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Nursing home report

LEGEND OAKS HEALTHCARE AND REHABILITATION - ENNIS

ENNIS, TX · Medicare-certified · 124 beds

In good standing
Government-runChain member
Data as of July 1, 2026
5 of 5 overall

Overall 5 out of 5 stars. Legend Oaks Healthcare and Rehabilitation - Ennis has a 5-star health inspection rating and 4-star quality measures, but staffing is low at 2 stars with 3.18 nursing hours per resident per day versus the 4.1 federal benchmark; there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.1786 hrs/resident/day

Quality measures

Last inspection: February 27, 2025Penalties, 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 keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

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

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 home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited December 2022 — limited pattern, potential for harm.

View the original federal record

F-Tag 655 — 42 CFR §483.21 — S/S: E

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2022 — limited pattern, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — 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 2 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $13,275 in total fines.

  • Federal fine

    Aug 17, 2023

    $13,275

Operator & ownership

Ownership
Government - Hospital district
Chain
Part of THE ENSIGN GROUP · 346 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.