Legend Oaks Healthcare And Rehabilitation Ennis
1400 MEDICAL CENTER DRIVE, Ennis, TX, 75119
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: The Ensign Group
- Certified beds
- 124 · avg 73 residents/day
- Total nursing staff turnover
- 35.8% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 33.3% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $13,275 total
State licensing & capacity
- License number
- 147529
- Service type
- Medicare/medicaid
- Licensed capacity
- 124 beds
- Bed type breakdown
- 32 Medicare-only · 92 Medicaid/Medicare
- Current license effective
- April 1, 2026
- Current license expires
- April 1, 2029
- Initial license date
- June 9, 2010
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Eastland Memorial Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Getzendaner Healthcare Inc
- Administrator
- Nicole Mackey
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (10 on record)
- Stephen c Taylor
Corporate Officer · since 2025
- Getzendaner Healthcare, Inc.
Adp of The Snf · since 2025
- Neeraj r Sharma
Operational/managerial Control · since 2023
- Eastland Memorial Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2017
- Ensign Services Inc
Adp of The Snf · since 2017
- Roy Miller
Operational/managerial Control · 100% · since 2017
+ 4 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 13)
- E0689·Feb 27, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0550·Feb 27, 2025
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D0925·Jul 1, 2024Complaint
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D0656·Jul 1, 2024Complaint
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.
- E0921·Jan 11, 2024
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E0880·Jan 11, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0689·Jan 11, 2024
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- J0689·Aug 17, 2023Complaint
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
By year
- 20231 fine · $13K
Most recent events
- Aug 17, 2023Fine · $13K
Fire-safety citations
14 Life-Safety-Code citations on file. Most recent: Feb 27, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Legend Oaks Healthcare and Rehabilitation Ennis is a 124-bed nursing home in Ellis County, Texas, licensed through April 2029 and managed by Getzendaner Healthcare Inc under government ownership by Eastland Memorial Hospital District. CMS rates it 5 stars overall with a 5-star health inspection score, though staffing rates 3 stars and quality measures for short-stay residents rate 2 stars. The facility is operating at roughly 59% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 3 stars on staffing — about 19% of Texas nursing homes share this rating. Each resident receives approximately 209 minutes of nursing care per day, roughly 32 minutes less than at a 4-star-staffing facility in Texas. RN coverage specifically is 21 minutes per resident per day, compared to 37 minutes at the 4-star threshold.
About 4 in 10 nursing staff left in the past year — below Texas's 25th-percentile cutoff of 42%, meaning turnover here is better than roughly three-quarters of nursing homes in the state. RN turnover also falls in the low tier, at roughly 3 in 10. That level of staffing continuity means most long-stay residents are seeing familiar faces.
CMS recorded one fine totaling $13,275 over the reporting period. The state median fine total across all Texas nursing homes is $20,699, and about 30% of Texas facilities have no fines at all.
The facility is running at approximately 59% of its 124 licensed beds, with an average of 73 residents per day. That occupancy level is lower than most facilities in this area and is present alongside the 2-star short-stay quality-measure rating.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Short-stay quality measures rated 2 stars
CMS rates short-stay quality outcomes 2 stars here — ask which specific measures fall below average and what changes are underway to address them.
Why occupancy sits at 59%
With 73 residents in a 124-bed building, ask whether the lower census reflects a business decision, referral patterns, or something else families should understand.
Staffing hours on weekends
Reported weekend nursing hours are 2.755 hours per resident per day, noticeably lower than the weekday figure — ask how weekend coverage is structured and whether care plans are adjusted.
How care plans are reviewed
Staffing and long-stay quality both rate 3–4 stars while short-stay outcomes rate 2 — ask how the team monitors and adjusts care for residents recovering from a hospital stay.
Resident and family council status
CMS does not show an active resident or family council here — ask whether one exists, when it meets, and how residents or families can raise concerns.
Management company's role day-to-day
The facility is licensed under Eastland Memorial Hospital District but managed by Getzendaner Healthcare Inc — ask who makes staffing and care decisions and who to contact when problems arise.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.