Nursing Homes · Gladewater, TX
Truman W Smith Children's Care Center
Cost data not yet available
SOURCE DATA AUG 2026
Nursing Homes · Medicare certified
Legend Oaks Healthcare and Rehabilitation Center G
1201 FM 2685 · Gladewater, TX 75647 · 100 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1144680471. Look this up in the CMS NPPES registry (opens in a new tab)
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About Legend Oaks Healthcare and Rehabilitation Center G
In Gladewater, Texas, Legend Oaks Healthcare and Rehabilitation Center G is listed as a nursing home. Its reported capacity is 100 beds. It is recorded as a nonprofit operator, part of The Ensign Group. Federal records list it as Medicare certified. Our copy of the inspection record holds 39 citations, the newest dated 23 May 2026. Federal enforcement records add 6 fine or payment denial actions. Staffing reports put it at 3.11 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
Public record
CMS Care Compare · Source data August 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV
Staffing rating
2.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
32
Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV
Staffing rating
3.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
28
2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV
Staffing rating
2.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
32
Inspection history (39)
Records from September 2023 to May 2026.
May 23, 2026 · D
Citation F0686Federal surveyors cited this nursing home on 2026-05-23 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2026-05-26. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-23.GOVApril 15, 2026 · E
Citation F0576Federal surveyors cited this nursing home on 2026-04-15 under CMS tag F0576 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure residents have reasonable access to and privacy in their use of communication methods. The deficiency was recorded as corrected on 2026-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-15.GOVApril 15, 2026 · D
Citation F0690Federal surveyors cited this nursing home on 2026-04-15 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2026-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-15.GOVApril 15, 2026 · E
Citation F0755Federal surveyors cited this nursing home on 2026-04-15 under CMS tag F0755 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2026-04-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-15.GOVApril 15, 2026 · E
Citation F0679Federal surveyors cited this nursing home on 2026-04-15 under CMS tag F0679 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide activities to meet all resident's needs. The deficiency was recorded as corrected on 2026-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-15.GOVApril 15, 2026 · C
Citation F0577Federal surveyors cited this nursing home on 2026-04-15 under CMS tag F0577 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. The deficiency was recorded as corrected on 2026-04-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-15.GOVApril 15, 2026 · C
Citation F0732Federal surveyors cited this nursing home on 2026-04-15 under CMS tag F0732 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2026-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-15.GOVApril 15, 2026 · E
Citation F0585Federal surveyors cited this nursing home on 2026-04-15 under CMS tag F0585 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-15.GOVApril 15, 2026 · E
Citation F0572Federal surveyors cited this nursing home on 2026-04-15 under CMS tag F0572 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Give residents a notice of rights, rules, services and charges. The deficiency was recorded as corrected on 2026-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-15.GOVApril 15, 2026 · D
Citation F0880Federal surveyors cited this nursing home on 2026-04-15 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2026-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-15.GOVApril 15, 2026 · D
Citation F0761Federal surveyors cited this nursing home on 2026-04-15 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-15.GOVJanuary 29, 2026 · D
Citation F0609Federal surveyors cited this nursing home on 2026-01-29 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2026-02-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-29.GOVJanuary 21, 2026 · D
Citation F0689Federal surveyors cited this nursing home on 2026-01-21 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2026-02-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-21.GOVFebruary 12, 2025 · E
Citation F0880Federal surveyors cited this nursing home on 2025-02-12 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-03-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-12.GOVFebruary 12, 2025 · D
Citation F0695Federal surveyors cited this nursing home on 2025-02-12 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2025-03-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-12.GOVFebruary 12, 2025 · D
Citation F0802Federal surveyors cited this nursing home on 2025-02-12 under CMS tag F0802 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. The deficiency was recorded as corrected on 2025-03-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-12.GOVFebruary 12, 2025 · E
Citation F0761Federal surveyors cited this nursing home on 2025-02-12 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-03-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-12.GOVFebruary 12, 2025 · D
Citation F0807Federal surveyors cited this nursing home on 2025-02-12 under CMS tag F0807 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. The deficiency was recorded as corrected on 2025-03-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-12.GOVFebruary 12, 2025 · E
Citation F0558Federal surveyors cited this nursing home on 2025-02-12 under CMS tag F0558 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2025-03-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-12.GOVOctober 23, 2024 · J
Citation F0607Federal surveyors cited this nursing home on 2024-10-23 under CMS tag F0607 (CMS scope/severity J: isolated, immediate jeopardy) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2024-08-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-23.GOV
Penalties (6)
Total fines on file: $124,559
October 23, 2024 · Fine
Citation FINE-113321CMS recorded a civil money penalty of $16,801 against this nursing home on 2024-10-23 (Fine ID: 113321). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-23.GOVOctober 23, 2024 · Fine
Citation FINE-113319CMS recorded a civil money penalty of $16,801 against this nursing home on 2024-10-23 (Fine ID: 113319). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-23.GOVOctober 23, 2024 · Fine
Citation FINE-113322CMS recorded a civil money penalty of $16,801 against this nursing home on 2024-10-23 (Fine ID: 113322). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-23.GOVOctober 23, 2024 · Fine
Citation FINE-113320CMS recorded a civil money penalty of $16,801 against this nursing home on 2024-10-23 (Fine ID: 113320). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-23.GOVJune 19, 2024 · Fine
Citation FINE-113051CMS recorded a civil money penalty of $43,070 against this nursing home on 2024-06-19 (Fine ID: 113051). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-19.GOVSeptember 13, 2023 · Fine
Citation FINE-111398CMS recorded a civil money penalty of $14,285 against this nursing home on 2023-09-13 (Fine ID: 111398). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-13.GOV
Staffing
Latest: 3.11 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
- 2025Q43.15 hrs/resident/day
- 2026-06-013.15 hrs/resident/day
- 2026-07-013.11 hrs/resident/day
- 2026-08-013.11 hrs/resident/day
- 2026Q13.11 hrs/resident/day
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
Non profit
CMS Care Compare chain: The Ensign Group
Chain ID 507 · 342 facilities in chain (CMS)
- Chain average overall rating: 3.2
- Chain average health inspection rating: 2.8
- Chain average staffing rating: 2.7
- Chain average quality measure rating: 4.4
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Recent changes to this listing
Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.
Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "Government - Hospital district".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "Government - Hospital district".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical TX range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · TX$5,627/moSee full TX cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025
Nearby alternatives
Other licensed providers in Gladewater, with their own public records.
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Check availability and pricing at Legend Oaks Healthcare and Rehabilitation Center G
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Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS nursing homes (provider info)as of August 2026
- Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
- CMS nursing homes (ownership)as of July 2026
- Ownership type, Parent organization
- CMS enrollmentas of July 2026
- NPI
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
Read how we handle every file on the data sources page.