Legend Oaks Healthcare And Rehabilitation Center Gladewater
1201 FM 2685, Gladewater, TX, 75647
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 - Limited Liability company · Chain: The Ensign Group
- Certified beds
- 100 · avg 69 residents/day
- Total nursing staff turnover
- 50.8% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 41.7% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 6 fines · $124,559 total
State licensing & capacity
- License number
- 147759
- Service type
- Medicare/medicaid
- Licensed capacity
- 100 beds
- Bed type breakdown
- 15 Medicare-only · 85 Medicaid/Medicare
- Current license effective
- April 1, 2026
- Current license expires
- April 1, 2029
- Initial license date
- November 16, 1993
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fannin County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Daffodil Healthcare, Inc
- Administrator
- Lucas Aragon
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)
- 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 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 35)
- D0609·Jan 29, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0689·Jan 21, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0880·Feb 12, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0807·Feb 12, 2025
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
- D0802·Feb 12, 2025
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- E0761·Feb 12, 2025
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·Feb 12, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- E0558·Feb 12, 2025
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
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: Feb 12, 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 Center Gladewater is a 100-bed nursing home in Gladewater, Texas, operated by Daffodil Healthcare, Inc. under a hospital district license. CMS rates it 2 stars overall, with 6 fines totaling $124,559 since the facility's last inspection cycle. Staffing rates 3 stars. The facility is currently at about 69% of licensed capacity — 69 of 100 beds occupied on an average day.
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. Each resident receives about 186 minutes of nursing care per day — roughly 55 minutes less than at a 4-star-staffing facility in Texas. About 19% of Texas nursing homes share this staffing rating.
The facility has received 6 CMS fines totaling $124,559. The Texas median across fined facilities is about $20,699, and roughly 30% of Texas nursing homes had no fines in this period. Six fines at more than six times the state median places this facility in a distinct tier of regulatory scrutiny.
One administrator has turned over in the past year — a level CareWitness flags as elevated. Leadership continuity affects how consistently care policies are carried out day to day.
The facility is operating at roughly 69% of its 100 licensed beds — about 69 residents on an average day. Paired with the fine and staffing signals above, that vacancy level is concrete context for families weighing this location.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Six fines, what changed
Ask which deficiencies drove the six CMS fines totaling $124,559 and what specific policy or staffing changes were made in response.
Administrator continuity going forward
The facility has had one administrator change in the past year; ask how long the current administrator Lucas Aragon has been in the role and whether that transition is complete.
Staffing on nights and weekends
With reported weekend nursing hours lower than weekday levels, ask how many nursing staff are on the floor on a typical Saturday overnight shift.
Why beds are largely unfilled
At roughly 69% occupancy, about 31 beds sit vacant on an average day; ask whether that reflects referral patterns, staffing limits, or a deliberate census target.
Short-stay outcomes versus long-stay
CMS rates long-stay quality measures 4 stars but short-stay 2 stars; ask what the typical rehab or post-hospital stay looks like and how rehospitalization rates are tracked.
Resident Council access and meeting schedule
A Resident Council exists here but no Family Council; ask how family members surface concerns and how often the Resident Council meets.
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.