Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

THE LEGACY AT WILLOW BEND

PLANO, TX · 60 certified beds · Last Life Safety survey December 4, 2025

CMS Certification Number 676189 · first certified July 2008

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

2
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
1
Inspection & testing records
Of the citations on file

Position within TX

2 citations — more than 10% of the 1,177 certified nursing homes in TX. Compared within TX rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

When is the next survey likely?

The window opens January 2027 — about 3 months from now. This facility’s last Life Safety survey was December 2025. Facilities in TX are typically surveyed 13–14 months after the last one (median 14), measured over 1,905 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 2 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in TX, and nationally. Surveyors differ markedly between states, so the TX figure is the meaningful one.

This facility2TX median7National median11
Citations on file over three years, compared
MeasureCitations
This facility2
Median facility in TX7
Median facility nationally11

Survey history

Citations at each Life Safety survey
22023-0902024-0902025-12
Citations at each Life Safety survey
Survey dateCitations
September 14, 20232
September 19, 20240
December 4, 20250

Most-cited tags

Most-cited tags at this facility
K-07121K-09161
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0712Have simulated fire drills held at unexpected times.12023-09-14
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.12023-09-14

What the citations cover

Citations by CMS category
  • Miscellaneous Deficiencies 1
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
Citations by CMS category
CategoryCitations
Miscellaneous Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

September 14, 2023 — 2 citations

Citations issued on September 14, 2023
TagWhat the surveyor checksStatus
K-0712Have simulated fire drills held at unexpected times.Past Non-Compliance (March 31, 2023)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (October 14, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.