LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR
LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR, in NEW BRAUNFELS, Texas, holds 126 certified beds and has been certified for Medicare and Medicaid since 2015-10-16, averaging 115.1 residents a day.
Has LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR been cited for violations?
CMS lists 38 health-inspection deficiencies for LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is E; the most recent health inspection was 2026-05-20.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-20 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E |
| 2026-05-20 | F0655, F0755, F0761, F0812, F0813, F0814 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Dispose of garbage and refuse properly. | D |
| 2026-04-29 | F0761 | 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. | D |
| 2025-09-10 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2025-09-10 | F0887 | 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. | D |
| 2025-03-28 | F0695, F0755, F0812 | Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-03-28 | F0641, F0656, F0692, F0700, F0761, F0940, F0941, F0943, F0944, F0945, F0946, F0949 | Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide enough food/fluids to maintain a resident's health. / 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. / 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. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. / Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. / Provide training in compliance and ethics. / Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D |
| 2025-02-06 | F0602, F0657, F0695, F0842 | Protect each resident from the wrongful use of the resident's belongings or money. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide safe and appropriate respiratory care for a resident when needed. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-08-03 | F0684, F0842 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-02-29 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2024-01-27 | F0609, F0623, F0636, F0756, F0812 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
| 2024-01-20 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D |
How is LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.30267 | 3.38539 |
| Total nursing staff turnover (%) | 49.5 | 55.3 |
| Average number of residents per day | 115.1 | 75.8 |
Who owns LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR, and what chain is it in?
LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR is registered with CMS as Government - Hospital district, operates under the legal business name GUADALUPE COUNTY HOSPITAL BOARD and belongs to the THE ENSIGN GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | GUADALUPE COUNTY HOSPITAL BOARD | since 04/01/2019 |
| MANAGING CONTROL - GOVERNING BODY | NEWSOME, GARRETT, YU, HAORAN | since 11/01/2017 |
| CORPORATE OFFICER | BURNAM, SOON, GANN, KODY, KEETCH, CHAD | since 02/01/2021 |
| OPERATIONAL/MANAGERIAL CONTROL | RIVERWALK HEALTHCARE INC, NEWSOME, GARRETT, YU, HAORAN | since 04/01/2019 |
| ADP OF THE SNF | ENSIGN SERVICES INC, NATIONAL HEALTH INVESTORS, INC., RIVERWALK HEALTHCARE INC, TEXAS NHI INVESTORS, LLC, NEWSOME, GARRETT, YU, HAORAN | since 04/01/2019 |
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