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Data / Nursing homes / Texas / Legend Oaks Healthcare and Rehabilitation, Fort W

Legend Oaks Healthcare and Rehabilitation, Fort W, Keller, TX: 1 star rating, fined $71,764 across 6 fines

Legend Oaks Healthcare and Rehabilitation, Fort W in Keller, TX is owned by Eastland Memorial Hospital District, is rated 1 of 5 stars by Medicare, and was fined $71,764 across 6 fines in the three years to October 1, 2026. CMS lists 26 health citations from inspections in that time, the latest survey on June 30, 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
4240 Golden Triangle Boulevard, Keller, TX 76244
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5
Certified beds
132
Residents per day
108 on average
Ownership type
For profit, limited liability company
Legal business name
Eastland Memorial Hospital District
Chain
The Ensign Group, 347 facilities
Fines
$71,764 across 6 fines, three years to October 1, 2026
Payment denials
0
Health citations
26, of which 6 with actual harm or immediate jeopardy
Latest survey
June 30, 2026
CMS Certification Number
676426
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
June 13, 2026Fine$19,230Not listeddata.cms.gov
March 5, 2026Fine$12,438Not listeddata.cms.gov
March 5, 2026Fine$11,798Not listeddata.cms.gov
September 11, 2025Fine$10,361Not listeddata.cms.gov
February 26, 2025Fine$9,110Not listeddata.cms.gov
October 8, 2024Fine$8,827Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 30, 2026F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 1, 2026data.cms.gov
June 23, 2026F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 25, 2026data.cms.gov
June 13, 2026F760Ensure that residents are free from significant medication errors.K: pattern, immediate jeopardyCorrectedJune 14, 2026data.cms.gov
April 17, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.H: pattern, actual harmCorrectedApril 27, 2026data.cms.gov
March 26, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedApril 22, 2026data.cms.gov
March 5, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
March 5, 2026F814Dispose of garbage and refuse properly.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
March 5, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
March 5, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
March 5, 2026F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
March 5, 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 harmCorrectedApril 3, 2026data.cms.gov
March 5, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
September 11, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyPast noncomplianceJuly 29, 2025data.cms.gov
February 26, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmPast noncomplianceJanuary 30, 2025data.cms.gov
December 19, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 20, 2024data.cms.gov
December 19, 2024F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 20, 2024data.cms.gov
December 19, 2024F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 20, 2024data.cms.gov
October 8, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyPast noncomplianceSeptember 23, 2024data.cms.gov
October 8, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 10, 2024data.cms.gov
June 6, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2024data.cms.gov
June 6, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2024data.cms.gov
November 16, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
November 16, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
November 16, 2023F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
November 16, 2023F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
November 16, 2023F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.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
Eastland Memorial Hospital DistrictDirect owner100%April 1, 2019data.cms.gov
NB Brown Rock Healthcare, Inc.Operational or managerial controlNot listedApril 1, 2019data.cms.gov
Ensign Services IncAdditional disclosable partyNot listedJune 1, 2017data.cms.gov
National Health Investors, Inc.Additional disclosable partyNot listedJune 1, 2017data.cms.gov
NB Brown Rock Healthcare, Inc.Additional disclosable partyNot listedAugust 15, 2025data.cms.gov
Texas Nhi Investors, LLCAdditional disclosable partyNot listedJune 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.