Legend Oaks Healthcare and Rehabilitation - Fort W
State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2026-04-17 — ACTUAL HARM (tag F0689, severity H)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2026-03-26 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2025-09-11 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-02-26 — ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-10-08 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
2.67
state median 2.67
Weekend staffing gap
−10%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.42
registered nurses only
Contract (agency) staff
4%
share of all nursing hours
Nursing staff turnover
68%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
5 enforcement action(s), totaling $65,583 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-03-05 | Fine | $18,150 |
| 2026-03-05 | Fine | $19,135 |
| 2025-09-11 | Fine | $10,361 |
| 2025-02-26 | Fine | $9,110 |
| 2024-10-08 | Fine | $8,827 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the THE ENSIGN GROUP chain.
Other facilities under the same ownership, with their CMS overall ratings:
- THE HEALTHCARE CENTER OF EASTVIEW (BIRMINGHAM, AL) —
- Polaris Extended Care (ANCHORAGE, AK) —
- THE HEALTH CENTER AT RESEARCH PARK (HUNTSVILLE, AL) —
- POLARIS TRANSITIONAL CARE (ANCHORAGE, AK) —
- Desert Terrace Healthcare Center (PHOENIX, AZ) —
- PUEBLO SPRINGS REHABILITATION CENTER (TUCSON, AZ) —
- CASAS ADOBES POST ACUTE REHAB CENTER (TUCSON, AZ) —
- MISSION PALMS POST ACUTE (MESA, AZ) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-17 | F0689 | Quality of Life and Care Deficiencies | H | not recorded |
| 2026-03-26 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2026-03-05 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-03-05 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-05 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-05 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-03-05 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2026-03-05 | F0814 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2026-03-05 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-09-11 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-02-26 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2024-12-19 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-12-19 | F0694 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-12-19 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-10-08 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-10-08 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-06-06 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-06-06 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-11-16 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2023-11-16 | F0636 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-11-16 | F0727 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2023-11-16 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-11-16 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |