LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER G
LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER G is a 100-bed nursing home in Gladewater, Texas. CMS has certified it for Medicare and Medicaid since 2004-12-01. It averages 74.9 residents a day.
What harm was found in the violations cited at LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER G?
CMS lists 39 health-inspection deficiencies for LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER G, 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 2026-05-23.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-23 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2026-04-15 | F0572, F0576, F0585, F0679, F0755 | Give residents a notice of rights, rules, services and charges. / Ensure residents have reasonable access to and privacy in their use of communication methods. / Honor 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. / Provide activities to meet all resident's needs. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2026-04-15 | F0690, F0761, F0880 | 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 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. / Provide and implement an infection prevention and control program. | D |
| 2026-04-15 | F0577, F0732 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Post nurse staffing information every day. | C |
| 2026-01-29 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2026-01-21 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-02-12 | F0558, F0761, F0880 | Reasonably accommodate the needs and preferences of each resident. / 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. / Provide and implement an infection prevention and control program. | E |
| 2025-02-12 | F0695, F0802, F0807 | Provide safe and appropriate respiratory care for a resident when needed. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D |
| 2024-10-23 | F0600, F0607, F0609, F0610 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. | J |
| 2024-06-19 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | G |
| 2024-06-19 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-02-22 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | H |
| 2024-02-22 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2024-02-22 | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D |
| 2024-01-24 | F0641, F0695, F0757, F0761 | Ensure each resident receives an accurate assessment. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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 |
| 2024-01-24 | F0558, F0607, F0657, F0689, F0758 | Reasonably accommodate the needs and preferences of each resident. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Implement 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 |
| 2023-09-13 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2023-09-13 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
Why was LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER G fined 6 times?
| Date | Type | Amount |
|---|---|---|
| 2024-10-23 | Fine | $16,801 |
| 2024-10-23 | Fine | $16,801 |
| 2024-10-23 | Fine | $16,801 |
| 2024-10-23 | Fine | $16,801 |
| 2024-06-19 | Fine | $43,070 |
| 2023-09-13 | Fine | $14,285 |
How is LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER G staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.10605 | 3.38539 |
| Total nursing staff turnover (%) | 42.6 | 55.3 |
| Average number of residents per day | 74.9 | 75.8 |
Who owns LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER G, and what chain is it in?
LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER G is registered with CMS as Government - Hospital district, operates under the legal business name FANNIN COUNTY HOSPITAL AUTHORITY and belongs to the THE ENSIGN GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | FANNIN COUNTY HOSPITAL AUTHORITY | since 04/01/2017 |
| MANAGING CONTROL - GOVERNING BODY | KEGARISE, BRANDON, SHEN, HONG-I | since 04/01/2017 |
| CORPORATE OFFICER | BURNAM, SOON, KEETCH, CHAD, SANDERSON, CLARK | since 03/01/2011 |
| OPERATIONAL/MANAGERIAL CONTROL | DAFFODIL HEALTHCARE, INC., KEGARISE, BRANDON, SHEN, HONG-I | since 04/01/2017 |
| ADP OF THE SNF | DAFFODIL HEALTHCARE, INC., ENSIGN SERVICES INC, NATIONAL HEALTH INVESTORS, INC., TEXAS NHI INVESTORS, LLC, KEGARISE, BRANDON, SHEN, HONG-I | since 04/01/2017 |
Were you or a family member harmed at LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER G?