Public Record
Legend Oaks Healthcare and Rehabilitation Center -
Operated by The Ensign Group
From CMS
Facility profile
- CMS overall rating
- 5 / 5
- Certified beds
- 126
- Avg. residents per day
- 113.7
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 25
- Fire safety findings
- 5
- Inspections on file
- 6
- Last inspection
- 2025-12-04
*CMS
*CMS
*CMS
*CMS
Citations
25 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0690Generalpotential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0583Generalpotential for harm
Keep residents' personal and medical records private and confidential.
- 0554Generalpotential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0761Generalpotential for harm
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.
- 0700Generalpotential for harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0578Generalpotential for harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- 0655Generalpotential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 0690Generalpotential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- 0849Generalpotential for harm
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0698Generalpotential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- 0790Generalpotential for harm
Provide routine and 24-hour emergency dental care for each resident.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0712Generalpotential for harm
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0558Generalpotential for harm
Reasonably accommodate the needs and preferences of each resident.
- 0636Generalpotential for harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspectionFire Safety2 deficiencies
- Inspection8 deficiencies
676113 12/04/2025 Legend Oaks Healthcare and Rehabilitation Center - 2003 W Hutchins Place San Antonio, TX 78224 F 0554 Allow residents to self-administer drugs if determined clinically appropriate. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN…
Read full statement of deficiencies - View inspection reportInspectionFire Safety3 deficiencies
- Inspection8 deficiencies
676113 09/27/2024 Legend Oaks Healthcare and Rehabilitation Center - 2003 W Hutchins Place San Antonio, TX 78224 F 0578 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to request, refuse, and/or discontinue treatment, to…
Read full statement of deficiencies - Inspection2 deficiencies
676113 03/22/2024 Legend Oaks Healthcare and Rehabilitation Center - 2003 W Hutchins Place San Antonio, TX 78224 F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with…
Read full statement of deficiencies - Inspection7 deficiencies
676113 07/28/2023 Legend Oaks Healthcare and Rehabilitation Center - 2003 W Hutchins Place San Antonio, TX 78224 F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO…
Read full statement of deficiencies
Ownership
The Ensign Group
338nursing homes nationwide, in CMS records
FAQ
Questions and answers
- What is Legend Oaks Healthcare and Rehabilitation Center -?
- Legend Oaks Healthcare and Rehabilitation Center - is a Medicare- and Medicaid-certified nursing home in San Antonio, TX, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 676113.
- What is the CMS rating for Legend Oaks Healthcare and Rehabilitation Center -?
- Legend Oaks Healthcare and Rehabilitation Center - has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Legend Oaks Healthcare and Rehabilitation Center - have?
- Legend Oaks Healthcare and Rehabilitation Center - is certified for 126 beds. It serves an average of 113.7 residents per day.
- How many citations does Legend Oaks Healthcare and Rehabilitation Center - have?
- Legend Oaks Healthcare and Rehabilitation Center - has 25 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Legend Oaks Healthcare and Rehabilitation Center - last inspected?
- Legend Oaks Healthcare and Rehabilitation Center - was last inspected on December 4, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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