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Legend Oaks Healthcare and Rehabilitation - Ennis
1400 Medical Center Drive, Ennis, TX 75119 (opens Google Maps) · Ellis County · (972) 875-4800· 124 certified beds · avg 78 residents/day · certified since Jun 9, 2010 · 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★)
5/5
Health inspection rating (on-site)
inspected May 7, 2026
1
Serious findings on record
most recent Aug 17, 2023
$0
Fines, last 3 years
3.32
Nurse hours/resident/day (adjusted)
Every record stays on this page.
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: ★★★★★5/5 · CMS overall rating: 5/5 · 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 · Aug 17, 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.
▲ Immediate jeopardy, isolated · Aug 17, 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: Aug 3, 2023 (Past Non-Compliance)
Inspection findings in the public record
Showing the latest 3 of 11 inspection findings. Open the full record below to read every finding.
The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. F-0677
The 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
The 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
View all 11 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.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 7, 2026 | E · Potential for more than minimal harm, pattern | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| May 7, 2026 | D · Potential for more than minimal harm, isolated | The 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 |
| May 7, 2026 | D · Potential for more than minimal harm, isolated | The 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 27, 2025 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Feb 27, 2025 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Jul 1, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656 |
| Jul 1, 2024 | D · Potential for more than minimal harm, isolated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint · F-0925 |
| Jan 11, 2024 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jan 11, 2024 | E · Potential for more than minimal harm, pattern | The 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 |
| Jan 11, 2024 | E · Potential for more than minimal harm, pattern | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Aug 17, 2023 | ▲ J · Immediate jeopardy, isolated | The 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 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 3).
All citationsSerious citations (G–L)
2023
All citations: 1
Serious citations (G–L): 1
2024
All citations: 5
Serious citations (G–L): 0
2025
All citations: 2
Serious citations (G–L): 0
2026
All citations: 3
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 1 | J ▲ |
| 2024 | 5 | 0 | E |
| 2025 | 2 | 0 | E |
| 2026 | 3 | 0 | E |
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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.32
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.31
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.67
Texas average: 3.04
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.32 | 3.46 | 3.95 | top 49% in Texas; bottom 27% in the U.S. |
| Registered Nurse hours | 0.31 | 0.44 | 0.69 | bottom 32% in Texas; bottom 11% in the U.S. |
| Weekend total nurse staffing | 2.67 | 3.04 | 3.50 | bottom 27% in Texas; bottom 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.34 | 0.48 | top 49% in Texas; bottom 32% in the U.S. |
| Total nursing staff turnover (%) | 36.0 | 55.3 | 45.8 | top 13% in Texas; top 26% in the U.S. |
| RN turnover (%) | 16.7 | 54.6 | 42.9 | top 4% in Texas; top 9% 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 3.18, RN 0.30, weekend 2.55.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.18 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
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 - Ennis. 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 →
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Eastland Memorial Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2017 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2017 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2017 |
| Getzendaner Healthcare, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2017 |
| Getzendaner Healthcare, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 04/27/2025 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Miller, Roy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2017 |
| Miller, Roy | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2017 |
| Miller, Roy | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2017 |
| National Health Investors, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 04/29/2016 |
| Sharma, Neeraj | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/10/2023 |
| Sharma, Neeraj | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/10/2023 |
| Sharma, Neeraj | Individual | ADP of the SNF | NOT APPLICABLE | 01/10/2023 |
| Taylor, Stephen | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2025 |
| Texas Nhi Investors, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/29/2016 |
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.
- Legend Oaks Healthcare and Rehabilitation - Fort W — Keller, TX · overall 1/5
- Legend Oaks Healthcare and Rehabilitation - New Br — New Braunfels, TX · overall 3/5
- Legend Oaks Healthcare and Rehabilitation - North — Austin, TX · overall 1/5abuse
- Legend Oaks Healthcare and Rehabilitation - Waxaha — Waxahachie, TX · overall 1/5
- Legend Oaks Healthcare and Rehabilitation - West S — San Antonio, TX · overall 3/5
- Legend Oaks Healthcare and Rehabilitation Center - — San Antonio, TX · overall 3/5
- Legend Oaks Healthcare and Rehabilitation Center - — Houston, TX · overall 2/5
- Legend Oaks Healthcare and Rehabilitation Center G — Gladewater, TX · overall 2/5
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
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How is pest control handled here, and when was the last treatment or inspection?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
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 36% 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 (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Ennis Care Center | 0.7 mi | Ennis, TX | ★☆☆☆☆ | 2/5 | |
| Bluebonnet Rehab at Ennis | 1.6 mi | Ennis, TX | ★★★★☆ | 4/5 | |
| Pleasant Manor Healthcare and Rehabilitation | 12.8 mi | Waxahachie, TX | ★★★☆☆ | 2/5 | |
| Focused Care of Waxahachie | 14.3 mi | Waxahachie, TX | ★☆☆☆☆ | 2/5 | abuse |
| Legend Oaks Healthcare and Rehabilitation - Waxaha | 14.3 mi | Waxahachie, TX | ★☆☆☆☆ | 2/5 | |
| Renaissance Rehabilitation and Healthcare Center | 17.3 mi | Italy, TX | ★★★★★ | 5/5 | |
| Epic Nursing & Rehabilitation | 17.4 mi | Corsicana, TX | ★☆☆☆☆ | 1/5 | abuseSFF |
| Legacy at Corsicana Rehabilitation and Healthcare | 17.8 mi | Corsicana, TX | ★★★☆☆ | 4/5 | |
| The Village at Heritage Oaks | 17.8 mi | Corsicana, TX | ★★★★☆ | 5/5 | |
| Twilight Home | 17.9 mi | Corsicana, TX | ★★★★☆ | 4/5 | |
| Meadows of Corsicana, LLC | 18.4 mi | Corsicana, TX | ★★★★★ | 5/5 | |
| Red Oak Health and Rehabilitation Center | 18.8 mi | Red Oak, TX | ★★★☆☆ | 4/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Ellis, TX — 10 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Midlothian Healthcare Center — Midlothian, TX · overall 3/5
- Midtowne Meadows Health & Rehab — Midlothian, TX · overall 4/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 676253.