Legend Oaks Healthcare And Rehabilitation Garland faces challenges in its CMS ratings, earning a D grade with a score of 54/100. The facility ranks in the 61th percentile among Texas nursing homes, suggesting significant room for improvement.
With 3.28 total nurse hours per resident per day, Legend Oaks Healthcare And Rehabilitation Garland 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 30 deficiencies at Legend Oaks Healthcare And Rehabilitation Garland, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.28 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.59 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.71 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.98 | 2.4 | Below Average |
| Weekend Total Nursing | 2.82 | 3.8 | Below Average |
| Weekend RN Hours | 0.35 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiDec 29, 2025 · Pharmacy Service Deficiencies
- Tag 0695 Severity DProvide safe and appropriate respiratory care for a resident when needed.Dec 4, 2025 · Quality of Life and Care Deficiencies
- Tag 0759 Severity EEnsure medication error rates are not 5 percent or greater.Feb 19, 2025 · Pharmacy Service Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Feb 19, 2025 · Nutrition and Dietary Deficiencies
- Tag 0583 Severity DKeep residents' personal and medical records private and confidential.Feb 19, 2025 · Resident Rights 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 | 1.5% | 4.5% | Better |
| Falls with major injury | 6.3% | 3.0% | Worse |
| On antipsychotic medication | 4.6% | 14.5% | Better |
| Urinary tract infections | 0.6% | 2.5% | Better |
| ADL decline (daily activities) | 18.8% | 14.0% | Worse |
| Excessive weight loss | 2.7% | 7.5% | Better |
| New/worsened incontinence | 20.8% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $15,593
How This Grade Was Calculated
This facility's grade of D is based on a score of 54 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 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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