Deficiency timeline
Legend Oaks Healthcare and Rehabilitation Center -
Dated inspection findings, penalties, and correction notes for this nursing home in Gladewater, TX. Newest events first.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0686: Quality of Life and Care
Quality of life & care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 26, 2026
- Class IIIPotential for more than minimal harm (E)cms
F0576: Resident Rights
Resident rights
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected May 1, 2026
- Class IIIPotential for more than minimal harm (E)cms
F0585: Resident Rights
Resident rights
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.
Corrected May 1, 2026
- Class IIIPotential for more than minimal harm (E)cms
F0679: Quality of Life and Care
Quality of life & care
Provide activities to meet all resident's needs.
Corrected May 1, 2026
- Class IIIPotential for more than minimal harm (E)cms
F0755: Pharmacy Service
Pharmacy services
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Apr 24, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0690: Quality of Life and Care
Quality of life & care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 1, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0761: Pharmacy Service
Pharmacy services
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.
Corrected May 1, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected May 1, 2026
- Class IVMinimal harm / potential for minimal harm (C)cms
F0577: Resident Rights
Resident rights
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected Apr 16, 2026
- Class IVMinimal harm / potential for minimal harm (C)cms
F0732: Nursing and Physician Services
Nursing & physician services
Post nurse staffing information every day.
Corrected May 1, 2026
- Class IIIPotential for more than minimal harm (E)cms
F0572: Resident Rights
Resident rights
Give residents a notice of rights, rules, services and charges.
Corrected May 1, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Feb 18, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Feb 4, 2026
- Class IIIPotential for more than minimal harm (E)cms
F0558: Resident Rights
Resident rights
Reasonably accommodate the needs and preferences of each resident.
Corrected Mar 14, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0761: Pharmacy Service
Pharmacy services
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.
Corrected Mar 14, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Mar 14, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0695: Quality of Life and Care
Quality of life & care
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Mar 14, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0802: Nutrition and Dietary
Nutrition & dietary
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected Mar 14, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0807: Nutrition and Dietary
Nutrition & dietary
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected Mar 14, 2025
- Class IImmediate jeopardy (J)Complaint-relatedcms
F0610: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Respond appropriately to all alleged violations.
Corrected Aug 30, 2024
- Class IImmediate jeopardy (J)Complaint-relatedcms
F0600: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Aug 30, 2024
- Class IImmediate jeopardy (J)Complaint-relatedcms
F0607: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Aug 30, 2024
- Class IImmediate jeopardy (J)Complaint-relatedcms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Aug 30, 2024
- Fine $16,801cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Fine $16,801cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Fine $16,801cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Fine $16,801cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Fine $43,070cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jul 16, 2024
- Class IIActual harm (G)Complaint-relatedcms
F0925: Environmental
Environment
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected Jul 16, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0563: Resident Rights
Resident rights
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected Mar 21, 2024
- Class IIActual harm (H)Complaint-relatedcms
F0603: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected Mar 21, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Mar 21, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0607: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Feb 23, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0657: Resident Assessment and Care Planning
Assessment & care planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Feb 23, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Feb 23, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0758: Pharmacy Service
Pharmacy services
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.
Corrected Feb 23, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0641: Resident Assessment and Care Planning
Assessment & care planning
Ensure each resident receives an accurate assessment.
Corrected Feb 23, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0761: Pharmacy Service
Pharmacy services
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.
Corrected Feb 23, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0558: Resident Rights
Resident rights
Reasonably accommodate the needs and preferences of each resident.
Corrected Feb 23, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0757: Pharmacy Service
Pharmacy services
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Feb 23, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0695: Quality of Life and Care
Quality of life & care
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Feb 23, 2024
- Class IImmediate jeopardy (J)Complaint-relatedcms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Oct 12, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0600: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Oct 12, 2023
- Fine $14,285cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile