Nursing homes in Ellis County, Texas
There are 10 certified nursing homes in Ellis County, Texas, with 1,279 beds between them.
30% of them are rated 1 or 2 stars overall, a smaller share than the state (48%). Inspectors recorded 208 health deficiencies over three cycles, 16.3 per 100 beds against 24.4 statewide.
Fines in the period covered total $207K across 18 fines.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Ellis County | Texas | US |
|---|---|---|---|
| Facilities | 10 | 1177 | 14690 |
| Rated 1–2 stars overall | 30% | 48% | 41% |
| Median overall rating | 3 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 16.3 | 24.4 | 26.8 |
| Median nurse hours per resident day | 3.4 | 3.3 | 3.7 |
| Fines listed | $207K | $54M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Legend Oaks Healthcare and Rehabilitation - Ennis | Ennis | 124 | 5 | 5 | 2 | 11 | 8.9 | — | 7 May 2026 |
| Renaissance Rehabilitation and Healthcare Center | Italy | 74 | 5 | 5 | 2 | 11 | 14.9 | — | 10 Sep 2025 |
| Bluebonnet Rehab At Ennis | Ennis | 136 | 4 | 4 | 2 | 17 | 12.5 | — | 23 Apr 2026 |
| Midtowne Meadows Health & Rehab | Midlothian | 121 | 4 | 5 | 1 | 2 | 1.7 | $20K | 15 Aug 2024 |
| Midlothian Healthcare Center | Midlothian | 120 | 3 | 3 | 2 | 17 | 14.2 | $47K | 6 Feb 2026 |
| Pleasant Manor Healthcare and Rehabilitation | Waxahachie | 132 | 3 | 2 | 2 | 29 | 22.0 | $29K | 10 Apr 2026 |
| Red Oak Health and Rehabilitation Center | Red Oak | 144 | 3 | 4 | 1 | 17 | 11.8 | $12K | 26 Jun 2026 |
| Ennis Care Center | Ennis | 155 | 1 | 2 | 1 | 30 | 19.4 | $37K | 20 May 2026 |
| Focused Care of Waxahachieabuse icon | Waxahachie | 152 | 1 | 2 | 1 | 39 | 25.7 | $21K | 23 May 2026 |
| Legend Oaks Healthcare and Rehabilitation - Waxaha | Waxahachie | 121 | 1 | 2 | 1 | 35 | 28.9 | $41K | 15 Apr 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 18 |
| F0880 | Provide and implement an infection prevention and control program. | 17 |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 15 |
| F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | 15 |
| F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 14 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 8 |
| Government | 2 |
Chains present: The Ensign Group (4), Caring Healthcare Group (1), Eduro Healthcare (1), Focused Post Acute Care Partners (1), Hmg Healthcare (1), Nexion Health (1).
Questions and answers
How many nursing homes are in Ellis County, Texas?
10 Medicare-certified nursing homes with 1,279 certified beds.
Which nursing homes in Ellis County have the highest CMS ratings?
Legend Oaks Healthcare and Rehabilitation - Ennis (5 stars), Renaissance Rehabilitation and Healthcare Center (5 stars), Bluebonnet Rehab At Ennis (4 stars)
How do Ellis County nursing homes compare with Texas?
30% are rated 1–2 stars overall against 48% statewide; citations run at 16.3 per 100 beds against 24.4 statewide.