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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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.
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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
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
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.
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INSPECTION
Health inspection found 1 health deficiency.
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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.