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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.