Nursing HomeInspections

Legend Oaks Healthcare and Rehabilitation - Fort W

Nursing home in Keller, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (817) 806-6400Send a messageMap ↗

Public-record details

Address
4240 Golden Triangle Boulevard, Keller, TX 76244
Phone
(817) 806-6400
Listed under
For-profit
Medicare CCN
676426
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
132
Average residents per day
107
Ownership
For-profit, limited Liability company
Legal business name
Eastland Memorial Hospital District
Chain
The Ensign Group (342 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 1, 2017
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
Yes
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 676426. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 5, 2026. CMS lists 26 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 16, 2023 to Jun 30, 2026): 11 from complaint inspections, 6 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 30, 2026Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 23, 2026Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary · complaint inspection		E
Potential for more than minimal harm, pattern
Jun 13, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		K
Immediate jeopardy, pattern
Apr 17, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		H
Actual harm, pattern
Mar 26, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Mar 5, 2026Develop 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		D
Potential for more than minimal harm, isolated
Mar 5, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 5, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 5, 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
Mar 5, 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
Mar 5, 2026Dispose of garbage and refuse properly.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Mar 5, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 26. 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 6 fines totalling $77,433 in the last three years.

Jun 13, 2026Fine: $11,850
Mar 5, 2026Fine: $18,150
Mar 5, 2026Fine: $19,135
Sep 11, 2025Fine: $10,361
Feb 26, 2025Fine: $9,110
Oct 8, 2024Fine: $8,827

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
3.13 hours
Registered nurse (RN) time per resident per day
0.49 hours
Nurse aide time per resident per day
1.76 hours
Total nurse staffing on weekends
2.72 hours
Nursing staff turnover (yearly)
68%
RN turnover (yearly)
63%
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.

Other nursing homes in Keller

Heritage House at Keller Rehab & Nursing1150 Whitley Road · Keller, TX 76248 · (817) 431-2518 · Government-owned20 health citations in 3 inspection cycles · last standard inspection Dec 3, 2025 · $22,608 in CMS fines (3 yrs)Medicare & Medicaid certified5★ overall (CMS)Keller Oaks Healthcare Center8703 Davis Blvd · Keller, TX 76248 · (817) 577-9999 · Government-owned21 health citations in 3 inspection cycles · last standard inspection May 8, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)

All 3 in Keller →