Legend Oaks Healthcare and Rehabilitation Fort Worth
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 162 Google reviews
Watch Legend Oaks Healthcare and Rehabilitation Fort Worth
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low staffing rating (2/5 stars)
- High staff turnover (68%)
- High RN turnover (77%)
Top 25% in Texas · Below recommended RN staffing · Chain outperformer · $50,633 in fines
What this means for your family
This facility is an excellent choice for short-term rehabilitation, as the therapy teams are consistently rated as top-tier. However, if your loved one requires long-term care, you must verify staffing levels for weekends and nights, as multiple families have reported slow response times and inadequate care during those periods.
Google Reviews
Google Reviews
162 reviews on Google“Families considering Legend Oaks can expect high-quality rehabilitation services and a clean, modern facility, with many praising the physical therapy team. However, there are significant, recurring reports of understaffing on weekends and nights, as well as serious allegations regarding inconsistent medication management and patient neglect.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional physical and occupational therapy teams
- Clean and modern facility atmosphere
- Friendly and professional admissions and administrative staff
- Compassionate wound care nursing
Concerns
- Understaffing on weekends and night shifts (mentioned by 4 reviewers)
- Slow response times to call buttons (mentioned by 3 reviewers)
- Inconsistent medication management and errors (mentioned by 3 reviewers)
- Poor communication from social workers and administration (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 169 analyzed
How They Respond to Reviews
The owner provides highly personalized responses to positive reviews, often addressing specific staff members or facility features mentioned. For negative reviews, the response shifts to a professional, standardized template that invites direct communication to resolve issues.
Questions for Your Tour
- 1We've heard wonderful things about your physical and occupational therapy teams; could you tell us more about how they work with residents to maintain mobility?
- 2With the facility feeling so clean and modern, what kind of daily activities or social events are organized to keep residents engaged in the common areas?
- 3How do you ensure that medication administration remains consistent and accurate, especially during the transition between shifts?
- 4What protocols are in place to ensure that call buttons are answered promptly during the night shifts and over the weekends?
- 5How does the administration and social work team keep families updated on a resident's progress or any changes in their care plan?
- 6In the event of a medical emergency during the late evening or weekend hours, what is the specific process for notifying the family and providing immediate care?
Personalized based on this facility's data
Key Review Excerpts
“The other home treated her like a nursing home resident but Legend Oaks treated her like they just wanted her to her get better!”
“The therapy (Rehab) is great. (Lots of amazing therapist). Administration and leadership are constantly striving and making positive changes”
“My father, a 100% disabled veteran, was there less than a week and was treated horribly... He was told to stop calling the call button and that he was a pain in the butt.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
5
measures
2
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Multiple families have filed complaints about recurring accident prevention failures, with the same safety deficiency appearing three times across two years, suggesting ongoing supervision and hazard control problems. Other frequent issues include care planning, accommodating resident preferences, and facility safety systems. While all deficiencies show correction dates, the repeated accident prevention citations from family complaints indicate persistent safety concerns that warrant careful consideration during your visit.
Mar 26, 2026Complaint1
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Mar 5, 2026Routine8
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Sep 11, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 26, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Dec 19, 2024Routine8
Quality of Life and Care Deficiencies
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.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Quality of Life and Care Deficiencies
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.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Oct 8, 2024Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal Penalties
Fine
Sep 11, 2025
$10,361
Fine
Feb 26, 2025
$9,110
Fine
Oct 8, 2024
$8,827
Fine
May 25, 2023
$22,335
Ownership & Operations
Who Operates This Facility
Eastland Memorial Hospital District
for profit
NB BROWN ROCK HEALTHCARE, INC
TERESA KENNEDY
Chain Affiliation
The Ensign Group
338 facilities nationwide
Chain avg rating: 2.9/5 · Rank 19 of 84
Ownership & Management
Owners
Eastland Memorial Hospital District
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
162 reviews from families & visitors
Official Website
Visit legendoaksfortworth.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
Discovery Village at Alliance Town Center
1.1 miAssisted Living · Fort Worth, TX
Mustang Creek Estates Keller Houses A&b
3.3 miAssisted Living · Keller, TX
Mustang Creek Estates Keller House E
3.3 miAssisted Living · Keller, TX
Avalon Memory Care Keller
3.7 miAssisted Living · Keller, TX
Tender Loving Care Assisted Living Home
3.7 miAssisted Living · Keller, TX
Avalon Memory Care
3.7 miAssisted Living · Keller, TX