• CMS rates this facility 1/5 stars (below average)
• Has 121 certified beds with an average of 101.3 residents per day (84% occupancy)
• Last health inspection found 12 deficiencies (inspected Nov 15, 2024)
• Has been fined a total of $41,215 across 3 fine(s)
• Total nursing staff: 3.33 hours per resident per day
• Staff turnover rate: 59.0% (high)
• Part of the The Ensign Group chain (324 facilities)
Legend Oaks Healthcare and Rehabilitation - Waxaha is a 1-star Medicare and Medicaid certified nursing home in Waxahachie, Texas with 121 certified beds. It has been operating since 2017. The facility scored below average compared to Texas facilities.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Reasonably accommodate the needs and preferences of each resident.
Ensure each resident receives an accurate assessment.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Provide and implement an infection prevention and control program.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Ensure that residents are free from significant medication errors.
Provide and implement an infection prevention and control program.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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.
+ 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 |
|---|---|---|---|---|
| EASTLAND MEMORIAL HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Apr 1, 2019 |
| COW CREEK HEALTHCARE, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2019 |
| MUNIZ, FELICIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 31, 2017 |
| VASSA, NEAL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 30, 2018 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | N/A | Jan 31, 2017 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | N/A | Mar 1, 2011 |
| TAYLOR, STEPHEN | CORPORATE OFFICER | Individual | N/A | Jul 1, 2025 |
This chain operates 324 facilities. View all →