Total health inspections
5
Texas average 7.4
Last Health inspection on Jun 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Nursing Home
Legend Oaks Healthcare and Rehabilitation Center
Overview of Legend Oaks Healthcare and Rehabilitation Center
Legend Oaks Healthcare and Rehabilitation in Northern Houston keeps one thing in mind when providing their service: enhancing the lives of their residents. Management and staff approach their service with the understanding that their residents need a sense of healing– both on the physical and emotional level. The staff ensures residents are inspired to grow as better individuals through their enhanced lifestyle in a vibrant and positive environment. Families can trust that their loved ones are in good hands because residents are given the fullest attention they need all round-the-clock. Legend Oaks Healthcare and Rehabilitation is committed to ensuring that residents are comfortable and secure in the community.
Services at the Legend Oaks is a short-term rehabilitation community where its services revolve around improving the quality of life for residents; found through their list of activities and programs that help residents maintain an active lifestyle. Some community amenities include lounge areas, recreational rooms, fitness center, in-house therapy, housekeeping and laundry services.
Quality ratings
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.
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.
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.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
125
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
65.5%
Residents per day (avg)
93
Occupancy rate
65.5%
Residents per day (avg)
93
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
17% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
73% of new residents, often for short stays.
Typical stay
27 days
Medicaid
10% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Governmental community
Operated by state authorities.
Home revenue
$13.0M
Surplus of revenue
$704.3K
Governmental community
Operated by state authorities.
Home revenue
$12,955,126.00
Surplus of revenue
$704,304.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$12.3M
Walk Score: 20 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Care Services
Accepts Medicaid
Accepts Medicare
Doctor on Staff
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Programs & Activities
Specific Programs
In-House Therapy, Skilled Nursing, Stay Active
Types of Care at Legend Oaks Healthcare and Rehabilitation Center
Nursing Home
Health Inspection History
Inspections
Total health citations
14
Texas average 25.9
Citations per inspection
2.8
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
10 of 14 citations resulted from standard inspections; and 4 of 14 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
In line with Texas averageTexas average: 2
Serious Health citations
0
0
100% better than Texas averageTexas average: 0.4
2 critical citations
0 serious citations
12 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 06, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 06, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 06, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 06, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 06, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 06, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 06, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jun 06, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Houston The information below is reported by the Texas Health and Human Services Commission.
Park Manor of CyFair
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
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).
Houston (White Oak Bend)
120
75.2%
+19%
3.27
-10%
0
7
0
114
-
55
Hmg Park Manor Of Cyfair, L.l.c.
$10,9M
$3,9M
36.2%
675818
Capstone Healthcare Estates at Veterans Memorial
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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).
Houston (Fallbrook)
120
84.2%
+33%
3.63
0%
0
19
2
101
-
51
Capstone Vm Opco Llc
$11,6M
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34.2%
676252
Capstone Healthcare Estates on Orem
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).
Houston (Central Southwest)
120
80.7%
+27%
3.69
+2%
1
20
1
97
-
55
-
$10,7M
$3,8M
35.5%
676314
Legend Oaks Healthcare 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).
Houston
125
65.5%
+3%
3.29
-9%
1
14
2
93
-
20
Hutchins Healthcare Inc
$13,0M
$5,0M
38.7%
676137
Birchwood of Spring Branch (formerly Arden Wood)
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).
Houston (Spring Branch Central)
174
80.4%
+27%
3.87
+7%
1
23
9
121
C+
63
Bw Of Spring Branch Llc
$3,4M
$1,1M
33.3%
675789
Places of interest near Legend Oaks Healthcare and Rehabilitation Center
18.5 miles from city center — 4.43 miles to nearest hospital (Houston Methodist Willowbrook Hospital)
8902 West Rd, Houston, TX 77064
Calculate Travel Distance to Legend Oaks Healthcare and Rehabilitation Center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
154
Employees
153
Contractors
1
Staff to resident ratio
1.64:1
9% better than Texas averageTexas average ratio: 1.51:1
Avg staff/day
54
Average shift
7.7 hours
5% worse than Texas averageTexas average: 8.1 hours
Total staff hours (quarter)
38,075
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
31
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
57
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.1%
20 contractor hours this quarter
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 57 | 0 | 57 | 13,562 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 31 | 0 | 31 | 6,746 | 91 | 100% | 8.3 |
| Medication Aide/Technician | 10 | 0 | 10 | 2,916 | 91 | 100% | 9.1 |
| Speech Language Pathologist | 10 | 0 | 10 | 2,726 | 85 | 93% | 7.4 |
| Registered Nurse | 11 | 0 | 11 | 2,532 | 91 | 100% | 7.2 |
| Physical Therapy Aide | 6 | 0 | 6 | 2,137 | 81 | 89% | 7.7 |
| Qualified Social Worker | 4 | 0 | 4 | 1,613 | 77 | 85% | 7.9 |
| Dental Services Staff | 4 | 0 | 4 | 1,560 | 65 | 71% | 7.9 |
| Physical Therapy Assistant | 3 | 0 | 3 | 1,213 | 76 | 84% | 7.4 |
| RN Director of Nursing | 6 | 0 | 6 | 852 | 69 | 76% | 6.7 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 760 | 73 | 80% | 5.5 |
| Nurse Practitioner | 2 | 0 | 2 | 593 | 65 | 71% | 8.9 |
| Administrator | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Dietitian | 1 | 0 | 1 | 182 | 63 | 69% | 2.9 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 168 | 19 | 21% | 8.8 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 64 | 8 | 9% | 8 |
| Medical Director | 0 | 1 | 1 | 20 | 8 | 9% | 2.5 |
57 Certified Nursing Assistant
% of Days
100%
31 Licensed Practical Nurse
% of Days
100%
10 Medication Aide/Technician
% of Days
100%
10 Speech Language Pathologist
% of Days
93%
11 Registered Nurse
% of Days
100%
6 Physical Therapy Aide
% of Days
89%
4 Qualified Social Worker
% of Days
85%
4 Dental Services Staff
% of Days
71%
3 Physical Therapy Assistant
% of Days
84%
6 RN Director of Nursing
% of Days
76%
3 Respiratory Therapy Technician
% of Days
80%
2 Nurse Practitioner
% of Days
71%
1 Administrator
% of Days
59%
1 Dietitian
% of Days
69%
3 Clinical Nurse Specialist
% of Days
21%
1 Occupational Therapy Assistant
% of Days
9%
1 Medical Director
% of Days
9%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
94 residents
Residents by payment source
Medicare
6 residents (6.4%)
Medicaid
62 residents (66%)
Private pay or other
26 residents (27.7%)
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.9
50% worse than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.7
67% worse than Texas averageTexas average: 16.0
Long-stay resident measures
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
Percent of long-stay residents whose need for help with daily activities has increased
26.5%
Percent of long-stay residents whose need for help with daily activities has increased
26.5%
64% worse than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
29.1%
Percent of long-stay residents whose ability to move independently worsened
29.1%
79% worse than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.6%
57% worse than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
7% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.5%
Percent of long-stay high risk residents with pressure ulcers
2.5%
43% better than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.6%
Percent of long-stay residents who lose too much weight
3.6%
In line with Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.7%
Percent of long-stay residents who have depressive symptoms
1.7%
41% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
0.0%
Percent of long-stay residents who received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.1%
In line with Texas averageTexas average: 97.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
3.25
Number of hospitalizations per 1,000 long-stay resident days.
3.25
53% worse than Texas averageTexas average: 2.13
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.23
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.23
8% worse than Texas averageTexas average: 2.07
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
10% better than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
30% better than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
14% better than Texas averageTexas average: 88.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.8%
8% better than Texas averageTexas average: 25.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
13.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.5%
13% worse than Texas averageTexas average: 12.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
106% worse than Texas averageTexas average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
21.4%
Percentage of residents at or above expected ability to care for themselves at discharge.
21.4%
60% worse than Texas averageTexas average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
44.1%
Rate of successful return to home or community from a skilled nursing facility.
44.1%
13% worse than Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
$39K
51% lower than Texas averageTexas average: $80K
Number of fines
1
60% fewer fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$39K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 23, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 23, 2024
$39K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Legend Oaks Healthcare and Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
65.5%
↑ 0.2pp vs 2022
Net Income
$704,304
↑ ~$154K vs 2022
Total Payroll
$6,111,057
↑ ~$395K vs 2022
Profit Margin
5.4%
↑ 0.7pp vs 2022
Loading trend charts...
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