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Data / Nursing homes / Texas / Legend Oaks Healthcare and Rehabilitation, Waxaha

Legend Oaks Healthcare and Rehabilitation, Waxaha, Waxahachie, TX: 1 star rating, fined $41,215 across 3 fines

Legend Oaks Healthcare and Rehabilitation, Waxaha in Waxahachie, TX is owned by Eastland Memorial Hospital District, is rated 1 of 5 stars by Medicare, and was fined $41,215 across 3 fines in the three years to October 1, 2026. CMS lists 31 health citations from inspections in that time, the latest survey on July 25, 2026, and 5 of them found actual harm or immediate jeopardy.

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Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Texas
Address
151 Country Meadows Boulevard, Waxahachie, TX 75165
Overall rating
1 of 5 stars
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5
Certified beds
121
Residents per day
102 on average
Ownership type
For profit, individual
Chain
The Ensign Group, 347 facilities
Fines
$41,215 across 3 fines, three years to October 1, 2026
Payment denials
0
Health citations
31, of which 5 with actual harm or immediate jeopardy
Latest survey
July 25, 2026
CMS Certification Number
676421
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
November 15, 2024Fine$11,466Not listeddata.cms.gov
March 7, 2024Fine$15,851Not listeddata.cms.gov
January 23, 2024Fine$13,898Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 25, 2026F644Coordinate 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 harmCorrectedAugust 14, 2026data.cms.gov
April 15, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
April 15, 2026F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
February 12, 2026F850Hire a qualified full-time social worker in a facility with more than 120 beds.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 16, 2026data.cms.gov
February 12, 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 harmCorrectedMarch 16, 2026data.cms.gov
February 12, 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 harmCorrectedMarch 16, 2026data.cms.gov
February 12, 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 harmCorrectedMarch 16, 2026data.cms.gov
February 12, 2026F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 16, 2026data.cms.gov
December 12, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 15, 2025data.cms.gov
November 24, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 1, 2025data.cms.gov
April 14, 2025F656Develop 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 harmCorrectedMay 12, 2025data.cms.gov
November 15, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedDecember 10, 2024data.cms.gov
November 15, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedDecember 10, 2024data.cms.gov
November 15, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2024data.cms.gov
November 15, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2024data.cms.gov
November 15, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2024data.cms.gov
November 15, 2024F656Develop 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 harmCorrectedDecember 10, 2024data.cms.gov
November 15, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2024data.cms.gov
November 15, 2024F609Timely 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 harmCorrectedDecember 10, 2024data.cms.gov
November 15, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2024data.cms.gov
June 17, 2024F755Provide 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 harmCorrectedJune 18, 2024data.cms.gov
June 17, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 18, 2024data.cms.gov
June 17, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 18, 2024data.cms.gov
March 7, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedMarch 8, 2024data.cms.gov
March 7, 2024F656Develop 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 harmCorrectedMarch 29, 2024data.cms.gov
February 7, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedMarch 4, 2024data.cms.gov
February 7, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedMarch 4, 2024data.cms.gov
January 23, 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 7, 2024data.cms.gov
January 23, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2024data.cms.gov
January 23, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2024data.cms.gov
October 5, 2023F693Ensure 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 harmPast noncomplianceSeptember 29, 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
Cow Creek Healthcare, Inc.Operational or managerial controlNot listedApril 1, 2019data.cms.gov
Cow Creek Healthcare, Inc.Additional disclosable partyNot listedAugust 14, 2025data.cms.gov
Ensign Services IncAdditional disclosable partyNot listedApril 1, 2019data.cms.gov
National Health Investors, Inc.Additional disclosable partyNot listedApril 29, 2016data.cms.gov
Texas Nhi Investors, LLCAdditional disclosable partyNot listedApril 29, 2016data.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.