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.
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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
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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.