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Nursing home report

LEGEND OAKS HEALTHCARE AND REHABILITATION - ENNIS

ENNIS, TX · Medicare-certified · 124 beds

In good standing
For-profitChain member
Data as of September 1, 2026
5 of 5 overall

Overall rating: 5 of 5 stars. The home has a strong health inspection rating and no fines in the last 24 months, but staffing is weak at 2 of 5 stars with reported nurse staffing below the federal benchmark (3.18 vs 4.1 hours per resident per day).

Facility ratings

Health inspections

Staffing

3.1786 hrs/resident/day

Quality measures

Last inspection: May 7, 2026Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1786.

Staffing detail

Registered nurses
0.30
Licensed practical nurses
0.92
Nurse aides
1.97
Weekend nursing
2.55

Hours per resident per day.

Total staff turnover: 36%
Registered nurse turnover: 17%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

5.3%2.2%Improving

Residents with a fall causing major injury

1.8%0%Improving

Residents with pressure ulcers (bedsores)

0%0%No change

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

0%0%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

10.5%4.3%Improving

Residents whose ability to walk got worse

20.2%5.7%Improving

Long-stay residents on antianxiety or sleep medication

26.2%23.4%Improving

Short-stay residents newly given an antipsychotic

0%1.2%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

9.8%8.8%Improving

Residents with depressive symptoms

0%1.8%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

—100%—

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

—97%—

Short-stay residents given the pneumonia vaccine

100%100%No change

What the inspectors found

The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited May 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2025 — limited pattern, potential for harm.

View the original federal record

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

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited January 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 921 — 42 CFR §483.90 — S/S: E

The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited May 2026 — isolated incident, potential for harm.

View the original federal record

F-Tag 558 — 42 CFR §483.10 — S/S: D

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 3 health deficiencies.

    See what inspectors found
  3. STAFFING

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

  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
For profit - Individual
Chain
Part of THE ENSIGN GROUP · 344 homes · 3.2 stars avg
Occupancy
78.1 residents on an average day (63% of 124 beds)
Medicare history
Certified for 16 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.