Nursing home report
Keller, TX · Medicare-certified · 132 beds
Legend Oaks Healthcare and Rehabilitation - Fort W in Keller, TX has a 2-star overall rating, with especially weak staffing at 1 star and reported nurse staffing below the federal benchmark (3.18 vs 4.1 hours per resident per day). It also had $28,298 in fines in the last 24 months and a recent federal penalty; health inspection and quality measures are 3 stars.
Health inspections
Staffing
3.1829 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1829.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
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.
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.
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.
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.
F-Tag 814 — 42 CFR §483.60 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 7 health deficiencies.
A federal fine of $10,361 was recorded.
Health inspection found 1 health deficiency.
A federal fine of $9,110 was recorded.
A federal fine of $8,827 was recorded.
On record with Medicare: 4 fines · $50,633 in total fines.
Federal fine
Sep 11, 2025
Federal fine
Feb 26, 2025
Federal fine
Oct 8, 2024
Federal fine
May 25, 2023
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.
