Legend Oaks Healthcare And Rehabilitation Garland
2625 BELT LINE ROAD, Garland, TX, 75044
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
- For profit - Corporation · Chain: The Ensign Group
- Certified beds
- 132 · avg 99 residents/day
- Total nursing staff turnover
- 39.1% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 44.4% — 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 · $15,593 total
State licensing & capacity
- License number
- 307223
- Service type
- Medicare/medicaid
- Licensed capacity
- 132 beds
- Bed type breakdown
- 35 Medicare-only · 97 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- February 7, 2017
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Eastland Memorial Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Duck Creek Healthcare, Inc
- Administrator
- Martin Harris
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 (8 on record)
- Duck Creek Healthcare, Inc.
Adp of The Snf · since 2025
- Kevin Niccum
Adp of The Snf · since 2025
- Loc h Trieu
Adp of The Snf · since 2025
- Laban Wright
Corporate Officer · since 2021
- Eastland Memorial Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2019
- Ensign Services Inc
Adp of The Snf · since 2019
+ 2 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 30)
- D0761·Dec 30, 2025Complaint
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.
- D0695·Dec 5, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- E0812·Feb 20, 2025Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0583·Feb 20, 2025Complaint
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- E0759·Feb 20, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0880·Jan 19, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0755·Jan 19, 2024Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0693·Jan 19, 2024Complaint
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.
Federal penalties
By year
- 20231 fine · $16K
Most recent events
- May 14, 2023Fine · $16K
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Feb 20, 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 Garland is a 132-bed nursing home in Garland, Texas, operated by Duck Creek Healthcare, Inc. under the Ensign Group chain. CMS rates it 3 stars overall, with matching 3-star scores on health inspections, staffing, and short-stay outcomes, and a 4-star score on long-stay outcomes. The facility carried one CMS fine of $15,593 in the reporting period. About 99 of 132 beds are currently occupied.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars — a tier shared by about 19% of Texas nursing homes. Each resident receives roughly 197 minutes of nursing care per day, approximately 44 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — more dependent or medically complex on average — so those 197 minutes stretch thinner than the number alone suggests.
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. Staff continuity at this level means residents are less likely to cycle through unfamiliar caregivers.
CMS recorded one fine totaling $15,593 in the reporting period. The state median for facilities that have any fines is $20,699; about 30% of Texas nursing homes have no fines at all.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing on weekends vs weekdays
CMS data shows weekend nursing hours per resident drop to about 169 minutes compared to the daily average of 197 — ask how staffing is structured on Saturdays and Sundays.
RN coverage during each shift
Reported RN hours average just 36 minutes per resident per day; ask how many registered nurses are on the floor during day, evening, and overnight shifts.
What the recent fine covered
CMS recorded one fine of $15,593 — ask what deficiency prompted it and what process changes followed.
How the Resident Council operates
The facility has a Resident Council but no Family Council — ask how often the council meets and how family members can raise concerns in its absence.
Duck Creek's role day to day
The licensed owner is Eastland Memorial Hospital District, but Duck Creek Healthcare manages operations — ask which entity sets staffing levels and handles complaint responses.
Current waitlist for available beds
With roughly 99 of 132 beds occupied, ask whether the specific bed type needed — Medicare or Medicaid — has availability now or a projected wait.
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.