Legacy Rehabilitation and Living – Amarillo, TX

CMS Verified | 2026-03-01

Legacy Rehabilitation And Living

4033 W 51ST Ave, Amarillo, TX 79109
(806) 355-4488
150 beds
All Amarillo facilities
4.0*
Overall
4.0*
Health Inspection
4.0*
Quality Care
2.0*
Staffing
73.53
Score /100
#6655
National Rank

#6655
of 14703 facilities
National
54.7% position
#428
of 1177 in TX
State Rank
#2
of 3 in Randall
County Rank
#7
of 12 in Amarillo
City Rank
#1
of 1 in ZIP 79109
ZIP Rank






About Legacy Rehabilitation And LivingLegacy Rehabilitation And Living is located at 4033 W 51St Ave, Amarillo, TX, reachable at (806) 355-4488. This For profit – Limited Liability company facility operates 150.0 certified beds and serves an average of 105 residents per day. It is part of the The Ensign Group network (329 facilities nationwide). Medicare and Medicaid services have been provided since 2004-03-29. The facility currently holds a above average (4-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
Facility

Legacy Rehabilitation And Living

Address

4033 W 51St Ave, Amarillo, TX 79109

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 150 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: THE ENSIGN GROUP

Quick Verdict

Overall Quality
✅ Above Average (4★) overall rating
Health Inspection
✅ Above Average (4★) health inspection
Staffing
⚠️ Below Average (2★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
❌ 14 fine(s) over 5 years
5-Year Trend
Improving over 5 years
73.53
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#6655 of 14703 nationally – #428 of 1177 in Texas

Who Is This Facility Best For?

Legacy Rehabilitation And Living is a strong choice for families in the Amarillo, TX area seeking a well-inspected, high-quality care environment. It is particularly well-suited for long-term residents based on its Quality Measure scores. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

4 / 5
Health Inspection

4 / 5
Staffing Rating

2 / 5
Quality Measures (QM)

4 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

3 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightLegacy Rehabilitation And Living currently provides 3 hours 26 minutes of total nurse staffing per resident per day, including 31 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 61.0%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 26 minutes
Nurse Aide Hours1 hour 53 minutes
Licensed Practical Nurse (LPN) Hours1 hour 2 minutes
Registered Nurse (RN) Hours31 minutes
Physical Therapist Hours9 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 57 minutes
Weekend Registered Nurse (RN) Hours18 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryThe facility has received 14 fine(s) over the 5-year period, totaling $581,300. 23 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 32.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#6,655
of 14,703
National
Top 45%
#428
TX State
Top 36% in TX
#2
of 3
️ Randall County
#2 of 3
#7
of 12
️ Amarillo
#7 of 12
#1
of 1
ZIP 79109
Best in ZIP

Nationally, Legacy Rehabilitation And Living ranks 6655th out of 14,703 facilities (composite score: 73.5/100), placing it in the above average nationwide. Within TX, it ranks 428th out of 1,177 nursing homes. In Amarillo, it ranks 7th out of 12 facilities. For 2026 staffing: total nurse hours rank #9,676 nationally and RN hours rank #8,301 nationally (#255 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 2.73 #13,010 / 14,703 #976 / 1,177 ⚠️ Bottom 25%
2023 3.48 #7,991 / 14,703 #363 / 1,177 Below average
2024 3.19 #11,131 / 14,703 #562 / 1,177 ⚠️ Bottom 25%
2025 3.36 #10,222 / 14,703 #414 / 1,177 Below average
2026 3.44 #9,676 / 14,703 #366 / 1,177 Below average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.40 #10,824 / 14,703 #429 / 1,177 Below average
2023 0.33 #11,655 / 14,703 #536 / 1,177 ⚠️ Bottom 25%
2024 0.28 #12,692 / 14,703 #726 / 1,177 ⚠️ Bottom 25%
2025 0.36 #11,624 / 14,703 #577 / 1,177 ⚠️ Bottom 25%
2026 0.52 #8,301 / 14,703 #255 / 1,177 Below average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Legacy Rehabilitation And Living is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2004-03-29. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (806) 355-4488 or your local Medicaid office to verify current eligibility.

Legacy Rehabilitation And Living holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (2★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 73.5/100, placing it #6655 of 14703 facilities nationally and #428 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Legacy Rehabilitation And Living receives a reported average of 3 hours 26 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 31 minutes; Licensed Practical Nurse (LPN) — 1 hour 2 minutes; Nurse Aide — 1 hour 53 minutes. On weekends, total nurse staffing is 2 hours 57 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 61.0%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 14 fine(s) over the 5-year period, totaling $581,300. 23 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 32.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Legacy Rehabilitation And Living ranks 6655th out of 14,703 facilities (composite score: 73.5/100), placing it in the above average nationwide. Within TX, it ranks 428th out of 1,177 nursing homes. In Amarillo, it ranks 7th out of 12 facilities. For 2026 staffing: total nurse hours rank #9,676 nationally and RN hours rank #8,301 nationally (#255 in TX). Our composite quality score of 73.5/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Amarillo, visit: https://nursinghomesnearme.org/texas/amarillo/

Contact and Location

ADR
Address

4033 W 51ST Ave, Amarillo, TX 79109
Get directions on Google Maps

TEL
LLC
Legal Name

STRATFORD HOSPITAL DISTRICT

MAP
Browse by Location

All Texas ·
Randall County ·
Amarillo ·
ZIP 79109

Facility Details

Number of Certified Beds 150
Average Residents / Day 105 (70% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County Randall County, TX
City Amarillo, TX
ZIP Code 79109
Approved Since March 29, 2004
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 676010
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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