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Data / Nursing homes / Texas / Legend Oaks Healthcare and Rehabilitation Center G

Legend Oaks Healthcare and Rehabilitation Center G, Gladewater, TX: 2 star rating, fined $110,274 across 5 fines

Legend Oaks Healthcare and Rehabilitation Center G in Gladewater, TX is owned by Fannin County Hospital Authority, is rated 2 of 5 stars by Medicare, and was fined $110,274 across 5 fines in the three years to October 1, 2026. CMS lists 37 health citations from inspections in that time, the latest survey on May 23, 2026, and 6 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Texas
Address
1201 FM 2685, Gladewater, TX 75647
Overall rating
2 of 5 stars
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measure rating
3 of 5
Certified beds
100
Residents per day
73 on average
Ownership type
Government, Hospital district
Legal business name
Fannin County Hospital Authority
Chain
The Ensign Group, 347 facilities
Fines
$110,274 across 5 fines, three years to October 1, 2026
Payment denials
0
Health citations
37, of which 6 with actual harm or immediate jeopardy
Latest survey
May 23, 2026
CMS Certification Number
676048
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
October 23, 2024Fine$16,801Not listeddata.cms.gov
October 23, 2024Fine$16,801Not listeddata.cms.gov
October 23, 2024Fine$16,801Not listeddata.cms.gov
October 23, 2024Fine$16,801Not listeddata.cms.gov
June 19, 2024Fine$43,070Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
May 23, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 26, 2026data.cms.gov
April 15, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2026data.cms.gov
April 15, 2026F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2026data.cms.gov
April 15, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 24, 2026data.cms.gov
April 15, 2026F732Post nurse staffing information every day.C: widespread, minimal harm potentialCorrectedMay 1, 2026data.cms.gov
April 15, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2026data.cms.gov
April 15, 2026F679Provide activities to meet all resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 1, 2026data.cms.gov
April 15, 2026F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 1, 2026data.cms.gov
April 15, 2026F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.C: widespread, minimal harm potentialCorrectedApril 16, 2026data.cms.gov
April 15, 2026F576Ensure residents have reasonable access to and privacy in their use of communication methods.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 1, 2026data.cms.gov
April 15, 2026F572Give residents a notice of rights, rules, services and charges.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 1, 2026data.cms.gov
January 29, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 18, 2026data.cms.gov
January 21, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 4, 2026data.cms.gov
February 12, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2025data.cms.gov
February 12, 2025F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2025data.cms.gov
February 12, 2025F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2025data.cms.gov
February 12, 2025F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2025data.cms.gov
February 12, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2025data.cms.gov
February 12, 2025F558Reasonably accommodate the needs and preferences of each resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2025data.cms.gov
October 23, 2024F610Respond appropriately to all alleged violations.J: isolated, immediate jeopardyPast noncomplianceAugust 30, 2024data.cms.gov
October 23, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.J: isolated, immediate jeopardyPast noncomplianceAugust 30, 2024data.cms.gov
October 23, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.J: isolated, immediate jeopardyPast noncomplianceAugust 30, 2024data.cms.gov
October 23, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyPast noncomplianceAugust 30, 2024data.cms.gov
June 19, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.G: isolated, actual harmCorrectedJuly 16, 2024data.cms.gov
June 19, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 16, 2024data.cms.gov
February 22, 2024F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).H: pattern, actual harmCorrectedMarch 21, 2024data.cms.gov
February 22, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2024data.cms.gov
February 22, 2024F563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2024data.cms.gov
January 24, 2024F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 23, 2024data.cms.gov
January 24, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 23, 2024data.cms.gov
January 24, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 23, 2024data.cms.gov
January 24, 2024F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 23, 2024data.cms.gov
January 24, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 23, 2024data.cms.gov
January 24, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 23, 2024data.cms.gov
January 24, 2024F641Ensure each resident receives an accurate assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 23, 2024data.cms.gov
January 24, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 23, 2024data.cms.gov
January 24, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 23, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 9 individual or personal trusts (4 managers, 3 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Fannin County Hospital AuthorityDirect owner100%April 1, 2017data.cms.gov
Daffodil Healthcare, Inc.Operational or managerial controlNot listedApril 1, 2017data.cms.gov
Daffodil Healthcare, Inc.Additional disclosable partyNot listedSeptember 29, 2025data.cms.gov
Ensign Services IncAdditional disclosable partyNot listedMay 1, 2016data.cms.gov
National Health Investors, Inc.Additional disclosable partyNot listedApril 1, 2017data.cms.gov
Texas Nhi Investors, LLCAdditional disclosable partyNot listedApril 1, 2017data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.