Legend Oaks Healthcare and Rehabilitation Garland
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 188 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
Above average in Texas · Below recommended RN staffing · $15,593 in fines
What this means for your family
This facility is an excellent choice for short-term rehabilitation, as the therapy team is frequently cited as top-tier. However, if your loved one requires high-dependency care, you must closely monitor hygiene and medication schedules, as multiple families have reported issues with neglect and delayed care.
Google Reviews
Google Reviews
188 reviews on Google“Families considering Legend Oaks Garland will find a facility highly praised for its exceptional physical therapy department and a clean, modern environment. While many reviewers highlight the compassionate nursing and social work staff, there are serious, recurring allegations regarding hygiene neglect, medication delays, and inconsistent staffing levels during weekends.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional rehabilitation and physical therapy teams
- Clean, modern, and welcoming building aesthetics
- Compassionate and attentive social work staff
- Professional and helpful admissions process
Concerns
- Neglect regarding hygiene and incontinence care (mentioned by 3 reviewers)
- Delays in medication administration (mentioned by 3 reviewers)
- Inconsistent staffing levels on weekends and nights (mentioned by 2 reviewers)
- Issues with sanitation and PPE usage (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 190 analyzed
How They Respond to Reviews
The owner provides highly personalized responses that frequently address the reviewer by name and mirror specific details mentioned in the review, such as specific staff members or departments. While most responses are celebratory of positive feedback, they also demonstrate a professional willingness to address clinical concerns.
Questions for Your Tour
- 1We've heard wonderful things about your rehabilitation and physical therapy teams; could you tell us more about how they work with residents to regain their strength?
- 2How does the nursing team ensure that medication is administered accurately and on a consistent schedule, especially during the night shifts and weekends?
- 3What specific protocols do you have in place to ensure that personal hygiene and incontinence care are handled promptly and with dignity for every resident?
- 4Could you describe the dining experience here and how you are working to improve the variety and quality of the meals served?
- 5What is the process for communicating with families if a medical emergency occurs after regular business hours?
- 6We noticed your admissions team is very professional and helpful; how does that personalized care continue once a resident is settled into their daily routine and activities?
Personalized based on this facility's data
Key Review Excerpts
“I'm recovering from major spinal surgery, and both the therapy and nursing staffs are working with me to help me regain my health at the age of 78 (almost 79). Not an easy task.”
“The nurses and CNAs are attentive, patient, and respectful. When I visited yesterday she said they’ve all truly made her feel like family.”
“The social worker is so helpful and even stayed over night during the ice storm to make sure the residents were cared for.”
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
7
measures
6
measures
4
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 walking got worse
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has faced significant inspection challenges with 22 of 33 deficiencies triggered by family complaints, indicating ongoing resident safety and care concerns. Recurring issues span medication management, resident rights violations, and safety hazards, with problems in medication labeling appearing across multiple years from 2022-2025. While all deficiencies show correction dates, the persistent pattern of complaint-driven inspections and repeat violations in critical areas like medication safety suggests families should carefully evaluate this facility's ability to provide consistent, quality care.
Mar 6, 2026Complaint2
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Dec 30, 2025Complaint1
Pharmacy Service Deficiencies
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.
Dec 5, 2025Complaint1
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Feb 20, 2025Routine3
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Feb 20, 2025Complaint2
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Jan 19, 2024Routine4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Ownership & Operations
Who Operates This Facility
Eastland Memorial Hospital District
for profit
DUCK CREEK HEALTHCARE, INC
MARTIN HARRIS
Chain Affiliation
The Ensign Group
338 facilities nationwide
Chain avg rating: 2.9/5 · Rank 30 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
188 reviews from families & visitors
Official Website
Visit legendgarland.com
Medicare data downloads
Original nursing home datasets
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