CareSentinel

Federal Nursing-Home Survey Record

LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR

CCN 676392 · 2468 FM 1101, NEW BRAUNFELS, TX, 78130 · Operated within the THE ENSIGN GROUP chain

Does LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR (CCN 676392), in NEW BRAUNFELS, TX, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 17 deficiencies; the most serious carries scope/severity E on CMS's A–L scale. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with federal regulators; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

The Federal Record

The most recent federal inspection on file records no actual-harm or immediate-jeopardy citations for this facility.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 3  ·  CMS state average: 2.7

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-09-10
CURRENT CYCLE
F804S/S E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2025-09-10
CURRENT CYCLE
F887S/S D

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

2025-03-28
CURRENT CYCLE
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-03-28
CURRENT CYCLE
F695S/S E

Provide safe and appropriate respiratory care for a resident when needed.

2025-03-28
CURRENT CYCLE
F755S/S E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2025-03-28
CURRENT CYCLE
F949S/S D

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

2025-03-28
CURRENT CYCLE
F641S/S D

Ensure each resident receives an accurate assessment.

2025-03-28
CURRENT CYCLE
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2025-03-28
CURRENT CYCLE
F692S/S D

Provide enough food/fluids to maintain a resident's health.

2025-03-28
CURRENT CYCLE
F700S/S D

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.

2025-03-28
CURRENT CYCLE
F761S/S D

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.

2025-03-28
CURRENT CYCLE
F940S/S D

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

2025-03-28
CURRENT CYCLE
F941S/S D

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

2025-03-28
CURRENT CYCLE
F943S/S D

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

2025-03-28
CURRENT CYCLE
F944S/S D

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

2025-03-28
CURRENT CYCLE
F945S/S D

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

2025-03-28
CURRENT CYCLE
F946S/S D

Provide training in compliance and ethics.

2025-02-06
HISTORICAL
F602S/S D

Protect each resident from the wrongful use of the resident's belongings or money.

2025-02-06
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2025-02-06
HISTORICAL
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2025-02-06
HISTORICAL
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2024-08-03
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-08-03
HISTORICAL
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2024-02-29
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2024-01-27
HISTORICAL
F636S/S D

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

2024-01-27
HISTORICAL
F756S/S D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

2024-01-27
HISTORICAL
F623S/S D

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

2024-01-27
HISTORICAL
F812S/S D

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2024-01-27
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2024-01-20
HISTORICAL
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2022-11-18
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2022-11-18
HISTORICAL
F944S/S E

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

2022-11-18
HISTORICAL
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2022-11-18
HISTORICAL
F685S/S D

Assist a resident in gaining access to vision and hearing services.

2022-11-18
HISTORICAL
F578S/S D

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.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…