Legend Oaks Healthcare And Rehabilitation Center -
2003 W Hutchins Place, San Antonio, TX 78224 · Bexar County
For-profit · 126 certified beds · 86% occupancy · (210) 927-0800
The U.S. government (CMS) rates Legend Oaks Healthcare And Rehabilitation Center - 3 out of 5 stars overall — average. Its nurse staffing is at or above the Texas median.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
3.62 nurse hours per resident per day. 11% above the Texas median of 3.27.
Nursing staff turnover: 46.2% · RN turnover: 33.3%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0690 · Dec 4, 2025Corrected Dec 30, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
- Potential for harmTag F0558 · May 15, 2026ComplaintCorrected May 16, 2026
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
- Potential for harmTag F0573 · May 15, 2026ComplaintCorrected May 16, 2026
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Resident Rights Deficiencies
- Potential for harmTag F0583 · May 15, 2026ComplaintCorrected May 16, 2026
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
- Potential for harmTag F0689 · May 15, 2026ComplaintCorrected May 16, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0805 · May 15, 2026ComplaintCorrected May 16, 2026
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0554 · Dec 4, 2025Corrected Dec 30, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
- Potential for harmTag F0583 · Dec 4, 2025Corrected Dec 30, 2025
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
- Potential for harmTag F0641 · Dec 4, 2025Corrected Dec 30, 2025
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0759 · Dec 4, 2025Corrected Dec 30, 2025
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Showing the 10 most recent and serious of 32 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-08-09. See the Texas study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
No federal fines are on record for this home in roughly the last three years, a good sign.
Ownership
This home is for-profit (for profit - individual). It is part of the The Ensign Group chain, which operates 346 facilities, with a chain-average CMS rating of 3.2 stars.