Nursing HomeInspections

Legend Oaks Healthcare and Rehabilitation Center -

Nursing home in Houston, TX

Medicare & Medicaid certified3★ overall (CMS)

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Public-record details

Address
8902 West Rd, Houston, TX 77064
Phone
(713) 849-0990
Listed under
Government-owned
Medicare CCN
676137
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
5 of 5
Certified beds
125
Average residents per day
105
Ownership
Government, hospital district
Legal business name
Liberty County Hospital District No 1
Chain
The Ensign Group (347 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 2026-11-07.

Inspection record

Most recent standard health inspection: Aug 13, 2026. CMS lists 24 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 23, 2024 to Aug 13, 2026): 10 from complaint inspections, 3 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Aug 13, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Aug 13, 2026Ensure 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
D
Potential for more than minimal harm, isolated
Aug 13, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Aug 13, 2026Dispose of garbage and refuse properly.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Aug 13, 2026Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Aug 13, 2026Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental
D
Potential for more than minimal harm, isolated
Aug 13, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
G
Actual harm, isolated
Dec 1, 2025Post nurse staffing information every day.
Nursing and Physician Services · complaint inspection
C
Potential for minimal harm, widespread
Dec 1, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 1, 2025Provide 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, 2025Ensure 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, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 24. 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 Oct 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $53,425 in the last three years.

Aug 13, 2026Fine: $14,380
Apr 23, 2024Fine: $39,045

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

Staffing

Total nurse staffing per resident per day
3.30 hours
Registered nurse (RN) time per resident per day
0.43 hours
Nurse aide time per resident per day
2.07 hours
Total nurse staffing on weekends
2.92 hours
Nursing staff turnover (yearly)
62%
RN turnover (yearly)
46%
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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