Texas ›Keller

Legend Oaks Healthcare and Rehabilitation - Fort W

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4240 Golden Triangle Boulevard, Keller, TX 76244 (opens Google Maps) · Tarrant County · (817) 806-6400· 132 certified beds · avg 107 residents/day · certified since Jun 1, 2017 · 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★)

1/5
Health inspection rating (on-site)
inspected Mar 5, 2026
6
Serious findings on record
most recent Jun 13, 2026
$77,433
Fines, last 3 years
3.06
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: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · 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, pattern · Jun 13, 2026 · F-0760 · triggered by a complaint

The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

Severity (K): Immediate jeopardy to resident health or safety was cited. 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: Jun 14, 2026 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Sep 11, 2025 · 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: Jul 29, 2025 (Past Non-Compliance)

▲ Immediate jeopardy, isolated · Oct 8, 2024 · 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: Sep 23, 2024 (Past Non-Compliance)

▲ Actual harm, pattern · Apr 17, 2026 · 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 (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: Apr 27, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Mar 26, 2026 · F-0686 · triggered by a complaint

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.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

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: Apr 22, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Feb 26, 2025 · 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 (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: Jan 30, 2025 (Past Non-Compliance)

Inspection findings in the public record

Showing the latest 3 of 26 inspection findings. Open the full record below to read every finding.

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

    The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint F-0627

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

    The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. · from a complaint F-0813

  3. K · Immediate jeopardy, pattern

    The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint F-0760

View all 26 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
Jun 30, 2026D · Potential for more than minimal harm, isolatedThe facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint · F-0627
Jun 23, 2026E · Potential for more than minimal harm, patternThe facility did not have a policy covering how food brought in by family and visitors is used and stored safely. · from a complaint · F-0813
Jun 13, 2026▲ K · Immediate jeopardy, patternThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760
Apr 17, 2026▲ H · Actual harm, patternThe 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
Mar 26, 2026▲ G · Actual 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
Mar 5, 2026E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Mar 5, 2026E · Potential for more than minimal harm, patternThe facility did not dispose of garbage and refuse properly. · F-0814
Mar 5, 2026E · Potential for more than minimal harm, patternThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Mar 5, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0656
Mar 5, 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
Mar 5, 2026D · 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
Mar 5, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Sep 11, 2025▲ 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
Feb 26, 2025▲ G · Actual 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
Dec 19, 2024D · Potential for more than minimal harm, isolatedThe facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693
Dec 19, 2024D · Potential for more than minimal harm, isolatedThe facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · F-0694
Dec 19, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Oct 8, 2024▲ 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
Oct 8, 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
Jun 6, 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. · from a complaint · F-0558
Jun 6, 2024D · Potential for more than minimal harm, isolatedThe facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint · F-0644
Nov 16, 2023E · Potential for more than minimal harm, patternThe facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · F-0727
Nov 16, 2023E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Nov 16, 2023D · 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
Nov 16, 2023D · Potential for more than minimal harm, isolatedThe facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · F-0636
Nov 16, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 7).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 5
Serious citations (G–L): 0
2024
All citations: 7
Serious citations (G–L): 1
2025
All citations: 2
Serious citations (G–L): 2
2026
All citations: 12
Serious citations (G–L): 3

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

YearCitationsSerious (G–L)Worst severity that year
202350E
202471J ▲
202522J ▲
2026123K ▲

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 $77,433.

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
Jun 13, 2026Fine$11,850
Mar 5, 2026Fine$18,150
Mar 5, 2026Fine$19,135
Sep 11, 2025Fine$10,361
Feb 26, 2025Fine$9,110
Oct 8, 2024Fine$8,827

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: 3.06
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.48
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.66
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)3.063.463.95bottom 26% in Texas; bottom 16% in the U.S.
Registered Nurse hours0.480.440.69top 29% in Texas; bottom 35% in the U.S.
Weekend total nurse staffing2.663.043.50bottom 27% in Texas; bottom 15% in the U.S.
Weekend RN hours (not acuity-adjusted)0.340.340.48top 37% in Texas; bottom 40% in the U.S.
Total nursing staff turnover (%)67.855.345.8bottom 21% in Texas; bottom 8% in the U.S.
RN turnover (%)62.554.642.9bottom 38% in Texas; bottom 19% 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 3.13, RN 0.49, weekend 2.72.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.13 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

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: 4/5 · 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 - Fort W. CMS inspection and staffing records do not tell us what this home will charge you.

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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 - Limited Liability company

Owner / managerTypeRoleStakeSince
Eastland Memorial Hospital DistrictOrganization5% or Greater Direct Ownership Interest100%04/01/2019
Burnam, SoonIndividualCorporate OfficerNOT APPLICABLE03/02/2016
Cantrell, ChristopherIndividualManaging Control - Governing BodyNOT APPLICABLE06/01/2017
Cantrell, ChristopherIndividualOperational/Managerial ControlNOT APPLICABLE06/01/2017
Cantrell, ChristopherIndividualADP of the SNFNOT APPLICABLE06/01/2017
Ensign Services INCOrganizationADP of the SNFNOT APPLICABLE06/01/2017
Keetch, ChadIndividualCorporate OfficerNOT APPLICABLE03/01/2011
National Health Investors, INC.OrganizationADP of the SNFNOT APPLICABLE06/01/2017
NB Brown Rock Healthcare, INC.OrganizationOperational/Managerial ControlNOT APPLICABLE04/01/2019
NB Brown Rock Healthcare, INC.OrganizationADP of the SNFNOT APPLICABLE08/15/2025
Porter, KrisIndividualManaging Control - Governing BodyNOT APPLICABLE10/23/2023
Porter, KrisIndividualOperational/Managerial ControlNOT APPLICABLE10/23/2023
Porter, KrisIndividualADP of the SNFNOT APPLICABLE10/23/2023
Taylor, StephenIndividualCorporate OfficerNOT APPLICABLE07/01/2025
Texas Nhi Investors, LLCOrganizationADP of the SNFNOT APPLICABLE06/01/2017

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.

  • "What systems do you use to prevent medication errors, and what happens when one occurs?"
  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
  • "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
  • "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
  • "What are your rules for bringing in my family member's favorite foods, and how are they stored?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "Can I see where garbage is stored and how often it's removed?"

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 68% 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 68 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
The Harrison at Heritage1.2 miFort Worth, TX★★★☆☆2/5
Heritage House at Keller Rehab & Nursing2.6 miKeller, TX★★★★★4/5
Green Valley Healthcare and Rehabilitation Center5.1 miFort Worth, TX★☆☆☆☆1/5
North Pointe Nursing and Rehabilitation5.3 miWatauga, TX★☆☆☆☆1/5
Discovery Village at Southlake5.5 miSouthlake, TX★★★★★5/5
The Carlyle at Stonebridge Park5.9 miSouthlake, TX★☆☆☆☆2/5
Keller Oaks Healthcare Center6.1 miKeller, TX★★★★☆4/5
The Lodge of Saginaw Health and Wellness7.1 miSaginaw, TX★★★☆☆3/5
Avir at Emerald Hills7.2 miNorth Richland Hills, TX★★☆☆☆2/5
Oakmont Guest Care Center7.9 miHurst, TX★☆☆☆☆1/5
Glenview Wellness & Rehabilitation8.7 miNorth Richland Hills, TX★☆☆☆☆2/5
Richland Hills Rehabilitation and Healthcare Cente9.2 miFort Worth, TX★★★☆☆3/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Tarrant, TX — 71 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 Keller →

Facility data as of CMS processing date 2026-08-01. CCN 676426.

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