Federal inspection record · CMS data as of October 1, 2026
Legend Oaks Healthcare And Rehabilitation - Ennis
1400 Medical Center Drive, Ennis, TX · (972) 875-4800
- CMS high-performer trophy
- Certified beds
- 124
- Residents per day
- 80
- Ownership
- For-Profit
- Chain
- The Ensign Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 9, 2010
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Legend Oaks Healthcare And Rehabilitation - Ennis carries 17 inspection points. That is fewer than 95% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
10 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care3E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights2D
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Environmental2E
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Resident Assessment and Care Planning1D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspection history
2026-05-07
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2025-02-27
2 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2024-01-11
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Environmental (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 19 min of nursing staff time a day, 19 min of it from a registered nurse.
This home
3 h 19 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 34% of nursing staff and 20% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 2.0 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 1.3 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.2 pts better | 0.0% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.3 pts better | 1.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts better | 1.5% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.8 pts worse | 23.6% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.6 pts better | 1.2% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.3 pts better | 10.6% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.2 pts better | 8.6% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 0.4% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.7 pts worse | 16.2% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.9 pts better | 0.8% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better | 100.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8.9 pts better | 3.3% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better | 0.9% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.8 pts better | 99.2% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.8 pts better | 18.7% | 25.5% | 23.4% |
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Who owns and runs it
15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Eastland Memorial Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 34 facilities |
| Burnam, Soon | Corporate Officer · Individual | 0% | 353 facilities |
| Ensign Services Inc | Adp Of The SNF · Organization | 0% | 299 facilities |
| Getzendaner Healthcare, Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Getzendaner Healthcare, Inc. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Keetch, Chad | Corporate Officer · Individual | 0% | 301 facilities |
| Miller, Roy | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Miller, Roy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Miller, Roy | Adp Of The SNF · Individual | 0% | 1 facilities |
| National Health Investors, Inc. | Adp Of The SNF · Organization | 0% | 31 facilities |
| Sharma, Neeraj | Managing Control - Governing Body · Individual | 0% | 7 facilities |
| Sharma, Neeraj | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Sharma, Neeraj | Adp Of The SNF · Individual | 0% | 7 facilities |
| Taylor, Stephen | Corporate Officer · Individual | 0% | 22 facilities |
| Texas Nhi Investors, LLC | Adp Of The SNF · Organization | 0% | 19 facilities |
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Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure electrical receptacles or cover plates have distinctive color or marking.
- F
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Smoke3E
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install corridor and hallway doors that block smoke.
Egress1E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
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Other homes nearby
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Ennis Care Center
Ennis, TX · Eduro Healthcare
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 21 min
- Fines
- $36,911
-
Bluebonnet Rehab at Ennis
Ennis, TX · Caring Healthcare Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 36 min
- Fines
- $13,065
-
Pleasant Manor Healthcare and Rehabilitation
Waxahachie, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 27 min
- Fines
- $24,106