nursing home in Gladewater, TX
Legend Oaks Healthcare and Rehabilitation Center G
1201 Fm 2685, Gladewater, TX 75647 · (903) 845-2175
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Legend Oaks Healthcare and Rehabilitation Center G at a glance
Legend Oaks Healthcare and Rehabilitation Center G is a 100-bed government nursing home in Gladewater, Texas (Gregg County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.1 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (April 15, 2026) found 13 health citations. The Texas average is 9.4.
Federal regulators fined it 5 times in the past three years, totaling $110,274.
Nursing staff turnover is 42.6% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 100
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- December 1, 2004
- Resident/family council
- Resident
- County
- Gregg County
- CMS Certification Number
- 676048
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.2 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.11 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.37 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.41 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.58 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 42.6% | 55.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 40% | 54.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 13 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 118.8 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 5 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $110,274 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 5 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 100 | 113 | 107 | |
| Average residents per day | 75 | 76 | 86 | |
| Occupancy | 74.9% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 1% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 3.1% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 28.3% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 22.7% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 1.6% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 3.1% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 27.4% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 13.3% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.1% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.2% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 88% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 89.4% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 39 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. 7 citations involved actual harm, including 5 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 23, 2026 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected May 26, 2026 |
| April 15, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | B No harm, pattern | No revisit needed |
| April 15, 2026 Standard | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected May 1, 2026 |
| April 15, 2026 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected April 24, 2026 |
| April 15, 2026 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected May 1, 2026 |
| April 15, 2026 Standard | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | E Potential harm, pattern | Corrected May 1, 2026 |
| April 15, 2026 Standard | Give residents a notice of rights, rules, services and charges. Resident Rights Deficiencies · Tag F0572 | E Potential harm, pattern | Corrected May 1, 2026 |
| April 15, 2026 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected May 1, 2026 |
| April 15, 2026 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected May 1, 2026 |
| April 15, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 1, 2026 |
| April 15, 2026 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected May 1, 2026 |
| April 15, 2026 Standard | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Tag F0577 | C No harm, widespread | Corrected April 16, 2026 |
| January 29, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected February 18, 2026 |
| January 21, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected February 4, 2026 |
| February 12, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Waiver has been granted |
| February 12, 2025 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected March 14, 2025 |
| February 12, 2025 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | E Potential harm, pattern | Corrected March 14, 2025 |
| February 12, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 14, 2025 |
| February 12, 2025 Standard | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Tag F0807 | D Potential harm, isolated | Corrected March 14, 2025 |
| February 12, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 14, 2025 |
| February 12, 2025 Standard | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Tag F0802 | D Potential harm, isolated | Corrected March 14, 2025 |
| October 23, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | J Immediate jeopardy, isolated | Corrected August 30, 2024 |
| October 23, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected August 30, 2024 |
| October 23, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | J Immediate jeopardy, isolated | Corrected August 30, 2024 |
| October 23, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | J Immediate jeopardy, isolated | Corrected August 30, 2024 |
| June 19, 2024 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | G Actual harm, isolated | Corrected July 16, 2024 |
| June 19, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 16, 2024 |
| February 22, 2024 Complaint | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0603 | H Actual harm, pattern | Corrected March 21, 2024 |
| February 22, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 21, 2024 |
| February 22, 2024 Complaint | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Resident Rights Deficiencies · Tag F0563 | D Potential harm, isolated | Corrected March 21, 2024 |
| January 24, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | B No harm, pattern | Waiver has been granted |
| January 24, 2024 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | E Potential harm, pattern | Corrected February 23, 2024 |
| January 24, 2024 Complaint | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected February 23, 2024 |
| January 24, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected February 23, 2024 |
| January 24, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected February 23, 2024 |
| January 24, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected February 23, 2024 |
| January 24, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected February 23, 2024 |
| January 24, 2024 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected February 23, 2024 |
| January 24, 2024 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected February 23, 2024 |
| January 24, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected February 23, 2024 |
| September 13, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected October 12, 2023 |
| September 13, 2023 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected October 12, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $59,871 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 23, 2024 | Fine | $16,801 |
| June 19, 2024 | Fine | $43,070 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY Organization | 5% or greater direct ownership interest | 100% | 04/01/2017 |
| DAFFODIL HEALTHCARE, INC. Organization | adp of the snf | NOT APPLICABLE | 09/29/2025 |
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 05/01/2016 |
| KEGARISE, BRANDON Individual | adp of the snf | NOT APPLICABLE | 04/01/2017 |
| NATIONAL HEALTH INVESTORS, INC. Organization | adp of the snf | NOT APPLICABLE | 04/01/2017 |
| SHEN, HONG-I Individual | adp of the snf | NOT APPLICABLE | 05/06/2021 |
| TEXAS NHI INVESTORS, LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2017 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 04/01/2017 |
| KEETCH, CHAD Individual | corporate officer | NOT APPLICABLE | 03/01/2011 |
| SANDERSON, CLARK Individual | corporate officer | NOT APPLICABLE | 04/01/2017 |
| KEGARISE, BRANDON Individual | managing control - governing body | NOT APPLICABLE | 04/01/2017 |
| SHEN, HONG-I Individual | managing control - governing body | NOT APPLICABLE | 05/06/2021 |
| DAFFODIL HEALTHCARE, INC. Organization | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| KEGARISE, BRANDON Individual | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| SHEN, HONG-I Individual | operational/managerial control | NOT APPLICABLE | 05/06/2021 |
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Frequently asked questions
What is Legend Oaks Healthcare and Rehabilitation Center G's rating?
Legend Oaks Healthcare and Rehabilitation Center G has 2 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Legend Oaks Healthcare and Rehabilitation Center G receive?
Its most recent standard health inspection found 13 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Legend Oaks Healthcare and Rehabilitation Center G accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Legend Oaks Healthcare and Rehabilitation Center G?
It is government - hospital district and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Legend Oaks Healthcare and Rehabilitation Center G and how do I contact it?
Legend Oaks Healthcare and Rehabilitation Center G is at 1201 Fm 2685, Gladewater, TX 75647. Phone: (903) 845-2175.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.