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Legend Oaks Healthcare And Rehabilitation Garland in Garland, TX

2625 Belt Line Road, Garland, TX 75044
9725437700
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Overall CMS Rating

3.0/5

vs State Average: 2.8 stars

3.0/5

Health Inspections

vs State Average: 2.8/5

3.0/5

Staffing Level

vs State Average: 2.1/5

3.0/5

Quality Measures

vs State Average: 3.8/5

1 penaltiesin last 3 years
Penalties
vs State Average: 1.8 penalties

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Ratings Deep Dive

Score
3.0
State Average
2.8
National Average
2.8
5Deficiencies found in last inspections
1Penalties in last 3 years
1Fines issued
CitationDateDescriptionSeverity
F761Dec 30, 2025Ensure 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.D
F695Dec 5, 2025Provide safe and appropriate respiratory care for a resident when needed.D
F583Feb 20, 2025Keep residents' personal and medical records private and confidential.D
F812Feb 20, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
F759Feb 20, 2025Ensure medication error rates are not 5 percent or greater.E
Score
3.0
State Average
2.1
National Average
2.9
0.6RN Hours / Resident / Day
3.3Total Nurse Hours / Resident / Day
44.4%RN Turnover Rate
Score
3.0
State Average
3.8
National Average
3.6
4.0Long-Stay QM Rating
3.0Short-Stay QM Rating
99.4Avg Residents Per Day
MeasureScoreType
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay
Percentage of long-stay residents who lose too much weightLong Stay
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay
Percentage of long-stay residents with a urinary tract infectionLong Stay
Percentage of long-stay residents who have depressive symptomsLong Stay
Percentage of long-stay residents who were physically restrainedLong Stay
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccineLong Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccineShort Stay
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay

Ownership & Compliance

Ownership Info

Ownership information has not been added yet.

Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTERESTEASTLAND MEMORIAL HOSPITAL DISTRICT
OPERATIONAL/MANAGERIAL CONTROLDUCK CREEK HEALTHCARE, INC.
OPERATIONAL/MANAGERIAL CONTROLNICCUM, KEVIN
CORPORATE OFFICERWRIGHT, LABAN
Recent Penalties
DateTypeFine
May 14, 2023Fine$15,593

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