Focused Care of Waxahachie
Waxahachie · 2.8 mi · 152 beds
Citations0Substantiated0
Legend Oaks Healthcare and Rehabilitation - Waxaha
151 COUNTRY MEADOWS BOULEVARD, Waxahachie, TX, 75165
Nursing home121 licensed beds0 citations on record
2 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 9 deficiencies against Legend Oaks Healthcare and Rehabilitation - Waxaha in Waxahachie, Texas at its most recent standard inspection on 2026-02-12, 4 of them arising from complaints. 2 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 3 times, totalling $41,215. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
121certified beds
9deficiencies at the last inspection
2immediate-jeopardy findings on record
3actual-harm findings on record
3federal fines, $41,215
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.2
Actual harmA resident was harmed, but not placed in immediate danger.3
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.30
Potential for minimal harmThe least serious band.0
Most recentEEEEDDDDDDGGDDDDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · F0580 · 2026-04-15 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2026-04-15 · from a complaint · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
Hire a qualified full-time social worker in a facility with more than 120 beds.
Administration Deficiencies · F0850 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · F0645 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2026-02-12 · standard survey · No actual harm, potential for more than minimal harm
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 · F0842 · 2025-12-12 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2025-11-24 · from a complaint · No actual harm, potential for more than minimal harm
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 · F0656 · 2025-04-14 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2024-11-15 · from a complaint · Actual harm to a resident
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-11-15 · from a complaint · Actual harm to a resident
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · F0558 · 2024-11-15 · standard survey · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2024-11-15 · from a complaint · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2024-11-15 · standard survey · No actual harm, potential for more than minimal harm
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 · F0656 · 2024-11-15 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · F0757 · 2024-11-15 · standard survey · No actual harm, potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · F0804 · 2024-11-15 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-11-15 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2024-06-17 · from a complaint · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home3 of 5
Nurse hours per resident per dayReported by the home to CMS3.54798
Nursing staff turnoverShare of nursing staff who left in a year57.6%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS3
Total fined$41,215
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one3
Ownership
Who owns Legend Oaks Healthcare and Rehabilitation - Waxaha
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| EASTLAND MEMORIAL HOSPITAL DISTRICT | Organization | 100% | since 04/01/2019 |
| MUNIZ, FELICIA | Individual | NOT APPLICABLE | since 01/31/2017 |
| VASSA, NEAL | Individual | NOT APPLICABLE | since 05/30/2018 |
| BURNAM, SOON | Individual | NOT APPLICABLE | since 01/31/2017 |
| KEETCH, CHAD | Individual | NOT APPLICABLE | since 03/01/2011 |
| TAYLOR, STEPHEN | Individual | NOT APPLICABLE | since 07/01/2025 |
| COW CREEK HEALTHCARE, INC. | Organization | NOT APPLICABLE | since 04/01/2019 |
| MUNIZ, FELICIA | Individual | NOT APPLICABLE | since 01/31/2017 |
| VASSA, NEAL | Individual | NOT APPLICABLE | since 05/30/2018 |
| COW CREEK HEALTHCARE, INC. | Organization | NOT APPLICABLE | since 08/14/2025 |
| ENSIGN SERVICES INC | Organization | NOT APPLICABLE | since 04/01/2019 |
| NATIONAL HEALTH INVESTORS, INC. | Organization | NOT APPLICABLE | since 04/29/2016 |
Part of the THE ENSIGN GROUP group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Pleasant Manor Healthcare Rehabilitation
Waxahachie · 5.2 mi · 132 beds
Citations0Substantiated0
Contact
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 676421.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction