Legend Oaks Healthcare And Rehabilitation Center -

Inspection history (38)

• October 23, 2024 · J

  Citation F0609

  Federal surveyors cited this nursing home on 2024-10-23 under CMS tag F0609 (CMS scope/severity J: isolated, immediate jeopardy) 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 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 F0600

  Federal surveyors cited this nursing home on 2024-10-23 under CMS tag F0600 (CMS scope/severity J: isolated, immediate jeopardy) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. 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

• June 19, 2024 · G

  Citation F0925

  Federal surveyors cited this nursing home on 2024-06-19 under CMS tag F0925 (CMS scope/severity G: isolated, actual harm) for Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. The deficiency was recorded as corrected on 2024-07-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-19.GOV

• June 19, 2024 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2024-06-19 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2024-07-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-19.GOV

• February 22, 2024 · E

  Citation F0880

  Federal surveyors cited this nursing home on 2024-02-22 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 2024-03-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-22.GOV

• February 22, 2024 · D

  Citation F0563

  Federal surveyors cited this nursing home on 2024-02-22 under CMS tag F0563 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. The deficiency was recorded as corrected on 2024-03-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-22.GOV

• February 22, 2024 · H

  Citation F0603

  Federal surveyors cited this nursing home on 2024-02-22 under CMS tag F0603 (CMS scope/severity H: pattern, actual harm) for Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). The deficiency was recorded as corrected on 2024-03-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-22.GOV

• January 24, 2024 · D

  Citation F0607

  Federal surveyors cited this nursing home on 2024-01-24 under CMS tag F0607 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2024-02-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-24.GOV

• January 24, 2024 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2024-01-24 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 2024-02-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-24.GOV

• January 24, 2024 · D

  Citation F0758

  Federal surveyors cited this nursing home on 2024-01-24 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l…. The deficiency was recorded as corrected on 2024-02-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-24.GOV

• January 24, 2024 · E

  Citation F0761

  Federal surveyors cited this nursing home on 2024-01-24 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 2024-02-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-24.GOV

• January 24, 2024 · D

  Citation F0657

  Federal surveyors cited this nursing home on 2024-01-24 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2024-02-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-24.GOV

• January 24, 2024 · E

  Citation F0695

  Federal surveyors cited this nursing home on 2024-01-24 under CMS tag F0695 (CMS scope/severity E: pattern, 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 2024-02-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-24.GOV

• January 24, 2024 · E

  Citation F0641

  Federal surveyors cited this nursing home on 2024-01-24 under CMS tag F0641 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2024-02-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-24.GOV

• January 24, 2024 · D

  Citation F0558

  Federal surveyors cited this nursing home on 2024-01-24 under CMS tag F0558 (CMS scope/severity D: isolated, 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 2024-02-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-24.GOV

• January 24, 2024 · E

  Citation F0757

  Federal surveyors cited this nursing home on 2024-01-24 under CMS tag F0757 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident’s drug regimen must be free from unnecessary drugs. The deficiency was recorded as corrected on 2024-02-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-24.GOV

• September 13, 2023 · D

  Citation F0600

  Federal surveyors cited this nursing home on 2023-09-13 under CMS tag F0600 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2023-10-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-13.GOV

• September 13, 2023 · J

  Citation F0689

  Federal surveyors cited this nursing home on 2023-09-13 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) 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 2023-10-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-13.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