The home failed to properly label and securely store medications and biologicals. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Nursing home report
Legend Oaks Healthcare and Rehabilitation -Garland
Garland, TX · Medicare-certified · 132 beds
In good standing
For-profitChain member
Data as of September 1, 2026
3 of 5 overall
Legend Oaks Healthcare and Rehabilitation -Garland has an overall rating of 3 out of 5 stars, with 3-star health inspection and staffing ratings and a lower 2-star quality measures rating. It reported 3.36 nursing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines in the last 24 months, and recent inspection concerns included medication handling/storage and food sourcing/handling.
Facility ratings
Health inspections
Staffing
3.3591 hrs/resident/day
Quality measures
Last inspection: April 30, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3591.
Staffing detail
- Registered nurses
- 0.55
- Licensed practical nurses
- 0.76
- Nurse aides
- 2.05
- Weekend nursing
- 2.91
Hours per resident per day.
Total staff turnover: 38%
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
0%0%No change
Residents with a fall causing major injury
7.3%2.3%Improving
Residents with pressure ulcers (bedsores)
1%1.7%Worsening
Residents with a urinary tract infection
1.3%0%Improving
Residents who lost too much weight
1.4%4.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.1%29.6%Worsening
Residents whose ability to walk got worse
20.2%46.2%Worsening
Long-stay residents on antianxiety or sleep medication
9.1%16.7%Worsening
Short-stay residents newly given an antipsychotic
0%1.5%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
17.4%21%Worsening
Residents with depressive symptoms
3.4%0%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
—97.7%—
Long-stay residents given the pneumonia vaccine
98.8%91.9%Worsening
Short-stay residents given the seasonal flu vaccine
—55.4%—
Short-stay residents given the pneumonia vaccine
65.1%39.6%Worsening
What the inspectors found
The nursing home failed to keep medication mistakes below the allowed level. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited January 2024 — limited pattern, potential for harm.
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F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited January 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — 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 6 health deficiencies.
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 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Recent ownership change · Apr 1, 2019
Now operated by Eastland Memorial Hospital District, previously Duck Creek Healthcare, INC..
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 344 homes · 3.2 stars avg
- Occupancy
- 101 residents on an average day (77% 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.