The Legacy Midtown Park
8280 Manderville Lane, Dallas, TX 75231 · Dallas County · (972) 468-6207
54 certified beds, about 53 residents a day · Non profit - Corporation · Medicare and Medicaid since 2020
CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676489 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 25, 2025, inspectors cited 1 health deficiency (the Texas average is 9.4, the national average 9.2).
None of its 7 health citations since July 2023 was rated as actual harm or immediate jeopardy.
CMS lists 4 fines totaling $27,523 in the last three years; the largest was $13,762, and the latest is dated November 20, 2023.
Nurses and nurse aides worked 5.71 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.72 of those hours.
33.3% of nursing staff left within the year CMS measured (Texas average 55.3%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
207/23
108/24
109/25
111/25
111/25
106/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
2E
0F
Potential for minimal harm
0A
0B
0C
June 16, 2026Complaint inspection · 1 citation
- D 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store all drugs and biologicals in locked compartments and permit only authorized personnel to have access to the keys for 1 resident (Resident #1) of 5 residents reviewed for pharmacy services. The facility failed to ensure Resident #1's Albuterol (a fast-acting prescription inhaler used as a rescue medication that quickly opens the airways in the lungs to make breathing easier when someone is wheezing, short of breath, or having an asthma attack) was secured in the medication cart. These failures could place residents at risk for compromised unsafe administration, and increased harm to residents.
November 21, 2025Complaint inspection · 1 citation
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that residents who needed respiratory care were provided with such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for 1 of 3 residents (Resident #6) reviewed for respiratory care. The facility failed on 09/23/2025 to ensure Resident #6's oxygen was administered at the correct setting of 4 liters per minute per physician's orders when Resident's oxygen was set at 1 LPM.This failure could place residents at risk of developing respiratory complications.
November 19, 2025Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview 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, were reported immediately but not later than 2 hours after the allegation was made, if the events that caused the allegation involved abuse or resulted in serious bodily injury to the administrator of the facility and to other officials to include the State Survey Agency, in accordance with State law through established procedures for 2 of 10 residents (Resident #1 and Resident #2) reviewed for abuse/neglect. 1. The facility failed to report Resident #1's fall with injury to the State Survey Agency, where Resident #1 sustained a fractured hip and blood loss. The incident occurred on 09/21/25 at 9:00 pm and was not reported.2. [...]
September 25, 2025Standard inspection · 1 citation
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that residents who needed respiratory care were provided with such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for 1 of 3 residents (Resident #6) reviewed for respiratory care. The facility failed on 09/23/2025 to ensure Resident #6's oxygen was administered at the correct setting of 4 liters per minute per physician's orders when Resident's oxygen was set at 1 LPM.This failure could place residents at risk of developing respiratory complications.
August 29, 2024Standard inspection · 1 citation
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility's only kitchen reviewed for food safety. 1. The facility failed to ensure on 08/27/2024 food items in the refrigerator, freezer and dry storage room , that were not in the original packaging, were labeled. 2. The facility failed to discard items stored in refrigerator, freezers or dry storage on 08/27/2024. The facility had expired food items from approximately 6 months- 3 days old past the expiration date/best used by date. 3. The facility failed to remove molded fruit from the refrigerator. These failures could place residents at risk for food-borne illness and cross contamination.
July 20, 2023Standard inspection · 2 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen. 1. The facility failed to ensure food items were kept away from potential airborne contaminants (dust and fuzz) on the mixer, knife rack, piping leading to the ice machine, and utility shelving. 2. The facility failed to ensure food items were properly covered and labeled with the contents or date the items were placed in the refrigerator in accordance with professional standards. 3. The facility failed to ensure raw beef was stored away from prepared food in the walk-in refrigerator. These failures could place residents at risk for food contamination and food-borne illness.
- D 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.
Inspectors wroteBased on observation, interview and record review the facility failed to, in accordance with State and Federal laws, store all drugs and biologicals in locked compartments under proper temperature controls, and to permit only authorized personnel to have access to the keys for one of 3 medication carts (2nd floor medication cart) reviewed for medication storage. MA A failed to ensure all drugs and biologicals were locked inside the medication cart. This failure could place residents at risk of ingestion/exposure to medications not intended for them.
Fire safety inspections
2 fire safety citations on file: 2 on July 20, 2023.
Every fire safety citation2 citations
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| November 20, 2023 | Fine | $4,587 |
| November 13, 2023 | Fine | $4,587 |
| November 6, 2023 | Fine | $4,587 |
| October 17, 2023 | Fine | $13,762 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.71 | 3.39 | 3.86 |
| Registered nurses | 0.72 | 0.43 | 0.69 |
| All nursing staff on weekends | 5.21 | 2.98 | 3.42 |
| Nurse aides | 3.89 | ||
| Licensed practical nurses | 1.10 | ||
| Nursing staff turnover (share who left in a year) | 33.3% | 55.3% | 45.8% |
| Registered nurse turnover | 30.0% | 54.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.78 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.91 on weekdays and 5.21 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.58 in April to June 2025 to 5.71 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.71 | 0.72 | 5.91 | 5.21 | 0.0% | 0 of 90 | 53 |
| Oct to Dec 2025 | 6.13 | 0.84 | 6.42 | 5.38 | 0.0% | 0 of 92 | 48 |
| Jul to Sep 2025 | 6.00 | 0.72 | 6.18 | 5.54 | 0.0% | 0 of 92 | 50 |
| Apr to Jun 2025 | 5.58 | 0.82 | 5.85 | 4.88 | 0.0% | 0 of 91 | 49 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 22.8 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 1.5 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.9 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.5 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.8 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.9 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 2.1 | 1.8 |
Owners and operators
Legal business name: THE LEGACY MIDTOWN PARK INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| The Legacy Midtown Park Inc | 5% or greater direct ownership interest | Organization | 100% | 10/01/2019 |
| Walshe, Bridgette | Corporate director | Individual | 09/24/2021 | |
| Snorton, Scott | Corporate officer | Individual | 06/03/2024 | |
| The Legacy Senior Communities Inc | Operational/managerial control | Organization | 10/01/2022 | |
| Scott, Bridgette | Operational/managerial control | Individual | 06/12/2023 | |
| The Legacy Midtown Park Inc | Adp of the SNF | Organization | 07/28/2015 | |
| The Legacy Senior Communities Inc | Adp of the SNF | Organization | 04/15/2025 | |
| Scott, Bridgette | Adp of the SNF | Individual | 06/23/2023 | |
| Snorton, Scott | Adp of the SNF | Individual | 06/03/2024 | |
| Walshe, Bridgette | Adp of the SNF | Individual | 09/24/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on June 16, 2026: "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."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on November 21, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on August 29, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on November 19, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Avir at the Meadow Dallas, 0.7 mi · 1 of 5 stars · 44 citations
- Presbyterian Village North Special Care Ctr Dallas, 1.2 mi · 4 of 5 stars · 12 citations
- The Highlands Guest Care Center Dallas, 1.5 mi · 1 of 5 stars · 23 citations
- Pure Health Transitional Care at Texas Health Pres Dallas, 1.5 mi · 5 of 5 stars · 5 citations
- The Plaza at Edgemere Dallas, 2.6 mi · 4 of 5 stars · 13 citations
- C C Young Memorial Home Dallas, 3.4 mi · 5 of 5 stars · 8 citations
- Treemont Healthcare and Rehabilitation Center Dallas, 3.4 mi · 2 of 5 stars · 43 citations
- Five Points at Lake Highlands Nursing and Rehab Dallas, 3.5 mi · 1 of 5 stars · 53 citations
Texas contacts for a concern about a nursing home
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Texas Office of the State Long-Term Care Ombudsman, 800-252-2412. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is The Legacy Midtown Park's Medicare star rating?
- CMS rates The Legacy Midtown Park 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Legacy Midtown Park get at its last inspection?
- 1 health deficiency at the standard inspection on September 25, 2025. The Texas average is 9.4.
- Has The Legacy Midtown Park been fined?
- Yes. CMS lists 4 fines totaling $27,523 in the last three years.
- Does The Legacy Midtown Park accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns The Legacy Midtown Park?
- CMS lists 10 owners and managers. Legal business name: THE LEGACY MIDTOWN PARK INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.