LEGEND OAKS HEALTHCARE AND REHABILITATION - WAXAHA
LEGEND OAKS HEALTHCARE AND REHABILITATION - WAXAHA is a 121-bed nursing home in WAXAHACHIE, Texas. CMS has certified it for Medicare and Medicaid since 2017-01-31. It averages 101.7 residents a day.
What harm was found in the violations cited at LEGEND OAKS HEALTHCARE AND REHABILITATION - WAXAHA?
CMS lists 35 health-inspection deficiencies for LEGEND OAKS HEALTHCARE AND REHABILITATION - WAXAHA, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-04-15.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-15 | F0580, F0684 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E |
| 2026-02-12 | F0812, F0850 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Hire a qualified full-time social worker in a facility with more than 120 beds. | E |
| 2026-02-12 | F0645, F0755, F0761 | PASARR screening for Mental disorders or Intellectual Disabilities / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure 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 |
| 2025-12-12 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-11-24 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2025-04-14 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-11-15 | F0684, F0689 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-11-15 | F0558, F0609, F0641, F0656, F0757, F0804, F0880 | Reasonably accommodate the needs and preferences of each resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program. | D |
| 2024-06-17 | F0550, F0584, F0755 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2024-03-07 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-03-07 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-02-07 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-02-07 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2024-01-23 | F0761 | Ensure 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 |
| 2024-01-23 | F0580, F0686 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2023-10-05 | F0693 | 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. | D |
| 2023-09-13 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2023-09-13 | F0558, F0677, F0690, F0760 | Reasonably accommodate the needs and preferences of each resident. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure that residents are free from significant medication errors. | D |
Why was LEGEND OAKS HEALTHCARE AND REHABILITATION - WAXAHA fined 3 times?
| Date | Type | Amount |
|---|---|---|
| 2024-11-15 | Fine | $11,466 |
| 2024-03-07 | Fine | $15,851 |
| 2024-01-23 | Fine | $13,898 |
How is LEGEND OAKS HEALTHCARE AND REHABILITATION - WAXAHA staffed?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.54798 | 3.38539 |
| Total nursing staff turnover (%) | 57.6 | 55.3 |
| Average number of residents per day | 101.7 | 75.8 |
Who owns LEGEND OAKS HEALTHCARE AND REHABILITATION - WAXAHA, and what chain is it in?
LEGEND OAKS HEALTHCARE AND REHABILITATION - WAXAHA is registered with CMS as For profit - Individual, operates under the legal business name EASTLAND MEMORIAL HOSPITAL DISTRICT and belongs to the THE ENSIGN GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | EASTLAND MEMORIAL HOSPITAL DISTRICT | since 04/01/2019 |
| MANAGING CONTROL - GOVERNING BODY | MUNIZ, FELICIA, VASSA, NEAL | since 01/31/2017 |
| CORPORATE OFFICER | BURNAM, SOON, KEETCH, CHAD, TAYLOR, STEPHEN | since 01/31/2017 |
| OPERATIONAL/MANAGERIAL CONTROL | COW CREEK HEALTHCARE, INC., MUNIZ, FELICIA, VASSA, NEAL | since 01/31/2017 |
| ADP OF THE SNF | COW CREEK HEALTHCARE, INC., ENSIGN SERVICES INC, NATIONAL HEALTH INVESTORS, INC., TEXAS NHI INVESTORS, LLC, MUNIZ, FELICIA, VASSA, NEAL | since 01/31/2017 |
Were you or a family member harmed at LEGEND OAKS HEALTHCARE AND REHABILITATION - WAXAHA?