Legend Oaks Healthcare and Rehabilitation - North/
12921 Misty Willow Dr, Houston TX 77070 · (281) 469-7881 · 51.53% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
Legend Oaks Healthcare and Rehabilitation - North/ is a large nursing home located in Houston, Texas. With a really poor overall grade of F, this facility didn't fare well in our assessment. Houston received a city grade of B-, so there are some other options in the city worth looking at. Despite all this, one of the few highlights of this nursing home's profile is its impressive inspection score. You can scroll down to find out about inspections and other category scores
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 124 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
Although we gave this nursing home a terrible overall grade, we gave it an A- for our inspections score. This grade is far more impressive than the facility's overall grade. We weigh several aspects of a nursing home's inspection report in computing our inspection ratings. One critical factor is health deficiencies. You should keep in mind that the severity of the deficiencies is arguably more important than the number of deficiencies, as some of these are relatively minor. While this facility had some minor dings on its report, it had no severe deficiencies. Severe deficiencies are those found in categories G, H, I, J, K and L. This tells you the government inspectors did not deem any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. A few minor deficiencies aren't the end of the world.
Long-term Care Quality
Turning to the category of long-term care, this facility received just a D in that category. As it turns out, this wound up being one of its better grades. For prospective patients in need of a permanent residence as opposed to rehabilitation, long-term care grades are an important measure. In addition to considering the quantity of care provided by aids and other staff, we also looked at the number of residents vaccinated against pneumonia. Fortunately, this nursing home gave the vaccine to 99.18368 percent of its residents, which is a very respectable statistic. Finally, we looked at the nursing home's number of hospitalizations. Here we found that this facility fared radically worse with 4.18 hospitalizations per one thousand long-term resident days. Sadly, this statistic is more than twice the national average.
Short-term Care Quality
Our next area we assessed was short-term care, in which this nursing home was given an F. In determining our short-term care grades, we look at a nursing home's levels of highly skilled nursing services, which includes registered nurses, physical therapists speech therapists and other highly trained professionals. This category is frequently a meaningful measure of a facility's ability to rehabilitate patients. Not surprisingly based on its score in this area, this nursing home was well below average in one of the two key staffing areas we looked at. The facility provided significantly fewer registered nurse hours per resident than most other facilities. The final datapoint we looked at in this area is the percentage of residents that ultimately were able to return home from the nursing home. This nursing home struggled quite a bit in this area, with just 36.1 percent of its patients returning home. Unfortunately, this was well below the national average.
Nurse Quality
The last category we analyzed is nursing. This nursing home received a poor grade of F in this area. The nursing category weighs quite a few factors, most of which are associated with nursing hours. This facility provided 3.4 hours of nursing care per resident per day. This is below the national average. To go along with its subpar totals in the area of nursing hours per patient, this facility also didn't perform as well in the quality-based measures we looked at in computing our nursing scores. We looked at the percent of patients experiencing pressure ulcers and major falls. This nursing home had more pressure ulcers and falls than the average facility. This could be a bad sign when you consider that many falls and bed sores are believed to be preventable with better nursing care. Unfortunately, these scores pulled down this nursing home's nursing rating quite a bit.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Legend Oaks Healthcare and Rehabilitation - North/ Quality Metrics
Minimizes Pressure Ulcers
This statistic tells you the percent of long-term care patients who are suffering from new or worsened pressure ulcers. We've found that pressure ulcers are a solid barometer of a facility's nursing care quality.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This tells you the percent of patients that suffered from a major fall. Falls leading to major injury are considered by many in the nursing home industry to be an indicator of nursing care at a nursing home. Major falls are often the result of poor nursing care.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This figure measures the percent of long-term patients who experienced urinary tract infections. UTI's may be an indication of lower quality nursing care. However, this statistic could be skewed for certain nursing homes due to varying reporting standards for infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This tells you the percent of residents prescribed antipsychotic medications. These drugs are sometimes used for a variety of conditions, such as Alzheimer's or other dementias.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percent of residents given antianxiety drugs. Antianxiety medications are administered to patients experiencing depression and anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This metric measures the percentage of long-term stay residents exhibiting symptoms of depression. Some experts argue that this is a reliable measure of resident quality of care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This metric is a measure of the percentage of long-term stay patients that were vaccinated against pneumonia and flu.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This is a measure of the percentage of long-term residents who required increased assistance with activities of daily living over time. Activities of daily living include activities such as taking medications and eating.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric measures the percentage of long-term stay patients who remained mobile levels.
Percentage of Residents
Higher is Better
Hospitalizations
Measures the number of hospitalizations per thousand days of patient care. Avoiding the hospital is important to maintaining the physical health of nursing home residents.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This is the number of times residents are rehospitalized per 1,000 days of short-term care. There is typically a correlation between staying out of the hospital and a nursing home's quality of short-term rehabilitation.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This metric tracks the number of emergency room visits per thousand days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This tells you the percent of short-term stay residents that experienced functional improvements, such as enhanced ability to perform activities of daily living.
Percentage of Resident
Higher is Better