Legend Oaks Healthcare And Rehabilitation - Ennis earns a solid B grade from CMS data, with a score of 80/100. Performing above average across most metrics, this Ennis facility ranks in the 89th percentile among Texas nursing homes.
Staffing at Legend Oaks Healthcare And Rehabilitation - Ennis is near the national average, with 3.48 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 13 deficiencies at Legend Oaks Healthcare And Rehabilitation - Ennis, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.48 | 3.8 | Average |
| Registered Nurses (RN) | 0.35 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.02 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.11 | 2.4 | Below Average |
| Weekend Total Nursing | 2.76 | 3.8 | Below Average |
| Weekend RN Hours | 0.33 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Feb 26, 2025 · Quality of Life and Care Deficiencies
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Feb 26, 2025 · Resident Rights Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Jun 30, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0925 Severity DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.Jun 30, 2024 · Environmental Deficiencies
- Tag 0689 Severity EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jan 10, 2024 · Quality of Life and Care 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 | 0.9% | 4.5% | Better |
| Falls with major injury | 1.8% | 3.0% | Better |
| On antipsychotic medication | 3.4% | 14.5% | Better |
| Urinary tract infections | 0.5% | 2.5% | Better |
| ADL decline (daily activities) | 17.3% | 14.0% | Worse |
| Excessive weight loss | 1.8% | 7.5% | Better |
| New/worsened incontinence | 20.7% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $13,275
How This Grade Was Calculated
This facility's grade of B is based on a score of 80 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 5★ → 25 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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