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A middle-range Medicare rating. Review each component and visit in person before deciding.
based on 188 Google reviews
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Legend Oaks Healthcare and Rehabilitation Garland has a middle-range Medicare overall rating. Strengths include exceptional rehabilitation and physical therapy teams. Some reviewers note concerns about neglect regarding hygiene and incontinence care (mentioned by 3 reviewers). Review the health-inspection, staffing, and quality-measure components separately, then visit in person.
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
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Concerns
Rating Trends
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Distribution · 192 analyzed
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.
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.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
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6
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Residents whose walking got worse
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 needing more daily help over time
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
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
Detailed Medicare record · up to 3-year lookback
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.
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.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
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.
Eastland Memorial Hospital District
for profit
DUCK CREEK HEALTHCARE, INC
MARTIN HARRIS
The Ensign Group
342 facilities nationwide
Chain avg rating: 2.9/5 · Rank 30 of 84
Owners
Eastland Memorial Hospital District
Owner · Organization
Key personnel
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