For profit - Individual · 124 certified beds · CMS number 676253
Legend Oaks Healthcare and Rehabilitation - Ennis, Ennis, TX
CMS records 10 health deficiencies at Legend Oaks Healthcare and Rehabilitation - Ennis in Ennis, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on May 7, 2026. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 10deficiencies, 3 cycles (TX median 25)
- 3in the latest cycle (TX median 8)
- Ehighest severity · Potential for harm
- $0fines, last 3 years
- 5CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Legend Oaks Healthcare and Rehabilitation - Ennis as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Legend Oaks Healthcare and Rehabilitation - Ennis may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (3 deficiencies)
Standard inspection May 7, 2026. CMS counts 3 health deficiencies and 0 fire safety deficiencies in this cycle.
May 7, 2026 · Standard inspection
3 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 8, 2026
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 8, 2026
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 8, 2026
Previous cycle: 2 deficiencies (standard inspection Feb 27, 2025)
Standard inspection Feb 27, 2025. CMS counts 2 health deficiencies and 6 fire safety deficiencies in this cycle.
Feb 27, 2025 · Standard inspection
2 deficiencies, highest E
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 28, 2025
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 2025
Earlier cycle: 5 deficiencies (standard inspection Jan 11, 2024)
Standard inspection Jan 11, 2024. CMS counts 5 health deficiencies and 1 fire safety deficiency in this cycle.
Jul 1, 2024 · Complaint inspection
2 deficiencies, highest D
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Past non-compliance (fixed before the inspection), Jun 24, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 31, 2024
Jan 11, 2024 · Standard inspection
3 deficiencies, highest E
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 18, 2024
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 18, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 18, 2024
Tags cited in more than one inspection
2 tags cited on more than one inspection date at Legend Oaks Healthcare and Rehabilitation - Ennis; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F689 Accident prevention and supervision | 2 | Feb 27, 2025; Jan 11, 2024 |
| F880 Infection prevention and control program | 2 | May 7, 2026; Jan 11, 2024 |
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.18 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.30 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.55 h
- Nursing staff turnover
- 36.0% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 5 of 5
- Health inspection rating
- 5 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
CMS figures for Legend Oaks Healthcare and Rehabilitation - Ennis, copied as published; Texas medians are ours.
Facility details
- Address
- 1400 Medical Center Drive, Ennis, TX 75119
- Phone
- (972) 875-4800
- County
- Ellis
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Chain (CMS)
- The Ensign Group
- Certified beds
- 124
- Average residents per day
- 78.1
- In Medicare/Medicaid since
- Jun 9, 2010
- Inside a hospital
- Yes
- Continuing care retirement community
- No
- Resident and family council
- None
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 2 times)
- How do staff track and report infections among residents? (F880, cited 2 times)
- How do staff learn about and respect each resident's personal routines and choices? (F550, cited 1 time)
- How does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 1 time)
Other nursing homes in Ennis and the same chain
- Ennis Care Center
Ennis · 28 deficiencies - Bluebonnet Rehab at Ennis
Ennis · 18 deficiencies - The Eden of Las Colinas
Irving · 65 deficiencies - Northeast Rehabilitation and Healthcare Center
San Antonio · 57 deficiencies - Westpark Rehabilitation and Living
Euless · 54 deficiencies - Park Village Healthcare and Rehabilitation
DeSoto · 52 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.