Legend Oaks Healthcare and Rehabilitation Garland
2625 Belt Line Road, Garland, TX 75044 · CCN 676413
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 132
- Avg residents/day
- 99.4
- Phone
- 9725437700
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 | 2025-02-20 | 5 | 9.1 | 9.5 | -4.1 better |
| 2 | 2024-01-19 | 12 | 9.4 | 9.8 | +2.6 worse |
| 3 | 2022-11-09 | 13 | 8.1 | 9.3 | +4.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.28 | 39.1% |
| RN staffing (reported) | 0.59 | 44.4% |
| Total nurse staffing (adjusted) | 3.47 | — |
Fines & penalties
- Total fines
- $15,593
- 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 (30)2 immediate jeopardy
- 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.2025-12-30 · Health · corrected 2025-12-31
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-12-05 · Health · corrected 2025-12-15
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2025-02-20 · Health · corrected 2025-02-21
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2025-02-20 · Health · corrected 2025-02-21
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.2025-02-20 · Health · corrected 2025-02-21
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-01-19 · Health · corrected 2024-01-20
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-01-19 · Health · corrected 2024-01-20
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-01-19 · Health · corrected 2024-01-20
Potential for more than minimal harm
- DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-01-19 · Health · corrected 2024-01-20
Potential for more than minimal harm
- EF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-01-19 · Health · corrected 2024-01-20
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.2024-01-19 · Health · corrected 2024-01-20
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-19 · Health · corrected 2024-01-20
Potential for more than minimal 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.2024-01-19 · Health · corrected 2024-01-20
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-19 · Health · corrected 2024-01-20
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.2024-01-19 · Health · corrected 2024-01-20
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.2024-01-19 · Health · corrected 2024-01-20
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-01-19 · Health · corrected 2024-01-20
Potential for more than minimal harm
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2023-10-14 · Health · corrected 2023-11-21
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-14 · Health · corrected 2023-11-21
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.2023-10-14 · Health · corrected 2023-11-21
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-10-14 · Health · corrected 2023-11-21
Potential for more than minimal harm
- FF0761Ensure 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.2023-07-21 · Health · corrected 2023-07-21
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-07-21 · Health · corrected 2023-07-21
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-05-14 · Health · corrected 2023-05-15
Immediate jeopardy
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-14 · Health · corrected 2023-05-15
Immediate jeopardy
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-31 · Health · corrected 2023-04-03
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2022-11-09 · Health · corrected 2022-12-15
Potential for more than minimal 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.2022-11-09 · Health · corrected 2022-12-15
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.2022-11-09 · Health · corrected 2022-12-15
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-11-09 · Health · corrected 2022-12-15
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 |
| DUCK CREEK HEALTHCARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-04-01 |
| NICCUM, KEVIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-04-01 |
| WRIGHT, LABAN | Individual | CORPORATE OFFICER | — | 2021-11-10 |
Other facilities in Garland
| Name | Overall | Beds |
|---|---|---|
| Advanced Health & Rehab Center of Garland | ★★☆☆☆ | 139 |
| Beltline Healthcare Center | ★☆☆☆☆ | 120 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.