Legend Oaks Healthcare and Rehabilitation - Fort W
4240 Golden Triangle Boulevard, Keller, TX 76244 · CCN 676426
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 132
- Avg residents/day
- 103.2
- Phone
- 8178066400
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 | 2024-12-19 | 4 | 9.1 | 9.5 | -5.1 better |
| 2 | 2023-11-16 | 10 | 9.4 | 9.8 | +0.6 worse |
| 3 | 2022-09-22 | 4 | 8.1 | 9.3 | -4.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 4 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.21 | 67.9% |
| RN staffing (reported) | 0.44 | 76.9% |
| Total nurse staffing (adjusted) | 3.53 | — |
Fines & penalties
- Total fines
- $50,633
- Number of fines
- 4
- Number of penalties
- 4
- Payment denials
- 0
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (18)3 immediate jeopardy1 actual harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-11 · Health · corrected 2025-07-29
Immediate jeopardy
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-26 · Health · corrected 2025-01-30
Actual harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2024-12-19 · Health · corrected 2024-12-20
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-12-19 · Health · corrected 2024-12-20
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-12-19 · Health · corrected 2024-12-20
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-08 · Health · corrected 2024-10-10
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-08 · Health · corrected 2024-09-23
Immediate jeopardy
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-06-06 · Health · corrected 2024-06-30
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-06-06 · Health · corrected 2024-06-30
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-11-16 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-11-16 · Health · corrected 2023-11-17
Potential for more than minimal harm
- EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-11-16 · Health · corrected 2023-11-17
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.2023-11-16 · Health · corrected 2023-11-17
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.2023-11-16 · Health · corrected 2023-11-17
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-25 · Health · corrected 2023-05-13
Immediate jeopardy
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-09-22 · Health · corrected 2022-10-18
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-09-22 · Health · corrected 2022-10-18
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-09-22 · Health · corrected 2022-10-18
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| EASTLAND MEMORIAL HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-04-01 |
| NB BROWN ROCK HEALTHCARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-04-01 |
| CANTRELL, CHRISTOPHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-06-01 |
| PORTER, KRIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-23 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2016-03-02 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2011-03-01 |
| TAYLOR, STEPHEN | Individual | CORPORATE OFFICER | — | 2025-07-01 |
Other facilities in Keller
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.