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Nursing homeFAID #14456

Legend Oaks Healthcare and Rehabilitation Center G

1201 FM 2685, GLADEWATER, TX, 75647
(903) 845-2175
ensignservices.net
100 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo of LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER G
Photo via Google · Legend Oaks Healthcare and Rehabilitation Center

Public record summary

What we can show you for free.
Bed capacity
100
CMS facility ID
676048
Care type
Nursing home
County
Gregg
Facility name
Legend Oaks Healthcare and Rehabilitation Center G
Street address
1201 FM 2685
City / state / ZIP
Gladewater, TX 75647
Phone
(903) 845-2175
Website
ensignservices.net

About this facility — Legend Oaks Healthcare and Rehabilitation Center G

Legend Oaks Healthcare and Rehabilitation Center G is a Medicare/Medicaid-certified skilled nursing facility in Gladewater, Texas. It is licensed for 100 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 3 senior care facilities in Gladewater and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Legend Oaks Healthcare and Rehabilitation Center G 42 times across 14 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $124,559 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
The Ensign Group
Ownership type
Government - Hospital district

Registered owners & officers

Fannin County Hospital Authority
Direct owner — 100% stake — since 2017
Burnam, Soon
Officer — since 2017
Daffodil Healthcare, Inc.
Operational control · Additional disclosable party — since 2017
Ensign Services Inc
Additional disclosable party — since 2016
Keetch, Chad
Officer — since 2011
Kegarise, Brandon
Governing body · Operational control · Additional disclosable party — since 2017
National Health Investors, Inc.
Additional disclosable party — since 2017
Sanderson, Clark
Officer — since 2017
Shen, Hong-i
Governing body · Operational control · Additional disclosable party — since 2021
Texas Nhi Investors, Llc
Additional disclosable party — since 2017

Regulatory standing

Federal court records
11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2004-12-01
CMS overall rating
2 of 5 stars
Health deficiencies
13 at the last standard inspection
Federal fines
$124,559 total
Last standard inspection
2026-04-15
Nurse staffing
3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$472 per day (≈ $14,350/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
67% Medicaid · 10% Medicare · 23% private/other
Occupancy
65% (fiscal year 2023)
Vs. state median
70% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
100
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-23Health inspectionComplaint-triggered1 citation
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-05-26
2026-04-15Health inspection10 citations
F-0572
E · No harm found
Give residents a notice of rights, rules, services and charges.
Corrected 2026-05-01
F-0576
E · No harm found
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2026-05-01
F-0577
C · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2026-04-16
F-0585
E · No harm found
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.
Corrected 2026-05-01
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2026-05-01
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-05-01
F-0732
C · No harm found
Post nurse staffing information every day.
Corrected 2026-05-01
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-04-24
F-0761
D · No harm found
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.
Corrected 2026-05-01
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-05-01
11 earlier / fire-safety inspections (31 citations)
2026-01-29Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-02-18
2026-01-21Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-02-04
2025-02-12Health inspection6 citations
F-0558
E · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-03-14
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-14
F-0761
E · No harm found
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.
Corrected 2025-03-14
F-0802
D · No harm foundFood safety
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2025-03-14
F-0807
D · No harm foundFood safety
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2025-03-14
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-03-14
2024-10-23Health inspectionComplaint-triggered4 citations
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-30
F-0607
J · Immediate jeopardyFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-08-30
F-0609
J · Immediate jeopardyFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-30
F-0610
J · Immediate jeopardyFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-08-30
2024-06-19Health inspectionComplaint-triggered2 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-16
F-0925
G · Actual harmFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-07-16
2024-02-22Health inspectionComplaint-triggered3 citations
F-0563
D · No harm foundFrom a complaint
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected 2024-03-21
F-0603
H · Actual harmFrom a complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected 2024-03-21
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-03-21
2024-01-24Health inspectionComplaint-triggered9 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-02-23
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-02-23
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-02-23
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-02-23
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-23
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-02-23
F-0757
E · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-02-23
F-0758
D · No harm found
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.
Corrected 2024-02-23
F-0761
E · No harm foundFrom a complaint
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.
Corrected 2024-02-23
2023-09-13Health inspectionComplaint-triggered2 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-10-12
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-12
2026-04-15Fire-safety inspection1 citation
K-0521
B · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
2025-02-12Fire-safety inspection1 citation
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
2024-01-24Fire-safety inspection1 citation
K-0521
B · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Federal penalties

2024-10-23Fine$16,801
2024-10-23Fine$16,801
2024-10-23Fine$16,801
2024-10-23Fine$16,801
2024-06-19Fine$43,070
2023-09-13Fine$14,285
Total fines$124,559
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676048.

Visitor reviews

What people say on Google.
4.7100 ratings on Google
★★★★★Dawn Albertson · 2026-07-23 · via Google

“I visited a friend today and it was a really good visit! The employees and nurse are friendly and attentive! The ladies at the front desk have great personalities too! It’s nice that the overall feel of the facility is positive and happy for the sake of the residents who are in a challenging time of their precious lives. They deserve it!”

★★★★★Benita Kay · 2026-07-17 · via Google

“They have great safety measures there for both patients & those who come to visit. The place was clean & the staff was friendly. The person we visited is very pleased w/the facility & said the care was real good & so was the food.”

★★★Jessica Killingsworth · 2026-01-20 · via Google

“My mother is currently at the facility for extended rehab after a massive stroke left her partially paralyzed. Communication between the staff and her doctor is incredibly unreliable. I can’t even count how many times I’ve left messages and asked face-to-face for her orders to be changed or reviewed and nothing happens. They’ve hired agency aides whom have hurt her, she’s left sitting in feces for…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 42 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered