Legend Oaks Healthcare And Rehabilitation Center - has received an F grade based on CMS data, with a score of 22/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Gladewater facility should carefully review its inspection history and quality metrics.
With 3.09 total nurse hours per resident per day, Legend Oaks Healthcare And Rehabilitation Center - falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 35 deficiencies at Legend Oaks Healthcare And Rehabilitation Center -, including 7 classified as serious — among the most concerning citation levels. The most notable finding involved: timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.09 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.66 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.93 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.50 | 2.4 | Below Average |
| Weekend Total Nursing | 2.64 | 3.8 | Below Average |
| Weekend RN Hours | 0.31 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Jan 28, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jan 20, 2026 · Quality of Life and Care Deficiencies
- Tag 0558 Severity EReasonably accommodate the needs and preferences of each resident.Feb 11, 2025 · Resident Rights Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiFeb 11, 2025 · Pharmacy Service Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Feb 11, 2025 · Infection Control Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.3% | 4.5% | Better |
| Falls with major injury | 2.8% | 3.0% | Average |
| On antipsychotic medication | 2.5% | 14.5% | Better |
| Urinary tract infections | 0.5% | 2.5% | Better |
| ADL decline (daily activities) | 30.4% | 14.0% | Worse |
| Excessive weight loss | 3.2% | 7.5% | Better |
| New/worsened incontinence | 13.9% | 45.0% | Better |
⚠️ Penalties & Fines
6 penalties recorded by CMS
Total fines: $124,559
How This Grade Was Calculated
This facility's grade of F is based on a score of 22 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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