Legend Oaks Healthcare And Rehabilitation - Ennis
Nursing Home · 1400 Medical Center Drive, Ennis, TX 75119 · 9728754800
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 5.0 / 5 | high |
| Staffing | 4.8 / 5 | med |
| Clinical outcomes | 4.2 / 5 | high |
| Enforcement | 4.3 / 5 | high |
| Financial stability | 4.1 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 124 |
| Ownership | Government - Hospital District |
| Operator | Eastland Memorial Hospital District |
| Chain size | 338 facilities |
| Certified since | 2010-06-09 |
| CMS overall star | 4 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$$$ of 5 · ~$420/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 1 immediate jeopardy · 0 actual harm · 12 potential for harm · 0 minor
- Federal fines: $13,275 · payment denials: 0 · penalty actions: 1
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2025-02-27 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Resident Rights Deficiencies, tag 0550) | D | corrected 2025-02-28 |
| 2025-02-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Quality of Life and Care Deficiencies, tag 0689) | E | corrected 2025-02-28 |
| 2024-07-01 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Resident Assessment and Care Planning Deficiencies, tag 0656) | D | corrected 2024-07-31 |
| 2024-07-01 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (Environmental Deficiencies, tag 0925) | D | corrected 2024-06-24 |
| 2024-01-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Quality of Life and Care Deficiencies, tag 0689) | E | corrected 2024-01-18 |
| 2024-01-11 | Provide and implement an infection prevention and control program. (Infection Control Deficiencies, tag 0880) | E | corrected 2024-01-18 |
| 2024-01-11 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Environmental Deficiencies, tag 0921) | E | corrected 2024-01-18 |
| 2023-08-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Quality of Life and Care Deficiencies, tag 0689) | J · immediate jeopardy | corrected 2023-08-03 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Annual nursing-staff turnover: 32.0% · RN turnover 16.7% (US median 45.3% · lower is better)
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 20.3% | · → 20.2 → 25.5 → 7.3 | worse than 73% of US homes · TX median 13% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 14.1% | 28.6 → 10.5 → 18.8 → 4.1 | worse than 54% of US homes · TX median 14.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 0.3% | 0 → 0 → 1.2 → 0 | better than 71% of US homes · TX median 0.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 0.9% | 1.9 → 1.8 → 0 → 0 | better than 85% of US homes · TX median 3% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 3.3% | 6.7 → 5.3 → 0 → 2.5 | better than 92% of US homes · TX median 8.1% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 0.9% | 2 → 0 → 0 → 1.7 | better than 95% of US homes · TX median 3.4% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0.3% |
What this costs
- This facility's reported avg daily charge: $420/day · $$$$ (price tier 4 of 5 among Texas nursing homes) — from its own federal cost report, FY ending 2025-06. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 51% Medicaid · 10% Medicare · 39% other/private · 58% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Ellis County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie | Yes | 4★ | Acute care |
| Methodist Midlothian Medical Center | Midlothian | Yes | 4★ | Acute care |
| Ennis Regional Medical Center | Ennis | Yes | — | Acute care |
Compare nearby
- A- Midtowne Meadows Health & Rehab · Midlothian
- A- Renaissance Rehabilitation And Healthcare Center · Italy
- B+ Red Oak Health And Rehabilitation Center · Red Oak
- B Bluebonnet Rehab At Ennis · Ennis
- B- Pleasant Manor Healthcare Rehabilitation · Waxahachie
- C Legend Oaks Healthcare And Rehabilitation - Waxaha · Waxahachie
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Ellis County nursing homes coverage. Spot an error? Tell us.