nursing home in Houston, TX
Legend Oaks Healthcare and Rehabilitation Center -
8902 West Rd, Houston, TX 77064 · (713) 849-0990
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★5
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 - at a glance
Legend Oaks Healthcare and Rehabilitation Center - is a 125-bed for-profit nursing home in Houston, Texas (Harris 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 3.3 hours of nursing care per day (0.3 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (June 6, 2025) found 12 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $39,045.
Nursing staff turnover is 70.9% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 125
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- April 25, 2007
- Resident/family council
- None
- County
- Harris County
- CMS Certification Number
- 676137
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) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.32 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.29 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.11 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.95 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 70.9% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 70% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 12 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 6 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 104.3 | 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) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $39,045 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 125 | 113 | 107 | |
| Average residents per day | 99 | 76 | 86 | |
| Occupancy | 79% | 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) | 2.8% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 3% | 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) | 12.4% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 8.1% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0.7% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.7% | 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) | 12.5% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 11.3% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 94% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.2% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.3% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 93.3% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 20 health deficiencies and 10 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 1, 2025 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 | D Potential harm, isolated | Corrected December 12, 2025 |
| December 1, 2025 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected December 12, 2025 |
| December 1, 2025 Complaint | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Tag F0694 | D Potential harm, isolated | Corrected December 12, 2025 |
| December 1, 2025 Complaint | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected December 12, 2025 |
| December 1, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected December 12, 2025 |
| December 1, 2025 Complaint | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected December 12, 2025 |
| June 6, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected June 6, 2025 |
| June 6, 2025 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected June 12, 2025 |
| June 6, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected June 6, 2025 |
| June 6, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected June 6, 2025 |
| June 6, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 20, 2025 |
| June 6, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected June 20, 2025 |
| June 6, 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 June 20, 2025 |
| June 6, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 20, 2025 |
| June 6, 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 June 20, 2025 |
| June 6, 2025 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 | D Potential harm, isolated | Corrected June 20, 2025 |
| February 28, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 3, 2025 |
| February 28, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected March 3, 2025 |
| May 10, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected May 10, 2024 |
| May 10, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected May 10, 2024 |
| May 10, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected May 10, 2024 |
| May 10, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected May 10, 2024 |
| May 10, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected May 10, 2024 |
| May 10, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected May 11, 2024 |
| April 23, 2024 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 | K Immediate jeopardy, pattern | Corrected April 24, 2024 |
| April 23, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | K Immediate jeopardy, pattern | Corrected April 24, 2024 |
| March 2, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected March 1, 2023 |
| March 2, 2023 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 March 23, 2023 |
| March 2, 2023 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected March 23, 2023 |
| March 2, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected March 23, 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 1 federal penalty in the past three years, including $39,045 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 23, 2024 | Fine | $39,045 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO 1 Organization | 5% or greater direct ownership interest | 100% | 04/01/2017 |
| ALI, NIDA Individual | adp of the snf | NOT APPLICABLE | 08/27/2019 |
| ARMSTRONG HEALTHCARE, INC. Organization | adp of the snf | NOT APPLICABLE | 10/31/2025 |
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 05/01/2016 |
| NATIONAL HEALTH INVESTORS, INC. Organization | adp of the snf | NOT APPLICABLE | 04/01/2017 |
| TEXAS NHI INVESTORS, LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2017 |
| VINCENT, JAMES Individual | 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 |
| STRATTON, CHARLES Individual | corporate officer | NOT APPLICABLE | 02/07/2005 |
| ALI, NIDA Individual | managing control - governing body | NOT APPLICABLE | 08/27/2019 |
| VINCENT, JAMES Individual | managing control - governing body | NOT APPLICABLE | 04/01/2017 |
| ALI, NIDA Individual | operational/managerial control | NOT APPLICABLE | 08/27/2019 |
| ARMSTRONG HEALTHCARE, INC. Organization | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| VINCENT, JAMES Individual | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
Other nursing homes near Legend Oaks Healthcare and Rehabilitation Center -
Paradigm at Woodwind Lakes
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- Special Focus Facility
Not ratedFallbrook Rehabilitation and Care Center
10851 Crescent Moon Dr., Houston, TX 77064 · 2.8 mi
For-profit · 202 beds
- Special Focus candidate
★★★★★1Much below averagePark Manor of Cyfair
11001 Crescent Moon Dr, Houston, TX 77064 · 2.8 mi
For-profit · 120 beds · Part of Hmg Healthcare
★★★★★5Much above averageMisty Willow Healthcare and Rehabilitation Center
12921 Misty Willow Dr, Houston, TX 77070 · 4.3 mi
For-profit · 124 beds · Part of The Ensign Group
- Special Focus candidate
- Abuse citation
★★★★★1Much below averageNorth Houston Transitional Care
9814 Grant Rd, Houston, TX 77070 · 4.6 mi
For-profit · 70 beds · Part of Pacs Group
★★★★★3AverageChampions Healthcare at Willowbrook
13500 Breton Ridge, Houston, TX 77070 · 4.6 mi
For-profit · 98 beds · Part of The Ensign Group
- Abuse citation
★★★★★2Below average
Frequently asked questions
What is Legend Oaks Healthcare and Rehabilitation Center -'s rating?
Legend Oaks Healthcare and Rehabilitation Center - 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 - receive?
Its most recent standard health inspection found 12 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 - 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 -?
It is for profit - limited liability company 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 - and how do I contact it?
Legend Oaks Healthcare and Rehabilitation Center - is at 8902 West Rd, Houston, TX 77064. Phone: (713) 849-0990.
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.