5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
The Legacy Midtown Park is at 8240 Manderville Ln in Dallas’s Midtown corridor; a high-rise nursing facility, which is an unusual configuration that signals something about the kind of experience the building is designed to deliver. Five years into operation, it carries 98 beds across one- and two-bedroom floor plans, with 86 currently occupied. An 88% occupancy rate at a post-acute facility is a substantive number; it means this building is running close to capacity.
The 37-day average length of stay defines the model: short-stay, post-acute, recovery-focused. Nursing coverage totals 5 hours and 25 minutes per resident per day; 4 hours and 2 minutes from nurse aides, 1 hour and 15 minutes from LPN/LVN staff, and 51 minutes of RN time. Medicare and private pay are accepted; the absence of Medicaid is consistent with the private-pay orientation one would expect from a high-rise Midtown building with apartment-style floor plans. The Walk Score of 45 reflects a somewhat walkable area where some nearby services are reachable, but most trips require a car.
State inspections have touched on emergency preparedness, care planning, and documentation. For someone leaving a Dallas hospital who wants a short-stay rehabilitation setting that looks and operates more like a residential building than a traditional nursing facility, The Legacy Midtown Park’s profile of a high-rise layout, high occupancy, strong nursing hours, and a five-year operating track record makes it one of the more distinctive options in the Dallas market.
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 13th out of 273 homes in Texas for nurse hours. 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.
| 51m per day | ▲ 95% 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 15m per day | ▲ 32% 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.
| 4h 2m per day | ▲ 100% 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.
| 5h 23m per day | ▲ 80% 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 | ▲ 214% 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.
| 38m per day | ▲ 89% State avg: 20m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
The Legacy Midtown Park is legally operated by The Legacy Midtown Park, Inc., and administered 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
Citations 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 |
|
Citations per year
Average citations per year since 2022.
| 0.3 | 1.5 | This facility has 80% fewer citations per year than a typical Texas nursing home (0.3 vs. TX avg 1.5).↓ 80% 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.
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% more staff per resident 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.
All 8 RN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursAssists with medical care and medications.
All 12 LPN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursHelps with daily care and mobility.
All 48 CNA Staff are full-time employees. No contractors work on this role.
48
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
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 from 2021–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 09/2023.
Based on CMS SNF Cost Report for fiscal year ending in 09/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #11 / 280Payroll — State benchmarkedThis home is ranked 11th out of 280 homes in Texas for Payroll. 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.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #194 / 280Payroll % — State benchmarkedThis home is ranked 194th out of 280 homes in Texas for Payroll %. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 50–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
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.
Most new residents arrive under Medicare (79% of admissions), and a typical Medicare stay runs around 26 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
Add your location
The information below is reported by the Texas Health and Human Services Commission.
| The Legacy Midtown Park | NH AL HOS IL MC SNF | Dallas (Vickery Meadow) | 98 | - | - | 5.42
Facility
5.42
TX AVG
3.63
Rank
#13 / 273 | +1% | +49% | $27.5k
Facility
$27.5k
TX AVG
$81.8k
Rank
#157 / 278 | 4
Facility
4
TX AVG
25.9
Rank
#2 / 274 | 1.3
Facility
1.3
TX AVG
3.7
Rank
#2 / 274 | - | 48 | - | 45 | The Legacy Midtown Park Inc | $16.1MFiscal year ending 09/2023
Facility
$16.1MFiscal year ending 09/2023
TX AVG
$8.4M
Rank
#11 / 280 | $15.0MFiscal year ending 09/2023
Facility
$15.0MFiscal year ending 09/2023
TX AVG
$3.5M
Rank
#11 / 280 | 93%Fiscal year ending 09/2023
Facility
93%Fiscal year ending 09/2023
TX AVG
47%
Rank
#194 / 280 | 676489 | ||||
| Presbyterian Village North | NH AL IL MC RC SNF | Dallas (Lake Highlands) | 88 |
78.4%
Facility
78.4%
TX AVG
68.2
Rank
#78 / 220 | +15% | 4.80
Facility
4.80
TX AVG
3.63
Rank
#25 / 273 | +20% | +32% | $36.5k
Facility
$36.5k
TX AVG
$81.8k
Rank
#177 / 278 | 18
Facility
18
TX AVG
25.9
Rank
#94 / 274 | 2.3
Facility
2.3
TX AVG
3.7
Rank
#44 / 274 | 2 | 69 | - | 61 | Dustin Allen | $11.4MFiscal year ending 12/2023
Facility
$11.4MFiscal year ending 12/2023
TX AVG
$8.4M
Rank
#5 / 280 | $20.1MFiscal year ending 12/2023
Facility
$20.1MFiscal year ending 12/2023
TX AVG
$3.5M
Rank
#4 / 280 | 176.3%Fiscal year ending 12/2023
Facility
176.3%Fiscal year ending 12/2023
TX AVG
47%
Rank
#207 / 280 | 676135 | ||||
| Autumn Leaves | NH AL | Dallas | 124 |
23.0%
Facility
23.0%
TX AVG
68.2
Rank
#207 / 220 | -66% | 4.05
Facility
4.05
TX AVG
3.63
Rank
#62 / 273 | +35% | +12% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 278 | - | - | - | 29 | B- | 58 | Lcs Al Operator Mm LLC | $3.4MFiscal year ending 12/2023
Facility
$3.4MFiscal year ending 12/2023
TX AVG
$8.4M
Rank
#248 / 280 | $3.4MFiscal year ending 12/2023
Facility
$3.4MFiscal year ending 12/2023
TX AVG
$3.5M
Rank
#230 / 280 | 100.5%Fiscal year ending 12/2023
Facility
100.5%Fiscal year ending 12/2023
TX AVG
47%
Rank
#61 / 280 | 675830 | ||||
| C C Young Memorial Home | NH AL HC HOS IL MC PC SNF | Dallas | 129 |
90.5%
Facility
90.5%
TX AVG
68.2
Rank
#32 / 220 | +33% | 4.91
Facility
4.91
TX AVG
3.63
Rank
#21 / 273 | +8% | +35% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 278 | 6
Facility
6
TX AVG
25.9
Rank
#8 / 274 | 1.5
Facility
1.5
TX AVG
3.7
Rank
#6 / 274 | - | 117 | - | 20 | C. C. Young Memorial Home | $30.1MFiscal year ending 03/2024
Facility
$30.1MFiscal year ending 03/2024
TX AVG
$8.4M
Rank
#4 / 280 | $28.1MFiscal year ending 03/2024
Facility
$28.1MFiscal year ending 03/2024
TX AVG
$3.5M
Rank
#1 / 280 | 93.2%Fiscal year ending 03/2024
Facility
93.2%Fiscal year ending 03/2024
TX AVG
47%
Rank
#72 / 280 | 675592 | ||||
| Christian Care Communities and Services – Mesquite | NH AL IL MC RC SNF | Mesquite | 180 |
55.4%
Facility
55.4%
TX AVG
68.2
Rank
#174 / 220 | -19% | 3.66
Facility
3.66
TX AVG
3.63
Rank
#105 / 273 | +32% | +1% | $28.9k
Facility
$28.9k
TX AVG
$81.8k
Rank
#159 / 278 | 16
Facility
16
TX AVG
25.9
Rank
#69 / 274 | 1.6
Facility
1.6
TX AVG
3.7
Rank
#7 / 274 | 4 | 100 | - | 31 | Ccc Mesquite Management LLC | $5.4M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$5.4M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG
$8.4M
Rank
#40 / 280 | $11.2M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$11.2M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG
$3.5M
Rank
#20 / 280 | 206.1%*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
206.1%*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG
47%
Rank
#28 / 280 | 455617 |
The Legacy Midtown Park is located in Dallas, Texas.
Here are the financial assistance programs available to residents in Texas.
The Legacy Midtown Park is in the Vickery Meadow neighborhood of Dallas.
The Legacy Midtown Park is legally operated by The Senior Legacy Communities, Inc, and administered by Graciela Gandara.
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 87.5%.
The Legacy Midtown Park is registered as a non-profit in TX.
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