D61

Legend Oaks Healthcare and Rehabilitation - Fort W

Grade D 61/100 composite score

For profit - Limited Liability companyAbuse Citation

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
4/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

132

Ownership

For profit - Limited Liability company

Total Fines

$56,212

Last Survey

N/A

4240 Golden Triangle Boulevard, Keller, TX 76244
8178066400

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.48h
LPN
1.13h
CNA
1.93h
Total
3.53h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

EASTLAND MEMORIAL HOSPITAL DISTRICT

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Apr 2019

100%

NB BROWN ROCK HEALTHCARE, INC.

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2019

CANTRELL, CHRISTOPHER

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2017

PORTER, KRIS

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2023

BURNAM, SOON

IndividualCORPORATE OFFICERSince Mar 2016

KEETCH, CHAD

IndividualCORPORATE OFFICERSince Mar 2011

TAYLOR, STEPHEN

IndividualCORPORATE OFFICERSince Jul 2025

Penalties & Fines (4)

$56,212total fines
DateTypeDescriptionAmount
Sep 11, 2025Fine$15,940
Feb 26, 2025Fine$9,110
Oct 8, 2024Fine$8,827
May 25, 2023Fine$22,335

Health Inspection Deficiencies (21)

September 11, 2025Health1 deficiency1 severe
0689JImmediate jeopardy, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jul 29, 2025
February 26, 2025Health1 deficiency1 severe
0600GActual harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jan 30, 2025
December 19, 2024Health3 deficiencies
0693DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Dec 20, 2024
0694DMinimal harm, Isolated

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Dec 20, 2024
0698DMinimal harm, Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Dec 20, 2024
October 8, 2024Health2 deficiencies1 severe
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Oct 10, 2024
0689JImmediate jeopardy, Isolated

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

Quality of Life and Care Deficiencies

Corrected Sep 23, 2024
June 6, 2024Health2 deficiencies
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Jun 30, 2024
0644DMinimal harm, Isolated

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 30, 2024
November 16, 2023Health5 deficiencies
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Nov 17, 2023
0636DMinimal harm, Isolated

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 17, 2023
0727EMinimal harm, Pattern

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.

Nursing and Physician Services Deficiencies

Corrected Nov 17, 2023
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Nov 17, 2023
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Nov 17, 2023
May 25, 2023Health1 deficiency1 severe
0689JImmediate jeopardy, Isolated

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

Quality of Life and Care Deficiencies

Corrected May 13, 2023
February 27, 2023Health1 deficiency
0842EMinimal harm, Pattern

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 28, 2023
January 18, 2023Health2 deficiencies
0554DMinimal harm, Isolated

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Corrected Feb 14, 2023
0656DMinimal harm, Isolated

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

Corrected Feb 15, 2023
September 22, 2022Health3 deficiencies
0656DMinimal harm, Isolated

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

Corrected Oct 18, 2022
0677EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Oct 18, 2022
0804EMinimal harm, Pattern

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Oct 18, 2022

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Frequently Asked Questions

What is the CareGrader rating for Legend Oaks Healthcare and Rehabilitation - Fort W?

Legend Oaks Healthcare and Rehabilitation - Fort W in Keller, Texas has a CareGrader grade of D (Below Average), with a composite score of 60.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Legend Oaks Healthcare and Rehabilitation - Fort W?

Legend Oaks Healthcare and Rehabilitation - Fort W has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Legend Oaks Healthcare and Rehabilitation - Fort W have?

Legend Oaks Healthcare and Rehabilitation - Fort W has 21 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). This facility has abuse citations on record. View the full inspection timeline above for details on each deficiency.

Has Legend Oaks Healthcare and Rehabilitation - Fort W been fined?

Yes. Legend Oaks Healthcare and Rehabilitation - Fort W has $56,212 in total fines from CMS enforcement actions across 4 penalties.

How many beds does Legend Oaks Healthcare and Rehabilitation - Fort W have?

Legend Oaks Healthcare and Rehabilitation - Fort W has 132 certified beds with approximately 103 current residents (78% occupancy). The facility is located at 4240 Golden Triangle Boulevard, Keller, Texas 76244. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.