NursingHomeGrade

LEGEND OAKS HEALTHCARE AND REHABILITATION - ENNIS

1400 MEDICAL CENTER DRIVE, ENNIS, TX 75119

Operator

EASTLAND MEMORIAL HOSPITAL DISTRICT · 34 facilities

Provider number (CCN)
676253
Certification
Medicare and Medicaid
Ownership
Government - Hospital district
Certified beds
124
Phone
(972) 875-4800
CMS data as of
July 1, 2026
C

What the records show

CMS rates LEGEND OAKS HEALTHCARE AND REHABILITATION - ENNIS 5 out of 5 stars overall, with 5 of 5 for health inspections, 2 of 5 for staffing, 4 of 5 for quality measures. Federal inspectors cited 13 health deficiencies across the last three survey cycles, most recently surveyed in 2025, 1 at actual-harm level or higher. CMS enforcement records list 1 fine totalling $13,275.

Facility Assessment Inspectors recorded 1 citation at the actual-harm level or worse in the last three survey cycles. This facility is operated by EASTLAND MEMORIAL HOSPITAL DISTRICT, which scores 14 points below the national average. This facility staffs below 0.55 RN hours per resident day — the level the 2024 federal rule, repealed in February 2026, would have required.

Reviews, Ratings and Official Records

This page reviews LEGEND OAKS HEALTHCARE AND REHABILITATION - ENNIS using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.

Below the repealed 0.55 hr RN benchmark — average inspection record.

Ratings and Grade Breakdown

RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
 0.30 — Below the repealed 0.55 hr benchmark

The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
Total 13
Outstanding 0
Actual harm or worse (G–L) 1
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
Overall: ★★★★★ (5/5)
Health inspection: ★★★★★ (5/5)
Quality: ★★★★☆ (4/5)
Staffing: ★★☆☆☆ (2/5)
NursingHomeGrade Score
 55/100

Loaded into NursingHomeGrade on August 7, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.

CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.

Staffing Compared With State and National Levels

This facility0.30 hrs
TX median0.38 hrs
National average0.69 hrs

Registered nurse turnover: 16.7% · Total nursing staff turnover: 36.0%

Staffing figures are the values CMS published in its file processed July 1, 2026, drawn from payroll-based journal reporting.

Audit and Inspection Reports

LEGEND OAKS HEALTHCARE AND REHABILITATION - ENNIS is a Government - Hospital district facility. The records on this page are the federal health-inspection and enforcement records CMS publishes. We do not hold, and have not reviewed, any separate financial or performance audit issued by a county, state or independent auditor — if one exists for this facility, it is not part of the data described below.

Source records: CMS Care Compare profile for provider 676253 ↗ · the federal files we load and when.

Inspection Deficiencies

Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).

1 immediate jeopardy issue found among 13 total deficiencies. 13 corrected.

Most recent inspection (February 27, 2025)

E Potential harm — pattern F0689 Status: Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected February 28, 2025

D Potential harm — isolated F0550 Status: Corrected

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected February 28, 2025

Inspection cycle 2 (July 1, 2024)

D Potential harm — isolated F0925 Status: Corrected

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Environmental Deficiencies — Past Non-Compliance, corrected June 24, 2024

E Potential harm — pattern F0921 Status: Corrected

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies — Deficient, Provider has date of correction, corrected January 18, 2024

E Potential harm — pattern F0880 Status: Corrected

Provide and implement an infection prevention and control program.

Infection Control Deficiencies — Deficient, Provider has date of correction, corrected January 18, 2024

E Potential harm — pattern F0689 Status: Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected January 18, 2024

D Potential harm — isolated F0656 Status: Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected July 31, 2024

Inspection cycle 3 (December 1, 2022)

E Potential harm — pattern F0812 Status: Corrected

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected January 13, 2023

D Potential harm — isolated F0806 Status: Corrected

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected January 13, 2023

J Immediate jeopardy — isolated F0689 Status: Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies — Past Non-Compliance, corrected August 3, 2023

D Potential harm — isolated F0677 Status: Corrected

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected January 13, 2023

E Potential harm — pattern F0655 Status: Corrected

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected January 13, 2023

D Potential harm — isolated F0656 Status: Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected January 13, 2023

Fines and Enforcement Actions

Penalties CMS has imposed on this facility. A fine is a civil money penalty; a payment denial suspends Medicare or Medicaid payment for new admissions.

Date Action Amount or length
August 17, 2023 Fine $13,275

1 fine totalling $13,275.

Source: CMS Penalties file (dataset g6vv-u9sr).

Ownership and Contact Information

Facility name
LEGEND OAKS HEALTHCARE AND REHABILITATION - ENNIS
Legal business name
EASTLAND MEMORIAL HOSPITAL DISTRICT
Address
1400 MEDICAL CENTER DRIVE, ENNIS, TX 75119
Phone
(972) 875-4800
Provider number (CCN)
676253
Ownership type
Government - Hospital district
Operator
EASTLAND MEMORIAL HOSPITAL DISTRICT · 34 facilities
Medicare/Medicaid certified since
June 9, 2010
Official record
CMS Care Compare profile ↗
Details verified against CMS data dated
July 1, 2026

The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.

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F

Ennis Care Center

1200 S Hall St, Ennis, TX 75119

27/100 score 0.38 hrs RN staffing 7 deficiencies

Sources and Methodology

The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.

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