Truman W Smith Children's Care Center
Gladewater · 0.9 mi · 120 beds
Citations0Substantiated0
Legend Oaks Healthcare and Rehabilitation Center -
1201 FM 2685, Gladewater, TX, 75647
Nursing home100 licensed beds0 citations on record
1 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 13 deficiencies against Legend Oaks Healthcare and Rehabilitation Center - in Gladewater, Texas at its most recent standard inspection on 2026-04-15, 3 of them arising from complaints. 5 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 6 times, totalling $124,559. Medicare rates it 2 out of 5 overall.
2 / 5Medicare overall rating
100certified beds
13deficiencies at the last inspection
5immediate-jeopardy findings on record
2actual-harm findings on record
6federal fines, $124,559
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.5
Actual harmA resident was harmed, but not placed in immediate danger.2
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.30
Potential for minimal harmThe least serious band.2
Most recentDEEEEEDDDCCDDEEEDDDJ
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.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2026-05-23 · from a complaint · No actual harm, potential for more than minimal harm
Give residents a notice of rights, rules, services and charges.
Resident Rights Deficiencies · F0572 · 2026-04-15 · standard survey · No actual harm, potential for more than minimal harm
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · F0576 · 2026-04-15 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · F0585 · 2026-04-15 · standard survey · No actual harm, potential for more than minimal harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · F0679 · 2026-04-15 · 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 · 2026-04-15 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2026-04-15 · 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 · 2026-04-15 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-04-15 · standard survey · No actual harm, potential for more than minimal harm
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · F0577 · 2026-04-15 · standard survey · No actual harm, potential for minimal harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · F0732 · 2026-04-15 · standard survey · No actual harm, potential for 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 · 2026-01-29 · from a complaint · No actual harm, potential for more than minimal harm
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 · 2026-01-21 · from a complaint · No actual harm, potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · F0558 · 2025-02-12 · 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 · 2025-02-12 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-02-12 · standard survey · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2025-02-12 · standard survey · No actual harm, potential for more than minimal harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · F0802 · 2025-02-12 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Nutrition and Dietary Deficiencies · F0807 · 2025-02-12 · standard survey · No actual harm, potential for more than minimal harm
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 · F0600 · 2024-10-23 · from a complaint · Immediate jeopardy to resident health or safety
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 below2 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home3 of 5
Nurse hours per resident per dayReported by the home to CMS3.10605
Nursing staff turnoverShare of nursing staff who left in a year42.6%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS6
Total fined$124,559
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one6
Ownership
Who owns Legend Oaks Healthcare and Rehabilitation Center -
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 |
|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | Organization | 100% | since 04/01/2017 |
| KEGARISE, BRANDON | Individual | NOT APPLICABLE | since 04/01/2017 |
| SHEN, HONG-I | Individual | NOT APPLICABLE | since 05/06/2021 |
| BURNAM, SOON | Individual | NOT APPLICABLE | since 04/01/2017 |
| KEETCH, CHAD | Individual | NOT APPLICABLE | since 03/01/2011 |
| SANDERSON, CLARK | Individual | NOT APPLICABLE | since 04/01/2017 |
| DAFFODIL HEALTHCARE, INC. | Organization | NOT APPLICABLE | since 04/01/2017 |
| KEGARISE, BRANDON | Individual | NOT APPLICABLE | since 04/01/2017 |
| SHEN, HONG-I | Individual | NOT APPLICABLE | since 05/06/2021 |
| DAFFODIL HEALTHCARE, INC. | Organization | NOT APPLICABLE | since 09/29/2025 |
| ENSIGN SERVICES INC | Organization | NOT APPLICABLE | since 05/01/2016 |
| NATIONAL HEALTH INVESTORS, INC. | Organization | NOT APPLICABLE | since 04/01/2017 |
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.
Contact
Ask Legend Oaks Healthcare and Rehabilitation Center - a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 676048.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction