Legend Oaks Healthcare and Rehabilitation - Fort WCMS ratings, inspections and fines
- Address
- 4240 Golden Triangle Boulevard, Keller, TX 76244
- CCN
- 676426
- Ownership type
- For-profit, limited liability company
- Certified beds
- 132
- Chain
- The Ensign Group
- Residents per day
- 107
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Legend Oaks Healthcare and Rehabilitation - Fort W an overall rating of 1 of 5 stars. The last standard survey was on 5 Mar 2026. The latest survey cycle has 13 health citations. The median for nursing homes in Texas is 8. CMS lists 6 fines with a total of $77,433 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Tarrant County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 71 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 5 Mar 2026 | 13 | 8 |
| Cycle 2 | 19 Dec 2024 | 6 | 8 |
| Cycle 3 | No date | 7 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | L0 | ||
| Actual harm that is not immediate jeopardy | I0 | ||
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Jun 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 1 Jul 2026 |
| 23 Jun 2026 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Complaint investigation | 25 Jun 2026 |
| 13 Jun 2026 | F0760 | Ensure that residents are free from significant medication errors. | K | Complaint investigation | 14 Jun 2026 |
| 17 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | Complaint investigation | 27 Apr 2026 |
| 26 Mar 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 22 Apr 2026 |
| 5 Mar 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 3 Apr 2026 |
| 5 Mar 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 3 Apr 2026 |
| 5 Mar 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 3 Apr 2026 |
| 5 Mar 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 3 Apr 2026 |
| 5 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 3 Apr 2026 |
| 5 Mar 2026 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 3 Apr 2026 |
| 5 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 3 Apr 2026 |
| 11 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 29 Jul 2025 |
Survey cycle 2: 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Feb 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 30 Jan 2025 |
| 19 Dec 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 20 Dec 2024 |
| 19 Dec 2024 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 20 Dec 2024 |
| 19 Dec 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 20 Dec 2024 |
| 8 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 10 Oct 2024 |
| 8 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 23 Sep 2024 |
Survey cycle 3: 7 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 6 Jun 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 30 Jun 2024 |
| 6 Jun 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 30 Jun 2024 |
| 16 Nov 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 17 Nov 2023 |
| 16 Nov 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 17 Nov 2023 |
| 16 Nov 2023 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard survey | 17 Nov 2023 |
| 16 Nov 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 17 Nov 2023 |
| 16 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 17 Nov 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 13 Jun 2026 | Fine | $11,850 | |
| 5 Mar 2026 | Fine | $19,135 | |
| 5 Mar 2026 | Fine | $18,150 | |
| 11 Sep 2025 | Fine | $10,361 | |
| 26 Feb 2025 | Fine | $9,110 | |
| 8 Oct 2024 | Fine | $8,827 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.13 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.49 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.87 | 0.95 | |
| Nurse aides | 1.76 | 2.00 | |
| All nurse staff, weekends | 2.72 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 67.8%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 62.5%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.2% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.1% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.8% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.1% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.7% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Setting
- In a hospital
- Legal business name
- Eastland Memorial Hospital District
- Chain
- The Ensign Group (342 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Eastland Memorial Hospital District | 5% or greater direct ownership interest | 100% | 1 Apr 2019 |
| NB Brown Rock Healthcare, Inc. | Operational/managerial control | 1 Apr 2019 | |
| Ensign Services Inc | Adp of the snf | 1 Jun 2017 | |
| National Health Investors, Inc. | Adp of the snf | 1 Jun 2017 | |
| NB Brown Rock Healthcare, Inc. | Adp of the snf | 15 Aug 2025 | |
| Texas Nhi Investors, LLC | Adp of the snf | 1 Jun 2017 |
The site shows organisations only. It does not show the names of persons.
Other homes in Tarrant County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| The Harrison at Heritage | Fort Worth | 3 of 5 | 11 | $65,529 | 4 Dec 2025 | |
| Heritage House at Keller Rehab & Nursing | Keller | 5 of 5 | 5 | $22,608 | 3 Dec 2025 | |
| Green Valley Healthcare and Rehabilitation Center | Fort Worth | 1 of 5 | 15 | $96,925 | 17 Apr 2025 | |
| North Pointe Nursing and Rehabilitation | Watauga | 1 of 5 | 3 | $36,475 | 25 Jun 2026 | |
| Discovery Village at Southlake | Southlake | 5 of 5 | 4 | $12,649 | 4 Jun 2026 | |
| The Carlyle at Stonebridge Park | Southlake | 1 of 5 | 11 | $125,895 | 8 Jan 2026 | |
| Keller Oaks Healthcare Center | Keller | 4 of 5 | 8 | $0 | 8 May 2025 | |
| The Lodge of Saginaw Health and Wellness | Saginaw | 3 of 5 | 14 | $15,944 | 17 Dec 2025 | |
| Avir at Emerald Hills | North Richland Hills | 2 of 5 | 9 | $195,946 | 18 Jun 2026 | |
| Oakmont Guest Care Center | Hurst | 1 of 5 | 6 | $44,732 | 10 Jun 2026 | |
| Glenview Wellness & Rehabilitation | North Richland Hills | 1 of 5 | 12 | $23,970 | 19 Aug 2025 | |
| Richland Hills Rehabilitation and Healthcare Cente | Fort Worth | 3 of 5 | 10 | $8,190 | 7 May 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Legend Oaks Healthcare and Rehabilitation - Fort W (CCN 676426). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/legend-oaks-healthcare-and-rehabilitation-fort-w-keller-tx-676426/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Legend Oaks Healthcare and Rehabilitation - Fort W last inspected?
- The latest inspection with a citation in the CMS record was on 30 Jun 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 19 Dec 2024.
- Who operates Legend Oaks Healthcare and Rehabilitation - Fort W?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain The Ensign Group. The CMS ownership file names NB Brown Rock Healthcare, Inc. for operational or managerial control. This site does not show the names of persons.
- Is Legend Oaks Healthcare and Rehabilitation - Fort W a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.