Legend Oaks Healthcare and Rehabilitation - Fort W

4240 Golden Triangle Boulevard, Keller, TX 76244 · CCN 676426 · 132 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections2 of 5CMS staffing1 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

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

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

5 enforcement action(s), totaling $65,583 in fines.

DateTypeAmount
2026-03-05Fine$18,150
2026-03-05Fine$19,135
2025-09-11Fine$10,361
2025-02-26Fine$9,110
2024-10-08Fine$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:

Full citation history

By severity: Actual harm: 3 · Potential for more than minimal harm: 18 · Immediate jeopardy: 2

Survey dateTagCategorySeverityCorrected
2026-04-17F0689Quality of Life and Care DeficienciesHnot recorded
2026-03-26F0686Quality of Life and Care DeficienciesGnot recorded
2026-03-05F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2026-03-05F0690Quality of Life and Care DeficienciesDnot recorded
2026-03-05F0695Quality of Life and Care DeficienciesDnot recorded
2026-03-05F0755Pharmacy Service DeficienciesDnot recorded
2026-03-05F0812Nutrition and Dietary DeficienciesEnot recorded
2026-03-05F0814Nutrition and Dietary DeficienciesEnot recorded
2026-03-05F0842Resident Assessment and Care Planning DeficienciesEnot recorded
2025-09-11F0689Quality of Life and Care DeficienciesJnot recorded
2025-02-26F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2024-12-19F0693Quality of Life and Care DeficienciesDnot recorded
2024-12-19F0694Quality of Life and Care DeficienciesDnot recorded
2024-12-19F0698Quality of Life and Care DeficienciesDnot recorded
2024-10-08F0684Quality of Life and Care DeficienciesDnot recorded
2024-10-08F0689Quality of Life and Care DeficienciesJnot recorded
2024-06-06F0558Resident Rights DeficienciesDnot recorded
2024-06-06F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2023-11-16F0558Resident Rights DeficienciesDnot recorded
2023-11-16F0636Resident Assessment and Care Planning DeficienciesDnot recorded
2023-11-16F0727Nursing and Physician Services DeficienciesEnot recorded
2023-11-16F0755Pharmacy Service DeficienciesDnot recorded
2023-11-16F0812Nutrition and Dietary DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Legend Oaks Healthcare and Rehabilitation - Fort W, Keller” at medicare.gov/care-compare.