Legend Oaks Healthcare and Rehabilitation - Waxaha
Nursing Home · Waxahachie, TX
CMS certification number676421
Contact & location
151 Country Meadows BoulevardWaxahachie, TX 75165
Ellis County
- Phone
- (972) 937-1650
- ZIP code
- 75165 – all care providers
Facility details
- Certified beds
- 121
- Residents per day
- 101.7 (84% occupied)
- Ownership
- For profit - Individual
- Legal name
- Eastland Memorial Hospital District
- Chain
- The Ensign Group (342 facilities, avg 3.2★)
- Medicare certified since
- January 31, 2017
- Participates in
- Medicare and Medicaid
- Council
- Both 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
- 3.55 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.25 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 1.08 (state 0.95 · U.S. 0.86)
- Nurse aides
- 2.22 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.87 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 57.6 (state 55.3 · U.S. 45.8)%
- RN turnover
- 37.5 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- February 12, 2026
- Health deficiencies (last cycle)
- 9.0 (state 9.3 · U.S. 9.3)
- From complaints
- 4
- Citations on record (3 years)
- 35 health · 1 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-04-15 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-04-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-02-12 | 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 2026-03-16 |
| 2026-02-12 | Hire a qualified full-time social worker in a facility with more than 120 beds. F0850 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-16 |
| 2026-02-12 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-16 |
| 2026-02-12 | 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 2026-03-16 |
| 2026-02-12 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-16 |
| 2025-12-12 | 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 2025-12-15 |
| 2025-11-24 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-01 |
| 2025-04-14 | 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 2025-05-12 |
| 2024-11-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-12-10 |
| 2024-11-15 | 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 |
G Actual harm |
Corrected 2024-12-10 |
| 2024-11-15 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-10 |
| 2024-11-15 | 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 2024-12-10 |
| 2024-11-15 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-10 |
| 2024-11-15 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-10 |
| 2024-11-15 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-10 |
| 2024-11-15 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-10 |
| 2024-11-15 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-10 |
| 2024-06-17 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-18 |
| 2024-06-17 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-18 |
| 2024-06-17 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-18 |
| 2024-03-07 | 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 2024-03-08 |
| 2024-03-07 | 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 2024-03-29 |
| 2024-02-07 | 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 2024-03-04 |
| 2024-02-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-03-04 |
| 2024-01-23 | 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 2024-02-07 |
| 2024-01-23 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-07 |
| 2024-01-23 | 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 2024-02-07 |
| 2023-10-05 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-29 |
| 2023-09-13 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-06 |
| 2023-09-13 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-06 |
| 2023-09-13 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-06 |
| 2023-09-13 | 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 2023-10-06 |
| 2023-09-13 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-06 |
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
3 penalties in the last three years, including $41,215 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-11-15 | Fine | $11,466 |
| 2024-03-07 | Fine | $15,851 |
| 2024-01-23 | Fine | $13,898 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Eastland Memorial Hospital District (organization) | 5%+ Direct Ownership Interest · 100% | |
| Cow Creek Healthcare, INC. (organization) | Administrator · NOT APPLICABLE | |
| Ensign Services INC (organization) | Administrator · NOT APPLICABLE | |
| Muniz, Felicia (individual) | Administrator · NOT APPLICABLE | |
| National Health Investors, INC. (organization) | Administrator · NOT APPLICABLE | |
| Texas Nhi Investors, LLC (organization) | Administrator · NOT APPLICABLE | |
| Vassa, Neal (individual) | Administrator · NOT APPLICABLE | |
| Burnam, Soon (individual) | Corporate Officer · NOT APPLICABLE | |
| Keetch, Chad (individual) | Corporate Officer · NOT APPLICABLE | |
| Taylor, Stephen (individual) | Corporate Officer · NOT APPLICABLE | |
| Muniz, Felicia (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Vassa, Neal (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Cow Creek Healthcare, INC. (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Muniz, Felicia (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Vassa, Neal (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Legend Oaks Healthcare and Rehabilitation - Waxaha?
Legend Oaks Healthcare and Rehabilitation - Waxaha has a 1-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 - Waxaha have?
It has 121 certified beds and cares for about 102 residents per day.
Has Legend Oaks Healthcare and Rehabilitation - Waxaha been fined?
Yes. CMS lists 3 penalties totaling $41,215 in the last three years.
Who owns Legend Oaks Healthcare and Rehabilitation - Waxaha?
It is part of The Ensign Group and is classified as for profit - individual. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Legend Oaks Healthcare and Rehabilitation - Waxaha?
(972) 937-1650. The facility is located at 151 Country Meadows Boulevard, Waxahachie, TX 75165.
Other nursing homes in Waxahachie
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Focused Care of Waxahachie
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.