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Nursing home report

Legend Oaks Healthcare and Rehabilitation of Fort Worth

Registered name: Legend Oaks Healthcare and Rehabilitation - Fort W

Keller, TX · Medicare-certified · 132 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Legend Oaks Healthcare and Rehabilitation of Fort Worth has a 1-star overall rating, with 1-star staffing and 2-star health inspection results despite a 4-star quality measures rating. It has reported nurse staffing below the federal benchmark (3.13 vs. 4.1 hours per resident per day), $65,583 in fines in the last 24 months, and a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.1293 hrs/resident/day

Quality measures

Last inspection: April 17, 2026Penalties, last 24 months: $65,583recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1293.

Staffing detail

Registered nurses
0.49
Licensed practical nurses
0.87
Nurse aides
1.76
Weekend nursing
2.72

Hours per resident per day.

Total staff turnover: 68%
Registered nurse turnover: 63%

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

1.7%4.9%Worsening

Residents with a fall causing major injury

3.1%3%No change

Residents with pressure ulcers (bedsores)

4.7%2.9%Improving

Residents with a urinary tract infection

1.1%0%Improving

Residents who lost too much weight

2.3%1.1%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

18.5%8.9%Improving

Residents whose ability to walk got worse

19.3%9.2%Improving

Long-stay residents on antianxiety or sleep medication

9%10.4%Worsening

Short-stay residents newly given an antipsychotic

1.7%2.7%Worsening

Residents with a long-term catheter

1.1%0.7%No change

Residents with new or worsening incontinence

8.1%14.4%Worsening

Residents with depressive symptoms

3.4%1.1%Improving

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

97.9%95%Worsening

Short-stay residents given the seasonal flu vaccine

75.9%

Short-stay residents given the pneumonia vaccine

90%67.2%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — 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 proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2026 — isolated incident, actual harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: G

The nursing home failed to protect residents from abuse and neglect by others. Cited February 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: G

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2026 — limited pattern, potential for harm.

View the original federal record

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

The home failed to properly dispose of garbage and other waste. Cited March 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 814 — 42 CFR §483.60 — 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 1 health deficiency.

    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 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal fine of $19,135 was recorded.

  6. PENALTY

    A federal fine of $18,150 was recorded.

  7. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  8. PENALTY

    A federal fine of $10,361 was recorded.

  9. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  10. PENALTY

    A federal fine of $9,110 was recorded.

  11. PENALTY

    A federal fine of $8,827 was recorded.

Penalties & enforcement

On record with Medicare: 5 fines · $65,583 in total fines.

  • Federal fine

    Mar 5, 2026

    $19,135
  • Federal fine

    Mar 5, 2026

    $18,150
  • Federal fine

    Sep 11, 2025

    $10,361
  • Federal fine

    Feb 26, 2025

    $9,110
  • Federal fine

    Oct 8, 2024

    $8,827

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
Occupancy
106.7 residents on an average day (81% of 132 beds)
Resident voice
Resident council
Medicare history
Certified for 9 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.