Legend Oaks Healthcare and Rehabilitation - Waxaha
151 COUNTRY MEADOWS BOULEVARD, Waxahachie, TX 75165
Waxahachie, Texas · CMS verdict
Legend Oaks Healthcare and Rehabilitation - Waxaha's CMS overall star rating stands at 1 of 5, below the Texas state average (2.8) and reflecting below-average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Legend Oaks Healthcare and Rehabilitation - Waxaha in Waxahachie, Texas holds a CMS overall rating of 1 of 5 stars and a PlainElderCare Quality & Compliance Index of 20 of 100 (grade F). The 121-bed facility operates where a semi-private nursing-home room in Texas runs a median of $5,627 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (heavier deficiency book)
With 33 CMS deficiencies on file, this facility sits in the heavier U.S. deficiency tercile (>31). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 1 of 5 stars. How this is calculated.
How the 20 is built
Each segment is a dimension's weighted points toward the score, summing to 20.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Legend Oaks Healthcare and Rehabilitation - Waxaha's heavier CMS deficiency book
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Legend Oaks Healthcare and Rehabilitation - Waxaha's overall quality rating at 1 out of 5 stars, a composite of three sub-ratings: health inspection (2/5), staffing (1/5), and quality measures (2/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Waxahachie, Texas, this facility operates 121 certified beds with an average daily census of roughly 101 residents - an occupancy rate of about 83%. The facility is classified under for profit - individual ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 83% occupancy, this facility runs close to its typical range for a stabilized operation.
Same-ownership peers
Within Texas, Legend Oaks Healthcare and Rehabilitation - Waxaha is one of 60 for profit - individual nursing homes CMS rates. Its 1-star overall rating sits below the for profit - individual-segment average of 2.2 stars, ahead of roughly 0% of same-ownership peers in the state. Same-segment comparisons like this one strip out the business-model factor, leaving a cleaner read on facility-level performance than a raw state average would give.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (33 total). CMS has levied 3 enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Legend Oaks Healthcare and Rehabilitation - Waxaha's lower-tercile stars compare to Texas
CMS five-star sub-ratings (0–5) for this facility against the Texas facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Texas state average. Higher is better on all four CMS measures.
Where Legend Oaks Healthcare and Rehabilitation - Waxaha ranks in Texas
Among the 1,167 CMS-rated nursing homes in Texas, Legend Oaks Healthcare and Rehabilitation - Waxaha’s 1-star overall rating is higher than 0% of them. The bars show how all Texas homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
267 Texas homes share this 1-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 121 |
| Residents | 101 |
| Ownership | For profit - Individual |
| County | Ellis |
| Penalties | 3 |
| Deficiencies | 33 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What families ask about Legend Oaks Healthcare and Rehabilitation - Waxaha's inspection record
What is the quality rating for Legend Oaks Healthcare and Rehabilitation - Waxaha? ▾
Legend Oaks Healthcare and Rehabilitation - Waxaha has an overall CMS quality rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 2/5.
How much does a nursing home cost per month in Texas? ▾
In Texas, a semi-private nursing home room runs a median $5,627/month ($67,525/year) per the CareScout 2025 survey; private rooms average $7,604/month.
What services does Legend Oaks Healthcare and Rehabilitation - Waxaha offer? ▾
Legend Oaks Healthcare and Rehabilitation - Waxaha is a skilled nursing facility with 121 beds with approximately 101 current residents. It operates under for profit - individual ownership. The facility has recorded 33 deficiencies and 3 penalties in CMS inspections.
Does Legend Oaks Healthcare and Rehabilitation - Waxaha have any deficiencies or penalties? ▾
Legend Oaks Healthcare and Rehabilitation - Waxaha has multiple deficiencies (33 total) and 3 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Texas? ▾
In Texas, alternatives include assisted living ($5,666/mo), home health aides ($5,720/mo), and adult day care ($1,950/mo).
Keep reading
Also see the Texas elder-care overview and highest-rated states. Provider ID: 676421.
Read our methodology - how this data is sourced, computed, and verified.