75.5/100
Above average
Legend Oaks Healthcare And Rehabilitation - Ennis
1400 Medical Center Drive, Ennis, TX 75119
- Certified beds
- 124
- Occupancy
- 63%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
Our read on Legend Oaks Healthcare And Rehabilitation - Ennis
Legend Oaks in Ennis is run by the local hospital district and holds a five-star health inspection rating, which tells you the building itself is well-kept and the last inspection, in February 2025, went well. The trouble sits in the day-to-day staffing: 3.18 nurse hours per resident, roughly 18% under the national average, with weekends about 20% thinner than weekdays. That's a real gap when a resident needs help. Turnover is 36%, better than the national 45.8%, so the aides who are there tend to stay. Thirteen deficiencies on record, one at harm level, and a single $13,275 fine. Good oversight, thin coverage.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
11.5/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.32 total nurse hours per resident per day (national median 3.77)
- →0.3 RN hours per resident per day
- →Weekend staffing drops 20% against weekdays
Staff stability
12/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →36% of nursing staff left in the last year
Resident outcomes
12/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →4 of 5 stars on the CMS quality-measure rating
Enforcement history
10/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →No federal fines on record
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: May 7, 2026 (5 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of THE ENSIGN GROUP, which operates 344 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Legend Oaks Healthcare And Rehabilitation - Ennis
What is the ElderGrade for Legend Oaks Healthcare And Rehabilitation - Ennis? +
Legend Oaks Healthcare And Rehabilitation - Ennis holds an ElderGrade of B (75.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Legend Oaks Healthcare And Rehabilitation - Ennis? +
Residents receive an average of 3.18 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Legend Oaks Healthcare And Rehabilitation - Ennis been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Legend Oaks Healthcare And Rehabilitation - Ennis accept Medicaid? +
Yes, Legend Oaks Healthcare And Rehabilitation - Ennis is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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