Legend Oaks Healthcare And Rehabilitation Center -
1201 Fm 2685, Gladewater, TX 75647 · Gregg County
Government · 100 certified beds · 75% occupancy · (903) 845-2175
The U.S. government (CMS) rates Legend Oaks Healthcare And Rehabilitation Center - 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.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. 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.
Ownership
Part of the The Ensign Group chain (346 facilities), chain average overall rating 3.2★.