Nursing HomeInspections

Legend Oaks Healthcare and Rehabilitation - Waxaha

Nursing home in Waxahachie, TX

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
151 Country Meadows Boulevard, Waxahachie, TX 75165
Phone
(972) 937-1650
Listed under
For-profit
Medicare CCN
676421
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
121
Average residents per day
102
Ownership
For-profit, individual
Legal business name
Eastland Memorial Hospital District
Chain
The Ensign Group (347 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 31, 2017
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 676421. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Feb 12, 2026. CMS lists 36 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 13, 2023 to Jul 25, 2026): 20 from complaint inspections, 5 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 25, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 15, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Apr 15, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 12, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Feb 12, 2026Provide 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
Feb 12, 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
Feb 12, 2026Procure 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
Feb 12, 2026Hire a qualified full-time social worker in a facility with more than 120 beds.
Administration		E
Potential for more than minimal harm, pattern
Dec 12, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 24, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 14, 2025Develop 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 15, 2024Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 36. 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 3 fines totalling $41,215 in the last three years.

Nov 15, 2024Fine: $11,466
Mar 7, 2024Fine: $15,851
Jan 23, 2024Fine: $13,898

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
3.59 hours
Registered nurse (RN) time per resident per day
0.25 hours
Nurse aide time per resident per day
2.31 hours
Total nurse staffing on weekends
3.05 hours
Nursing staff turnover (yearly)
61%
RN turnover (yearly)
67%
Administrators who left in the past year
1

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.

Other nursing homes in Waxahachie

Pleasant Manor Healthcare and Rehabilitation3650 S. Interstate 35 E · Waxahachie, TX 75165 · (972) 937-7320 · For-profit29 health citations in 3 inspection cycles · last standard inspection Mar 5, 2026 · $24,106 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)
Focused Care of Waxahachie1413 W Main St · Waxahachie, TX 75165 · (972) 937-2298 · Government-owned39 health citations in 3 inspection cycles · last standard inspection Apr 28, 2026 · $20,589 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

All 3 in Waxahachie →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error