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Nursing HomeMedicaid

Legend Oaks Healthcare and Rehabilitation Ennis

Strong Medicare quality ratings; families often praise exceptional rehabilitation and physical therapy programs. Still worth an in-person visit.

1400 Medical Center Drive, Ennis, TX 75119124 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 40 Google reviews

5
4
3
2
1
Legend Oaks Healthcare and Rehabilitation  Ennis Nursing Home in Ennis, TX — Street View
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What this means for your family

This facility's rehab program is world-class and highly recommended for post-surgery recovery. However, if you are placing a loved one for long-term care, you should perform a walkthrough specifically to inspect room cleanliness and ask about their protocols for managing resident belongings.

Google Reviews

Google Reviews

40 reviews analyzed
Families considering Legend Oaks Ennis can expect an exceptional rehabilitation program and a highly compassionate nursing staff that many reviewers describe as life-changing. However, there are serious concerns regarding cleanliness and hygiene in certain rooms, as well as reports of missing personal belongings and inconsistent medication management.

Quality Themes

Tap a score for details
Food8.0Staff9.0Clean5.0Activities9.0Meds3.0MemoryN/AComms8.0ValueN/A

Strengths

  • Exceptional rehabilitation and physical therapy programs
  • Compassionate and caring nursing staff
  • Welcoming and professional administration
  • Positive and engaging activities programs

Concerns

  • Issues with room cleanliness and hygiene (mentioned by 2 reviewers)
  • Staffing shortages and need for renovations (mentioned by 2 reviewers)
  • Loss of resident personal belongings

Rating Trends

Tap a year to see what changed

2344.0'14(1)5.04.4'19(8)5.05.0'22(3)4.84.8'25(12)4.0'26(4)

Distribution

5
33
4
3
3
1
2
0
1
2

How They Respond to Reviews

20%response rate
Good

The owner provides personalized responses that frequently acknowledge specific family members or staff members mentioned in the reviews. They use a warm, professional tone that emphasizes gratitude and the facility's commitment to care.

Questions for Your Tour

  • 1We've heard wonderful things about your rehabilitation and physical therapy programs; could you tell us more about how those are tailored to each resident's needs?
  • 2With such a high CMS health inspection rating, what specific protocols do you have in place to ensure the highest standards of clinical care and hygiene in the resident rooms?
  • 3How does the nursing team manage medication administration to ensure everything is handled accurately and on schedule?
  • 4What kind of daily activities or social programs do you offer to keep residents engaged and connected with one another?
  • 5In the event of a medical emergency during the night, what is the process for notifying the family and coordinating care?
  • 6We noticed the administration is very professional and welcoming; how do you involve families in the care planning process?

Personalized based on this facility's data


Key Review Excerpts

After multiple surgeries at a hospital, I came to this facility in a stretcher unable to walk and left walking out the door 2 months later. This is do to them having the best rehab facility and staff on site.

Rehab patient · 2019★★★★★

My Dad was there for Rehab and then end of life care later in the stay. To say Legend Oaks of Ennis was amazing is not saying enough. They made sure he was up and ready for the day every day.

Long-term resident's family · 2025★★★★★

My mother has dementia and has been in this facility for about three years. The staff is always patient with her, and the way she and the other residents are cared for gives my family peace of mind.

Memory care family member · 2020★★★★★
Source: 40 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

14

measures

Worse Than Avg

2

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility3.3%
Better than Avg
Here
3.3%
US
15.4%
TX
9.4%
Ellis
9.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
12.1%
TX
2.5%
Ellis
1.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Ellis
96.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility20.3%
Worse than Avg
Here
20.3%
US
15.3%
TX
14.9%
Ellis
19.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility14.1%
Better than Avg
Here
14.1%
US
14.4%
TX
16.1%
Ellis
19.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Ellis
97.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Ellis
84.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.0%
Better than Avg
Here
97.0%
US
79.7%
TX
88.0%
Ellis
86.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.3%
Better than Avg
Here
0.3%
US
1.6%
TX
1.5%
Ellis
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
1penalties
Well below state avg (9.1)
3 complaint-triggered
$13,275 in fines

Legend Oaks has recurring issues with safety hazards and accident prevention, appearing in multiple surveys including one complaint where families reported concerns. The facility shows persistent problems with fire safety systems, electrical equipment, and care planning across all five surveys from 2022 to 2025. While the facility has correction dates for deficiencies, the repeated nature of safety and care planning violations suggests ongoing operational challenges that families should discuss during visits.

Feb 27, 2025Routine
8
0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0689ModerateCorrected

Quality of Life and Care Deficiencies

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

0222ModerateCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0345ModerateCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0355ModerateCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363ModerateCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0550MinorCorrected

Resident Rights Deficiencies

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

0917MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure electrical receptacles or cover plates have distinctive color or marking.

Jul 1, 2024Complaint
2
0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0925Minor

Environmental Deficiencies

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

Jan 11, 2024Routine
4
0929ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

0689ModerateCorrected

Quality of Life and Care Deficiencies

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

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0921ModerateCorrected

Environmental Deficiencies

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

Aug 17, 2023Complaint
1
0689Severe

Quality of Life and Care Deficiencies

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

Dec 1, 2022Routine
12
0324ModerateCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0363ModerateCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0916ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

0655ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0293ModerateCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0677MinorCorrected

Quality of Life and Care Deficiencies

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

0806MinorCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0372MinorCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0929MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Federal Penalties

Fine

Aug 17, 2023

$13,275

Ownership & Operations

Who Operates This Facility

Owner / Operator

Eastland Memorial Hospital District

Organization Type

for profit

Management Company

GETZENDANER HEALTHCARE INC

Administrator

NICOLE MACKEY

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 2.9/5 · Rank 2 of 84 (Best)

Ownership & Management

Owners

Eastland Memorial Hospital District

Owner · Organization

100%

Key personnel

Miller, RoyManaging Control - Governing BodySharma, NeerajManaging Control - Governing BodyBurnam, SoonOfficer / DirectorKeetch, ChadOfficer / DirectorTaylor, StephenOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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