Starfile

Starfile / Texas

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.

CycleInspection dateThis facilityTexas avgNational avgvs state
12025-02-2059.19.5-4.1 better
22024-01-19129.49.8+2.6 worse
32022-11-09138.19.3+4.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care1
Resident rights1
Nutrition and dietary1
Pharmacy service2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.2839.1%
RN staffing (reported)0.5944.4%
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

  1. 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

  2. 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

  3. DF0583Keep residents' personal and medical records private and confidential.2025-02-20 · Health · corrected 2025-02-21

    Potential for more than minimal harm

  4. EF0759Ensure medication error rates are not 5 percent or greater.2025-02-20 · Health · corrected 2025-02-21

    Potential for more than minimal harm

  5. 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

  6. 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

  7. DF0558Reasonably accommodate the needs and preferences of each resident.2024-01-19 · Health · corrected 2024-01-20

    Potential for more than minimal harm

  8. 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

  9. 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

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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

  16. 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

  17. DF0880Provide and implement an infection prevention and control program.2024-01-19 · Health · corrected 2024-01-20

    Potential for more than minimal harm

  18. 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

  19. 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

  20. 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

  21. DF0760Ensure that residents are free from significant medication errors.2023-10-14 · Health · corrected 2023-11-21

    Potential for more than minimal harm

  22. 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

  23. EF0880Provide and implement an infection prevention and control program.2023-07-21 · Health · corrected 2023-07-21

    Potential for more than minimal harm

  24. 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

  25. 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

  26. 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

  27. 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

  28. 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

  29. 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

  30. DF0880Provide and implement an infection prevention and control program.2022-11-09 · Health · corrected 2022-12-15

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
EASTLAND MEMORIAL HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2019-04-01
DUCK CREEK HEALTHCARE, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL2019-04-01
NICCUM, KEVINIndividualOPERATIONAL/MANAGERIAL CONTROL2019-04-01
WRIGHT, LABANIndividualCORPORATE OFFICER2021-11-10

Other facilities in Garland

NameOverallBeds
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.