Legend Oaks Healthcare and Rehabilitation Center G
Nursing Home · Gladewater, TX
CMS certification number676048
Contact & location
1201 FM 2685Gladewater, TX 75647
Gregg County
- Phone
- (903) 845-2175
- ZIP code
- 75647 – all care providers
Facility details
- Certified beds
- 100
- Residents per day
- 74.9 (75% occupied)
- Ownership
- Government - Hospital district
- Legal name
- Fannin County Hospital Authority
- Chain
- The Ensign Group (342 facilities, avg 3.2★)
- Medicare certified since
- December 1, 2004
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.11 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.37 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 1.33 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.41 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.58 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 42.6 (state 55.3 · U.S. 45.8)%
- RN turnover
- 40.0 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- April 15, 2026
- Health deficiencies (last cycle)
- 13.0 (state 9.3 · U.S. 9.3)
- From complaints
- 3
- Citations on record (3 years)
- 39 health · 3 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-23 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-26 |
| 2026-04-15 | Give residents a notice of rights, rules, services and charges. F0572 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-01 |
| 2026-04-15 | Ensure residents have reasonable access to and privacy in their use of communication methods. F0576 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-01 |
| 2026-04-15 | 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. F0585 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-01 |
| 2026-04-15 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-01 |
| 2026-04-15 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-24 |
| 2026-04-15 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-01 |
| 2026-04-15 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-01 |
| 2026-04-15 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-01 |
| 2026-04-15 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. F0577 · Resident Rights Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2026-04-16 |
| 2026-04-15 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2026-05-01 |
| 2026-01-29 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-18 |
| 2026-01-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-04 |
| 2025-02-12 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-14 |
| 2025-02-12 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-14 |
| 2025-02-12 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-14 |
| 2025-02-12 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-14 |
| 2025-02-12 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F0802 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-14 |
| 2025-02-12 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. F0807 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-14 |
| 2024-10-23 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-08-30 |
| 2024-10-23 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-08-30 |
| 2024-10-23 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-08-30 |
| 2024-10-23 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-08-30 |
| 2024-06-19 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-07-16 |
| 2024-06-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-16 |
| 2024-02-22 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). F0603 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
H Actual harm |
Corrected 2024-03-21 |
| 2024-02-22 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-21 |
| 2024-02-22 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. F0563 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-21 |
| 2024-01-24 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-23 |
| 2024-01-24 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-23 |
| 2024-01-24 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-23 |
| 2024-01-24 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-23 |
| 2024-01-24 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-23 |
| 2024-01-24 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-23 |
| 2024-01-24 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-23 |
| 2024-01-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-23 |
| 2024-01-24 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-23 |
| 2023-09-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2023-10-12 |
| 2023-09-13 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-12 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
6 penalties in the last three years, including $124,559 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-10-23 | Fine | $16,801 |
| 2024-10-23 | Fine | $16,801 |
| 2024-10-23 | Fine | $16,801 |
| 2024-10-23 | Fine | $16,801 |
| 2024-06-19 | Fine | $43,070 |
| 2023-09-13 | Fine | $14,285 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Fannin County Hospital Authority (organization) | 5%+ Direct Ownership Interest · 100% | |
| Daffodil Healthcare, INC. (organization) | Administrator · NOT APPLICABLE | |
| Ensign Services INC (organization) | Administrator · NOT APPLICABLE | |
| Kegarise, Brandon (individual) | Administrator · NOT APPLICABLE | |
| National Health Investors, INC. (organization) | Administrator · NOT APPLICABLE | |
| Shen, Hong-I (individual) | Administrator · NOT APPLICABLE | |
| Texas Nhi Investors, LLC (organization) | Administrator · NOT APPLICABLE | |
| Burnam, Soon (individual) | Corporate Officer · NOT APPLICABLE | |
| Keetch, Chad (individual) | Corporate Officer · NOT APPLICABLE | |
| Sanderson, Clark (individual) | Corporate Officer · NOT APPLICABLE | |
| Kegarise, Brandon (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Shen, Hong-I (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Daffodil Healthcare, INC. (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Kegarise, Brandon (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Shen, Hong-I (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Legend Oaks Healthcare and Rehabilitation Center G?
Legend Oaks Healthcare and Rehabilitation Center G has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Legend Oaks Healthcare and Rehabilitation Center G have?
It has 100 certified beds and cares for about 75 residents per day.
Has Legend Oaks Healthcare and Rehabilitation Center G been fined?
Yes. CMS lists 6 penalties totaling $124,559 in the last three years.
Who owns Legend Oaks Healthcare and Rehabilitation Center G?
It is part of The Ensign Group and is classified as government - hospital district. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Legend Oaks Healthcare and Rehabilitation Center G?
(903) 845-2175. The facility is located at 1201 FM 2685, Gladewater, TX 75647.
Other nursing homes in Gladewater
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.