CONTACT INFORMATION REVIEWS & MORE DATA
Legend Oaks Healthcare and Rehabilitation - Waxaha
- Date Updated: April 01, 2025
- CMS Overall 5-Star Rating:
-
Address: 151 COUNTRY MEADOWS BOULEVARD
WAXAHACHIE TX 75165 Map - Phone: 972-937-1650
- Website: N/A
- Medicare Provider Number: 676421
- Participating in Medicare Since: January 31, 2017
- No. of Certified Beds: 121
- No. of Residents: N/A
- Occupancy: N/A
- Amount Fined: $222,409.21
- Complaints Filed: 15
- Accepts: Medicare and Medicaid
About Legend Oaks Healthcare and Rehabilitation - Waxaha
Legend Oaks Healthcare And Rehabilitation - Waxaha, located in WAXAHACHIE, TX, is a for-profit organization that accepts Medicare and Medicaid. It is not part of a continuing care retirement community. It is not located in a hospital. Legend Oaks Healthcare And Rehabilitation - Waxaha offers a range of services including skilled nursing, long-term care, short-term rehabilitation, and specialized memory care. The center is equipped with modern amenities and a supportive environment designed to enhance the quality of life for its residents. With a focus on personalized care plans and community engagement.
- Legend Oaks Healthcare and Rehabilitation - Waxaha is ranked #6 out of 7 facilities within a 10 mile radius and #54 out of 65 facilities within a 25 mile radius. See Ranking Report
- Review Specific City Measures
- CMS 5-Star Overall Rating is (1 out of 5):
- Current Trend: Improving
-
Total Nursing Hours Spent Per Resident Per Day: 3.35
(The national average is 3.86 ) - The percentage of short-stay residents who were re-hospitalized after a nursing home admission is 30.37% .
- There is no indication of abuse occuring at Legend Oaks Healthcare and Rehabilitation - Waxaha. (CMS flags facilities where abuse has either happened or is very likely.)
Legend Oaks Healthcare and Rehabilitation - Waxaha Owner & Operator Information
Business Entity Name:
EASTLAND MEMORIAL HOSPITAL DISTRICT
Owners:
- EASTLAND MEMORIAL HOSPITAL DISTRICT (DIRECT- 100%)
Managers and Directors:
- COW CREEK HEALTHCARE INC. (OPERATIONAL/MANAGERIAL CONTROL)
- MICHAEL MUHLESTEIN (OPERATIONAL/MANAGERIAL CONTROL)
- LABAN WRIGHT (OPERATIONAL/MANAGERIAL CONTROL)
- LABAN WRIGHT (CORPORATE OFFICER)
Legend Oaks Healthcare and Rehabilitation - Waxaha Ratings and Inspection Scores
Centers for Medicare and Medicaid (CMS) regularly inspects every skilled nursing facility. The results of the multi-day inspection is a series of star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another.
Ratings
| Overall Rating | 1: |
| Health Inspection Rating | 1: |
| Quality Rating | 3: |
| Staffing Rating | 1: |
Inspection Scores
| Cycle 1 Score (as of November 15, 2024) | 80 |
| Cycle 2 Score (as of September 13, 2023) | 218 |
| Cycle 3 Score (as of July 24, 2022) | 273 |
| Weighted All Cycles Score | 158 |
Complaints by Residents
This table shows complaints filed by residents in Legend Oaks Healthcare and Rehabilitation - Waxaha:
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | 12/10/2024 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 12/10/2024 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 12/10/2024 |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | 06/18/2024 |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | 06/18/2024 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | 06/18/2024 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 03/29/2024 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 03/08/2024 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 03/04/2024 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 03/04/2024 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 02/07/2024 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | 02/07/2024 |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | 02/07/2024 |
| 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. | 10/05/2023 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 08/01/2022 |
Nursing Hours Spent Per Patient
CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.
The nursing staff of Legend Oaks Healthcare and Rehabilitation - Waxaha spends LESS time on average with its residents than the state average and LESS time than the national average for total nursing hours spent per resident.
| Type | Facility | State / National Avg |
|---|---|---|
| Registered Nurse (RN) | ||
| Hours | 0.29 | 0.41 / 0.67 |
| Case Mix | 0.65 | 0.63 / 0.67 |
| Adjusted | 0.30 | NA / NA |
| Licensed Practical Nurse (LPN) | ||
| Hours | 1.03 | 0.97 / 0.87 |
| Case Mix | 0.85 | NA / NA |
| Adjusted | 1.05 | NA / NA |
| Certified Nursing Assistants (CNA) | ||
| Hours | 2.03 | 2.00 / 2.32 |
| Case Mix | 2.27 | NA / NA |
| Adjusted | 2.06 | NA / NA |
| Total Licensed Staff | ||
| Hours | 1.33 | 1.39 / 1.54 |
| Physical Therapist (PT) | ||
| Hours | 0.11 | 0.07 / 0.07 |
| Total Nursing Hours Spent per Resident on Average | ||
| Hours | 3.35 | 3.38 / 3.86 |
| Case Mix | 3.77 | 3.64 / 3.84 |
| Adjusted | 3.42 | NA / NA |
Quality Measures
Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.
| Desc. | Perc./ State Avg. / Comparison |
|---|---|
|
Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521)
This measure is considered when computing the 5-Star Overall Rating |
30.4%
/
26.5% Worse |
|
Percentage of short-stay residents who had an outpatient emergency department visit (qm522)
This measure is considered when computing the 5-Star Overall Rating |
14.3%
/
12.8% Worse |
|
Number of hospitalizations per 1000 long-stay resident days (qm551)
This measure is considered when computing the 5-Star Overall Rating |
3.7%
/
2.1% Worse |
|
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552)
This measure is considered when computing the 5-Star Overall Rating |
3.1%
/
2.0% Worse |
| Percentage of long-stay residents whose need for help with daily activities has increased (qm401) |
30.9%
/
19.2% Worse |
| Percentage of long-stay residents who lose too much weight (qm404) |
2.8%
/
4.1% Better |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) |
0.4%
/
0.9% Better |
| Percentage of long-stay residents with a urinary tract infection (qm407) |
0.0%
/
0.8% Better |
| Percentage of long-stay residents who have depressive symptoms (qm408) |
4.5%
/
3.8% Worse |
| Percentage of long-stay residents who were physically restrained (qm409) |
0.0%
/
0.0% Better |
| Percentage of long-stay residents experiencing one or more falls with major injury (qm410) |
0.7%
/
3.3% Better |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) |
100.0%
/
97.4% Better |
| Percentage of long-stay residents who received an antipsychotic medication (qm419) |
3.5%
/
8.0% Better |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) |
99.6%
/
90.4% Better |
| Percentage of short-stay residents who newly received an antipsychotic medication (qm434) |
0.7%
/
1.4% Better |
| Percentage of long-stay residents whose ability to walk independently worsened (qm451) | 28.6% / NA |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) |
19.4%
/
22.0% Better |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) |
100.0%
/
98.1% Better |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) |
97.6%
/
87.6% Better |
| Percentage of long-stay residents with pressure ulcers (qm479) | 5.0% / NA |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence (qm480) | 28.1% / NA |
Hospitals Near Legend Oaks Healthcare and Rehabilitation - Waxaha
Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Legend Oaks Healthcare and Rehabilitation - Waxaha.
Legend Oaks Healthcare and Rehabilitation - Waxaha is near several hospitals, each with its own rating based on overall performance:
| Hospital | 5-Star Overall Rating |
|---|---|
|
BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE 231 SOUTH COLLINS ROAD SUNNYVALE, TX 75182 |
2 |
|
MEDICAL CITY ARLINGTON 3301 MATLOCK ROAD ARLINGTON, TX 76015 |
2 |
|
CRESCENT MEDICAL CENTER LANCASTER 2600 WEST PLEASANT RUN ROAD LANCASTER, TX 75146 |
2 |
|
TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL 800 W RANDOL MILL RD ARLINGTON, TX 76012 |
2 |
|
TEXAS HEALTH HOSPITAL MANSFIELD 2300 LONE STAR ROAD MANSFIELD, TX 76063 |
3 |
|
METHODIST CHARLTON MEDICAL CENTER 3500 W WHEATLAND ROAD DALLAS, TX 75237 |
3 |
|
METHODIST MANSFIELD MEDICAL CENTER 2700 E BROAD STREET MANSFIELD, TX 76063 |
3 |
|
METHODIST DALLAS MEDICAL CENTER 1441 NORTH BECKLEY AVENUE DALLAS, TX 75203 |
3 |
|
DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEALTHCARE SYSTEM) 4500 S. LANCASTER ROAD DALLAS, TX 75216 |
3 |
|
DALLAS REGIONAL MEDICAL CENTER 1011 NORTH GALLOWAY AVENUE MESQUITE, TX 75149 |
4 |
|
NAVARRO REGIONAL HOSPITAL 3201 WEST HIGHWAY 22 CORSICANA, TX 75110 |
4 |
|
METHODIST MIDLOTHIAN MEDICAL CENTER 1201 E HIGHWAY 287 MIDLOTHIAN, TX 76065 |
4 |
|
BAYLOR UNIVERSITY MEDICAL CENTER 3500 GASTON AVE DALLAS, TX 75246 |
4 |
|
BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE 2400 N INTERSTATE HIGHWAY 35E WAXAHACHIE, TX 75165 |
5 |
|
TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON 811 WRIGHT STREET ARLINGTON, TX 76012 |
5 |
|
BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS 621 NORTH HALL STREET DALLAS, TX 75226 |
5 |
|
PERIMETER BEHAVIORAL HOSPITAL OF ARLINGTON 7000 US HIGHWAY 287 ARLINGTON, TX 76001 |
Not Available |
|
BAYLOR SCOTT AND WHITE ORTHOPEDIC AND SPINE HOSPI 707 HIGHLANDER BLVD ARLINGTON, TX 76015 |
Not Available |
|
ENNIS REGIONAL MEDICAL CENTER 2201 WEST LAMPASAS STREET ENNIS, TX 75119 |
Not Available |
|
U S M D HOSPITAL AT ARLINGTON L P 801 W INTERSTATE 20 ARLINGTON, TX 76017 |
Not Available |
Ratings History for Legend Oaks Healthcare and Rehabilitation - Waxaha
Medical Professionals Associated with Legend Oaks Healthcare and Rehabilitation - Waxaha
These are the doctors who are affiliated with Legend Oaks Healthcare and Rehabilitation - Waxaha. The data is from the most recent period. Historical data is not available.
- NEAL VASSA ( INTERNAL MEDICINE - NRV INVESTMENTS LLC )
- JOHN ARCURE ( PHYSICAL MEDICINE AND REHABILITATION )
Local Nursing Homes
When evaluating nursing homes, it's important to consider other nearby facilities to understand the available options and make comparisons. Below is a list of nursing homes near Brookline Healthcare and Rehabilitation, including Brookline itself. This list is ranked based on each home's health inspection scores, also known as the "weighted all cycles score." Additionally, we provide the facility's 5-star overall rating for a more complete view of its performance. If a nursing home has been flagged by CMS for abuse, you'll see a special icon () next to its name.
The data is based on the dataset as of April 01, 2025.
Our Analysis
Best and Worst Nursing Homes in WAXAHACHIE, TX
Here is our analysis of the Best Nursing Homes in WAXAHACHIE and Worst Nursing Homes in WAXAHACHIE so that you can make better decisions when choosing a nursing home. You should also use these lists after choosing a home to stay abreast of changes.
Ownership Details for Legend Oaks Healthcare and Rehabilitation - Waxaha
A list of all of the registered owners for Legend Oaks Healthcare and Rehabilitation - Waxaha. This includes direct and indirect owners and managers.
Noted Deficiencies for Legend Oaks Healthcare and Rehabilitation - Waxaha
A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.
Nursing Hours Analysis for Legend Oaks Healthcare and Rehabilitation - Waxaha
How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.
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