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Legend Oaks Healthcare and Rehabilitation - Ennis

Inside a hospital. This nursing unit is part of a hospital. Units like this often care for that hospital’s patients for a short stay after an admission, and may have their own admission rules. Ask before you plan around it.

⌖ Ennis, TX · Ellis County · Medicare data as of September 2026
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Medicare overall rating 5 of 5 stars
Certified beds124
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (individual)

About Legend Oaks Healthcare and Rehabilitation - Ennis

Legend Oaks Healthcare and Rehabilitation - Ennis is a 124-bed for-profit nursing home in Ennis, TX. Medicare rates it 5 out of 5 stars overall (much above average); the average in Texas is 2.7.

  • Inspections: 3 problems at its last full inspection (May 2026), fewer than the Texas average of 9.4. None of its recent citations were for residents being harmed.
  • Staffing: nurses and aides spend about 3 hr 11 min a day with each resident, about the same as the Texas average of 3 hr 23 min. About 36% of nursing staff left in the past year.
  • Fines: no federal fines in the last three years.
  • Stands out: 0.4% of long-term residents had pressure sores (bedsores), compared with 4.6% nationally.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

Key details

Facility nameLegend Oaks Healthcare And Rehabilitation - Ennis
LocationEllis County, Texas
Address1400 Medical Center Drive, Ennis, TX 75119 · Ellis County
Medicare provider number676253
Ownership typeFor-profit (individual)
Operating companyThe Ensign Group · 343 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJune 9, 2010 (16 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating5 of 5Much above average
Health inspections5 of 5Much above average
Quality measures4 of 5Above average
Staffing2 of 5Below average

Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

4 strengths and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home.

Strengths

  • Serious health citationsNone since May 2026No citations for actual harm or immediate jeopardy since May 2026.
    Strength
  • Fines and penaltiesNoneNo federal fines or payment denials in the last three years.
    Strength
  • Health citations at last inspection3 (May 2026)Texas average: 9.4.
    Strength
  • Nursing staff turnover36% a yearTexas average: 55%
    Strength

About average

  • Nurse staffing per resident3 hr 11 min a dayTexas average: 3 hr 23 min
    About average

Things to ask about

This home hasn’t responded to these yet. Represent this home? Respond →

  • Registered nurse time per resident18 min a dayTexas average: 26 min
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Texas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 3 of 5 (average)

  • Sent back to the hospital18.9%State average: 25.7%
    Better than average
  • Needed an emergency room visit10.3%State average: 12.3%
    About average
  • Newly given antipsychotic drugs0.6%State average: 1.5%
    Better than average

Physical therapist time: about 10 minutes a day per resident, averaged across all residents, including long-term residents who get little or no therapy. That is more than the state average of 4 minutes. It is not one person’s therapy schedule; if rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 5 of 5 (much above average)

  • Falls with a major injury0.4%State average: 3.3%
    Better than average
  • Pressure sores (bedsores)0.4%State average: 3.8%
    Better than average
  • Given antipsychotic drugs2.4%State average: 9.6%
    Better than average
  • Hospital stays per 1,000 resident days2.6State average: 2.2
    About average

Source: Medicare (CMS) quality measures, compared with the Texas average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In Texas, Medicaid pays for 66% of resident days at a typical home.

  • 51% Medicaid
  • 10% Medicare
  • 39% Private pay, insurance and other
Beds in use, on average58%Texas typical: 67%
Facility operating cost per resident day$322Texas typical: $270

Shares of resident days, from the home’s Medicare cost report for the year ending June 2025. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

What a stay may cost

  • Short-term rehab with Medicare: after a qualifying hospital stay, Medicare pays in full for days 1–20. From day 21 to day 100 you pay $217 a day (2026), unless other coverage pays it. Medicare stops after day 100. Estimate a rehab stay →
  • Paying privately: ask the home for its daily rate and what it includes. As a guide, Texas’s Medicaid program uses about $262 a day (about $7,981 a month) as the average cost of nursing home care (September 2025); see the state’s figure.
  • Medicaid: this home is certified for Medicaid, which pays for most long-term care once savings run low. Ask whether a Medicaid bed is available. Medicaid rules in Texas →

Medicare amounts from Medicare.gov. Prices vary with room type and care needs, so always confirm with the home.

Ratings over time

Its overall Medicare rating is 5 stars now, up from 3 stars in January 2019. It has ranged from 2 to 5 stars and changed 15 times.

Overall rating5★
Health inspections5★
Staffing2★
Quality of care4★
Nurse hours per resident per day3.2
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201933152.8
Jan 202044232.9
Jan 202134143.0
Jan 202244153.2
Jan 202323143.2
Jan 202433153.2
Feb 202534123.1
Feb 202655333.5
Sep 202655243.2

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

Other nursing homes near Ennis

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.