LEGEND OAKS HEALTHCARE AND REHABILITATION - WAXAHA
WAXAHACHIE, TX · Medicare-certified · 121 beds
Needs attention
For-profitChain member
★★★★★2 of 5 overall
Overall: 2 out of 5 stars. This nursing home has 2-star health inspections and staffing, 3-star quality measures, nurse staffing below the federal benchmark (3.60 vs 4.1 hours/resident/day), $11,466 in fines in the last 24 months, and a recent federal penalty.
Last inspection: February 12, 2026Penalties, last 24 months: $11,466recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6039.
Staffing detail
Registered nurses
0.33
Licensed practical nurses
0.97
Nurse aides
2.30
Weekend nursing
3.00
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 43%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
5.8%Worsening
Residents with a fall causing major injury
2%Improving
Residents with pressure ulcers (bedsores)
3.8%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
1.5%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
30.7%Improving
Residents whose ability to walk got worse
30.7%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
17.4%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
18.6%Worsening
Residents with depressive symptoms
1.1%Worsening
Long-stay residents given the seasonal flu vaccine
98.8%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
97.3%Steady
Short-stay residents given the pneumonia vaccine
99.9%Steady
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 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
The home failed to properly label and securely store medications and biologicals. Cited January 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — 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 5 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
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 · 338 homes · 3.2 stars avg
Occupancy
99 residents on an average day (82% 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.