Legend Oaks Healthcare And Rehabilitation Center - has received an F grade based on CMS data, with a score of 38/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Houston facility should carefully review its inspection history and quality metrics.
With 3.34 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 20 deficiencies at Legend Oaks Healthcare And Rehabilitation Center -, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure each resident receives an accurate assessment..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.34 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.36 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.94 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.05 | 2.4 | Below Average |
| Weekend Total Nursing | 2.79 | 3.8 | Below Average |
| Weekend RN Hours | 0.29 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.Nov 30, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0694 Severity DProvide for the safe, appropriate administration of IV fluids for a resident when needed.Nov 30, 2025 · Quality of Life and Care Deficiencies
- Tag 0726 Severity DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Nov 30, 2025 · Nursing and Physician Services Deficiencies
- Tag 0760 Severity DEnsure that residents are free from significant medication errors.Nov 30, 2025 · Pharmacy Service Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiNov 30, 2025 · Pharmacy Service 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 | 3.6% | 3.0% | Worse |
| On antipsychotic medication | 3.5% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 19.1% | 14.0% | Worse |
| Excessive weight loss | 3.2% | 7.5% | Better |
| New/worsened incontinence | 18.9% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $39,045
How This Grade Was Calculated
This facility's grade of F is based on a score of 38 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: 2★ → 8 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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