Gregg County, Texas · Nursing home
Legend Oaks Healthcare and Rehabilitation Center G
2 of 5 overall from CMS
1201 Fm 2685, Gladewater, TX 75647
At a glance
- Overall rating 2 of 5 Below the state average of 2.7
- Nurse time per resident, per day 3.11 hours Below the state average of 3.39
- Nursing staff who left in a year 42.6% Below the state average of 55.3%
- Health citations, last 3 inspection cycles 39 7 at the harm level or above
- Fines in 3 years $110,274 5 fines
- Certified beds in use 74.9% of 100 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Legend Oaks Healthcare and Rehabilitation Center G is a 100-bed nursing home in Gladewater, Texas (Gregg County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.11 nurse staffing hours per resident per day, below the Texas average of 3.39. CMS lists 5 fines totaling $110,274 in the past three years.
- Certified beds
- 100
- Residents per day (average)
- 74.9
- Certified since
- 2004 (22 yrs)
Government - Hospital district Participates in Medicare and MedicaidPart of The Ensign Group (344 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Legend Oaks Healthcare and Rehabilitation Center G
Chosen from this home's public data.
- CMS lists 5 fines totaling $110,274 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 13 health deficiencies in the latest inspection cycle (the standard inspection on Apr 15, 2026 plus complaint and infection-control inspections); the Texas average is 9.4. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 2.58 hours per resident on weekends against 3.11 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Texas average 2.7
- Health inspections 2 of 5 Texas average 2.8
- Staffing 2 of 5 Texas average 1.9
- Quality measures 3 of 5 Texas average 3.7
The vertical line marks the Texas average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.11 h Texas average 3.39
- Nurse aides 1.41 h Texas average 2.01
- Licensed practical nurses 1.33 h Texas average 0.95
- Registered nurses 0.37 h Texas average 0.43
- All staff, weekends 2.58 h Texas average 2.98
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Texas average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover42.6%
- Texas average55.3%
- Registered nurse turnover40.0%
- Texas average54.6%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Texas and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Texas | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 28.3% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 1.6% | 3.0% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.3% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 0.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 3.1% | 2.4% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 4.0% | 3.3% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% | 96.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 22.7% | 14.0% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.4% | 18.0% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 98.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 1.0% | 3.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.3% | 13.4% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 3.1% | 9.6% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.59 | 2.17 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.45 | 2.06 | 1.78 |
Short-stay residents
| Measure | This home | Texas | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.4% | 88.9% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.2% | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.0% | 88.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 42.7% | 25.7% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 12.5% | 12.3% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 39 health deficiencies in the three most recent inspection cycles. Of these, 5 were at the immediate jeopardy level and 2 involved actual harm; the rest were graded as no actual harm. 16 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Oct 23, 2024: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Apr 15, 2026 | 13 | 1 |
| Feb 12, 2025 | 10 | 1 |
| Jan 24, 2024 | 16 | 1 |
Texas homes averaged 9.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (39)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 26, 2026)
-
EPotential for more than minimal harm, pattern
Give residents a notice of rights, rules, services and charges.
Resident Rights · Deficient, Provider has date of correction (May 1, 2026)
-
EPotential for more than minimal harm, pattern
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights · Deficient, Provider has date of correction (May 1, 2026)
-
EPotential for more than minimal harm, pattern
Honor 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.
Resident Rights · Deficient, Provider has date of correction (May 1, 2026)
-
EPotential for more than minimal harm, pattern
Provide activities to meet all resident's needs.
Quality of Life and Care · Deficient, Provider has date of correction (May 1, 2026)
Show 25 more
-
EPotential for more than minimal harm, pattern
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Apr 24, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (May 1, 2026)
-
DPotential for more than minimal harm, isolated
Ensure 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.
Pharmacy Service · Deficient, Provider has date of correction (May 1, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (May 1, 2026)
-
CPotential for minimal harm, widespread
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights · Deficient, Provider has date of correction (Apr 16, 2026)
-
CPotential for minimal harm, widespread
Post nurse staffing information every day.
Nursing and Physician Services · Deficient, Provider has date of correction (May 1, 2026)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 18, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 4, 2026)
-
EPotential for more than minimal harm, pattern
Reasonably accommodate the needs and preferences of each resident.
Resident Rights · Deficient, Provider has date of correction (Mar 14, 2025)
-
EPotential for more than minimal harm, pattern
Ensure 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.
Pharmacy Service · Deficient, Provider has date of correction (Mar 14, 2025)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Mar 14, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 14, 2025)
-
DPotential for more than minimal harm, isolated
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 14, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 14, 2025)
-
JImmediate jeopardy, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Aug 30, 2024)
-
JImmediate jeopardy, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Aug 30, 2024)
-
JImmediate jeopardy, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Aug 30, 2024)
-
JImmediate jeopardy, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Aug 30, 2024)
-
GActual harm, isolated
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Jul 16, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 16, 2024)
-
HActual harm, pattern
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 21, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Mar 21, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Mar 21, 2024)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 23, 2024)
-
EPotential for more than minimal harm, pattern
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 23, 2024)
Showing the 30 most recent of 39.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Oct 23, 2024 | Fine | $16,801 |
| Oct 23, 2024 | Fine | $16,801 |
| Oct 23, 2024 | Fine | $16,801 |
| Oct 23, 2024 | Fine | $16,801 |
| Jun 19, 2024 | Fine | $43,070 |
Texas homes averaged 1.5 fines and $44,141 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Texas
- Size810 of 1177 by certified beds
- Texas average residents per day75.8
- ChainThe Ensign Group
- Chain average overall rating3.2 of 5
- Resident or family councilResident
- Homes in Gregg County12
Common questions
What is the CMS star rating for Legend Oaks Healthcare and Rehabilitation Center G?
Legend Oaks Healthcare and Rehabilitation Center G has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 2 and quality measures is 3.
How many beds does Legend Oaks Healthcare and Rehabilitation Center G have?
Legend Oaks Healthcare and Rehabilitation Center G has 100 certified beds. It averages 74.9 residents per day, about 74.9% of its certified beds.
How much nursing care do residents get at Legend Oaks Healthcare and Rehabilitation Center G?
The home reports 3.11 hours of nurse staffing per resident per day, including 0.37 hours from registered nurses. The Texas average is 3.39 hours and 0.43 hours from registered nurses.
Has Legend Oaks Healthcare and Rehabilitation Center G been fined?
Yes. CMS lists 5 fines totaling $110,274 in the past three years.
Does Legend Oaks Healthcare and Rehabilitation Center G accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Truman W Smith Children's Care Center 120beds 82.8%in use 4.78nurse hours a day
- 1 of 5 Pine Tree Lodge Nursing Center 92beds 64.1%in use 3.29nurse hours a day
- 1 of 5 Focused Care of Gilmer 112beds 56.9%in use 3.03nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Gregg County
Who to call in Texas
These offices serve residents of every nursing home in Texas.
- Long-term care ombudsman Office of the State Long-Term Care Ombudsman 1-800-252-2412 An advocate for residents and their families.
- File a complaint about a nursing home Complaint and Incident Intake 1-800-458-9858 (Monday to Friday, 7 a.m. to 7 p.m. Central) The state agency that inspects nursing homes.
Texas staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 676048. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.