Legacy at Corsicana Rehabilitation and Healthcare

Inspectors wroteBased on interview and record review the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one of seven residents (Resident #1) reviewed for post fall neuro assessments. The facility failed to complete neuro checks on Resident #1 after a fall on 5/13/2026 at 7:30 am, 8:30 am, 10:30 am, and 12:30 pm. This failure could cause residents injuries, pain, hospitalization and decreased quality of life.

Inspectors wroteBased on interviews and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately for one of seven (Resident #2) Residents reviewed for abuse and neglect. The ADM failed to report an allegation of abuse from Resident #2 on 5/14/2026 to the state agency. This failure placed residents at risk of not being protected from abuse, neglect, or exploitation.

Inspectors wroteBased on interviews and record reviews, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, which included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs for 3 of 5 residents (Resident #1, Resident #23, Resident #60) reviewed for comprehensive care plans. 1. The facility failed to indicate what Resident #1's communication problem was related to, and why he required tube feeding.2. The facility failed to indicate what Resident #23 was allergic to, what her pain level goals were, what her pain was aggravated by and what alleviated her pain, and her discharge plans.3. The facility failed to indicate what Resident #60's swallowing problem was related to, why he required tube feedings, and how many cc's of gastric contents were needed in order to hold a tube feeding. [...]

Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to ensure the resident's right to secure and confidential personal and medical records for 1 (unknown resident) of 21 residents. The facility failed to ensure the privacy of the unknown resident by not locking the laptop screen on the medication cart, so the resident's information could not be seen by someone walking by. This failure puts residents at risk for confidential health information exposure, and decreased quality of life.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure all drugs and biologicals were in locked compartments and inaccessible to unauthorized staff, visitors, and residents for 1 of 2 medication carts (Med Cart #1) reviewed for medication storage in that:The facility failed to prevent Med Cart #1 from being unattended and unlocked in front of room [ROOM NUMBER] on 02/18/2026. This failure could allow residents, visitors, staff, and unauthorized individuals unsupervised access to prescription and over-counter medications.

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to ensure each resident was provided with food that accommodates resident allergies, intolerances, and preferences for 2 (Resident #34 and Resident #36) of 3 residents reviewed for food and nutritional services.1. The facility failed to provide Resident #34 with an alternative or substitute meal of similar nutritive value to the main meal served during lunch service on 2/17/2026. 2. The facility failed to provide Resident #36 with an alternative meal that took into consideration the resident's preferences and condition during lunch service on 2/17/2026 These failures placed the residents at risk of weight loss, malnutrition, pain and discomfort, and a diminished quality of life.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to update and follow posted menus in accordance with professional standards for all residents for 1of 2 meals observed. The facility failed to follow their posted lunch menu for Tuesday, 2/17/2026. The facility failed to update their posted lunch menu for Tuesday, 2/17/2026 when a substituted menu was provided. These failures could place residents at risk for dissatisfaction with their meals and decreased nutritional intake.

Inspectors wroteBased on interview and record review, the facility failed to ensure that the comprehensive care plan was reviewed and revised by the interdisciplinary team after each assessment for 1 of 5 residents (Resident #19) reviewed for care plans. The facility failed to ensure Resident #19's care plan dated 05/31/2024 reflected the resident's recent left below knee amputation which had been updated/changed on 09/30/2024. This failure could place residents at risk of not receiving appropriate care to meet their current needs.

Inspectors wroteBased on interviews and record reviews the facility failed to immediately report allegations that involved abuse, neglect, exploitation or mistreatment, including injuries of unknown source or misappropriation of resident property to HHSC, but no later than two hours after the allegation is made, if the events that cause the allegation involve abuse, or result in serious bodily injury for one of five residents (Resident #1) reviewed for injury of unknown origin. The facility failed to report to HHSC, an unwitnessed fall that resulted in major injuries. Resident #1 sustained two fractures, one to her right hip (Pelvis CT shows proximal right femoral fracture with moderate displacement) and one to her right wrist (X-Ray shows right distal radius and ulnar fracture). Resident #1 was unable to provide details of how she fell. [...]

Inspectors wroteBased on interviews and record review, the facility failed to ensure residents had the right to be free from exploitation and misappropriation of property for 1 of 8 residents (Resident #2) who were reviewed for misappropriation of resident property. The facility failed to protect RES #2 from CNA A stealing two items of personal jewelry on 11/20/2023 at 9:50 PM. This failure placed residents at risk for loss of possessions and the feeling of loss.

Inspectors wroteBased on observations, interviews, and record reviews the facility failed to ensure residents received services in the facility with reasonable accommodations of resident's needs and preferences except when to do so would endanger the health and safety of the resident or other residents for 3 of 23 residents (Resident #73, Resident #25, and Resident #51) reviewed for resident rights; in that: The facility failed to ensure Resident #73, Resident #25, and Resident #51 call lights were within reach. This failure could place residents at risk of needs not being met.