Legend Oaks Healthcare and Rehabilitation Waxahachie
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 161 Google reviews
Watch Legend Oaks Healthcare and Rehabilitation Waxahachie
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 overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (12 vs median 8.0)
- High staff turnover (59%)
- High RN turnover (62%)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in THE ENSIGN GROUP chain · $41,215 in fines
What this means for your family
This facility is an excellent choice for short-term rehabilitation, as the therapy team is consistently praised for their expertise. However, families should exercise extreme caution regarding long-term or respite care, as there are multiple recent reports of nursing neglect, medication errors, and unresponsiveness to call lights.
Google Reviews
Google Reviews
161 reviews on Google“Families considering Legend Oaks should be aware of a significant divide between the highly praised rehabilitation/therapy services and serious allegations regarding nursing care. While many reviewers laud the professional therapy team and the cleanliness of the facility, several recent and severe reviews report instances of neglect, medication errors, and physical injury during respite stays.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional physical and occupational therapy teams
- Clean and well-maintained facility
- Professional and friendly administrative staff
- Compassionate rehabilitation specialists
Concerns
- Nursing neglect and slow response times (mentioned by 6 reviewers)
- Inadequate staffing levels (mentioned by 4 reviewers)
- Medication management errors (mentioned by 2 reviewers)
- Poor communication from nursing/office staff (mentioned by 3 reviewers)
- Food quality and variety (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 166 analyzed
How They Respond to Reviews
The owner provides highly personalized responses to positive reviews, often mentioning specific staff members or patient details. For negative reviews, the owner remains professional, avoids defensiveness, and consistently 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 during rehabilitation?
- 2How does the nursing team ensure that medication is administered accurately and on schedule every day?
- 3What steps are in place to ensure that residents receive prompt assistance when they press their call lights?
- 4How do you maintain consistent communication with family members regarding updates on a resident's health and daily well-being?
- 5Could you describe the daily meal schedule and how you ensure there is a good variety of nutritious food options available?
- 6What kind of social activities or group outings are organized to keep residents engaged and active in the community?
Personalized based on this facility's data
Key Review Excerpts
“The therapy team is outstanding—professional, compassionate, and truly dedicated to helping patients regain their strength. The facility is always spotless, creating a welcoming and comfortable environment.”
“My grandmother was at Legend Oaks from February 19 to 23, 2025, for respite care, and the condition she returned home in was absolutely unacceptable—her face was swollen, her lip was busted, and she could barely walk.”
“The staff were very nice and helpful. Therapy team was top notch. My mom had a very nice experience and would recommend this rehab”
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
13
measures
2
measures
2
measures
Residents needing more daily help over time
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents vaccinated for pneumonia
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
Families have filed 17 complaints triggering federal inspections, with recurring problems in accident prevention and safety appearing multiple times through 2024. The facility shows persistent issues with care planning, medication management, and resident rights that continue across recent surveys despite reported corrections. While all deficiencies show correction dates, the pattern of repeated safety violations and ongoing family complaints suggests ongoing care quality concerns.
Feb 12, 2026Routine5
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Hire a qualified full-time social worker in a facility with more than 120 beds.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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 12, 2025Complaint1
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.
Nov 24, 2025Complaint1
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Apr 14, 2025Complaint1
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.
Nov 15, 2024Complaint3
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nov 15, 2024Routine6
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Nov 15, 2024
$11,466
Fine
Mar 7, 2024
$15,851
Fine
Jan 23, 2024
$13,898
Ownership & Operations
Who Operates This Facility
Eastland Memorial Hospital District
for profit
COW CREEK HEALTHCARE, INC
STEVEN REESE
Chain Affiliation
The Ensign Group
338 facilities nationwide
Chain avg rating: 2.9/5 · Rank 77 of 84 (Worst)
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
161 reviews from families & visitors
Official Website
Visit legendoakswaxahachie.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.
Brookdale Waxahachie
1.4 miAssisted Living · Waxahachie, TX
Buffalo Creek Assisted Living and Memory Care Community
1.5 miAssisted Living · Waxahachie, TX
Morada Waxahachie
1.6 miAssisted Living · Waxahachie, TX
Focused Care of Waxahachie
2.9 miNursing Home · Waxahachie, TX
Daymark Living
3.6 miAssisted Living · Waxahachie, TX
Pleasant Manor Healthcare and Rehabilitation
4.7 miNursing Home · Waxahachie, TX