GoodStanding

Nursing home report

LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER -

HOUSTON, TX · Medicare-certified · 125 beds

In good standing
For-profitChain member
3 of 5 overall

3 of 5 stars overall. Health inspection and staffing are both 2 of 5 stars, reported nurse staffing is below the federal benchmark (3.48 vs 4.1 hours/resident/day), quality measures are 5 of 5 stars, and there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.4849 hrs/resident/day

Quality measures

Last inspection: December 1, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4849.

Staffing detail

Registered nurses
0.32
Licensed practical nurses
0.98
Nurse aides
2.18
Weekend nursing
3.00

Hours per resident per day.

Total staff turnover: 66%
Registered nurse turnover: 46%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

2.2%Worsening

Residents with a fall causing major injury

3.7%Worsening

Residents with pressure ulcers (bedsores)

2.4%Worsening

Residents with a urinary tract infection

0%Steady

Residents who lost too much weight

1.7%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

17.1%Improving

Residents whose ability to walk got worse

18.6%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

13.5%Improving

Short-stay residents newly given an antipsychotic

0.6%Improving

Residents with a long-term catheter

0%Steady

Residents with new or worsening incontinence

10.4%Improving

Residents with depressive symptoms

1.2%Worsening

Long-stay residents given the seasonal flu vaccine

94%Steady

Long-stay residents given the pneumonia vaccine

98.4%Worsening

Short-stay residents given the seasonal flu vaccine

100%Steady

Short-stay residents given the pneumonia vaccine

97.8%Worsening

What the inspectors found

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited April 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: K

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: K

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to properly label and securely store medications and biologicals. Cited June 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 761 — 42 CFR §483.45(g) — S/S: E

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited March 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $39,045 in total fines.

  • Federal fine

    Apr 23, 2024

    $39,045

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
Occupancy
95.6 residents on an average day (76% of 125 beds)
Medicare history
Certified for 19 years

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.