3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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.
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.
This home is ranked 191st out of 296 homes in Texas for nurse hours. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
|
19m per day | ▼ 26% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
|
59m per day | ▲ 3% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
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.
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2h 11m per day | ▲ 8% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
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.
|
3h 0m per day | ■ Avg State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
|
4m per day | ▲ 11% State avg: 4m per day · National avg: 4m per day |
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Weekend RN
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.
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14m per day | ▼ 35% State avg: 21m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Texas average
0% compared with Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 13 RN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.7 hours
Assists with medical care and medications.
All 24 LPN Staff are full-time employees. No contractors work on this role.
24
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Helps with daily care and mobility.
All 54 CNA Staff are full-time employees. No contractors work on this role.
54
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 54 | 0 | 54 | 16,518 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 24 | 0 | 24 | 6,842 | 92 | 100% | 8.9 |
| Speech Language Pathologist | 8 | 0 | 8 | 2,943 | 86 | 93% | 7.1 |
| Medication Aide/Technician | 9 | 0 | 9 | 2,704 | 92 | 100% | 9.2 |
| Physical Therapy Aide | 8 | 0 | 8 | 2,588 | 88 | 96% | 8 |
| Registered Nurse | 13 | 0 | 13 | 2,215 | 87 | 95% | 10.7 |
| Qualified Social Worker | 7 | 0 | 7 | 2,153 | 79 | 86% | 6.7 |
| RN Director of Nursing | 7 | 0 | 7 | 1,756 | 67 | 73% | 7.7 |
| Physical Therapy Assistant | 3 | 0 | 3 | 1,127 | 82 | 89% | 7.6 |
| Dental Services Staff | 2 | 0 | 2 | 962 | 66 | 72% | 8 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 653 | 74 | 80% | 5.1 |
| Nurse Practitioner | 1 | 0 | 1 | 581 | 66 | 72% | 8.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 416 | 52 | 57% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 384 | 48 | 52% | 8 |
| Dietitian | 1 | 0 | 1 | 120 | 16 | 17% | 7.5 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 52 | 7 | 8% | 7.4 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 44 | 5 | 5% | 8.8 |
Includes penalties issued in 2024
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)
51% lower than Texas average
Texas average: $80K
60% fewer fines than Texas average
Texas average: 2.5
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Apr 23, 2024 · $39K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 23, 2024
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 average
Texas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.7
67% worse than Texas average
Texas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
26.5%
64% worse than Texas average
Texas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
29.1%
79% worse than Texas average
Texas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.6%
57% worse than Texas average
Texas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
7% better than Texas average
Texas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
2.5%
43% better than Texas average
Texas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas average
Texas average: 0.8%
Percent of long-stay residents who lose too much weight
3.6%
In line with Texas average
Texas average: 3.5%
Percent of long-stay residents who have depressive symptoms
1.7%
41% better than Texas average
Texas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
0.0%
100% better than Texas average
Texas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
In line with Texas average
Texas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.1%
In line with Texas average
Texas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
3.25
53% worse than Texas average
Texas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.23
8% worse than Texas average
Texas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
10% better than Texas average
Texas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
30% better than Texas average
Texas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
14% better than Texas average
Texas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.8%
8% better than Texas average
Texas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.5%
13% worse than Texas average
Texas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
106% worse than Texas average
Texas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
21.4%
60% worse than Texas average
Texas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
44.1%
13% worse than Texas average
Texas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
17% of new residents, usually for short-term rehab.
73% of new residents, often for short stays.
10% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
94
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Legend Oaks Healthcare and Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 09/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #97 / 304Payroll — State benchmarkedThis home is ranked 97th out of 304 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #144 / 304Payroll % — State benchmarkedThis home is ranked 144th out of 304 homes in Texas. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 51–63% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (73% of admissions), and a typical private pay stay runs around 27 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
8902 West Rd, Houston, TX 77064 — 4.43 miles to nearest hospital (Houston Methodist Willowbrook Hospital)
Add your location
The information below is reported by the Texas Health and Human Services Commission.
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| Caraday of Houston |
NH
MC
RC
|
Houston (Northside / Northline) |
150
Facility
150
TX AVG
80
Rank
#63 / 988
| - | - |
3.76
Facility
3.76
TX AVG
3.63
Rank
#93 / 296
| -32% | +4% |
$0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 301
|
15
Facility
15
TX AVG
25.9
Rank
#66 / 299
|
3.8
Facility
3.8
TX AVG
3.7
Rank
#202 / 299
| - | 12 | - |
41
Facility
41
TX AVG
41
Rank
#709 / 1391
| E&R Cunningham Investments, LP |
$2.7M
Facility
$2.7M
TX AVG
$8.4M
Rank
#299 / 304
|
$1.8M
Facility
$1.8M
TX AVG
$3.5M
Rank
#297 / 304
|
66.5%
Facility
66.5%
TX AVG
47%
Rank
#103 / 304
| 676470 | ||||
| Houston Transitional Care |
NH
HC
MC
NC
PC
RC
|
Houston (Braeburn) |
70
Facility
70
TX AVG
80
Rank
#517 / 988
|
90.3%
Facility
90.3%
TX AVG
63.5%
Rank
#18 / 304
| +42% |
3.17
Facility
3.17
TX AVG
3.63
Rank
#222 / 296
| +22% | -13% |
$0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 301
|
16
Facility
16
TX AVG
25.9
Rank
#76 / 299
|
5.3
Facility
5.3
TX AVG
3.7
Rank
#274 / 299
| - | 67 | - |
75
Facility
75
TX AVG
41
Rank
#67 / 1391
| Ahmad El-Saadi |
$12.3M
Facility
$12.3M
TX AVG
$8.4M
Rank
#31 / 304
|
$5.1M
Facility
$5.1M
TX AVG
$3.5M
Rank
#134 / 304
|
41.4%
Facility
41.4%
TX AVG
47%
Rank
#301 / 304
| 676435 | ||||
| Magnolia Crossing Nursing and Rehabilitation Center |
NH
NC
|
Houston |
128
Facility
128
TX AVG
80
Rank
#152 / 988
|
73.1%
Facility
73.1%
TX AVG
63.5%
Rank
#110 / 304
| +15% |
3.31
Facility
3.31
TX AVG
3.63
Rank
#191 / 296
| -31% | -9% |
$0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 301
|
17
Facility
17
TX AVG
25.9
Rank
#91 / 299
|
2.4
Facility
2.4
TX AVG
3.7
Rank
#57 / 299
| - | 108 | - |
39
Facility
39
TX AVG
41
Rank
#754 / 1391
| Magnolia Crossing Nh LLC |
$8.7M
Facility
$8.7M
TX AVG
$8.4M
Rank
#183 / 304
|
$6.3M
Facility
$6.3M
TX AVG
$3.5M
Rank
#83 / 304
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72.2%
Facility
72.2%
TX AVG
47%
Rank
#29 / 304
| 676333 | ||||
| Legend Oaks Healthcare and Rehabilitation Center |
NH
|
Houston (West Road) |
125
Facility
125
TX AVG
80
Rank
#167 / 988
|
65.5%
Facility
65.5%
TX AVG
63.5%
Rank
#164 / 304
| +3% |
3.29
Facility
3.29
TX AVG
3.63
Rank
#191 / 296
| +18% | -9% |
$39.0k
Facility
$39.0k
TX AVG
$81.8k
Rank
#196 / 301
|
14
Facility
14
TX AVG
25.9
Rank
#58 / 299
|
2.8
Facility
2.8
TX AVG
3.7
Rank
#94 / 299
| 2 | 96 | - |
20
Facility
20
TX AVG
41
Rank
#1094 / 1391
| Hutchins Healthcare Inc |
$10.8M
Facility
$10.8M
TX AVG
$8.4M
Rank
#109 / 304
|
$5.8M
Facility
$5.8M
TX AVG
$3.5M
Rank
#97 / 304
|
53.1%
Facility
53.1%
TX AVG
47%
Rank
#144 / 304
| 676137 | ||||
| The Heights of North Houston |
NH
MC
RC
|
Houston (Hollow Tree Lane) |
131
Facility
131
TX AVG
80
Rank
#133 / 988
|
71.1%
Facility
71.1%
TX AVG
63.5%
Rank
#125 / 304
| +12% |
3.32
Facility
3.32
TX AVG
3.63
Rank
#191 / 296
| +22% | -9% |
$31.5k
Facility
$31.5k
TX AVG
$81.8k
Rank
#180 / 301
|
29
Facility
29
TX AVG
25.9
Rank
#214 / 299
|
4.8
Facility
4.8
TX AVG
3.7
Rank
#258 / 299
| 3 | 98 | - |
53
Facility
53
TX AVG
41
Rank
#433 / 1391
| Touchstone Strategies-Nw Houston LLC |
$8.7M
Facility
$8.7M
TX AVG
$8.4M
Rank
#155 / 304
|
$3.7M
Facility
$3.7M
TX AVG
$3.5M
Rank
#139 / 304
|
42.5%
Facility
42.5%
TX AVG
47%
Rank
#120 / 304
| 676356 |
Legend Oaks Healthcare and Rehabilitation Center is located in Houston, Texas.
Here are the financial assistance programs available to residents in Texas.
Legend Oaks Healthcare and Rehabilitation Center is in the West Road neighborhood.
Legend Oaks Healthcare and Rehabilitation Center has a walk score of 20. Car-dependent. Most errands require a car, with limited nearby walkable options.
Legend Oaks Healthcare and Rehabilitation Center's occupancy is 65.5%.
Legend Oaks Healthcare and Rehabilitation Center is registered as a for-profit.
Yes — there are 6 photos of Legend Oaks Healthcare and Rehabilitation Center in the photo gallery on this page.
Legend Oaks Healthcare and Rehabilitation Center is located at 8902 West Rd, Houston, TX 77064.
(713) 849-0990 will put you in contact with the team at Legend Oaks Healthcare and Rehabilitation Center.
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