% better |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 1 | 2 | This facility has 50% fewer health citations than a typical Texas nursing home (1 vs. TX avg 2).↓ 50% better |
Inspections
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 1 | 1 | This facility has inspections with citations in line with the Texas average (1 vs. TX avg 1).— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The Legacy Midtown Park underwent a comprehensive inspection on May 11, 2022, resulting in one violation of state standards. The single cited deficiency was related to the Health Code, with no Life Safety Code deficiencies reported. There were no correction dates provided for this issue. During the last inspection, the facility had only one state standard violation, which fell under the Health Code category. No enforcement actions were taken as a result of this inspection.
Texas average 7.4
Last Health inspection on Sep 2025
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 4 citations resulted from standard inspections.
100% better than Texas averageTexas average: 2
100% better than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
60% better than Texas average
6% better than Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
173 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 48 | 0 | 48 | 16,140 | 92 | 100% | 9 |
| Licensed Practical Nurse | 12 | 0 | 12 | 4,653 | 92 | 100% | 9.7 |
| Registered Nurse | 8 | 0 | 8 | 2,354 | 92 | 100% | 9.5 |
| Medication Aide/Technician | 6 | 0 | 6 | 1,797 | 88 | 96% | 9.3 |
| Speech Language Pathologist | 4 | 0 | 4 | 1,163 | 81 | 88% | 6.5 |
| Qualified Social Worker | 4 | 0 | 4 | 962 | 66 | 72% | 7.7 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 932 | 77 | 84% | 7.1 |
| RN Director of Nursing | 2 | 0 | 2 | 922 | 82 | 89% | 7.8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 896 | 62 | 67% | 8 |
| Physical Therapy Assistant | 2 | 0 | 2 | 809 | 67 | 73% | 6.9 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Other Social Services Staff | 1 | 0 | 1 | 471 | 57 | 62% | 8.3 |
| Administrator | 1 | 1 | 2 | 464 | 58 | 63% | 8 |
| Physical Therapy Aide | 2 | 0 | 2 | 448 | 63 | 68% | 7 |
| Diagnostic X-ray Services Staff | 0 | 1 | 1 | 27 | 9 | 10% | 3 |
| Medical Director | 0 | 1 | 1 | 14 | 14 | 15% | 1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 11 | 3 | 3% | 3.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 1 | 2 | 2% | 0.7 |
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
66% lower than Texas averageTexas average: $80K
61% more fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
4 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 20, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 13, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 6, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 17, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.4
43% worse than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.6
91% worse than Texas averageTexas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
27.0%
67% worse than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
34.2%
118% worse than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
71% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
4.4%
In line with Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.9%
142% worse than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
17.1%
394% worse than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
10.0%
249% worse than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
11.0%
40% worse than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.3%
5% worse than Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
4.29
101% worse than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.39
81% better than Texas averageTexas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.9%
5% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
26% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.5%
In line with Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.4%
In line with Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.9%
34% better than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.5%
35% better than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
57.8%
8% better than Texas averageTexas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
64.0%
27% better than Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
79% of new residents, usually for short-term rehab.
21% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
44Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for The Legacy Midtown Park based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #9 / 297Payroll — State benchmarkedThis home is ranked 9th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Minimum Age: 55 Years Old
Pets Allowed
Housing Options: 1 Bed / 2 Bed
Building Type: High Rise
Transportation Services
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
9.0 miles from city center
Estimated distance in miles from Dallas's city center to The Legacy Midtown Park's address, calculated via Google Maps.
— 0.96 miles to nearest hospital (Texas Oncology-Medical City Dallas Blood and Marrow Transplant)
Add your location
The Legacy Midtown Park is located in Dallas, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
| The Legacy Midtown Park |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Dallas (Vickery Meadow) | 98 | 87.5% | +38% | 5.42 | +1% | +49% | $27.5k | 4 | 1.3 | - | 49 | - | 45 | The Legacy Midtown Park Inc | $36.9M | $15.3M | 41.6% | 676489 | ||||
| Ventana by Buckner |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Dallas (Park Cities) | 72 | 67.4% | +6% | 6.12 | +57% | +69% | $0 | 12 | 2.4 | - | 56 | - | 77 | Buckner Senior Living | $31.5M | $12.6M | 39.9% | 676483 | ||||
| Signature Pointe |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Dallas (Far North Dallas) | 195 | 63.4% | 0% | - | +12% | - | $38.4k | 24 | 2.7 | 1 | 70 | A+ | 81 | Lcs Sp Operator Mm LLC | $26.4M | $12.6M | 47.5% | 675757 |
The Legacy Midtown Park is in the Vickery Meadow neighborhood of Dallas.
The Legacy Midtown Park has a walk score of 45. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to TX state health department records, The Legacy Midtown Park's license number is 308004.
According to TX state health department records, The Legacy Midtown Park's license expires on November 17, 2026.
The Legacy Midtown Park's occupancy is 88%.
Graciela Gandara is the administrator of The Legacy Midtown Park.
The Legacy Midtown Park has 98 beds.
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