D66

LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER -

Grade D 66/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
4/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

125

Ownership

For profit - Limited Liability company

Total Fines

$39,045

Last Survey

N/A

8902 WEST RD, HOUSTON, TX 77064
7138490990

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.36h
LPN
0.95h
CNA
2.08h
Total
3.39h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

LIBERTY COUNTY HOSPITAL DISTRICT NO. 1

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Apr 2017

100%

ARMSTRONG HEALTHCARE, INC.

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2017

BURNAM, SOON

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2016

VINCENT, JAMES

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2017

STRATTON, CHARLES

IndividualCORPORATE OFFICERSince Feb 2005

Penalties & Fines (1)

$39,045total fines
DateTypeDescriptionAmount
Apr 23, 2024Fine$39,045

Health Inspection Deficiencies (20)

December 1, 2025Health6 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

0694DMinimal harm, Isolated

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Quality of Life and Care Deficiencies

0726DMinimal harm, Isolated

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies

0732CNo harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

June 6, 2025Health6 deficiencies
0656EMinimal harm, Pattern

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

Corrected Jun 20, 2025
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jun 20, 2025
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Jun 20, 2025
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Jun 20, 2025
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jun 20, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 20, 2025
February 28, 2025Health2 deficiencies
0656DMinimal harm, Isolated

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

Corrected Mar 3, 2025
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 3, 2025
May 10, 2024Health1 deficiency
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected May 11, 2024
April 23, 2024Health2 deficiencies2 severe
0656KImmediate jeopardy, Pattern

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

Corrected Apr 24, 2024
0689KImmediate jeopardy, Pattern

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Apr 24, 2024
March 2, 2023Health3 deficiencies
0656EMinimal harm, Pattern

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

Corrected Mar 23, 2023
0679EMinimal harm, Pattern

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Mar 23, 2023
0755EMinimal harm, Pattern

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Mar 23, 2023

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Frequently Asked Questions

What is the CareGrader rating for LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER -?

LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER - in HOUSTON, Texas has a CareGrader grade of D (Below Average), with a composite score of 66.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER -?

LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER - has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER - have?

LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER - has 20 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER - been fined?

Yes. LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER - has $39,045 in total fines from CMS enforcement actions across 1 penalty.

How many beds does LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER - have?

LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER - has 125 certified beds with approximately 94 current residents (75% occupancy). The facility is located at 8902 WEST RD, HOUSTON, Texas 77064. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.