Legend Oaks Healthcare And Rehabilitation Center Northwest Houston
8902 WEST RD, Houston, TX, 77064
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
- 125 · avg 95 residents/day
- Total nursing staff turnover
- 62.4% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 36.4% — 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 · $39,045 total
State licensing & capacity
- License number
- 147969
- Service type
- Medicare/medicaid
- Licensed capacity
- 125 beds
- Bed type breakdown
- 7 Medicare-only · 118 Medicaid/Medicare
- Current license effective
- April 1, 2023
- Current license expires
- April 1, 2026
- Initial license date
- November 12, 2008
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Liberty County Hospital District No 1 (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Armstrong Healthcare Inc
- Administrator
- Aaron Farnsworth
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)
- Armstrong Healthcare, Inc.
Adp of The Snf · since 2025
- Nida Fatema Ali
Operational/managerial Control · since 2019
- James Vincent
Adp of The Snf · since 2017
- Liberty County Hospital District No. 1
5% or Greater Direct Ownership Interest · 100% · since 2017
- National Health Investors, Inc.
Adp of The Snf · since 2017
- Soon Burnam
Corporate Officer · 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 20)
- D0761·Dec 1, 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.
- D0760·Dec 1, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- C0732·Dec 1, 2025Complaint
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- D0726·Dec 1, 2025Complaint
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- D0694·Dec 1, 2025Complaint
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D0641·Dec 1, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0880·Jun 6, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Jun 6, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Federal penalties
By year
- 20241 fine · $39K
Most recent events
- Apr 23, 2024Fine · $39K
Fire-safety citations
10 Life-Safety-Code citations on file. Most recent: Jun 6, 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 Northwest Houston is a 125-bed nursing home in Harris County, licensed under Liberty County Hospital District No. 1 and managed by Armstrong Healthcare Inc. CMS rates it 2 stars overall, with a 2-star health inspection rating and a 2-star staffing rating. Quality-of-care measures score 4 stars for long-term residents. One CMS fine of $39,045 has been issued.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 2 stars on staffing. Each resident receives about 201 minutes of nursing care per day — roughly 40 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 less mobile on average — so those 201 minutes stretch thinner than the number alone suggests.
About 6 in 10 nursing staff left in the past year. At that rate, a long-stay resident will likely go through two or three primary caregivers over the course of a year.
CMS recorded one fine totaling $39,045. About 30% of Texas nursing homes received no fines in the same period; this facility's single fine is nearly double the state median of $20,699.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing coverage on weekends
Weekend nursing hours here average 2.79 hours per resident per day — lower than the weekday figure; ask how the facility ensures consistent care when staffing typically thins.
What the $39,045 fine covered
CMS issued one fine totaling $39,045; ask what the deficiency was, what corrective steps were taken, and whether a follow-up inspection confirmed the fix.
Caregiver continuity for long-term residents
With roughly 6 in 10 nursing staff leaving in the past year, ask how the facility assigns and reassigns caregivers so residents aren't meeting a new face every few months.
Resident and family council status
CMS records no resident or family council on file here; ask whether either exists, when it meets, and how residents and families formally raise concerns.
Management company's role day to day
The facility is licensed to a hospital district but operated by Armstrong Healthcare Inc.; ask which entity sets staffing budgets and responds to care complaints.
Current bed availability
With an average of 94.6 residents in 125 licensed beds — about 76% occupancy — ask whether the unit or care level your parent would need has open space now.
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.