Legend Oaks Healthcare and Rehabilitation Center -

Nursing Home · Houston, TX

CMS overall rating 2/5 For profit - Limited Liability company

CMS certification number676137

Contact & location

8902 West RD
Houston, TX 77064
Harris County
Phone
(713) 849-0990
ZIP code
77064 – all care providers

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Facility details

Certified beds
125
Residents per day
98.7 (79% occupied)
Ownership
For profit - Limited Liability company
Legal name
Liberty County Hospital District No 1
Chain
The Ensign Group (342 facilities, avg 3.2★)
Medicare certified since
April 25, 2007
Participates in
Medicare and Medicaid

CMS star ratings

Overall★★★★★ 2/5
State avg 2.6
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 5/5
State avg 3.7
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.32 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.29 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.91 (state 0.95 · U.S. 0.86)
Nurse aides
2.11 (state 2.00 · U.S. 2.32)
Weekend total
2.95 (state 2.98 · U.S. 3.42)
Nursing staff turnover
70.9 (state 55.3 · U.S. 45.8)%
RN turnover
70.0 (state 54.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
June 6, 2025
Health deficiencies (last cycle)
12.0 (state 9.3 · U.S. 9.3)
From complaints
6
Citations on record (3 years)
20 health · 10 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-12-01 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-12-01 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-12-01 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F0726 · Nursing and Physician Services Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-12-01 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-12-01 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-12-01 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies · complaint inspection		 C
No actual harm, potential for minimal harm		 Corrected 2025-12-12
2025-06-06 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-20
2025-06-06 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 2025-06-20
2025-06-06 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-20
2025-06-06 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 2025-06-20
2025-06-06 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-20
2025-06-06 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-20
2025-02-28 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-03
2025-02-28 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-03
2024-05-10 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-05-11
2024-04-23 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2024-04-24
2024-04-23 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		 K
Immediate jeopardy to resident health or safety		 Corrected 2024-04-24
2023-03-02 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-03-23
2023-03-02 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 2023-03-23
2023-03-02 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 2023-03-23

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

1 penalty in the last three years, including $39,045 in fines.

DateTypeAmount
2024-04-23Fine$39,045

Ownership & management

NameRoleSince
Liberty County Hospital District No 1 (organization)5%+ Direct Ownership Interest · 100%
Ali, Nida (individual)Administrator · NOT APPLICABLE
Armstrong Healthcare, INC. (organization)Administrator · NOT APPLICABLE
Ensign Services INC (organization)Administrator · NOT APPLICABLE
National Health Investors, INC. (organization)Administrator · NOT APPLICABLE
Texas Nhi Investors, LLC (organization)Administrator · NOT APPLICABLE
Vincent, James (individual)Administrator · NOT APPLICABLE
Burnam, Soon (individual)Corporate Officer · NOT APPLICABLE
Keetch, Chad (individual)Corporate Officer · NOT APPLICABLE
Stratton, Charles (individual)Corporate Officer · NOT APPLICABLE
Ali, Nida (individual)Managing Control - Governing Body · NOT APPLICABLE
Vincent, James (individual)Managing Control - Governing Body · NOT APPLICABLE
Ali, Nida (individual)Operational/managerial Control · NOT APPLICABLE
Armstrong Healthcare, INC. (organization)Operational/managerial Control · NOT APPLICABLE
Vincent, James (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Legend Oaks Healthcare and Rehabilitation Center -?

Legend Oaks Healthcare and Rehabilitation Center - 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 - have?

It has 125 certified beds and cares for about 99 residents per day.

Has Legend Oaks Healthcare and Rehabilitation Center - been fined?

Yes. CMS lists 1 penalty totaling $39,045 in the last three years.

Who owns Legend Oaks Healthcare and Rehabilitation Center -?

It is part of The Ensign Group and is classified as for profit - limited liability company. 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 -?

(713) 849-0990. The facility is located at 8902 West RD, Houston, TX 77064.

Other nursing homes in Houston

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.