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Legend Oaks Healthcare and Rehabilitation - Ennis

All states › Texas › Ennis › Legend Oaks Healthcare and Rehabilitation - Ennis

1400 Medical Center Drive Ennis, TX 75119 · Ellis County

(972) 875-4800

All 3 nursing homes in Ennis, TX (3 take Medicaid)

Accepts Medicare Accepts Medicaid 124 certified beds For profit

CMS certification number 676253 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Legend Oaks Healthcare and Rehabilitation - Ennis a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Legend Oaks Healthcare and Rehabilitation - Ennis as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Texas average of 2.8. Inspectors issued 10 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 5 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.31 hours per resident per day at Legend Oaks Healthcare and Rehabilitation - Ennis, about the same as the Texas median of 3.30 (US median: 3.72). About 0.32 of those hours are from registered nurses. On weekends it falls to 2.61 hours, 21% below its all-week average. Ask how weekends are staffed. 34% of nursing staff left within a year (Texas median 50.2%). That is lower than most homes in Texas, a sign of a steadier team.

Nursing care per resident per day 3.31 hours
About the Texas median Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.32 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.61 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 34% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 20% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds124
Residents per day 80 About 65% of beds filled, on average
OwnershipFor profit - Individual
Payment acceptedMedicare and Medicaid
Certified sinceJune 2010
Part of a chainThe Ensign Group
Legal business nameEASTLAND MEMORIAL HOSPITAL DISTRICT
Located in a hospitalYes

Paying for care at Legend Oaks Healthcare and Rehabilitation - Ennis: Medicare and Medicaid

Legend Oaks Healthcare and Rehabilitation - Ennis is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

This home is located in a hospital.

Health inspections

The most recent standard inspection was on May 7, 2026 and found 3 deficiencies. In total, inspectors issued 10 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 10 citations at Legend Oaks Healthcare and Rehabilitation - Ennis across 4 inspection dates, 2 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 10 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (3) and environmental (2). The most serious was cited under the CMS rule to "provide care and assistance to perform activities of daily living for any resident who is unable" (tag F0677, level E, May 7, 2026).

May 7, 2026 · 3 citations

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (May 8, 2026)

DReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Deficient, Provider has date of correction (May 8, 2026)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (May 8, 2026)

February 27, 2025 · 2 citations

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Feb 28, 2025)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Feb 28, 2025)

July 1, 2024 · 2 citations · includes complaint inspection

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Jul 31, 2024)

DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0925 · Complaint inspection · Past Non-Compliance (Jun 24, 2024)

January 11, 2024 · 3 citations

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jan 18, 2024)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jan 18, 2024)

EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Deficient, Provider has date of correction (Jan 18, 2024)

Questions to ask on a tour of Legend Oaks Healthcare and Rehabilitation - Ennis

  1. Weekend staffing is 21% below the all-week average. Who is on duty on Saturday nights?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 5/5 3/5 5/5
August 2026 5/5 5/5 2/5 4/5
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Location

Hospitals near Legend Oaks Healthcare and Rehabilitation - Ennis

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Ennis Care Center Ennis · 0.7 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 155 beds · Medicaid
Bluebonnet Rehab at Ennis Ennis · 1.6 mi away ★★★☆☆ Inspection 4/5 · Staffing 1/5 136 beds · Medicaid
Pleasant Manor Healthcare and Rehabilitation Waxahachie · 12.8 mi away ★★★☆☆ Inspection 2/5 · Staffing 2/5 132 beds · Medicaid
Legend Oaks Healthcare and Rehabilitation - Waxaha Waxahachie · 14.3 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 121 beds · Medicaid
Focused Care of Waxahachie Waxahachie · 14.3 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 152 beds · Medicaid

More nursing homes near Legend Oaks Healthcare and Rehabilitation - Ennis ›   All nursing homes in Ennis ›

Compare Legend Oaks Healthcare and Rehabilitation - Ennis with the 3 closest homes side by side ›

Other The Ensign Group nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 347 The Ensign Group nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/ennis/legend-oaks-healthcare-and-rehabilitation-ennis/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.