All states › Texas › Garland › Legend Oaks Healthcare and Rehabilitation Garland
2625 Belt Line Road Garland, TX 75044 · Dallas County
All 6 nursing homes in Garland, TX (6 take Medicaid)
CMS certification number 676413 · See this home on Medicare Care Compare
Is Legend Oaks Healthcare and Rehabilitation Garland 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 Garland as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Texas average of 2.8.
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.
Staffing
Nursing staff spend about 3.34 hours per resident per day at Legend Oaks Healthcare and Rehabilitation Garland, about the same as the Texas median of 3.30 (US median: 3.72). About 0.54 of those hours are from registered nurses. On weekends it falls to 3.01 hours, 10% below its all-week average. 39.8% 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.
About this nursing home
Paying for care at Legend Oaks Healthcare and Rehabilitation Garland: Medicare and Medicaid
Legend Oaks Healthcare and Rehabilitation Garland 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 April 30, 2026 and found 6 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 29 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 29 citations at Legend Oaks Healthcare and Rehabilitation Garland across 7 inspection dates, 19 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 29 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 (9) and pharmacy service (6). The most serious was cited under the CMS rule to "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" (tag F0761, level E, April 30, 2026). 3 citations were under CMS's abuse, neglect and exploitation rules.
April 30, 2026 · 6 citations
EEnsure 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.
DReasonably accommodate the needs and preferences of each resident.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure 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.
DProvide and implement an infection prevention and control program.
March 6, 2026 · 2 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
December 30, 2025 · 1 citation · includes complaint inspection
DEnsure 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.
December 5, 2025 · 1 citation · includes complaint inspection
DProvide safe and appropriate respiratory care for a resident when needed.
February 20, 2025 · 3 citations · includes complaint inspection
EEnsure medication error rates are not 5 percent or greater.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DKeep residents' personal and medical records private and confidential.
January 19, 2024 · 12 citations · includes complaint inspection
EHonor 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.
EEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide safe and appropriate respiratory care for a resident when needed.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DReasonably accommodate the needs and preferences of each resident.
DHonor 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.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure 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.
DProvide and implement an infection prevention and control program.
October 14, 2023 · 4 citations · includes complaint inspection
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure that residents are free from significant medication errors.
Questions to ask on a tour of Legend Oaks Healthcare and Rehabilitation Garland
- CMS cited the home under its abuse and neglect rules on March 6, 2026. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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 month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 3/5 | 3/5 |
| August 2026 | 3/5 | 3/5 | 3/5 | 2/5 |
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Location
Hospitals near Legend Oaks Healthcare and Rehabilitation Garland
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 2.2 mi
-
4.0 mi
Methodist Richardson Medical Center RichardsonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 2m for patients treated and sent home
- 5.5 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Legend Oaks Healthcare and Rehabilitation Garland › All nursing homes in Garland ›
Compare Legend Oaks Healthcare and Rehabilitation Garland with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Lindan Park Care Center · Richardson · 5 stars · 2.4 mi
- The Legacy Midtown Park · Dallas · 5 stars · 6.7 mi
- Pure Health Transitional Care at Texas Health Pres · Dallas · 5 stars · 6.8 mi
- C C Young Memorial Home · Dallas · 5 stars · 7.3 mi
Other The Ensign Group nursing homes in Texas
- Grand Terrace Rehabilitation and Healthcare · McAllen · 5 stars
- River Pointe of Trinity Healthcare and Rehabilitation · Trinity · 5 stars
- Golden Palms Rehabilitation and Retirement · Harlingen · 5 stars
- Beacon Harbor Healthcare and Rehabilitation · Rockwall · 5 stars
- Crestwood Health and Rehabilitation Center · Wills Point · 5 stars
- Legend Oaks Healthcare and Rehabilitation - Ennis · Ennis · 5 stars
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.