CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Legend Oaks Healthcare and Rehabilitation Center - is a 2-star Medicare and Medicaid certified nursing home in Houston, Texas with 125 certified beds. It has been operating since 2007. Its overall CMS rating is 2 out of 5.
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO.1 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Apr 1, 2017 |
| ALI, NIDA | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Aug 27, 2019 |
| VINCENT, JAMES | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Apr 1, 2017 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | N/A | Apr 1, 2017 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | N/A | Mar 1, 2011 |
| STRATTON, CHARLES | CORPORATE OFFICER | Individual | N/A | Feb 7, 2005 |
| ARMSTRONG HEALTHCARE, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2017 |
| ALI, NIDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Aug 27, 2019 |
| VINCENT, JAMES | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2017 |
| ARMSTRONG HEALTHCARE, INC. | ADP OF THE SNF | Organization | N/A | Oct 31, 2025 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | N/A | May 1, 2016 |
| NATIONAL HEALTH INVESTORS, INC. | ADP OF THE SNF | Organization | N/A | Apr 1, 2017 |
| TEXAS NHI INVESTORS, LLC | ADP OF THE SNF | Organization | N/A | Apr 1, 2017 |
| ALI, NIDA | ADP OF THE SNF | Individual | N/A | Aug 27, 2019 |
| VINCENT, JAMES | ADP OF THE SNF | Individual | N/A | Apr 1, 2017 |
Compare CMS ratings and recorded fines for Legend Oaks Healthcare and Rehabilitation Center - and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 346 facilities. View all →