Legend Oaks Healthcare and Rehabilitation - Waxaha
151 Country Meadows Boulevard · Waxahachie, TX · 75165 · 9729371650
121 certified beds For profit - Individual Chain: The Ensign Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $11,466 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.60 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.33 | 0.55–0.75 |
| Weekend hours / resident-day | 3.00 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 3 · $41,215 |
Inspection citations (35 in the current record)
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Potential for harm · E April 15, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 17, 2026 · Resident Rights
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Potential for harm · E April 15, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 17, 2026 · Quality of Life and Care
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Potential for harm · D February 12, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 16, 2026 · Pharmacy Service
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Potential for harm · D February 12, 2026
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.
Corrected March 16, 2026 · Pharmacy Service
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Potential for harm · E February 12, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 16, 2026 · Nutrition and Dietary
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Potential for harm · E February 12, 2026
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected March 16, 2026 · Administration
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Potential for harm · D December 12, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 24, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 1, 2025 · Resident Rights
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Potential for harm · D April 14, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 12, 2025 · Resident Assessment and Care Planning
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Actual harm · G November 15, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 10, 2024 · Quality of Life and Care
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Actual harm · G November 15, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 10, 2024 · Quality of Life and Care
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Potential for harm · D November 15, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected December 10, 2024 · Resident Rights
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Potential for harm · D November 15, 2024
Ensure each resident receives an accurate assessment.
Corrected December 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 15, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 15, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected December 10, 2024 · Pharmacy Service
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Potential for harm · D November 15, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 10, 2024 · Nutrition and Dietary
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Potential for harm · D November 15, 2024
Provide and implement an infection prevention and control program.
Corrected December 10, 2024 · Infection Control
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Potential for harm · D November 15, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 17, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 18, 2024 · Resident Rights
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Potential for harm · D June 17, 2024 · found via complaint
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.
Corrected June 18, 2024 · Resident Rights
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Potential for harm · D June 17, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 18, 2024 · Pharmacy Service
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Immediate jeopardy · J March 7, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 8, 2024 · Quality of Life and Care
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Potential for harm · D March 7, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 29, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · J February 7, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 4, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 15, 2024 | Fine | $11,466 |
| March 7, 2024 | Fine | $15,851 |
| January 23, 2024 | Fine | $13,898 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676421 · certified since January 31, 2017. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.