Nursing homes › Texas › Legend Oaks Healthcare and Rehabilitation Center -
8902 West Rd, Houston, TX 77064 · 7138490990 · 125 certified beds
Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 3.32 (Texas median: 3.27). RN hours: 0.29. Weekend total: 2.95. Nursing staff turnover: 71%.
All-time on record: 20 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-12-01 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2025-12-12 |
| 2025-12-01 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | complaint | 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. | D | complaint | corrected 2025-12-12 |
| 2025-12-01 | Ensure that residents are free from significant medication errors. | D | complaint | 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. | D | complaint | corrected 2025-12-12 |
| 2025-12-01 | Post nurse staffing information every day. | C | complaint | 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. | E | Health | 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. | E | Health | 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. | E | Health | corrected 2025-06-20 |
| 2025-06-06 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | 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. | D | Health | corrected 2025-06-20 |
| 2025-06-06 | Provide and implement an infection prevention and control program. | D | Health | 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. | D | complaint | 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. | D | complaint | 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. | F | Health | 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. | K | complaint | 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. | K | complaint | 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. | E | Health | corrected 2023-03-23 |
| 2023-03-02 | Provide activities to meet all resident's needs. | E | Health | 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. | E | Health | corrected 2023-03-23 |
| Date | Type | Amount |
|---|---|---|
| 2024-04-23 | Fine | $39,045 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO.1 | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 04/01/2017 |
| ALI, NIDA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/27/2019 |
| VINCENT, JAMES | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 04/01/2017 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 04/01/2017 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| STRATTON, CHARLES | Corporate Officer | Individual | NOT APPLICABLE | since 02/07/2005 |
| ARMSTRONG HEALTHCARE, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2017 |
| ALI, NIDA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/27/2019 |
| VINCENT, JAMES | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2017 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676137. Corrections: data@carerecords.org.