Legend Oaks Healthcare and Rehabilitation - Ennis — nursing home in Ennis, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 124 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 80.1 CMS, MDS-derived
CMS Certification Number: 676253
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 9, 2010
Ownership type: For profit - Individual
Operator (legal business name): Eastland Memorial Hospital District
CMS chain: The Ensign Group 347 facilities
Phone: (972) 875-4800
Resident & family council: None
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest May 7, 2026

Citations

17

10 health · 7 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D6	E9	F2
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 676253
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 124
First approved: Jun 9, 2010
Located in a hospital: Yes
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
May 7, 2026	Fire safety	Fire Safety Standard	0	No citations	—	Open →
May 7, 2026	Health	Health Standard	3	Potential harm	—	Open →
Feb 27, 2025	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Feb 27, 2025	Health	Health Standard	2	Potential harm	—	Open →
Jul 1, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Jan 11, 2024	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Jan 11, 2024	Health	Health Standard	3	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D6	E9	F2
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 7, 2026	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 8, 2026
May 7, 2026	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 8, 2026
May 7, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 8, 2026
Feb 27, 2025	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 27, 2025
Feb 27, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 27, 2025
Feb 27, 2025	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 27, 2025
Feb 27, 2025	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 27, 2025
Feb 27, 2025	K-0917	Ensure electrical receptacles or cover plates have distinctive color or marking. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 27, 2025
Feb 27, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 27, 2025
Feb 27, 2025	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 28, 2025
Feb 27, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Feb 28, 2025
Jul 1, 2024	F-0656	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 · Clinical care	D · Potential harm Isolated	Corrected Jul 31, 2024	Complaint
Jul 1, 2024	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Past non-compliance Jun 24, 2024	Complaint
Jan 11, 2024	K-0929	Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 11, 2024
Jan 11, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 18, 2024
Jan 11, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jan 18, 2024
Jan 11, 2024	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 18, 2024

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.31

State avg 3.42US avg 3.90

Registered nurse (RN)0.32

State avg 0.44US avg 0.69

Licensed practical nurse0.90

State avg 0.94US avg 0.86

Nurse aide2.10

State avg 2.03US avg 2.35

Weekend total nurse2.61

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.52 (case-mix index 1.31).

Staff turnover

Total nursing staff turnover34.0%

State avg 50.8%US avg 45.3%

Registered nurse turnover20.0%

State avg 49.8%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: May 7, 2026
Cycle 1 health score: 16
Total weighted score: 17

Operating entity

Eastland Memorial Hospital District

CMS legal business name of the certified provider. Operates 34 facilities.

VerifiedLinked by exact legal name

CMS chain

The Ensign Group

347 facilities in 17 states. CMS chain ID 507.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.3

Ownership disclosures

Disclosures

15

Organizations

5

Individuals

9

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Eastland Memorial Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 1, 2017

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Eastland Memorial Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 1, 2017
Roy Miller	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Apr 1, 2017
Neeraj Sharma	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 10, 2023
Getzendaner Healthcare, Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2017
Roy Miller	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2017
Neeraj Sharma	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 10, 2023
Soon Burnam	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 1, 2017
Chad Keetch	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2011
Stephen Taylor	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jul 1, 2025
Ensign Services Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2017
Getzendaner Healthcare, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 27, 2025
National Health Investors, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 29, 2016
Texas Nhi Investors, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 29, 2016
Roy Miller	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2017
Neeraj Sharma	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 10, 2023

Other facilities operated by Eastland Memorial Hospital District

All 33 →

Facility	Beds	Last inspection	Citations (window)	Fines
Richland Hills Rehabilitation and Healthcare Cente 3109 Kings Ct, Fort Worth, TX 76118 CCN 455576	92	May 28, 2026	401 harm	$8,190
Wellington Rehabilitation and Healthcare 1802 S 31st, Temple, TX 76504 CCN 455637	124	Aug 6, 2026	404 IJ	$32k
Ridgecrest Retirement and Healthcare Community 1900 W. State Hwy 6, Waco, TX 76712 CCN 455670	90	Jun 15, 2025	341 IJ	$14k
Rowlett Health and Rehabilitation Center 9300 Lakeview Pkwy, Rowlett, TX 75088 CCN 455904	163	Jul 24, 2025	20	—
Northern Oaks Living & Rehabilitation Center 2722 Old Anson Rd, Abilene, TX 79603 CCN 455934	96	Jul 2, 2026	43	—
Avir at Woodlands 125 Inspiration Blvd, Eastland, TX 76448 CCN 675001	76	Aug 13, 2025	443 IJ	$86k
Mckinney Healthcare and Rehabilitation Center 253 Enterprise Drive, Mckinney, TX 75069 CCN 675004	125	Jul 16, 2026	23	—
Golden Acres Living and Rehabilitation Center 2525 Centerville Rd, Dallas, TX 75228 CCN 675081	264	Aug 27, 2026	631 open	$13k

Same chain in Texas

All 346 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Richland Hills Rehabilitation and Healthcare Cente 3109 Kings Ct, Fort Worth, TX 76118 CCN 455576	92	May 28, 2026	401 harm	$8,190
Grand Terrace Rehabilitation and Healthcare 812 W. Houston Ave., Mcallen, TX 78501 CCN 455586	93	Jun 17, 2026	16	—
Alta Vista Rehabilitation and Healthcare 510 Paredes Line Rd, Brownsville, TX 78521 CCN 455625	100	May 1, 2026	281 IJ	—
Wellington Rehabilitation and Healthcare 1802 S 31st, Temple, TX 76504 CCN 455637	124	Aug 6, 2026	404 IJ	$32k
Golden Palms Rehabilitation and Retirement 2101 Treasure Hills Boulevard, Harlingen, TX 78550 CCN 455672	60	May 13, 2026	271 IJ1 harm	$16k
Park Village Healthcare and Rehabilitation 207 E Parkerville Rd, Desoto, TX 75115 CCN 455727Abuse icon	150	Aug 25, 2026	636 IJ2 harm2 open	$221k
Kirkwood Manor 2590 Loop 337 N, New Braunfels, TX 78130 CCN 455732	162	Jun 17, 2026	691 IJ	$29k
Timberwood Nursing and Rehabilitation Center 4001 Hwy 59 North, Livingston, TX 77351 CCN 455745	120	Jan 14, 2026	181 IJ	$8,021

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1400 Medical Center Drive, Ennis, TX 75119
ZIP: 75119
County: Ellis County FIPS 48139
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Ennis Care Center 1200 S Hall St, Ennis, TX 75119 CCN 455486	1.1 km	155	May 20, 2026	502 IJ	$37k
Bluebonnet Rehab at Ennis 2300 South Oak Grove Rd, Ennis, TX 75119 CCN 675150	2.6 km	136	Aug 20, 2026	311 harm	$13k
Legend Oaks Healthcare and Rehabilitation - Waxaha 151 Country Meadows Boulevard, Waxahachie, TX 75165 CCN 676421	23 km	121	Jul 25, 2026	372 IJ3 harm	$41k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	676253	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	676253	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 676253

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction