For profit - Limited Liability company · 132 certified beds · CMS number 676426
Legend Oaks Healthcare and Rehabilitation - Fort W, Keller, TX
CMS records 26 health deficiencies at Legend Oaks Healthcare and Rehabilitation - Fort W in Keller, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Mar 5, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level, 2 of them recorded as past non-compliance (fixed before the inspection). CMS lists 6 fines totaling $77,433 in the last three years.
- 26deficiencies, 3 cycles (TX median 25)
- 13in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $77,433fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Legend Oaks Healthcare and Rehabilitation - Fort W 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 - Fort W may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (13 deficiencies)
Standard inspection Mar 5, 2026. CMS counts 13 health deficiencies and 1 fire safety deficiency in this cycle.
Jun 30, 2026 · Complaint inspection
1 deficiency, highest D
F627 · Permitted transfers, discharge planning, and return rights
Requirement cited (CMS): Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 1, 2026
Jun 23, 2026 · Complaint inspection
1 deficiency, highest E
F813 · Food brought in by visitors
Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 25, 2026
Jun 13, 2026 · Complaint inspection
1 deficiency, highest K
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Jun 14, 2026
Apr 17, 2026 · Complaint inspection
1 deficiency, highest H
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
- H Actual harm (not immediate jeopardy), pattern
- Status
- Correction date Apr 27, 2026
Mar 26, 2026 · Complaint inspection
1 deficiency, highest G
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Apr 22, 2026
Mar 5, 2026 · Standard inspection
7 deficiencies, highest E
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 3, 2026
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 3, 2026
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 3, 2026
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 3, 2026
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 3, 2026
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 3, 2026
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 Apr 3, 2026
Sep 11, 2025 · Complaint inspection
1 deficiency, highest J
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
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Jul 29, 2025
Previous cycle: 6 deficiencies (standard inspection Dec 19, 2024)
Standard inspection Dec 19, 2024. CMS counts 6 health deficiencies and 1 fire safety deficiency in this cycle.
Feb 26, 2025 · Complaint inspection
1 deficiency, highest G
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Past non-compliance (fixed before the inspection), Jan 30, 2025
Dec 19, 2024 · Standard inspection
3 deficiencies, highest D
F698 · Dialysis care
Requirement cited (CMS): Provide safe, appropriate dialysis care/services for a resident who requires such services.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2024
F694 · IV fluid administration
Requirement cited (CMS): Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2024
F693 · Feeding tube use and care
Requirement cited (CMS): Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2024
Oct 8, 2024 · Complaint inspection
2 deficiencies, highest J
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
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Sep 23, 2024
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 10, 2024
Earlier cycle: 7 deficiencies (standard inspection Nov 16, 2023)
Standard inspection Nov 16, 2023. CMS counts 7 health deficiencies and 2 fire safety deficiencies in this cycle.
Jun 6, 2024 · Complaint inspection
2 deficiencies, highest D
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 30, 2024
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 Jun 30, 2024
Nov 16, 2023 · Standard inspection
5 deficiencies, highest E
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 17, 2023
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 17, 2023
F727 · RN coverage and director of nursing
Requirement cited (CMS): Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 17, 2023
F636 · Full assessment at admission and yearly
Requirement cited (CMS): Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 17, 2023
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 Nov 17, 2023
Tags cited in more than one inspection
4 tags cited on more than one inspection date at Legend Oaks Healthcare and Rehabilitation - Fort W; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F689 Accident prevention and supervision | 3 | Apr 17, 2026; Sep 11, 2025 (PNC); Oct 8, 2024 (PNC) |
| F558 Accommodating individual needs and preferences | 2 | Jun 6, 2024; Nov 16, 2023 |
| F755 Pharmacy services and a consultant pharmacist | 2 | Mar 5, 2026; Nov 16, 2023 |
| F812 Food safety and sanitation | 2 | Mar 5, 2026; Nov 16, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Jun 13, 2026 | Fine | $11,850 |
| Mar 5, 2026 | Fine | $18,150 |
| Mar 5, 2026 | Fine | $19,135 |
| Sep 11, 2025 | Fine | $10,361 |
| Feb 26, 2025 | Fine | $9,110 |
| Oct 8, 2024 | Fine | $8,827 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.13 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.49 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.72 h
- Nursing staff turnover
- 67.8% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 4 of 5
CMS figures for Legend Oaks Healthcare and Rehabilitation - Fort W, copied as published; Texas medians are ours.
Facility details
- Address
- 4240 Golden Triangle Boulevard, Keller, TX 76244
- Phone
- (817) 806-6400
- County
- Tarrant
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- The Ensign Group
- Certified beds
- 132
- Average residents per day
- 106.7
- In Medicare/Medicaid since
- Jun 1, 2017
- Inside a hospital
- Yes
- Continuing care retirement community
- No
- Resident and family council
- Resident
- 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 3 times)
- How does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 2 times)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 2 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 2 times)
Other nursing homes in Keller and the same chain
- Avir at Keller
Keller · 21 deficiencies - Keller Oaks Healthcare Center
Keller · 20 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.