Legend Oaks Healthcare And Rehabilitation Center -

Inspection history (38)

• April 15, 2026 · D

  Citation F0690

  Federal 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.GOV

• April 15, 2026 · E

  Citation F0572

  Federal 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.GOV

• April 15, 2026 · D

  Citation F0880

  Federal 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.GOV

• April 15, 2026 · E

  Citation F0755

  Federal 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.GOV

• April 15, 2026 · D

  Citation F0761

  Federal 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.GOV

• April 15, 2026 · E

  Citation F0576

  Federal 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.GOV

• April 15, 2026 · E

  Citation F0679

  Federal 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.GOV

• April 15, 2026 · E

  Citation F0585

  Federal 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.GOV

• April 15, 2026 · C

  Citation F0577

  Federal 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.GOV

• April 15, 2026 · C

  Citation F0732

  Federal 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.GOV

• January 29, 2026 · D

  Citation F0609

  Federal 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.GOV

• January 21, 2026 · D

  Citation F0689

  Federal 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.GOV

• February 12, 2025 · E

  Citation F0761

  Federal 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.GOV

• February 12, 2025 · D

  Citation F0695

  Federal 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.GOV

• February 12, 2025 · D

  Citation F0802

  Federal 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.GOV

• February 12, 2025 · D

  Citation F0807

  Federal 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.GOV

• February 12, 2025 · E

  Citation F0880

  Federal 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.GOV

• February 12, 2025 · E

  Citation F0558

  Federal 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.GOV

• October 23, 2024 · J

  Citation F0607

  Federal 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

• October 23, 2024 · J

  Citation F0610

  Federal surveyors cited this nursing home on 2024-10-23 under CMS tag F0610 (CMS scope/severity J: isolated, immediate jeopardy) for Respond appropriately to all alleged violations. 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

Total fines on file: $124,559

Staffing

Latest: 3.15 nurse staffing hours per resident per day (2026-06-01)

Ownership

Government - Hospital district

1. Parent organization: Fannin County Hospital Authority

   parent · PAC 6002054764