Legend Oaks Healthcare and Rehabilitation - West S
Legend Oaks Healthcare and Rehabilitation - West S is a 124-bed nursing home in San Antonio, Texas. CMS has certified it for Medicare and Medicaid since 2012-05-31. It averages 108.8 residents a day.
What harm was found in the violations cited at Legend Oaks Healthcare and Rehabilitation - West S?
CMS lists 20 health-inspection deficiencies for Legend Oaks Healthcare and Rehabilitation - West S, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-12.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-12 | F0550, F0609 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
| 2026-04-23 | F0690, F0880 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide and implement an infection prevention and control program. | D |
| 2026-01-29 | F0641, F0761, F0812, F0880 | Ensure each resident receives an accurate assessment. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2026-01-29 | F0628, F0755 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-12-09 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2024-10-31 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | F |
| 2024-10-31 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2024-04-12 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-04-12 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2023-09-15 | F0638, F0644, F0645, F0689, F0812 | Assure that each resident’s assessment is updated at least once every 3 months. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
Why was Legend Oaks Healthcare and Rehabilitation - West S fined?
| Date | Type | Amount |
|---|---|---|
| 2024-04-12 | Fine | $8,632 |
How is Legend Oaks Healthcare and Rehabilitation - West S staffed?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.63790 | 3.38539 |
| Total nursing staff turnover (%) | 20.7 | 55.3 |
| Average number of residents per day | 108.8 | 75.8 |
Who owns Legend Oaks Healthcare and Rehabilitation - West S, and what chain is it in?
Legend Oaks Healthcare and Rehabilitation - West S is registered with CMS as For profit - Corporation, operates under the legal business name DEWITT MEDICAL DISTRICT and belongs to the THE ENSIGN GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | DEWITT MEDICAL DISTRICT | since 04/01/2017 |
| MANAGING CONTROL - GOVERNING BODY | GRAY, ROBERT, MANSOOR, SAAD | since 09/12/2023 |
| CORPORATE OFFICER | ALEXANDER, ALMA, BURNAM, SOON, KEETCH, CHAD | since 03/01/2011 |
| OPERATIONAL/MANAGERIAL CONTROL | BERTETTI HEALTHCARE, INC., GRAY, ROBERT, MANSOOR, SAAD | since 04/01/2017 |
| ADP OF THE SNF | BERTETTI HEALTHCARE, INC., ENSIGN SERVICES INC, NATIONAL HEALTH INVESTORS, INC., TEXAS NHI INVESTORS, LLC, GRAY, ROBERT, MANSOOR, SAAD | since 04/01/2017 |
Were you or a family member harmed at Legend Oaks Healthcare and Rehabilitation - West S?