Legend Oaks Healthcare And Rehabilitation Waxahachie
151 COUNTRY MEADOWS BOULEVARD, Waxahachie, TX, 75165
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 - Individual · Chain: The Ensign Group
- Certified beds
- 121 · avg 101 residents/day
- Total nursing staff turnover
- 59% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 62.5% — higher 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)
- 3 fines · $41,215 total
State licensing & capacity
- License number
- 307208
- Service type
- Medicare/medicaid
- Licensed capacity
- 121 beds
- Bed type breakdown
- 28 Medicare-only · 93 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- January 31, 2017
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Eastland Memorial Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Cow Creek Healthcare, Inc
- Administrator
- Steven Reese
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)
- Cow Creek Healthcare, Inc.
Adp of The Snf · since 2025
- Stephen c Taylor
Corporate Officer · since 2025
- Eastland Memorial Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2019
- Ensign Services Inc
Adp of The Snf · since 2019
- Neal r Vassa
Adp of The Snf · since 2018
- Felicia Muniz
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 33)
- D0842·Dec 12, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0550·Nov 24, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D0656·Apr 14, 2025Complaint
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.
- G0689·Nov 15, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- G0684·Nov 15, 2024Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0609·Nov 15, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0880·Nov 15, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0804·Nov 15, 2024
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Federal penalties
By year
- 20243 fines · $41K
Most recent events
- Nov 15, 2024Fine · $11K
- Mar 7, 2024Fine · $16K
- Jan 23, 2024Fine · $14K
Largest single fine on record: $16K.
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Sep 13, 2023. 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 Waxahachie is a 121-bed nursing home in Ellis County, TX, managed by Cow Creek Healthcare under a hospital district license. CMS rates it 1 star overall — the lowest rating — with 1-star staffing and 2-star health inspection and quality-measure scores. Three CMS fines totaling $41,215 have been assessed, and nursing staff turnover ran 59% over the past year. The facility holds an active state license through April 2028.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 200 minutes of nursing care per day, about 41 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — sicker or less mobile on average — so those 200 minutes stretch thinner than the raw number suggests. Registered nurses account for only 22 of those minutes, compared to 37 minutes at a 4-star-staffing facility in the state.
Three CMS fines totaling $41,215 have been assessed. That total is roughly double the Texas median of $20,699, and about 30% of Texas nursing homes have received 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 levels on nights and weekends
Weekend nursing hours average 2.78 minutes per resident per day less than weekdays — ask how many nurses and aides are on the floor during nights, weekends, and holidays.
What the three fines covered
CMS assessed three fines totaling $41,215; ask what deficiencies each citation addressed and what corrective steps were taken.
RN presence during the day
Reported RN hours work out to about 22 minutes per resident per day — ask how many hours a registered nurse is physically on the unit during a typical day shift.
Staff consistency for long-stay residents
Total nursing staff turnover was 59% over the past year, near the top quarter of Texas facilities — ask whether residents are assigned consistent aides across shifts.
Resident Council access and schedule
The facility has a Resident Council but no Family Council — ask when the Resident Council meets and how family members can raise concerns outside that channel.
Management company role day-to-day
Day-to-day operations are run by Cow Creek Healthcare under a hospital district license — ask which entity sets staffing budgets and responds to care complaints.
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.