LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER -
8902 WEST RD, HOUSTON, TX 77064 · CCN 676137
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 125
- Avg residents/day
- 94.6
- Phone
- 7138490990
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-06-06 | 12 | 9.1 | 9.5 | +2.9 worse |
| 2 | 2024-05-10 | 5 | 9.4 | 9.8 | -4.4 better |
| 3 | 2023-03-02 | 3 | 8.1 | 9.3 | -5.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 4 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.34 | 62.4% |
| RN staffing (reported) | 0.36 | 36.4% |
| Total nurse staffing (adjusted) | 3.39 | — |
Fines & penalties
- Total fines
- $39,045
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (20)2 immediate jeopardy
- DF0641Ensure each resident receives an accurate assessment.2025-12-01 · Health · corrected 2025-12-12
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-12-01 · Health · corrected 2025-12-12
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-12-01 · Health · corrected 2025-12-12
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2025-12-01 · Health · corrected 2025-12-12
Potential for minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-12-01 · Health · corrected 2025-12-12
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-12-01 · Health · corrected 2025-12-12
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-06 · Health · corrected 2025-06-20
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-06-06 · Health · corrected 2025-06-20
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-06-06 · Health · corrected 2025-06-20
Potential for more than minimal harm
- EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-06-06 · Health · corrected 2025-06-20
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-06 · Health · corrected 2025-06-20
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-06-06 · Health · corrected 2025-06-20
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-28 · Health · corrected 2025-03-03
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-28 · Health · corrected 2025-03-03
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-10 · Health · corrected 2024-05-11
Potential for more than minimal harm
- KF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-23 · Health · corrected 2024-04-24
Immediate jeopardy
- KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-23 · Health · corrected 2024-04-24
Immediate jeopardy
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-02 · Health · corrected 2023-03-23
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2023-03-02 · Health · corrected 2023-03-23
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-03-02 · Health · corrected 2023-03-23
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-04-01 |
| ARMSTRONG HEALTHCARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 |
| ALI, NIDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-08-27 |
| VINCENT, JAMES | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2017-04-01 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2011-03-01 |
| STRATTON, CHARLES | Individual | CORPORATE OFFICER | — | 2005-02-07 |
Other facilities in HOUSTON
| Name | Overall | Beds |
|---|---|---|
| THE HALLMARK | ★★★★★ | 32 |
| THE METHODIST HOSPITAL SNF | ★★★★★ | 25 |
| PARK MANOR OF CYFAIR | ★★★★★ | 120 |
| BAYOU MANOR | ★★★★★ | 37 |
| HOUSTON TRANSITIONAL CARE | ★★★★★ | 70 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.