Legend Oaks Healthcare & Rehabilitation

Nursing Home in Garland

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Legend Oaks Healthcare & Rehabilitation

Nursing Home in Garland

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Overview of Legend Oaks Healthcare & Rehabilitation

In Garland, Texas, Legend Oaks Healthcare & Rehabilitation boasts an exceptional team of senior care professionals, offering a cutting-edge approach to senior living. Tailoring their programs to meet the diverse needs of seniors, this dedicated team delivers services of the highest caliber. Their therapy programs are not only comprehensive but also customizable, benefiting from the expertise of experienced physical, occupational, and speech therapists. The therapy gym, equipped with state-of-the-art facilities, reflects the commitment to providing top-notch rehabilitation services.

Beyond the therapeutic aspect, Legend Oaks Healthcare & Rehabilitation also embraces the importance of outdoor spaces, fostering a daily dose of fresh air and engaging recreational activities. The community exudes warmth, creating a soothing environment that enhances the overall well-being of its residents. With a focus on nursing home facilities, the center ensures a holistic and enriching experience for seniors, emphasizing personalized care and modern amenities.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
3/5 ■ Avg Texas average: 3.0/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
3/5 ▲ 0.1 Texas average: 2.9/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
3/5 ▲ 0.6 Texas average: 2.4/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
2/5 ▼ 2.0 Texas average: 4.0/5

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Texas state averages

Total nursing care / resident Info This home is ranked 125th out of 246 homes in Texas.

Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 30m per day
This facility Texas avg (3h 47m per day)
vs Texas avg
-7%

1 of 5 metrics below state avg

Standout metric Physical Therapist is +300% above state avg
Staff typeHours / dayvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 36m per day ▲ 38% State avg: 26m per day · National avg: 41m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 1h 59m per day ■ Avg State avg: 2h 1m per day · National avg: 2h 21m per day
Total Nursing (Weekend) Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 2h 49m per day ▼ 6% State avg: 2h 59m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 16m per day ▲ 300% State avg: 4m per day · National avg: 4m per day
RN (Weekend) Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 21m per day ■ Avg State avg: 21m per day · National avg: 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 132
Avg. Length of Stay
122 days

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

29% of new residents, usually for short-term rehab.

Typical stay 24 days

Private pay

49% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

23% of new residents, often for long-term daily care.

Typical stay 1 years

Finances and operations

Governmental community
Operated by state authorities.
Home revenue
$13.1M
Surplus of revenue
$343.6K
Governmental community Operated by state authorities.
Home revenue
$13.1M
Surplus of revenue
$343.6K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.7M
36.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.0M
Total costs $12.7M
Bed community size
132-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
9 years in operation
An established community with some operational experience and growing routines.
Walk Score
Walk Score: 54 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

Services

Medicare/medicaid

About this community

Occupancy

Occupancy rate
54%
In line with Texas average
Occupied beds
71 / 132
Average residents 75 per day

License Details

Facility TypeNursing
StatusLicensed
IssuanceJanuary 4, 2025
ExpirationJanuary 4, 2028
CountyDallas
License Number307223
Year Opened2/7/2017
QualificationNursing

Ownership & Operating Entity

Legend Oaks Healthcare & Rehabilitation is administrated by Martin Harris.

Management CompanyDUCK CREEK HEALTHCARE, INC
OwnerEASTLAND MEMORIAL HOSPITAL DISTRICT
Ownership TypeHOSPITAL DISTRICT/AUTHORITY

Type Of Units

Medicare
35 units
Medicaid and Medicare
97 units
Total beds
132 units

Staffing

Key information about the people who lead and staff this community.

Leadership

Administrator Email [email protected]

Therapy & Rehabilitation

1 service
Rehabilitation Services

Memory & Specialized Care

1 service
Alzheimer's Certification

Amenities & Lifestyle

0 amenities
Specific ProgramsIn-House Therapy, Rehabilitation Services, Daily Recreational Activities

Types of Care at Legend Oaks Healthcare & Rehabilitation

Skilled Nursing

Contact Legend Oaks Healthcare & Rehabilitation

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicaid Medicare

Inspection History

In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.

9 visits/inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Latest inspection

Date December 30, 2025
Annual Inspection

2 total citations

2 health citations 2 life safety citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

Texas average: 6 citations

Texas average: 2 health citations

Texas average: 6 life safety citations

44 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Texas average: 32 deficiencies

Inspection Report Summary for Legend Oaks Healthcare & Rehabilitation

The most recent inspection on December 30, 2025, identified deficiencies related to medication storage, including unlocked crash carts and topical medication found in a resident’s room without a physician’s order. Earlier inspections showed a pattern of issues with medication management, infection control, resident care planning, and privacy breaches, including a substantiated complaint about unauthorized disclosure of medical records. Prior reports also noted medication administration errors, improper use of chemical restraints, and lapses in infection prevention practices. The facility faced an immediate jeopardy finding in May 2023 due to inadequate supervision that led to a resident fall and fracture, which was resolved after corrective actions; no fines or license actions were listed in the available reports. While deficiencies have persisted over time, the facility has addressed some concerns, but medication storage and resident care documentation remain recurring themes.

Health Inspection History

Inspections
Total health inspections 9

Texas average 7.4


Last Health inspection on Feb 2025

Total health citations 30

Texas average 25.9

Citations per inspection
3.33

Texas average 3.67


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

8 of 30 citations resulted from standard inspections; 11 of 30 resulted from complaint investigations; and 11 of 30 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 2
In line with Texas average

Texas average: 2


Serious Health citations More info 0
100% better than Texas average

Texas average: 0.4

2 critical citations More info Texas average: 2

0 serious citations More info Texas average: 0.4

28 moderate citations More info Texas average: 23

0 minor citations More info Texas average: 0.4
Citations history (last 3 years)
Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Feb 20, 2025
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Feb 20, 2025
Corrected

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Feb 20, 2025
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Jan 19, 2024
Corrected

Compare Nursing Homes around Garland The information below is reported by the Texas Health and Human Services Commission.

5 facilities compared · CMS & TX Dept. of Health data · Updated Apr 2026

Filter by care type
Winters Park Nursing and Rehabilitation Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Garland132 55.1% -13%3.83 -36%+6%2192.1475- 49 Zaid, Musaab$9.5M$3.8M39.9%676039
Legend Oaks Healthcare & Rehabilitation
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Garland132 60.3% -5%3.50 -9%-4%1303.3297- 54 Duck Creek Healthcare, Inc.$13.1M$4.7M36.1%676413
Pleasant Valley Healthcare Rehabilitation Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Garland124 52.0% -18%3.58 -16%-1%4242.7378- 44 Primrose Healthcare, Inc.$11.9M$4.6M38.9%675305
Advanced Health and Rehabilitation Center of Garland
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Garland139 86.4% +36%3.90 -21%+7%1273.42125A+ 51 Garland Hc Llc$15.3M$0.0M0%455731
Garland Nursing & Rehabilitation Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Garland109 56.4% -11%3.17 +63%-13%3423.0765- 52 Slp Garland, Llc$6.8M$3.1M45.1%675790

Financial Assistance for
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Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled
General Texas resident, Medicaid-eligible, care need (not always nursing home level).
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
TX

Large state; rural access challenges.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Texas Community Care Services

TX CCS

Age 60+
General Texas resident, at risk of decline.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
TX

Limited funding; high demand in urban areas.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+
General TX resident; no income/asset limits.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
TX

28 AAAs; includes Meals on Wheels in some areas.

Benefits
Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled
General TX resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
TX

Includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Low-Income Home Energy Assistance Program (LIHEAP)

Texas Comprehensive Energy Assistance Program (CEAP)

Age 60+ prioritized
General TX resident, low-income.
Income Limits (2025) ~$3,970/month 185% FPL
Asset Limits Not assessed.
TX

Priority for elderly/disabled; covers gas, electric, propane.

Benefits
Heating/cooling aid ($300-$1,000/season) Emergency aid ($500 max)

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed.
TX

High rural demand; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

Senior Community Service Employment Program (SCSEP)

Texas SCSEP

Age 55+
General unemployed, low-income, TX resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified.
TX

Priority for veterans, rural residents; AARP partnership.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

VA Aid and Attendance (A&A) and Housebound Benefits

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General TX resident, wartime service, ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth
TX

High veteran population; supports rural/urban needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+
General TX resident, homeowner (homestead).
Income Limits (2025) None; tax-based eligibility.
Asset Limits Not assessed.
TX

$25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.

Benefits
Tax exemption or freeze (~$500-$1,000/year savings)

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+
General TX resident, low-income.
Income Limits (2025) ~$2,322/month 185% FPL
Asset Limits Not assessed.
TX

Vouchers (~$50/season); serves ~20,000 via 28 AAAs.

Benefits
Vouchers (~$50/season) for produce at farmers’ markets

Places of interest near Legend Oaks Healthcare & Rehabilitation

Address 3.8 miles from city center Info Estimated distance in miles from Garland's city center to Legend Oaks Healthcare & Rehabilitation's address, calculated via Google Maps. — 6.59 miles to nearest hospital (Texas Oncology-Medical City Dallas Blood and Marrow Transplant)

Calculate Travel Distance to Legend Oaks Healthcare & Rehabilitation

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 161
Employees 160
Contractors 1
Staff to resident ratio 1.68:1
11% better than Texas average

Texas average ratio: 1.51:1

Avg staff/day 55
Average shift 8.3 hours
0% compared with Texas average

Texas average: 8.1 hours

Total staff hours (quarter) 41,599
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.6 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 23
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 50
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

0.1%

37 contractor hours this quarter

Occupational Therapy Aide: 1
Staff by category
Certified Nursing Assistant5005014,20091100%8.1
Licensed Practical Nurse230236,11491100%9.9
Medication Aide/Technician130133,3319099%8.4
Registered Nurse110113,27491100%10.6
Qualified Social Worker110112,3178290%6.9
Respiratory Therapy Technician9092,2147582%7.3
Physical Therapy Aide100101,9827481%7.2
Physical Therapy Assistant7071,5737582%7.4
Clinical Nurse Specialist4041,1736571%8.6
Speech Language Pathologist110111,0907886%6.8
Dental Services Staff2021,0086571%8
Therapeutic Recreation Specialist2026717077%6.6
RN Director of Nursing3036146571%8.9
Dietitian1015095864%8.8
Administrator1015046369%8
Mental Health Service Worker1014966268%8
Nurse Practitioner1014955560%9
Occupational Therapy Aide01137910%4.1
50 Certified Nursing Assistant
% of Days 100%
23 Licensed Practical Nurse
% of Days 100%
13 Medication Aide/Technician
% of Days 99%
11 Registered Nurse
% of Days 100%
11 Qualified Social Worker
% of Days 90%
9 Respiratory Therapy Technician
% of Days 82%
10 Physical Therapy Aide
% of Days 81%
7 Physical Therapy Assistant
% of Days 82%
4 Clinical Nurse Specialist
% of Days 71%
11 Speech Language Pathologist
% of Days 86%
2 Dental Services Staff
% of Days 71%
2 Therapeutic Recreation Specialist
% of Days 77%
3 RN Director of Nursing
% of Days 71%
1 Dietitian
% of Days 64%
1 Administrator
% of Days 69%
1 Mental Health Service Worker
% of Days 68%
1 Nurse Practitioner
% of Days 60%
1 Occupational Therapy Aide
% of Days 10%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 96
Medicare
7
7.3% of residents
Medicaid
66
68.8% of residents
Private pay or other
23
24% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.3
8% worse than Texas average

Texas average: 8.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 20.9
30% worse than Texas average

Texas average: 16.0

Long-stay resident measures
Above average Texas avg: 4.2 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 18.8%
16% worse than Texas average

Texas average: 16.2%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 18.6%
15% worse than Texas average

Texas average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 25.3%
61% worse than Texas average

Texas average: 15.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.4%
66% worse than Texas average

Texas average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.6%
63% better than Texas average

Texas average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.3%
60% better than Texas average

Texas average: 0.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.1%
39% better than Texas average

Texas average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 5.2%
80% worse than Texas average

Texas average: 2.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 1.1%
86% better than Texas average

Texas average: 7.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.6%
In line with Texas average

Texas average: 97.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.7%
In line with Texas average

Texas average: 97.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.32
9% worse than Texas average

Texas average: 2.13

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.40
16% worse than Texas average

Texas average: 2.07

Short-stay resident measures
Average Texas avg: 2.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 66.3%
27% worse than Texas average

Texas average: 90.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Texas average

Texas average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 55.4%
37% worse than Texas average

Texas average: 88.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 16.6%
36% better than Texas average

Texas average: 25.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 17.6%
47% worse than Texas average

Texas average: 12.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Texas average

Texas average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 56.3%
5% better than Texas average

Texas average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 37.8%
25% worse than Texas average

Texas average: 50.6%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $16K
81% lower than Texas average

Texas average: $80K

Number of fines 1
60% fewer fines than Texas average

Texas average: 2.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Texas average

Texas average: 0.2

Fines amount comparison
Fines amount comparison
This facility $16K
Texas average $80K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 14, 2023
$16K

Last updated: Jan 2026

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