Nursing home · Top rated by CMS
Legend Oaks Healthcare and Rehabilitation - Ennis
1400 Medical Center Drive, Ennis, TX 75119 · Map
Government - Hospital district · Part of The Ensign Group (329 facilities) · 124 certified beds
Legend Oaks Healthcare and Rehabilitation - Ennis is a Medicare-certified nursing home in Ennis, Texas. CMS rates it 5 out of 5 stars overall (3/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.48 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Feb 27, 2025 cited 2 deficiencies.
- 1 fine totaling $13,275In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Legend Oaks Healthcare and Rehabilitation - Ennis compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.48 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.35 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.11 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 35.8% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 2.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $13,275, 1 total penalty.
What inspectors found at Legend Oaks Healthcare and Rehabilitation - Ennis
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for 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 · Feb 27, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Feb 27, 2025 · Full report (PDF) - Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Jul 1, 2024 · Full report (PDF) - Potential for 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 · Jul 1, 2024 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Jan 11, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 11, 2024 · Full report (PDF) - Potential for 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 · Jan 11, 2024 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Aug 17, 2023 - Potential for 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 · Dec 1, 2022 - Potential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Dec 1, 2022 - Potential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Dec 1, 2022 - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Dec 1, 2022
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1400 Medical Center Drive
Ennis, TX 75119 - CMS certification #
- 676253
- Ownership
- Government - Hospital district
- Certified beds
- 124
- Avg residents/day
- 73.0
- Provider type
- Medicare and Medicaid
- First certified
- 2010-06-09
- Chain
- The Ensign Group (329 facilities)
- Setting
- Urban
Part of The Ensign Group
The Ensign Group operates 329 nursing facilities across the United States. View all The Ensign Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Legend Oaks Healthcare and Rehabilitation - Ennis using Google Maps.
Other public records
- Website says Nurse 24 hours a day
- Workplace safety 1 OSHA workplace safety inspection since 2022, no violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What Legend Oaks Healthcare and Rehabilitation - Ennis says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
Our Nursing staff provides 24-hour round the clock care for our residents under the direction of our in-house physicians.
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Apr 28, 2022: programmed (planned) inspection, complete (health). Case closed Apr 29, 2022. No violations cited. OSHA record. OSHA recorded the employer as Legend Oaks Healthcare and Rehabilitation - Ennis.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Ennis Regional Medical Center, Ennis. 0.0 miles away, straight line.
- Nearest Medicare nursing home
- Ennis Care Center, Ennis. 0.7 miles away, straight line.
- Nearest home health agency office
- Physician'S Choice Homecare, Ennis. 1.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 1.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75119 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Fresenius Medical Care Ennis, Ennis, 1.1 miles away, straight line (CMS rating 2 of 5 stars)
Usrc Premier Waxahachie, Waxahachie, 10.4 miles away, straight line (CMS rating 3 of 5 stars)
Fmc Dialysis Services Waxahachie, Waxahachie, 13.7 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 34 Medicare hospices tell CMS they serve ZIP code 75119.
Traditions Health, office in Waxahachie, 14.2 miles away, straight line
Bristol Hospice - North Central Texas, office in Waxahachie, 14.4 miles away, straight line (CMS family survey rating 3 of 5 stars)
Arc Hospice And Palliative Care, office in Corsicana, 18.0 miles away, straight line - Nearest geriatric medicine practice
- Healthtexas Provider Network, Waxahachie. 10.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Ennis, TX, risk to homes is greater than 56% of communities in Texas and 78% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively moderate, tornado relatively high, heat wave relatively high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Legend Oaks Healthcare and Rehabilitation - Ennis a good nursing home?
CMS gives Legend Oaks Healthcare and Rehabilitation - Ennis an overall rating of 5 out of 5 stars, including 3/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Legend Oaks Healthcare and Rehabilitation - Ennis staffed?
Legend Oaks Healthcare and Rehabilitation - Ennis reports 3.48 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Legend Oaks Healthcare and Rehabilitation - Ennis had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Legend Oaks Healthcare and Rehabilitation - Ennis have?
Legend Oaks Healthcare and Rehabilitation - Ennis is certified for 124 beds.