Legend Oaks Healthcare and Rehabilitation – Waxaha, located in Ellis County, was owned by Eastland Memorial Hospital District as of the first quarter of 2026, data from the Centers for Medicare and Medicaid Services (CMS) shows. Eastland Memorial Hospital District has operated the facility since April 1, 2019.
The facility is designated as a for-profit nursing home.
In the first quarter of 2026, Legend Oaks Healthcare and Rehabilitation – Waxaha earned an overall CMS rating of 2, which is lower than the Texas state nursing home average of 2.7. CMS issues ratings for nursing homes based on several factors, including health inspection results, staffing, and the quality of care provided to residents.
Data reflects that the nursing home cared for an average of 99 residents daily during that quarter, with a total capacity of 121 beds. It is not affiliated with a hospital.
During the first quarter of 2026, Legend Oaks Healthcare and Rehabilitation – Waxaha received three fines totaling $41,215 and incurred three penalties.
There were seven for-profit nursing homes in Ellis County, Texas, during this period.
U.S. Census Bureau estimates indicate the country’s population of older adults is continuing to grow, while younger age groups are decreasing. Between 2020 and 2024, the number of Americans age 65 and over grew by 13%, while those under 18 dropped by 1.7%. Over the past 100 years, the nation’s older population has risen sharply, from 4.9 million in 1920 to more than 61 million in 2024.
Research published in 2021 found that nearly half of these older adults—about 28 million—may have a need for long-term services and supports. The same analysis projects more than one-third could eventually require nursing home care.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Nursing Home | Owner | Ownership Type | Overall Rating | Avg. No. of Residents per day |
|---|---|---|---|---|
| Bluebonnet Rehab at Ennis | Coryellcounty Memorial Hospital Authority | Government – Hospital district | 4 | 69 |
| Ennis Care Center | Fannin County Hospital Authority | For profit – Corporation | 1 | 66.2 |
| Focused Care of Waxahachie | Focused Post Acute Care Partners, LLC and Fpacp Ellis, LLC | For profit – Individual | 1 | 64.9 |
| Legend Oaks Healthcare and Rehabilitation – Ennis | Eastland Memorial Hospital District | Government – Hospital district | 4 | 73.2 |
| Legend Oaks Healthcare and Rehabilitation – Waxaha | Eastland Memorial Hospital District | For profit – Individual | 2 | 99 |
| Midlothian Healthcare Center | West Wharton County Hospital District | For profit – Corporation | 2 | 90.3 |
| Midtowne Meadows Health and Rehab | Nocona Hospital District | For profit – Limited Liability company | 4 | 105.6 |
| Pleasant Manor Healthcare Rehabilitation | Eastland Memorial Hospital District | For profit – Limited Liability company | 4 | 79.5 |
| Red Oak Health and Rehabilitation Center | Winnie-Stowell Hospital District | For profit – Corporation | 3 | 105.1 |
| Renaissance Rehabilitation and Healthcare Center | West Wharton County Hospital District | Government – Hospital district | 5 | 63.1 |
Information in this article was obtained from the Centers for Medicare and Medicaid Services. The source data can be found here.
