• CMS rates this facility 2/5 stars (below average)
• Has 100 certified beds with an average of 69.4 residents per day (69% occupancy)
• Last health inspection found 6 deficiencies (inspected Feb 12, 2025)
• Has been fined a total of $124,559 across 6 fine(s)
• Total nursing staff: 3.09 hours per resident per day
• Staff turnover rate: 50.8% (high)
• Part of the The Ensign Group chain (324 facilities)
Legend Oaks Healthcare and Rehabilitation Center G 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.
Reasonably accommodate the needs and preferences of each resident.
Provide safe and appropriate respiratory care for a resident when needed.
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.
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Provide and implement an infection prevention and control program.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Provide and implement an infection prevention and control program.
Reasonably accommodate the needs and preferences of each resident.
Ensure each resident receives an accurate assessment.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe and appropriate respiratory care for a resident when needed.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Reasonably accommodate the needs and preferences of each resident.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide safe and appropriate respiratory care for a resident when needed.
Provide safe, appropriate pain management for a resident who requires such services.
+ 3 more deficiencies
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 |
|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Apr 1, 2017 |
| DAFFODIL HEALTHCARE, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2017 |
| KEGARISE, BRANDON | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2017 |
| SHEN, HONG-I | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 6, 2021 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | N/A | Apr 1, 2017 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | N/A | Mar 1, 2011 |
| SANDERSON, CLARK | CORPORATE OFFICER | Individual | N/A | Apr 1, 2017 |
This chain operates 324 facilities. View all →