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Nursing home report

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.

Facility ratings

Health inspections

Staffing

3.6039 hrs/resident/day

Quality measures

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

  1. STAFFING

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

  2. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. 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.