Legend Oaks Healthcare and Rehabilitation - Ennis
1400 Medical Center Drive, Ennis, TX 75119 · Ellis County · (972) 875-4800
124 certified beds, about 78 residents a day · For profit - Individual · Medicare and Medicaid since 2010
Inside a hospital Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676253 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 7, 2026, inspectors cited 3 health deficiencies (the Texas average is 9.4, the national average 9.2).
None of its 10 health citations since January 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.18 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.30 of those hours.
36.0% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to The Ensign Group, an affiliated group of 344 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
301/24
207/24
202/25
305/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
5E
0F
Potential for minimal harm
0A
0B
0C
May 7, 2026Standard inspection · 3 citations
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that 3 residents (Resident's #34, #61, and #64) out of 6 residents reviewed for activities of daily living received care and services for nail care. The facility failed to ensure that Residents #34, #61, and #64's fingernails were cleaned. This failure placed residents at risk for not receiving adequate care and services to prevent infection, injury, and diminished quality of life.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure residents received services in the facility with reasonable accommodations of resident's needs and preferences except when to do so would endanger the health and safety of the resident or other residents for 1 of 5 residents (Resident #25) reviewed for resident rights. The facility failed to ensure Resident's #25 call light was within reach on 05/05/26. This failure could place residents at risk of needs not being met.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 out of 2 residents (Resident #6 and Resident #43) observed for infection prevention. The facility failed to ensure Enhanced Barrier Precautions (EBP) was followed and hand hygiene was performed when CNA E and CNA M provided peri care for Resident #43. The facility failed to ensure aseptic technique and hand hygiene was performed when IFP L provided wound care for Resident #6. These deficient practices could place residents at risk for cross contamination and the spread of infection.
February 27, 2025Standard inspection · 2 citations
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistive devices to prevent accidents for four of four residents (Residents #12, #19, #58, and #171) reviewed for accidents and hazards. The facility failed to properly maintain wheelchairs and anti-pressure cushions for Residents #12, #19, #58, and #171 . These failures could place residents at risk for equipment that is in unsafe operating condition, which could cause injury.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview and record review the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promoted maintenance or enhancement of his or her quality of life, recognizing each resident's individuality for one of four residents (Resident #20) reviewed for resident rights. The facility failed to ensure CNA A did not stand over Resident #20 while assisting the resident with her meal in her room on 02/26/2025. This failure could place residents at risk of feeling rushed to eat or not interested in eating, which could result in weight loss and decreased psycho-social well-being of anguish or frustration.
July 1, 2024Complaint inspection · 2 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident's medical, nursing, mental, and psychosocial needs for 1 (Resident #1) of 5 resident reviewed for care plans in that: The comprehensive care plan did not reflect the facility's use of a Velcro stop sign door banner on Resident #1's bedroom and bathroom door. These failures could result in residents at risk of receiving inadequate interventions not individualized to their care needs.
- D Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on interview, and record review the facility failed to maintain an effective pest control program so that the facility is free of pests and rodents for residents for 1 of 5 (Resident #1) residents reviewed for environment. The facility failed to keep Resident #1's room clean and free of bed bugs. This was determined to be past non-compliance at potential for more than minimal harm due to the facility having implemented actions that corrected the non-compliance prior to the beginning of the inspection. This failure could place the residents at risk of unsanitary and uncomfortable conditions.
January 11, 2024Standard inspection · 3 citations
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure all assistive devices were maintained and free of hazards for five (Residents #8, #28, #33, #35, and #47) of 18 residents reviewed for essential equipment. The facility failed to properly maintain wheelchairs for Residents #8, #28, #33, #35, and #47. These failures could place residents at risk for equipment that is in unsafe operating condition, that could cause injury.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain an infection prevention and control program designated to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infection for five (Residents #6, #8, #9, #28 and #50) of 7 residents reviewed for infection control. MA C failed to disinfect the blood pressure cuff in between blood pressure checks for Residents #50, #9, and #28. MA D failed to disinfect the blood pressure cuff in between blood pressure checks for Residents #8, and #6. The failures could place residents at-risk of cross contamination which could result in infections or illness.
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for one (200, 300,400Hall) of two halls and 1 of 1 dining room reviewed for environment. The facility failed to ensure windows, floors, and ceilings were in good repair for halls 200, 300,400, dining room, and the 200-300 hall shower room. This failure could affect residents and the staff by placing them at risk for diminished quality of life due to the lack of a well-kept environment.
Fire safety inspections
7 fire safety citations on file: 6 on February 27, 2025, 1 on January 11, 2024.
Every fire safety citation7 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Install corridor and hallway doors that block smoke.
- D Ensure electrical receptacles or cover plates have distinctive color or marking.
- F Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.18 | 3.39 | 3.86 |
| Registered nurses | 0.30 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.55 | 2.98 | 3.42 |
| Nurse aides | 1.97 | ||
| Licensed practical nurses | 0.92 | ||
| Nursing staff turnover (share who left in a year) | 36.0% | 55.3% | 45.8% |
| Registered nurse turnover | 16.7% | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.67 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.43 on weekdays and 2.55 on weekends, 26% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.21 in April to June 2025 to 3.18 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.18 | 0.30 | 3.43 | 2.55 | 0.0% | 1 of 90 | 78 |
| Oct to Dec 2025 | 3.38 | 0.37 | 3.65 | 2.69 | 0.0% | 0 of 92 | 73 |
| Jul to Sep 2025 | 3.48 | 0.35 | 3.76 | 2.76 | 0.0% | 1 of 92 | 73 |
| Apr to Jun 2025 | 3.21 | 0.36 | 3.48 | 2.55 | 0.0% | 0 of 91 | 75 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Texas
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.3 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.4 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.8 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.4 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 2.4 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.9 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.3 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 2.1 | 1.8 |
Owners and operators
Legal business name: EASTLAND MEMORIAL HOSPITAL DISTRICT. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Eastland Memorial Hospital District | 5% or greater direct ownership interest | Organization | 100% | 04/01/2017 |
| Miller, Roy | Managing control - governing body | Individual | 04/01/2017 | |
| Sharma, Neeraj | Managing control - governing body | Individual | 01/10/2023 | |
| Burnam, Soon | Corporate officer | Individual | 04/01/2017 | |
| Keetch, Chad | Corporate officer | Individual | 03/01/2011 | |
| Taylor, Stephen | Corporate officer | Individual | 07/01/2025 | |
| Getzendaner Healthcare, Inc. | Operational/managerial control | Organization | 04/01/2017 | |
| Miller, Roy | Operational/managerial control | Individual | 04/01/2017 | |
| Sharma, Neeraj | Operational/managerial control | Individual | 01/10/2023 | |
| Ensign Services Inc | Adp of the SNF | Organization | 04/01/2017 | |
| Getzendaner Healthcare, Inc. | Adp of the SNF | Organization | 04/27/2025 | |
| National Health Investors, Inc. | Adp of the SNF | Organization | 04/29/2016 | |
| Texas Nhi Investors, LLC | Adp of the SNF | Organization | 04/29/2016 | |
| Miller, Roy | Adp of the SNF | Individual | 04/01/2017 | |
| Sharma, Neeraj | Adp of the SNF | Individual | 01/10/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on May 7, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on May 7, 2026: "Reasonably accommodate the needs and preferences of each resident."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on May 7, 2026: "Provide and implement an infection prevention and control program."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 2 problems in this area, most recently on July 1, 2024: "Make sure there is a pest control program to prevent/deal with mice, insects, or other pests."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.55 hours per resident per day, below the Texas average of 2.98.
Other nursing homes nearby
- Ennis Care Center Ennis, 0.7 mi · 2 of 5 stars · 28 citations
- Bluebonnet Rehab at Ennis Ennis, 1.6 mi · 4 of 5 stars · 18 citations
- Pleasant Manor Healthcare and Rehabilitation Waxahachie, 12.8 mi · 3 of 5 stars · 29 citations
- Legend Oaks Healthcare and Rehabilitation - Waxaha Waxahachie, 14.3 mi · 1 of 5 stars · 36 citations
- Focused Care of Waxahachie Waxahachie, 14.3 mi · 1 of 5 stars · 37 citations
- Renaissance Rehabilitation and Healthcare Center Italy, 17.3 mi · 5 of 5 stars · 10 citations
- Epic Nursing & Rehabilitation Corsicana, 17.4 mi · 1 of 5 stars · 45 citations
- The Village at Heritage Oaks Corsicana, 17.8 mi · 4 of 5 stars · 5 citations
Texas contacts for a concern about a nursing home
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Texas Office of the State Long-Term Care Ombudsman, 800-252-2412. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Legend Oaks Healthcare and Rehabilitation - Ennis's Medicare star rating?
- CMS rates Legend Oaks Healthcare and Rehabilitation - Ennis 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Legend Oaks Healthcare and Rehabilitation - Ennis get at its last inspection?
- 3 health deficiencies at the standard inspection on May 7, 2026. The Texas average is 9.4.
- Has Legend Oaks Healthcare and Rehabilitation - Ennis been fined?
- CMS lists no fines in the last three years.
- Does Legend Oaks Healthcare and Rehabilitation - Ennis accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Legend Oaks Healthcare and Rehabilitation - Ennis?
- CMS lists 15 owners and managers, and links the home to The Ensign Group. Legal business name: EASTLAND MEMORIAL HOSPITAL DISTRICT.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.