CareSentinel

Federal Nursing-Home Survey Record

Legend Oaks Healthcare and Rehabilitation - Fort W

CCN 676426 · 4240 Golden Triangle Boulevard, Keller, TX, 76244 · Operated within the THE ENSIGN GROUP chain

Does Legend Oaks Healthcare and Rehabilitation - Fort W have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Legend Oaks Healthcare and Rehabilitation - Fort W (CCN 676426), in Keller, TX, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 9 deficiencies; the most serious carries scope/severity J on CMS's A–L scale, a level CMS classifies as Immediate Jeopardy. The most recent federal survey on file is dated 2026-03-05. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $50,633 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

At its most recent federal inspection, CMS cited this facility for an Immediate Jeopardy deficiency.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$50,633

CMS has $50,633 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 2  ·  CMS state average: 2.7

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2026-03-26
CURRENT CYCLE
F686S/S G

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2026-03-05
CURRENT CYCLE
F842S/S E

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2026-03-05
CURRENT CYCLE
F814S/S E

Dispose of garbage and refuse properly.

2026-03-05
CURRENT CYCLE
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2026-03-05
CURRENT CYCLE
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2026-03-05
CURRENT CYCLE
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2026-03-05
CURRENT CYCLE
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2026-03-05
CURRENT CYCLE
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2025-09-11
CURRENT CYCLE
F689S/S J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-02-26
HISTORICAL
F600S/S G

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2024-12-19
HISTORICAL
F694S/S D

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

2024-12-19
HISTORICAL
F698S/S D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2024-12-19
HISTORICAL
F693S/S D

Ensure 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.

2024-10-08
HISTORICAL
F689S/S J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-10-08
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-06-06
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2024-06-06
HISTORICAL
F644S/S D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

2023-11-16
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2023-11-16
HISTORICAL
F727S/S E

Have 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.

2023-11-16
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2023-11-16
HISTORICAL
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2023-11-16
HISTORICAL
F636S/S D

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

2023-05-25
HISTORICAL
F689S/S J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at Legend Oaks Healthcare and Rehabilitation - Fort W?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

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What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

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