Legend Oaks Healthcare And Rehabilitation Center G
1201 Fm 2685, Gladewater, TX 75647 · Gregg County
Government · 100 certified beds · 75% occupancy · (903) 845-2175
Legend Oaks Healthcare And Rehabilitation Center G reviews: what the government record shows
The U.S. government (CMS) rates Legend Oaks Healthcare And Rehabilitation Center G 2 out of 5 stars overall, below average. Its nurse staffing is 5% below the Texas median. Inspectors cited it for 5 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 2 of 5 stars
- Nurse staffing
- 3.11 hrs/resident/day (-5% vs TX median)
- Antipsychotic drug use
- 3.1% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 4% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $124,559
- Inspection findings
- 39 cited, 5 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Concerns
- !CMS rates it just 2 of 5 stars overall.
- !Nurse staffing of 3.11 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 5 immediate-jeopardy findings (the most serious category) in recent inspections.
- !Has paid $124,559 in federal fines in roughly the last three years.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Legend Oaks Healthcare And Rehabilitation Center G
Is Legend Oaks Healthcare And Rehabilitation Center G a good nursing home?
Legend Oaks Healthcare And Rehabilitation Center G in Gladewater, Texas holds a 2 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Legend Oaks Healthcare And Rehabilitation Center G staffed?
Legend Oaks Healthcare And Rehabilitation Center G reports 3.11 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Legend Oaks Healthcare And Rehabilitation Center G been fined or flagged for abuse?
Legend Oaks Healthcare And Rehabilitation Center G has paid approximately $124,559 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.11 nurse hours per resident per day. 5% below the Texas median of 3.27.
Nursing staff turnover: 42.6% · RN turnover: 40%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0572 · Apr 15, 2026Corrected May 1, 2026
Give residents a notice of rights, rules, services and charges.
Resident Rights Deficiencies
- Potential for harmTag F0576 · Apr 15, 2026Corrected May 1, 2026
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies
- Potential for harmTag F0585 · Apr 15, 2026Corrected May 1, 2026
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 Deficiencies
- Potential for harmTag F0679 · Apr 15, 2026Corrected May 1, 2026
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
- Potential for harmTag F0755 · Apr 15, 2026Corrected Apr 24, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0686 · May 23, 2026ComplaintCorrected May 26, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
- Potential for harmTag F0690 · Apr 15, 2026Corrected May 1, 2026
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 Deficiencies
- Potential for harmTag F0761 · Apr 15, 2026Corrected May 1, 2026
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 Deficiencies
- Potential for harmTag F0880 · Apr 15, 2026Corrected May 1, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0609 · Jan 29, 2026ComplaintCorrected Feb 18, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Showing the 10 most recent and serious of 39 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is government (government - hospital district). It is part of the The Ensign Group chain, which operates 342 facilities, with a chain-average CMS rating of 3.2 stars.