Nursing homes › Texas › Legend Oaks Healthcare and Rehabilitation - Waxaha
151 Country Meadows Boulevard, Waxahachie, TX 75165 · 9729371650 · 121 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: 3.55 (Texas median: 3.27). RN hours: 0.25. Weekend total: 2.87. Nursing staff turnover: 58%.
All-time on record: 35 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | 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. | E | complaint | corrected 2026-04-17 |
| 2026-04-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | 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. | E | Health | corrected 2026-03-16 |
| 2026-02-12 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Health | corrected 2026-03-16 |
| 2026-02-12 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | 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. | D | Health | 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. | D | Health | 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. | D | complaint | 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. | D | complaint | 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. | D | complaint | corrected 2025-05-12 |
| 2024-11-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | 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. | G | complaint | corrected 2024-12-10 |
| 2024-11-15 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2024-12-10 |
| 2024-11-15 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-12-10 |
| 2024-11-15 | Ensure each resident receives an accurate assessment. | D | Health | 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. | D | Health | corrected 2024-12-10 |
| 2024-11-15 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2024-12-10 |
| 2024-11-15 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Health | corrected 2024-12-10 |
| 2024-11-15 | Provide and implement an infection prevention and control program. | D | Health | 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. | D | complaint | 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. | D | complaint | 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. | D | complaint | 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. | J | complaint | 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. | D | complaint | 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. | J | complaint | corrected 2024-03-04 |
| 2024-02-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | 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. | E | complaint | 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. | D | complaint | corrected 2024-02-07 |
| 2024-01-23 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | 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. | D | complaint | corrected 2023-09-29 |
| 2023-09-13 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-10-06 |
| 2023-09-13 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2023-10-06 |
| 2023-09-13 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | 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. | D | Health | corrected 2023-10-06 |
| 2023-09-13 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2023-10-06 |
| Date | Type | Amount |
|---|---|---|
| 2024-11-15 | Fine | $11,466 |
| 2024-03-07 | Fine | $15,851 |
| 2024-01-23 | Fine | $13,898 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| EASTLAND MEMORIAL HOSPITAL DISTRICT | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 04/01/2019 |
| MUNIZ, FELICIA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/31/2017 |
| VASSA, NEAL | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/30/2018 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 01/31/2017 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| TAYLOR, STEPHEN | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2025 |
| COW CREEK HEALTHCARE, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2019 |
| MUNIZ, FELICIA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/31/2017 |
| VASSA, NEAL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/30/2018 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676421. Corrections: data@carerecords.org.