LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR

CCN 676392 · GUADALUPE COUNTY HOSPITAL BOARD · Comal · TX · Government - Hospital district · THE ENSIGN GROUP chain · 126 certified beds


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 dateTagDeficiencySeverity
2026-05-20F0695Provide safe and appropriate respiratory care for a resident when needed.E
2026-05-20F0655, F0755, F0761, F0812, F0813, F0814Create 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
2026-04-29F0761Ensure 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
2025-09-10F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2025-09-10F0887Educate 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
2025-03-28F0695, F0755, F0812Provide 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
2025-03-28F0641, F0656, F0692, F0700, F0761, F0940, F0941, F0943, F0944, F0945, F0946, F0949Ensure 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
2025-02-06F0602, F0657, F0695, F0842Protect 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
2024-08-03F0684, F0842Provide 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
2024-02-29F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2024-01-27F0609, F0623, F0636, F0756, F0812Timely 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
2024-01-20F0695Provide 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?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.302673.38539
Total nursing staff turnover (%)49.555.3
Average number of residents per day115.175.8

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.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTGUADALUPE COUNTY HOSPITAL BOARDsince 04/01/2019
MANAGING CONTROL - GOVERNING BODYNEWSOME, GARRETT, YU, HAORANsince 11/01/2017
CORPORATE OFFICERBURNAM, SOON, GANN, KODY, KEETCH, CHADsince 02/01/2021
OPERATIONAL/MANAGERIAL CONTROLRIVERWALK HEALTHCARE INC, NEWSOME, GARRETT, YU, HAORANsince 04/01/2019
ADP OF THE SNFENSIGN SERVICES INC, NATIONAL HEALTH INVESTORS, INC., RIVERWALK HEALTHCARE INC, TEXAS NHI INVESTORS, LLC, NEWSOME, GARRETT, YU, HAORANsince 04/01/2019

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