Public Record
Legend Oaks Healthcare and Rehabilitation - West S
Operated by The Ensign Group
From CMS
Facility profile
- CMS overall rating
- 3 / 5
- Certified beds
- 124
- Avg. residents per day
- 110.3
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 18
- Fire safety findings
- 3
- Inspections on file
- 8
- Last inspection
- 2026-01-29
*CMS
*CMS
*CMS
*CMS
Citations
18 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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0628Generalpotential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 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.
- 0576Generalpotential for harm
Ensure residents have reasonable access to and privacy in their use of communication methods.
- 0689Seriousimmediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0645Generalpotential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
- 0644Generalpotential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0638Generalpotential for harm
Assure that each resident’s assessment is updated at least once every 3 months.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 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.
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.
- Inspection6 deficiencies
F 0628 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on…
Read full statement of deficiencies - View inspection reportInspectionFire Safety2 deficiencies
- Inspection1 deficiency
F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to maintain an…
Read full statement of deficiencies - Inspection2 deficiencies
F 0576 Ensure residents have reasonable access to and privacy in their use of communication methods. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review, the facility failed to promote the residents' right to receive mail, for all facility residents, in…
Read full statement of deficiencies - View inspection reportInspectionFire Safety1 deficiency
- Inspection2 deficiencies
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview…
Read full statement of deficiencies - Inspection5 deficiencies
F 0638 Assure that each resident’s assessment is updated at least once every 3 months. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to assess each resident…
Read full statement of deficiencies - View inspection reportInspection2 deficiencies
Ownership
The Ensign Group
338nursing homes nationwide, in CMS records
FAQ
Questions and answers
- What is Legend Oaks Healthcare and Rehabilitation - West S?
- Legend Oaks Healthcare and Rehabilitation - West S 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 676312.
- What is the CMS rating for Legend Oaks Healthcare and Rehabilitation - West S?
- Legend Oaks Healthcare and Rehabilitation - West S has a CMS overall rating of 3 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Legend Oaks Healthcare and Rehabilitation - West S have?
- Legend Oaks Healthcare and Rehabilitation - West S is certified for 124 beds. It serves an average of 110.3 residents per day.
- How many citations does Legend Oaks Healthcare and Rehabilitation - West S have?
- Legend Oaks Healthcare and Rehabilitation - West S has 18 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Legend Oaks Healthcare and Rehabilitation - West S last inspected?
- Legend Oaks Healthcare and Rehabilitation - West S was last inspected on January 29, 2026. 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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