Legend Oaks Healthcare and Rehabilitation Center of Gladewater

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 26, 2026

• Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 1, 2026

• Ensure residents have reasonable access to and privacy in their use of communication methods.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 1, 2026

• Provide activities to meet all resident's needs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 1, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 24, 2026

• Give residents a notice of rights, rules, services and charges.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 1, 2026

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 1, 2026

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 1, 2026

• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 1, 2026

• Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

  Severity C of L: potential for minimal harm, widespreadCorrected Apr 16, 2026

• Post nurse staffing information every day.

  Severity C of L: potential for minimal harm, widespreadCorrected May 1, 2026

• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  Severity B of L: potential for minimal harm, patternNo revisit needed

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 18, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 4, 2026

• Reasonably accommodate the needs and preferences of each resident.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 14, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 14, 2025

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 14, 2025

• Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 14, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 14, 2025

• Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 14, 2025

• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  Severity C of L: potential for minimal harm, widespreadWaiver has been granted

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Aug 30, 2024

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Aug 30, 2024

• Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Aug 30, 2024

• Respond appropriately to all alleged violations.

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Aug 30, 2024

• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Jul 16, 2024

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 16, 2024

• Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

  Severity H of L: actual harm, patternFound during a complaint inspectionCorrected Mar 21, 2024

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Mar 21, 2024

• Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 21, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 23, 2024

• Ensure each resident receives an accurate assessment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 23, 2024

• Ensure each resident’s drug regimen must be free from unnecessary drugs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 23, 2024

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 23, 2024

• Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 23, 2024

• Reasonably accommodate the needs and preferences of each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 23, 2024

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 23, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 23, 2024

• Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 23, 2024

• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  Severity B of L: potential for minimal harm, patternWaiver has been granted

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

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Oct 12, 2023

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 12, 2023

Legend Oaks Healthcare and Rehabilitation Center of Gladewater offers Skilled Nursing / Long Term Care.

Legend Oaks Healthcare and Rehabilitation Center of Gladewater is located at 1201 Fm 2685 in Gladewater, Texas.

Reviews of Legend Oaks Healthcare and Rehabilitation Center of Gladewater are mixed. Several families describe warm, attentive staff and residents who seem happy, while others report serious lapses in care, hygiene, and communication with families and doctors.

Legend Oaks Healthcare and Rehabilitation Center of Gladewater had 10 government inspection visits in the last three years, with 42 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Legend Oaks Healthcare and Rehabilitation Center of Gladewater and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.