Legend Oaks Healthcare And Rehabilitation-Kyle
1640 Fairway, Kyle, TX 78640 · Hays County
For-profit · 126 certified beds · 92% occupancy · (512) 268-1003
Legend Oaks Healthcare And Rehabilitation-Kyle reviews: what the government record shows
The U.S. government (CMS) rates Legend Oaks Healthcare And Rehabilitation-Kyle 3 out of 5 stars overall, average. Its nurse staffing is at or above the Texas median.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 3 of 5 stars
- Nurse staffing
- 3.38 hrs/resident/day (+3% vs TX median)
- Antipsychotic drug use
- 3.7% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 3.9% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $8,407
- Inspection findings
- 29 cited
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A mixed record. The strengths and concerns below are worth weighing against a visit.
Strengths
- ✓Nurse staffing of 3.38 hrs/resident/day is at or above the Texas median of 3.27.
Questions to ask on your visit
- ·What does a typical day look like for a resident with my parent's needs?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Legend Oaks Healthcare And Rehabilitation-Kyle
Is Legend Oaks Healthcare And Rehabilitation-Kyle a good nursing home?
Legend Oaks Healthcare And Rehabilitation-Kyle in Kyle, Texas holds a 3 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.
How is Legend Oaks Healthcare And Rehabilitation-Kyle staffed?
Legend Oaks Healthcare And Rehabilitation-Kyle reports 3.38 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has Legend Oaks Healthcare And Rehabilitation-Kyle been fined or flagged for abuse?
Legend Oaks Healthcare And Rehabilitation-Kyle has paid approximately $8,407 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. 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.
3.38 nurse hours per resident per day. 3% above the Texas median of 3.27.
Nursing staff turnover: 38.1% · RN turnover: 60%
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.
- Actual harmTag F0686 · Dec 12, 2025Corrected Dec 18, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
- Potential for harmTag F0812 · Dec 12, 2025Corrected Dec 15, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0695 · May 26, 2026ComplaintCorrected Jun 30, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
- Potential for harmTag F0842 · May 26, 2026ComplaintCorrected Jun 30, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0584 · Jan 29, 2026ComplaintCorrected Feb 19, 2026
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
- Potential for harmTag F0552 · Jan 29, 2026ComplaintCorrected Feb 19, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
- Potential for harmTag F0636 · Dec 12, 2025Corrected Dec 18, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0880 · Dec 12, 2025Corrected Dec 15, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0880 · Nov 20, 2024ComplaintCorrected Nov 21, 2024
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0550 · Sep 5, 2024Corrected Sep 6, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Showing the 10 most recent and serious of 29 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 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore 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.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - limited liability company). It is part of the The Ensign Group chain, which operates 342 facilities, with a chain-average CMS rating of 3.2 stars.