4240 Golden Triangle Boulevard, Keller, TX 76244 · Tarrant County · (817) 806-6400
132 certified beds, about 107 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2017
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676426 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 5, 2026, inspectors cited 7 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 26 health citations since November 2023, 6 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).
CMS lists 6 fines totaling $77,433 in the last three years; the largest was $19,135, and the latest is dated June 13, 2026.
Nurses and nurse aides worked 3.13 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
67.8% 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.
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.
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 26 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to allow a resident to remain in the facility when a resident exercises his or her right to appeal a transfer or discharge notice from the facility while the appeal is pending for 1 (Resident # 1) of 3 residents. The facility refused to allow Resident #1 to remain in the facility after her discharge date of 06/19/26 when they were notified on 06/15/26 that an appeal had been filed on her behalf. This failure could place residents at risk of not getting the opportunity to remain in a familiar homelike environment, getting the care and services required.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling, and consumption. for 10 Rooms (Rooms 103, 108, 204, 213, 302,303, 305, 403, 408, and 616) of 20 rooms reviewed for safe food storage. The facility failed to monitor resident personal refrigerators in Rooms 103, 108, 204, 213, 302, 303, 305, 403, 408, and 616 to ensure they were clean, sanitary, and the temperature was monitored. This failure could place residents at risk of consuming unsanitary foods.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure each resident was free of any significant medication errors for 1 of 6 residents (Resident #1) reviewed for pharmacy services. The facility failed to ensure Resident #1, who was diagnosed with Stage 4 renal carcinoma (kidney cancer), was administered his physician ordered oral chemotherapy medication, axitinib 3 mg bid, to treat his advanced kidney cancer. On 05/27/26 a computed tomography (CT) scan showed a 2 mm increase in the mass on Resident #1's right kidney. An Immediate Jeopardy (IJ) was identified on 06/12/26 at 4:16 p.m. and an IJ Template was provided to the Administrator at 4:50 p.m. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 4 residents (Resident #1) reviewed for accidents. The facility failed to address the root cause of Resident #1's multiple falls, failed to implement therapy recommendations, and failed to implement interventions to prevent the resident from falling from his wheelchair from November 2025 to February 2026. [...]
Inspectors wroteBased on interviews, and record reviews, the facility failed to ensure residents received care, consistent with professional standards of practice, to prevent pressure ulcers and does not develop pressure ulcers unless the individual's clinical condition demonstrates that they were unavoidable for 1 of 5 residents (Resident #1) reviewed for pressure ulcers. The facility failed to ensure Resident #1 did not develop a pressure wound to his left heel. This failure could place residents at risk of infection or a deterioration of their health.
Inspectors wroteBased on observation, interviews and record reviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen. The facility failed to ensure items were properly covered and labeled in the walk in fridge, and fans used in the kitchen were free of grease and dust. These failures could place residents at risk of foodborne illness.
Inspectors wroteBased on observation and interview, the facility failed to dispose of garbage and refuse properly for 2 of 2 dumpsters. (Dumpsters #1 and #2).1. The facility failed to ensure the lids and doors were completely shut on both dumpsters. 2. The facility failed to ensure trash, including used incontinent briefs and other garbage was not near dumpster #1. These failures could place residents at risk of an unsanitary environment and could attract pests, rodents and other animals.
Inspectors wroteBased on observation, interviews and record reviews, the facility failed to ensure resident medical records were kept in accordance with accepted professional standards and practices, maintaining medical records on each resident that are complete and accurately documented for 1 of 6 (Resident #3) residents reviewed for clinical records. The facility failed to ensure Resident #3's TAR accurately indicated treatment provided or refusals on 01/06/26, 01/10/26, 01/20/26, 01/22/26, 01/24/26, and 01/27/26. This failure could place residents at risk of not receiving treatments and inaccuracy of their medical records.
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement comprehensive person-centered care plans for each resident that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for 1 of 5 residents (Resident #4) reviewed for comprehensive care plans. The facility failed to develop a care plan for Resident #4's indwelling catheter. These failures placed residents at risk of infections and not receiving appropriate care.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident who is incontinent of bladder received appropriate treatment and services to prevent urinary tract infections based on the resident's comprehensive assessment for 1 of 3 residents (Resident #4) reviewed for urine incontinence/catheters. The facility failed to ensure Resident #4 had a physician order for the use and care of an indwelling catheter. This failure could place residents with catheters at risk of not receiving proper care and infections.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents who needed respiratory care were provided such care, consistent with professional standards of practice for 1 of 3 residents (Resident #83) reviewed for respiratory care. The facility failed to ensure Resident #83 had a physician order for oxygen treatment. This deficient practice could affect residents who received oxygen therapy from receiving inadequate oxygen support.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident for 1 of 2 medication rooms (Station 2 medication room) reviewed for pharmacy services. The facility failed to remove expired medications from the Station 2 Medication Room, which included Famotidine, with an expiration date of 02/25, and Benzocaine 20% and Glucosamine, with an expiration date of 01/26. This failure could place residents at risk of receiving medications that were ineffective.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the resident environment remained as free of accident hazards as is possible and each resident received adequate supervision and assistive devices to prevent accidents for 1 of 4 residents (Resident #1) reviewed for supervision. The facility failed to ensure Resident #1, who was a high risk for elopement for which he wore a WanderGuard device, was provided with adequate supervision to prevent him from exiting the building on 07/28/25. Despite the WanderGuard alarm sounding, RN A turned the alarm off without immediately going outside to determine if there was a resident elopement. The resident was found approximately nine hours after he went missing. He was found two miles away from the facility by the local police department following an extensive search. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for 2 of 5 residents (Resident #1 and Resident #2) reviewed for abuse. The facility failed to ensure Resident #1 was free from abuse when Resident #2 pulled Resident #1 out of bed and hit him on 01/30/25. The noncompliance was identified as past noncompliance. The noncompliance began on 01/30/25 and ended on 01/30/25. The facility had corrected the noncompliance before the investigation began. This failure could place residents at risk of being abused.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents who received nutrition by enteral means received the appropriate treatment and services to prevent complications of enteral feeding for 1 of 2 residents (Resident #101) reviewed for enteral feeding. The facility failed to follow physician orders for Resident #101's enteral feeding tube to be flushed with 175 cc (mL) of water every 4 hours. This failure placed residents at risk of dehydration, aspiration pneumonia, and metabolic abnormalities.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure parenteral fluids were administered consistent with professional standards of practice for 1 of 2 residents (Resident #56) reviewed for intravenous fluids. 1. The facility failed to change and maintain the integrity of Resident #56's PICC/central line dressing per professional standards. 2. The facility failed to have physician orders to change Resident #56's PICC/central line dressing, flushing, and to monitor for infection infiltration. These failures could affect residents by placing them at risk for infections and cross-contamination.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents who required dialysis received such services, consistent with professional standards of practice, for 1 of 2 residents (Resident #260) reviewed for dialysis. The facility failed to ensure pre- and post-dialysis assessments were completed for Resident #260. This failure could place residents at risk of inadequate post-dialysis care.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision to prevent accidents for 1 of 2 residents (Resident #2) reviewed for elopement. The facility failed to provide adequate supervision to Resident #2, who was aphasic and had right-sided hemiplegia, when the resident left the faciity on [DATE] without staff knowledge and made it approximately 1.5 miles from the facility with the assistance of a bystander. The resident was out of the facility for approximately two hours without staff knowledge, and he was located by his family who had placed a tracking device on his shoe. The non-compliance was identified as past non-compliance. The IJ began 09/15/24 and ended on 09/23/24. The facility corrected the non-compliance before surveyor's entrance. This failure placed residents at risk of harm and/or serious injury.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 of 4 residents (Resident #1) observed for quality of care. The facility failed to apply Resident #1's compression socks as ordered. This failure could place the resident at risk of developing blood clots in his legs
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the resident's right to receive services in the facility with reasonable accommodation of resident needs and preferences for 5 of 10 residents (Residents #2, #3, #4, #5, and #6) observed for accommodation of needs. The facility failed to ensure Residents #2, #3, #4, #5, and #6 had call lights within reach. This failure could place the residents at risk of not being able to request assistance when needed.
Inspectors wroteBased on obsrevation, interview and record review, the facility failed to coordinate assessments with the pre-admission screening and resident review (PASRR) program to the maximum extent practicable to avoid duplicate testing and effort, which include incorporating the recommendation from the PASRR level II determination and the PASRR evaluation report into a resident's assessment, care planning, and transitions of care for one (Resident #1) of two residents reviewed for PASRR assessments. The facility failed to submit a completed a request for Nursing Facility Specialized Services (NFSS) in the LTC Online Portal within 20 business days of Resident #1's IDT meeting. This could place residents at risk of not receiving specialized services to help prevent skin breakdown and pressure sore development.
Inspectors wroteBased on interview and record review, the facility failed to use the services of a Registered Nurse for at least eight consecutive hours a day, seven days a week in the facility for 18 (08/12/23, 08/13/23, 08/19/23, 08/20/23, 08/26/23, 09/09/23, 09/17/23, 09/30/23, 10/01/23, 10/07/23, 10/08/23, 10/14/23, 10/15/23, 10/21/23, 10/29/23, 11/04/23, 11/11/23, and 11/12/23) of 60 days reviewed. The facility failed to have RN coverage in the facility for eight consecutive hours on 08/12/23, 08/13/23, 08/19/23, 08/20/23, 08/26/23, 09/09/23, 09/17/23, 09/30/23, 10/01/23, 10/07/23, 10/08/23, 10/14/23, 10/15/23, 10/21/23, 10/29/23, 11/04/23, 11/11/23, and 11/12/23. This failure could place residents at risk of not having their nursing and medical needs met and receiving improper care.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 2 of 3 staff (Cook J and [NAME] K) and one of one kitchen reviewed for kitchen sanitation in that: 1. [NAME] K failed to store, serve, or process foods in a manner to prevent contamination. 2. [NAME] J failed to properly wear a hair restraint while in the food preparation area. These failures could place residents at risk for food contamination and foodborne illness.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents had the right to reside and receive services in the facility with reasonable accommodation of resident needs for 1 (Resident #18) of 5 residents reviewed for accommodation of needs. The facility failed to ensure Resident #18's call light was placed within her reach. This failure could place dependent residents at risk of injuries and unmet needs.
Inspectors wroteBased on interview and record review, the facility failed to complete a comprehensive, accurate, standardized reproducible assessment for 1 (Resident #39) of 7 residents reviewed for comprehensive assessment. The facility failed to include Resident #39's lack of dentures and difficulty in eating in her comprehensive assessment. This failure could place the resident at risk of malnutrition and weight loss.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 (Resident #2) of 8 residents reviewed for medication administration and labeling and storage. LVN A failed to observe Resident #14 take his morning medications, and there were 5 pills observed on his bedside table in his room. This failure could place residents at risk of not receiving medications as prescribed, decreased therapeutic effects of the medications, risk for drug diversion, delay in medication administration and worsening of their medical conditions.
4 fire safety citations on file: 1 on March 5, 2026, 1 on December 19, 2024, 2 on November 16, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| June 13, 2026 | Fine | $11,850 |
| March 5, 2026 | Fine | $18,150 |
| March 5, 2026 | Fine | $19,135 |
| September 11, 2025 | Fine | $10,361 |
| February 26, 2025 | Fine | $9,110 |
| October 8, 2024 | Fine | $8,827 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.13 | 3.39 | 3.86 |
| Registered nurses | 0.49 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.72 | 2.98 | 3.42 |
| Nurse aides | 1.76 | ||
| Licensed practical nurses | 0.87 | ||
| Nursing staff turnover (share who left in a year) | 67.8% | 55.3% | 45.8% |
| Registered nurse turnover | 62.5% | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.92 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.30 on weekdays and 2.72 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.18 in April to June 2025 to 3.13 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 | 3.13 | 0.49 | 3.30 | 2.72 | 3.7% | 0 of 90 | 107 |
| Oct to Dec 2025 | 3.18 | 0.54 | 3.36 | 2.74 | 0.0% | 0 of 92 | 108 |
| Jul to Sep 2025 | 3.21 | 0.44 | 3.41 | 2.70 | 0.0% | 0 of 92 | 103 |
| Apr to Jun 2025 | 3.18 | 0.34 | 3.37 | 2.73 | 0.2% | 0 of 91 | 110 |
| 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
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. If you work here, your report helps start one.
| 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.
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 | 12.2 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.6 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.8 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.2 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.7 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.9 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.7 | 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 | 2.6 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Legend Oaks Healthcare and Rehabilitation - Fort W's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (48.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
48.8% this home
No different from the national rate
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 75 eligible stays.
11.8% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 99 eligible stays.
5.7% this home
No different from the national rate
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 71 eligible stays.
61.4% this home
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 57 residents counted.
1.1% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 92 residents counted.
3.1% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 92 residents counted.
91.3% this home
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 23 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
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% | 04/01/2019 |
| Cantrell, Christopher | Managing control - governing body | Individual | 06/01/2017 | |
| Porter, Kris | Managing control - governing body | Individual | 10/23/2023 | |
| Burnam, Soon | Corporate officer | Individual | 03/02/2016 | |
| Keetch, Chad | Corporate officer | Individual | 03/01/2011 | |
| Taylor, Stephen | Corporate officer | Individual | 07/01/2025 | |
| Nb Brown Rock Healthcare, Inc. | Operational/managerial control | Organization | 04/01/2019 | |
| Cantrell, Christopher | Operational/managerial control | Individual | 06/01/2017 | |
| Porter, Kris | Operational/managerial control | Individual | 10/23/2023 | |
| Ensign Services Inc | Adp of the SNF | Organization | 06/01/2017 | |
| National Health Investors, Inc. | Adp of the SNF | Organization | 06/01/2017 | |
| Nb Brown Rock Healthcare, Inc. | Adp of the SNF | Organization | 08/15/2025 | |
| Texas Nhi Investors, LLC | Adp of the SNF | Organization | 06/01/2017 | |
| Cantrell, Christopher | Adp of the SNF | Individual | 06/01/2017 | |
| Porter, Kris | Adp of the SNF | Individual | 10/23/2023 |
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.
Chosen from this home's own inspection record.
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