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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
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 140th out of 289 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.
| 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.
| 36m per day | ▲ 38% 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.
| 43m per day | ▼ 25% 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.
| 1h 59m per day | ■ Avg 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.
| 2h 49m per day | ▼ 5% 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.
| 16m per day | ▲ 300% State avg: 4m per day · National avg: 4m per day |
|
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.
| 21m per day | ■ Avg State avg: 21m per day · National avg: 29m per day |
Lower than the Texas average: 63.5%Legend Oaks Healthcare & Rehabilitation is administrated by Martin Harris.
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 2 | 6 | This facility has 67% fewer total citations than a typical Texas nursing home (2 vs. TX avg 6).↓ 67% better |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 2 | 2 | This facility has health citations in line with the Texas average (2 vs. TX avg 2).— At avg |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 2 | 6 | This facility has 67% fewer life safety citations than a typical Texas nursing home (2 vs. TX avg 6).↓ 67% better |
|
Citations per year
Average citations per year since 2022.
| 0.5 | 1.5 | This facility has 67% fewer citations per year than a typical Texas nursing home (0.5 vs. TX avg 1.5).↓ 67% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTexas average 7.4
Last Health inspection on Feb 2025
Texas average 25.9
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).
In line with Texas averageTexas average: 2
100% better than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
13% better than 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.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.4 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0 contractor hours this quarter
No contractor roles were reported this quarter.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 43 | 0 | 43 | 14,555 | 92 | 100% | 8 |
| Licensed Practical Nurse | 20 | 0 | 20 | 5,598 | 92 | 100% | 9.9 |
| Medication Aide/Technician | 16 | 0 | 16 | 4,444 | 92 | 100% | 8.9 |
| Registered Nurse | 11 | 0 | 11 | 2,922 | 92 | 100% | 11.4 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 2,493 | 66 | 72% | 8.8 |
| Respiratory Therapy Technician | 10 | 0 | 10 | 2,267 | 77 | 84% | 6.3 |
| Qualified Social Worker | 14 | 0 | 14 | 1,932 | 82 | 89% | 6.4 |
| Physical Therapy Aide | 10 | 0 | 10 | 1,905 | 79 | 86% | 7.2 |
| Physical Therapy Assistant | 7 | 0 | 7 | 1,549 | 78 | 85% | 7.8 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,413 | 76 | 83% | 7.1 |
| Dental Services Staff | 2 | 0 | 2 | 1,014 | 71 | 77% | 7.9 |
| RN Director of Nursing | 5 | 0 | 5 | 814 | 58 | 63% | 8.6 |
| Dietitian | 1 | 0 | 1 | 569 | 60 | 65% | 9.5 |
| Nurse Practitioner | 1 | 0 | 1 | 549 | 61 | 66% | 9 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 474 | 60 | 65% | 7.9 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 457 | 59 | 64% | 7.7 |
| Nurse Aide in Training | 4 | 0 | 4 | 203 | 20 | 22% | 8.1 |
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)
81% lower than Texas averageTexas average: $80K
60% fewer fines than Texas averageTexas 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 averageTexas average: 0.2
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
9.3
8% worse than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.9
30% worse than Texas averageTexas 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
18.8%
16% worse than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
18.6%
15% worse than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.3%
61% worse than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
5.4%
66% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
1.6%
63% better than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.3%
60% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
2.1%
39% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
5.2%
80% worse than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
1.1%
86% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.6%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.32
9% worse than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.40
16% worse than Texas averageTexas 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
66.3%
27% worse than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
55.4%
37% worse than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
16.6%
36% better than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
17.6%
47% worse than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
56.3%
5% better than Texas averageTexas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
37.8%
25% 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.
29% of new residents, usually for short-term rehab.
49% of new residents, often for short stays.
23% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
96Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
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 & Rehabilitation based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #120 / 297Payroll — State benchmarkedThis home is ranked 120th out of 297 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
3.8 miles from city center
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)
Add your location
Legend Oaks Healthcare & Rehabilitation is located in Garland, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
| 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. | Garland | 132 | 55.1% | -13% | 3.83 | -19% | +6% | $40.1k | 19 | 2.1 | 4 | 75 | - | 49 | Musaab Zaid | $9.8M | $4.5M | 46.1% | 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). | Garland | 132 | 53.8% | -15% | 3.50 | -10% | -4% | $15.6k | 30 | 3.3 | 2 | 71 | - | 54 | Duck Creek Healthcare, Inc. | $13.1M | $5.5M | 42.4% | 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. | Garland | 124 | 52.0% | -18% | 3.58 | -12% | -1% | $72.9k | 24 | 2.7 | 3 | 78 | - | 44 | Primrose Healthcare, Inc. | $11.9M | $5.3M | 44.5% | 675305 | ||||
| Advanced Health and Rehabilitation Center of Garland |
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).
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.
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. | Garland | 139 | 27.3% | -57% | 3.90 | -31% | +7% | $78.9k | 27 | 3.4 | 2 | 38 | A+ | 51 | Garland Hc LLC | $16.0M | $4.4M | 27.4% | 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). | Garland | 109 | 56.4% | -11% | 3.17 | +31% | -13% | $54.9k | 42 | 3.0 | 7 | 65 | - | 52 | Slp Garland, LLC | $7.5M | $3.4M | 45.3% | 675790 |
The legal owner and operator of Legend Oaks Healthcare & Rehabilitation is Eastland Memorial Hospital District.
Legend Oaks Healthcare & Rehabilitation has a walk score of 54. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to TX state health department records, Legend Oaks Healthcare & Rehabilitation's license number is 307223.
According to TX state health department records, Legend Oaks Healthcare & Rehabilitation's license expires on January 4, 2028.
Legend Oaks Healthcare & Rehabilitation's occupancy is 54%.
Martin Harris is the administrator of Legend Oaks Healthcare & Rehabilitation.
Legend Oaks Healthcare & Rehabilitation has 132 beds.
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