Legend Oaks Healthcare And Rehabilitation - Waxaha
151 Country Meadows Boulevard, Waxahachie, TX 75165 · Ellis County
For-profit · 121 certified beds · 84% occupancy · (972) 937-1650
The U.S. government (CMS) rates Legend Oaks Healthcare And Rehabilitation - Waxaha 1 out of 5 stars overall — much below average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 2 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.
3.55 nurse hours per resident per day. 9% above the Texas median of 3.27.
Nursing staff turnover: 57.6% · RN turnover: 37.5%
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 F0580 · Apr 15, 2026ComplaintCorrected Apr 17, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
- Potential for harmTag F0684 · Apr 15, 2026ComplaintCorrected Apr 17, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
- Potential for harmTag F0812 · Feb 12, 2026Corrected Mar 16, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0850 · Feb 12, 2026Corrected Mar 16, 2026
Hire a qualified full-time social worker in a facility with more than 120 beds.
Administration Deficiencies
- Potential for harmTag F0645 · Feb 12, 2026Corrected Mar 16, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0755 · Feb 12, 2026Corrected Mar 16, 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 F0761 · Feb 12, 2026Corrected Mar 16, 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 F0842 · Dec 12, 2025ComplaintCorrected Dec 15, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0550 · Nov 24, 2025ComplaintCorrected Dec 1, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
- Actual harmTag F0684 · Nov 15, 2024ComplaintCorrected Dec 10, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Showing the 10 most recent and serious of 35 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★.