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).
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)
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.
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).
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/
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.