Legend Oaks Healthcare and Rehabilitation Center -

Nursing home in Houston, TX

Medicare & Medicaid certified2★ overall (CMS)

Call (713) 849-0990 Send a message Map ↗

Public-record details

Address: 8902 West Rd, Houston, TX 77064
Phone: (713) 849-0990
Listed under: For-profit
Medicare CCN: 676137
Overall star rating: 2 of 5 ★★☆☆☆
Health inspection rating: 2 of 5
Staffing rating: 1 of 5
Quality measures rating: 5 of 5
Certified beds: 125
Average residents per day: 99
Ownership: For-profit, limited Liability company
Legal business name: Liberty County Hospital District No 1
Chain: The Ensign Group (342 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Apr 25, 2007
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Sprinklers in all required areas: Yes

CMS certification number 676137. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 6, 2025. CMS lists 20 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 2, 2023 to Dec 1, 2025): 10 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

Inspection	Citation	Severity
Dec 1, 2025	Post nurse staffing information every day. Nursing and Physician Services · complaint inspection	C Potential for minimal harm, widespread
Dec 1, 2025	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Dec 1, 2025	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Dec 1, 2025	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. Nursing and Physician Services · complaint inspection	D Potential for more than minimal harm, isolated
Dec 1, 2025	Ensure that residents are free from significant medication errors. Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
Dec 1, 2025	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… Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
Jun 6, 2025	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care	D Potential for more than minimal harm, isolated
Jun 6, 2025	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service	D Potential for more than minimal harm, isolated
Jun 6, 2025	Provide and implement an infection prevention and control program. Infection Control	D Potential for more than minimal harm, isolated
Jun 6, 2025	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning	E Potential for more than minimal harm, pattern
Jun 6, 2025	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… Pharmacy Service	E Potential for more than minimal harm, pattern
Jun 6, 2025	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary	E Potential for more than minimal harm, pattern

Showing the 12 most recent of 20. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $39,045 in the last three years.

Apr 23, 2024

Fine: $39,045

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.32 hours
Registered nurse (RN) time per resident per day: 0.29 hours
Nurse aide time per resident per day: 2.11 hours
Total nurse staffing on weekends: 2.95 hours
Nursing staff turnover (yearly): 71%
RN turnover (yearly): 70%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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