Nursing home report
Registered name: Legend Oaks Healthcare and Rehabilitation Center -
Gladewater, TX · Medicare-certified · 100 beds
Legend Oaks Healthcare and Rehabilitation Center Gladewater has an overall rating of 2 out of 5 stars, with 2-star health inspection and staffing ratings and 3-star quality measures. It has $67,204 in fines in the last 24 months, a recent federal penalty, and reported nurse staffing of 3.11 hours per resident per day versus the 4.1 federal benchmark.
Health inspections
Staffing
3.1061 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1061.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited October 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 609 — 42 CFR §483.12 — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited October 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited October 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 607 — 42 CFR §483.12 — S/S: J
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited October 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 610 — 42 CFR §483.12 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 10 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
Health inspection found 6 health deficiencies.
A federal fine of $16,801 was recorded.
A federal fine of $43,070 was recorded.
On record with Medicare: 6 fines · $124,559 in total fines.
Federal fine
Oct 23, 2024
Federal fine
Jun 19, 2024
Federal fine
Sep 13, 2023
Now operated by Legend Oaks Healthcare and Rehabilitation-gladewater, previously Legend Oaks Healthcare and Rehabilitation Center Gladewater.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
