Legend Oaks Healthcare and Rehabilitation -Waxahac
151 Country Meadows Boulevard, Waxahachie TX 75165 · (972) 937-1650 · 80.99% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
Legend Oaks Healthcare and Rehabilitation -Waxahac is one of only three facilities located in Waxahachie, Texas. We awarded this nursing home a very respectable overall grade of B+. In fact, it is the number one rated facility in the city. Based on our ratings, this nursing home ought to meet the needs of most people. More information on this nursing home's category grades may be found below. Its best category was long-term care, which is discussed in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 121 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Long-term Care Quality
We also found that this nursing home excelled in our long-term care rating. We awarded them an A+ in this category. Long-term care grades of this caliber generally require both 24/7 care from nurses and aids, as well as quality routine medical care. After assessing the volume of care provided by aids and other staff, we then analyzed the facility's vaccination records. This nursing home vaccinated 100 percent of its patients for pneumonia, which is significantly higher than the majority of nursing homes. Finally, we looked at the nursing home's number of hospitalizations. With 1.95 hospitalizations per one thousand long-term resident days, this nursing home is just about middle of the pack in this area.
Facility Inspections
This nursing home also excelled in the area of inspections. We awarded it a grade of A for that area. We weigh several aspects of a nursing home's inspection report in determining our inspection scores. One key factor is deficiencies. It should be noted that the severity of deficiencies is usually more meaningful than the quantity of deficiencies, as some deficiencies end up being quite insignificant. This facility received 2 deficiencies on its inspection report, but none of the deficiencies were considered to be severe deficiencies. This indicates that the inspectors didn't consider any of these deficiencies an imminent threat to resident health or safety. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Short-term Care Quality
In addition, this nursing home also was given favorable short-term care grades in our assessment. Indeed, we gave them one of our higher scores in that area, with a score of B. Our short-term care scores are considered to be most important for individuals needing rehabilitation services. Rehabilitation usually utilizes more highly-skilled nursing. This includes not just nursing services, but also physical and speech therapy, as well as other types of therapy. This place boosted its score in this area by offering more than 50% more hours of physical therapy to its patients than the average nursing home. Lastly, we looked at the number of patients who were able to return to the community from this facility. We found that it outperformed the vast majority of nursing homes in the country in this area with 63 percent of its residents returning home. This is a significantly higher rate than most facilities.
Nurse Quality
This facility's worst category was nursing, which is the last area we assessed. In this area, we gave this facility a grade of D. We want to to point out this potential weak spot, but you should not focus exclusively on a single bad category either. In computing a facility's nursing score, we weigh the amount of time nurses spend with residents as well as the levels of training of the nurses. This nursing home averages 3.4 hours of nursing care per resident per day, which is below the national average. Although this nursing home's nursing hours are below average, it surprised us in a few of the qualitative metrics in this category. In particular, we were pleased to see that its patients appear to be suffering fewer pressure ulcers than most nursing homes.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Legend Oaks Healthcare and Rehabilitation -Waxahac Quality Metrics
Minimizes Pressure Ulcers
This is the percent of residents that have had a pressure ulcer. Pressure ulcers are considered by many in the nursing home industry to be a measure of the quality of nursing care at a nursing home. Pressure ulcers, which are also called bed sores, are often the result of residents not being moved frequently enough.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This figure gauges the percent of long-term patients who suffered falls which caused severe injury. This is one of the statistics we use in determining our nursing ratings.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This measures the percentage of long-term stay patients that experienced a UTI. UTI's may be a sign of poor nursing care. However, this statistic may be skewed for some nursing homes due to varying reporting standards for these infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is the percentage of patients given antipsychotic medications. These medications may be used for several medical conditions, including Alzheimer's or other dementias.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is the percent of patients prescribed antianxiety medications. Antianxiety medications are administered to residents suffering from anxiety and depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
Measures the percent of long-term care patients exhibiting symptoms of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This datapoint measures the percent of long-term care patients that received the flu and pneumonia vaccines. Respiratory viruses can be very dangerous for seniors, making these vaccines critical to patient care.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This metric measures the percent of long-term residents that needed more assistance with activities of daily living over time. Activities of daily living include activities such as getting dressed and continence. Some experts argue this is a reliable measure of a patient's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This is a measure of the percent of long-term stay residents who retained mobility levels.
Percentage of Residents
Higher is Better
Hospitalizations
This tells you the number of times residents are hospitalized per 1,000 days of patient care. There is generally a correlation between staying out of the hospital and the quality of long-term care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This indicates the number of times residents are rehospitalized per 1,000 days of short-term care. There is usually a correlation between reduced hospitalizations and the quality of rehabilitation services.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
Measures 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 indicates the percentage of short-term stay patients that experienced functional improvements, such as enhanced ability to perform activities of daily living. Higher levels of autonomy with ADL's often correlates with better rehabilitation.
Percentage of Resident
Higher is Better