Legend Oaks Healthcare And Rehabilitation Center -
1201 Fm 2685, Gladewater, TX, 75647
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: The Ensign Group
- Certified beds
- 100 · avg 74 residents/day
- Total nursing staff turnover
- 40% — lower than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 25% — lower than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 6 fines · $124,559 total
Medicare certification
- CMS Certification Number
- 676048
- Certified beds
- 100 beds · avg 74 residents/day
- Ownership type
- Government - Hospital district
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Fannin County Hospital Authority
- Chain affiliation
- The Ensign Group
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 338 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (10 on record)
- Daffodil Healthcare, Inc.
Adp of The Snf · since 2025
- Hong-i Shen
Adp of The Snf · since 2021
- Brandon Kegarise
Operational/managerial Control · 100% · since 2017
- Clark r Sanderson
Corporate Officer · since 2017
- Fannin County Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2017
- National Health Investors, Inc.
Adp of The Snf · since 2017
+ 4 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 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 38)
- D0880·Apr 15, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0761·Apr 15, 2026
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.
- E0755·Apr 15, 2026
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- C0732·Apr 15, 2026
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- D0690·Apr 15, 2026
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E0679·Apr 15, 2026
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
- E0585·Apr 15, 2026
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- C0577·Apr 15, 2026
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Federal penalties
By year
- 20245 fines · $110K
- 20231 fine · $14K
Most recent events
- Oct 23, 2024Fine · $17K
- Oct 23, 2024Fine · $17K
- Oct 23, 2024Fine · $17K
- Oct 23, 2024Fine · $17K
- Jun 19, 2024Fine · $43K
- Sep 13, 2023Fine · $14K
Largest single fine on record: $43K.
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Apr 15, 2026. 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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Legend Oaks Healthcare And Rehabilitation Center -into one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.