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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $19,135 was recorded.
PENALTY
A federal fine of $18,150 was recorded.
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $10,361 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $9,110 was recorded.
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.