Texas ›Gladewater

Legend Oaks Healthcare and Rehabilitation Center G

Costs & paymentPlan a visit

1201 Fm 2685, Gladewater, TX 75647 (opens Google Maps) · Gregg County · (903) 845-2175· 100 certified beds · avg 75 residents/day · certified since Dec 1, 2004 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

2/5
Health inspection rating (on-site)
inspected Apr 15, 2026
7
Serious findings on record
most recent Oct 23, 2024
$124,559
Fines, last 3 years
3.48
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · Oct 23, 2024 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Aug 30, 2024 (Past Non-Compliance)

▲ Immediate jeopardy, isolated · Oct 23, 2024 · F-0607 · triggered by a complaint

The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.

Why it matters: Without working prevention policies, mistreatment is more likely to happen and less likely to be caught.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Aug 30, 2024 (Past Non-Compliance)

▲ Immediate jeopardy, isolated · Oct 23, 2024 · F-0609 · triggered by a complaint

The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.

Why it matters: When incidents aren't reported promptly, abusers may continue harming residents and outside authorities can't step in.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Aug 30, 2024 (Past Non-Compliance)

▲ Immediate jeopardy, isolated · Oct 23, 2024 · F-0610 · triggered by a complaint

The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.

Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Aug 30, 2024 (Past Non-Compliance)

▲ Immediate jeopardy, isolated · Sep 13, 2023 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Oct 12, 2023 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Jun 19, 2024 · F-0925 · triggered by a complaint

The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.

Why it matters: Pests spread germs, contaminate food, and signal broader problems with cleanliness.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jul 16, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, pattern · Feb 22, 2024 · F-0603 · triggered by a complaint

The facility did not protect residents from being involuntarily separated — kept apart from other residents, kept out of their own room, or confined to their room. Isolating a resident this way is a form of mistreatment.

Why it matters: Forced isolation is emotionally harmful and can hide neglect or abuse from view.

Severity (H): Actual harm was cited, below immediate jeopardy. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Mar 21, 2024 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 39 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint F-0686

  2. E · Potential for more than minimal harm, pattern

    The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost. F-0572

  3. E · Potential for more than minimal harm, pattern

    The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. F-0576

View all 39 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
May 23, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Apr 15, 2026E · Potential for more than minimal harm, patternThe facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost. · F-0572
Apr 15, 2026E · Potential for more than minimal harm, patternThe facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. · F-0576
Apr 15, 2026E · Potential for more than minimal harm, patternThe facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585
Apr 15, 2026E · Potential for more than minimal harm, patternThe facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679
Apr 15, 2026E · Potential for more than minimal harm, patternThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Apr 15, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Apr 15, 2026D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Apr 15, 2026D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Apr 15, 2026C · Potential for minimal harm, widespreadThe facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. · F-0577
Apr 15, 2026C · Potential for minimal harm, widespreadThe facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732
Jan 29, 2026D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Jan 21, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Feb 12, 2025E · Potential for more than minimal harm, patternThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558
Feb 12, 2025E · Potential for more than minimal harm, patternThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Feb 12, 2025E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Feb 12, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Feb 12, 2025D · Potential for more than minimal harm, isolatedThe facility did not have enough support staff to safely and effectively run its food and nutrition service. · F-0802
Feb 12, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated. · F-0807
Oct 23, 2024▲ J · Immediate jeopardy, isolatedThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Oct 23, 2024▲ J · Immediate jeopardy, isolatedThe facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint · F-0607
Oct 23, 2024▲ J · Immediate jeopardy, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Oct 23, 2024▲ J · Immediate jeopardy, isolatedThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610
Jun 19, 2024▲ G · Actual harm, isolatedThe facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint · F-0925
Jun 19, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Feb 22, 2024▲ H · Actual harm, patternThe facility did not protect residents from being involuntarily separated — kept apart from other residents, kept out of their own room, or confined to their room. Isolating a resident this way is a form of mistreatment. · from a complaint · F-0603
Feb 22, 2024E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Feb 22, 2024D · Potential for more than minimal harm, isolatedThe facility did not honor residents' right to receive the visitors they choose, at the times they choose. · from a complaint · F-0563
Jan 24, 2024E · Potential for more than minimal harm, patternThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Jan 24, 2024E · Potential for more than minimal harm, patternThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Jan 24, 2024E · Potential for more than minimal harm, patternThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757
Jan 24, 2024E · Potential for more than minimal harm, patternThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint · F-0761
Jan 24, 2024D · Potential for more than minimal harm, isolatedThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558
Jan 24, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint · F-0607
Jan 24, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Jan 24, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jan 24, 2024D · Potential for more than minimal harm, isolatedThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758
Sep 13, 2023▲ J · Immediate jeopardy, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Sep 13, 2023D · Potential for more than minimal harm, isolatedThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (6 → 10).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 2
Serious citations (G–L): 1
2024
All citations: 18
Serious citations (G–L): 6
2025
All citations: 6
Serious citations (G–L): 0
2026
All citations: 13
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202321J ▲
2024186J ▲
202560E
2026130E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

6 fines totaling $124,559.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Oct 23, 2024Fine$16,801
Oct 23, 2024Fine$16,801
Oct 23, 2024Fine$16,801
Oct 23, 2024Fine$16,801
Jun 19, 2024Fine$43,070
Sep 13, 2023Fine$14,285

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.48
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.41
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.88
Texas average: 3.04
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityTexas avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.483.463.95top 37% in Texas; bottom 35% in the U.S.
Registered Nurse hours0.410.440.69top 44% in Texas; bottom 24% in the U.S.
Weekend total nurse staffing2.883.043.50bottom 47% in Texas; bottom 25% in the U.S.
Weekend RN hours (not acuity-adjusted)0.160.340.48bottom 10% in Texas; bottom 6% in the U.S.
Total nursing staff turnover (%)42.655.345.8top 27% in Texas; top 43% in the U.S.
RN turnover (%)40.054.642.9top 30% in Texas; top 46% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.11, RN 0.37, weekend 2.58.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.11 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Legend Oaks Healthcare and Rehabilitation Center G. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

  • Request the room type, effective date and itemized daily rate in writing.
  • Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
  • Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Government - Hospital district

Owner / managerTypeRoleStakeSince
Fannin County Hospital AuthorityOrganization5% or Greater Direct Ownership Interest100%04/01/2017
Burnam, SoonIndividualCorporate OfficerNOT APPLICABLE04/01/2017
Daffodil Healthcare, INC.OrganizationOperational/Managerial ControlNOT APPLICABLE04/01/2017
Daffodil Healthcare, INC.OrganizationADP of the SNFNOT APPLICABLE09/29/2025
Ensign Services INCOrganizationADP of the SNFNOT APPLICABLE05/01/2016
Keetch, ChadIndividualCorporate OfficerNOT APPLICABLE03/01/2011
Kegarise, BrandonIndividualManaging Control - Governing BodyNOT APPLICABLE04/01/2017
Kegarise, BrandonIndividualOperational/Managerial ControlNOT APPLICABLE04/01/2017
Kegarise, BrandonIndividualADP of the SNFNOT APPLICABLE04/01/2017
National Health Investors, INC.OrganizationADP of the SNFNOT APPLICABLE04/01/2017
Sanderson, ClarkIndividualCorporate OfficerNOT APPLICABLE04/01/2017
Shen, Hong-IIndividualManaging Control - Governing BodyNOT APPLICABLE05/06/2021
Shen, Hong-IIndividualOperational/Managerial ControlNOT APPLICABLE05/06/2021
Shen, Hong-IIndividualADP of the SNFNOT APPLICABLE05/06/2021
Texas Nhi Investors, LLCOrganizationADP of the SNFNOT APPLICABLE04/01/2017

All 15 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain The Ensign Group — 342 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 341 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
  • "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
  • "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
  • "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "How is pest control handled here, and when was the last treatment or inspection?"
  • "Under what circumstances, if any, would a resident ever be kept in their room or separated from others?"
  • "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 43% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 15 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 16 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Truman W Smith Children's Care Center1.0 miGladewater, TX★★★★★5/5
Pine Tree Lodge Nursing Center9.8 miLongview, TX★☆☆☆☆1/5
Focused Care of Gilmer12.2 miGilmer, TX★☆☆☆☆1/5
Gilmer Nursing & Rehabilitation12.6 miGilmer, TX★☆☆☆☆1/5
Buckner Westminster Place13.2 miLongview, TX★★★★☆3/5
Heritage at Longview Healthcare Center13.6 miLongview, TX★☆☆☆☆2/5
The Oaks at Longview13.6 miLongview, TX★★★☆☆4/5
Avir at Longview13.8 miLongview, TX★☆☆☆☆1/5abuse
Longview Hill Nursing and Rehabilitation Center14.2 miLongview, TX★☆☆☆☆1/5
Willow Rehab & Nursing14.3 miKilgore, TX★★★☆☆2/5
Arbor Grace Guest Care Center14.5 miKilgore, TX★☆☆☆☆2/5
Highland Pines Nursing Home14.6 miLongview, TX★☆☆☆☆2/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Gregg, TX — 12 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Gladewater →

Facility data as of CMS processing date 2026-08-01. CCN 676048.

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