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Nursing home report

Legend Oaks Healthcare and Rehabilitation of Waxahachie

Registered name: LEGEND OAKS HEALTHCARE AND REHABILITATION - WAXAHA

WAXAHACHIE, TX · Medicare-certified · 121 beds

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

Legend Oaks Healthcare and Rehabilitation of Waxahachie has a 1-star overall rating, with 1-star staffing and 2-star health inspection scores. It reports 3.55 nursing hours per resident per day versus the 4.1 federal benchmark, and it had $11,466 in fines in the last 24 months plus a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.548 hrs/resident/day

Quality measures

Last inspection: April 15, 2026Penalties, last 24 months: $11,466recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.548.

Staffing detail

Registered nurses
0.25
Licensed practical nurses
1.08
Nurse aides
2.22
Weekend nursing
2.87

Hours per resident per day.

Total staff turnover: 58%
Registered nurse turnover: 38%

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

3.8%12.9%Worsening

Residents with a fall causing major injury

1.3%1.3%No change

Residents with pressure ulcers (bedsores)

8%1.9%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

0%4.5%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

41%25.7%Improving

Residents whose ability to walk got worse

21.2%18.2%Improving

Long-stay residents on antianxiety or sleep medication

16.4%16.9%No change

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

21.4%16.1%Improving

Residents with depressive symptoms

1.4%3.3%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

98.8%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

97.3%

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 March 2024 — 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 appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited April 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: E

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 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 hire a qualified full-time social worker in a facility with more than 120 beds. Cited February 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 850 — 42 CFR §483.70 — 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. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  7. PENALTY

    A federal fine of $11,466 was recorded.

Penalties & enforcement

On record with Medicare: 3 fines · $41,215 in total fines.

  • Federal fine

    Nov 15, 2024

    $11,466
  • Federal fine

    Mar 7, 2024

    $15,851
  • Federal fine

    Jan 23, 2024

    $13,898

Operator & ownership

Ownership
For profit - Individual
Chain
Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
Occupancy
101.7 residents on an average day (84% of 121 beds)
Resident voice
Resident & family councils
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.