Federal inspection record · CMS data as of October 1, 2026
Legend Oaks Healthcare and Rehabilitation - Fort W
4240 Golden Triangle Boulevard, Keller, TX · (817) 806-6400
- Certified beds
- 132
- Residents per day
- 108
- Ownership
- For-Profit
- Chain
- The Ensign Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 1, 2017
1
How this home got 1 star
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Legend Oaks Healthcare and Rehabilitation - Fort W carries 198.75 inspection points. That is fewer than 11% 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
26 health citations on record since 2023. 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.
Harm and immediate-jeopardy citations (6)
-
K
Ensure that residents are free from significant medication errors.
-
H
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care6D
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nutrition and Dietary4E
- E
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Dispose of garbage and refuse properly.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning4E
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Rights3D
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Reasonably accommodate the needs and preferences of each resident.
Pharmacy Service2D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nursing and Physician Services1E
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspection history
2026-03-05
12 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-12-19
7 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2023-11-16
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 18 min of nursing staff time a day, 23 min of it from a registered nurse.
This home
3 h 18 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 70% of nursing staff and 69% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$71,764 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-06-13 | Fine | $19,230 |
| 2026-03-05 | Fine | $11,798 |
| 2026-03-05 | Fine | $12,438 |
| 2025-09-11 | Fine | $10,361 |
| 2025-02-26 | Fine | $9,110 |
| 2024-10-08 | Fine | $8,827 |
6
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 days0.2 pts worse | 2.2 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse | 2.5 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.6 pts better | 98.0% | 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 injury0.3 pts worse | 3.5% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.3 pts better | 2.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.4 pts better | 2.5% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.6 pts better | 9.2% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.8 pts better | 6.0% | 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 worsened4.7 pts better | 8.2% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.8 pts better | 14.0% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.2% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.3 pts worse | 13.8% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.5 pts worse | 4.2% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.5 pts worse | 79.2% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.8 pts better | 7.4% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse | 1.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine21.5 pts worse | 63.9% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.1 pts better | 21.4% | 25.5% | 23.4% |
·
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 |
| Cantrell, Christopher | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Cantrell, Christopher | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Cantrell, Christopher | Adp Of The SNF · Individual | 0% | 2 facilities |
| Ensign Services Inc | Adp Of The SNF · Organization | 0% | 299 facilities |
| Keetch, Chad | Corporate Officer · Individual | 0% | 301 facilities |
| National Health Investors, Inc. | Adp Of The SNF · Organization | 0% | 31 facilities |
| Nb Brown Rock Healthcare, Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Nb Brown Rock Healthcare, Inc. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Porter, Kris | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Porter, Kris | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Porter, Kris | Adp Of The SNF · Individual | 0% | 2 facilities |
| Taylor, Stephen | Corporate Officer · Individual | 0% | 22 facilities |
| Texas Nhi Investors, LLC | Adp Of The SNF · Organization | 0% | 19 facilities |
·
Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Provide properly protected cooking facilities.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
·
Other homes nearby
-
The Harrison at Heritage
Fort Worth, TX · Cantex Continuing Care
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 33 min
- Fines
- $65,529
-
Avir at Keller
Keller, TX · Advanced Healthcare Solutions
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 11 min
- Fines
- $22,608
-
Green Valley Healthcare and Rehabilitation Center
Fort Worth, TX · Nexion Health
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 29 min
- Fines
- $96,925