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HomeTexasLegend Oaks Healthcare and Rehabilitation Center -

Legend Oaks Healthcare and Rehabilitation Center -

1201 Fm 2685, Gladewater, TX 756479038452175WebsiteGoogle Maps
4.6on Google(77 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
2/5
Quality
3/5
Beds
100
certified
6 fine(s) totaling $124,559

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Google users rate it 4.6/5 based on 77 reviews

• Has 100 certified beds with an average of 74.9 residents per day (75% occupancy)

• Last health inspection found 13 deficiencies (inspected Apr 15, 2026)

• Has been fined a total of $124,559 across 6 fine(s)

• Total nursing staff: 3.11 hours per resident per day

• Staff turnover rate: 42.6%

• Part of the The Ensign Group chain (346 facilities)

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Gregg County 65+
19,479
15.7% of county
County Population
124,245
Gregg County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Legend Oaks Healthcare and Rehabilitation Center - is a 2-star Medicare and Medicaid certified nursing home in Gladewater, Texas with 100 certified beds. It has been operating since 2004. The facility scored below average compared to Texas facilities.

Beds
100
Avg Residents/Day
74.9
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Dec 1, 2004
Sprinklers
Yes
Council
Resident
County
Gregg
Last Inspection
Apr 15, 2026
Deficiencies (Cycle 1)
13
Weighted Score
118.8
Infection Citations
0

Deficiency Citations (39)

F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: May 23, 2026Corrected: NoCycle: 1
F0572Potential for Harm

Give residents a notice of rights, rules, services and charges.

Survey: Apr 15, 2026Corrected: NoCycle: 1
F0576Potential for Harm

Ensure residents have reasonable access to and privacy in their use of communication methods.

Survey: Apr 15, 2026Corrected: NoCycle: 1
F0585Potential for Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey: Apr 15, 2026Corrected: NoCycle: 1
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Apr 15, 2026Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Apr 15, 2026Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Apr 15, 2026Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Apr 15, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 15, 2026Corrected: NoCycle: 1
F0577Minimal Harm

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Survey: Apr 15, 2026Corrected: NoCycle: 1
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Apr 15, 2026Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jan 29, 2026Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jan 21, 2026Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Feb 12, 2025Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Feb 12, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 12, 2025Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Feb 12, 2025Corrected: NoCycle: 2
F0802Potential for Harm

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Survey: Feb 12, 2025Corrected: NoCycle: 2
F0807Potential for Harm

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Survey: Feb 12, 2025Corrected: NoCycle: 2
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Oct 23, 2024Corrected: NoCycle: 2
F0607Immediate Jeopardy

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Oct 23, 2024Corrected: NoCycle: 2
F0609Immediate Jeopardy

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Oct 23, 2024Corrected: NoCycle: 2
F0610Immediate Jeopardy

Respond appropriately to all alleged violations.

Survey: Oct 23, 2024Corrected: NoCycle: 2
F0925Actual Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Jun 19, 2024Corrected: NoCycle: 3
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Jun 19, 2024Corrected: NoCycle: 3
F0603Actual Harm

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Survey: Feb 22, 2024Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 22, 2024Corrected: NoCycle: 3
F0563Potential for Harm

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Survey: Feb 22, 2024Corrected: NoCycle: 3
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jan 24, 2024Corrected: NoCycle: 3
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Jan 24, 2024Corrected: NoCycle: 3

+ 9 more deficiencies

Total Fines
$124,559
Number of Fines
6
Payment Denials
0
Total Penalties
6

Penalty History

FineSep 13, 2023
$14,285
FineOct 23, 2024
$16,801
FineOct 23, 2024
$16,801
FineOct 23, 2024
$16,801
FineOct 23, 2024
$16,801
FineJun 19, 2024
$43,070

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.41 hrs
National avg: 2.32 hrs
LPN1.33 hrs
National avg: 0.86 hrs
RN0.37 hrs
National avg: 0.69 hrs
Total Nursing3.11 hrs
National avg: 3.86 hrs
Weekend Total2.58 hrs
National avg: 0.00 hrs
Physical Therapist0.25 hrs
National avg: 0.07 hrs
Total Turnover
42.6%
RN Turnover
40.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Government - Hospital district
Recent Change
No

Owners & Managers (15)

NameRoleTypeOwnership %Since
FANNIN COUNTY HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Apr 1, 2017
KEGARISE, BRANDONMANAGING CONTROL - GOVERNING BODYIndividualN/AApr 1, 2017
SHEN, HONG-IMANAGING CONTROL - GOVERNING BODYIndividualN/AMay 6, 2021
BURNAM, SOONCORPORATE OFFICERIndividualN/AApr 1, 2017
KEETCH, CHADCORPORATE OFFICERIndividualN/AMar 1, 2011
SANDERSON, CLARKCORPORATE OFFICERIndividualN/AApr 1, 2017
DAFFODIL HEALTHCARE, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2017
KEGARISE, BRANDONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2017
SHEN, HONG-IOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 6, 2021
DAFFODIL HEALTHCARE, INC.ADP OF THE SNFOrganizationN/ASep 29, 2025
ENSIGN SERVICES INCADP OF THE SNFOrganizationN/AMay 1, 2016
NATIONAL HEALTH INVESTORS, INC.ADP OF THE SNFOrganizationN/AApr 1, 2017
TEXAS NHI INVESTORS, LLCADP OF THE SNFOrganizationN/AApr 1, 2017
KEGARISE, BRANDONADP OF THE SNFIndividualN/AApr 1, 2017
SHEN, HONG-IADP OF THE SNFIndividualN/AMay 6, 2021

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Frequently Asked Questions

What is the CMS rating for Legend Oaks Healthcare and Rehabilitation Center -?▾
Legend Oaks Healthcare and Rehabilitation Center - has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 3/5. This facility is rated below average.
How much does Legend Oaks Healthcare and Rehabilitation Center - cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Legend Oaks Healthcare and Rehabilitation Center - participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Legend Oaks Healthcare and Rehabilitation Center - had any health inspection violations?▾
Legend Oaks Healthcare and Rehabilitation Center - had 13 deficiency citations in its most recent health inspection (Apr 15, 2026). The current CMS dataset records 6 fine(s) totaling $124,559.
What are the staffing levels at Legend Oaks Healthcare and Rehabilitation Center -?▾
Legend Oaks Healthcare and Rehabilitation Center - provides 3.11 total nursing staff hours per resident per day, including 0.37 RN hours, 1.33 LPN hours, and 1.41 nurse aide hours. The total staff turnover rate is 42.6%.
How many beds does Legend Oaks Healthcare and Rehabilitation Center - have?▾
Legend Oaks Healthcare and Rehabilitation Center - has 100 certified beds with an average of 74.9 residents per day, resulting in approximately 75% occupancy. The facility is Government - Hospital district owned and is part of the The Ensign Group chain.
Are there other nursing homes near Legend Oaks Healthcare and Rehabilitation Center -?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 1 in Gladewater. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Legend Oaks Healthcare and Rehabilitation Center -?▾
On Google Maps, Legend Oaks Healthcare and Rehabilitation Center - has a rating of 4.6 out of 5 based on 77 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.

Part of The Ensign Group

This chain operates 346 facilities. View all →