Nursing home report
Gladewater, TX · Medicare-certified · 100 beds
Legend Oaks Healthcare and Rehabilitation Center in Gladewater, TX has a 2-star overall rating, with a 2-star health inspection rating, 3-star staffing and quality ratings, and nurse staffing below the federal benchmark (3.15 vs. 4.1 hours/resident/day). It also has $110,274 in fines in the last 24 months, a recent federal penalty, and recent inspection citations involving abuse/neglect reporting and prevention.
Health inspections
Staffing
3.1459 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1459.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
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
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.
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
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.
