University Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 59 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.
- Low overall rating (1/5 stars)
- High staff turnover (52%)
- High RN turnover (60%)
Bottom 25% in Texas · Below recommended RN staffing · Worst in CREATIVE SOLUTIONS IN HEALTHCARE chain · $40,446 in fines
What this means for your family
This facility is highly regarded by many for its warm atmosphere and caring staff, particularly for social engagement and dining. However, you must exercise extreme caution and perform your own rigorous checks regarding medication administration and hygiene, as multiple reviews have documented severe instances of medical neglect and safety lapses.
Google Reviews
Google Reviews
59 reviews on Google“Most families praise the facility for its warm, home-like atmosphere and the compassionate, professional nursing and management staff. However, there are serious, critical allegations regarding medical neglect, medication errors, and safety concerns that should be investigated thoroughly by any prospective family.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Welcoming, home-like atmosphere
- Clean and well-maintained facilities
- Engaging social activities and programs
- Friendly and professional management
Concerns
- Serious medical neglect and hygiene issues (mentioned by 3 reviewers)
- Medication management errors (mentioned by 2 reviewers)
- Safety and security lapses (mentioned by 2 reviewers)
- Unresponsive staff to resident calls (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 55 analyzed
How They Respond to Reviews
Responds to almost all reviews with personalized messages that frequently use the reviewer's name and reference specific staff members or details mentioned. Addresses negative reviews by requesting offline communication to investigate the specific allegations.
Questions for Your Tour
- 1It is wonderful to see how much management engages with the community through your review responses; how does that commitment to communication translate to how you update families on a resident's daily care?
- 2We are looking for a place with a very consistent routine; what kind of engaging social activities or programs do you have planned for the residents this month?
- 3How does your nursing team ensure that medication administration is handled with 100% accuracy and that all schedules are strictly followed?
- 4With the recent health inspection findings, what specific steps has the facility taken to improve hygiene standards and daily care protocols?
- 5How do you ensure that staff members are able to respond promptly to call lights and resident needs, especially during the night shifts?
- 6Can you tell us more about your protocols for managing medical emergencies and how the nursing staff coordinates with doctors after hours?
Personalized based on this facility's data
Key Review Excerpts
“The care assessments and the onboarding process w... As for the management team......Lisa, Brie, and Nurse Amy Are all "Top Shelf"”
“In less than a month under Willow Bend’s care, our Mom suffered a fourth fracture in her back, severe constipation, a UTI, dehydration, malnutrition and a pressure sore.”
“She was left alone with a wet diaper for hours. We are still dealing with a serious diaper rash that won’t go away despite a much better place. They also didn’t give my mom the medicine she needed, including her blood thinners.”
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 · 16 measures
11
measures
5
measures
Residents needing more daily help over time
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents who lost too much weight
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
Families have filed multiple complaint reports triggering 15 deficiencies, indicating ongoing concerns about care quality and safety. The facility shows recurring problems with accident prevention and safety supervision, care planning, and medication management across multiple surveys. While most issues have been corrected, the pattern of repeated deficiencies in core care areas suggests persistent operational challenges that families should carefully consider.
Dec 11, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Sep 11, 2025Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 safe and appropriate respiratory care for a resident when needed.
Apr 17, 2025Routine9
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
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.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Apr 17, 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, 2025Complaint3
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Dec 2, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
Sep 11, 2025
$14,069
Fine
Feb 28, 2024
$18,801
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
DENTON II ENTERPRISES, LLC
AMY LEFCO HEANEY
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 144 of 148 (Worst)
Ownership & Management
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
59 reviews from families & visitors
Official Website
Visit legendseniorliving.com
Medicare data downloads
Original nursing home datasets
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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.
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