In the first quarter of 2026, Fannin County Hospital Authority owned Legend Healthcare and Rehabilitation – Greenville, according to Centers for Medicare and Medicaid Services (CMS). The facility, based in Hunt County, has remained under the same ownership since April 1, 2017.
Legend Healthcare and Rehabilitation – Greenville is classified as a for-profit nursing facility.
That quarter, the nursing home earned a CMS overall rating of three—higher than the Texas statewide average of 2.7 for nursing homes. CMS ratings are determined by examining key areas such as health inspections, staffing, and the caliber of resident care.
Data indicates that in the first quarter of 2026, the facility averaged 89.3 residents daily and offered 126 beds. At this time, the nursing home operates within a hospital setting.
As reported in the first quarter of 2026, the facility did not receive any fines or penalties.
Hunt County, Texas, had two for-profit nursing homes in total.
U.S. Census Bureau estimates show that the population of older adults in the United States is rising, while the number of people in younger groups is declining. From 2020 to 2024, Americans age 65 and older grew by 13%, as the under-18 population decreased by 1.7%. The older adult population in the U.S. has expanded substantially over the past century, increasing from 4.9 million in 1920 to over 61 million by 2024.
A 2021 study notes that nearly half of this demographic—about 28 million people—are likely to require long-term care and related services, with projections indicating over one-third could eventually need nursing home services.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance, an insurance education group. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Nursing Home | Owner | Ownership Type | Overall Rating | Avg. No. of Residents per day |
|---|---|---|---|---|
| Briarcliff Health Center of Greenville | Stephens Memorial Hospital District | Government – Hospital district | 4 | 85.9 |
| Greenville Gardens | Nocona Hospital District | Government – Hospital district | 3 | 82.4 |
| Greenville Health & Rehabilitation Center | Hamilton County Hospital District | For profit – Corporation | 1 | 65.3 |
| Legend Healthcare and Rehabilitation – Greenville | Fannin County Hospital Authority | For profit – Corporation | 3 | 89.3 |
| Oak Manor of Commerce Nursing and Rehabilitation | Nocona Hospital District | Government – Federal | 1 | 39.6 |
Information for this article comes from the Centers for Medicare and Medicaid Services. The original data is available here.
