Legend Oaks Healthcare and Rehabilitation-Kyle

CCN 676272 · GUADALUPE COUNTY HOSPITAL BOARD · For profit - Limited Liability company · THE ENSIGN GROUP chain · 126 certified beds · Hays · TX


Legend Oaks Healthcare and Rehabilitation-Kyle is a 126-bed nursing home in Kyle, Texas. CMS has certified it for Medicare and Medicaid since 2011-02-08. It averages 115.9 residents a day.

What harm was found in the violations cited at Legend Oaks Healthcare and Rehabilitation-Kyle?

CMS lists 29 health-inspection deficiencies for Legend Oaks Healthcare and Rehabilitation-Kyle since 2023-06-30, 21 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-26.

Survey dateTagDeficiencySeverity
2026-05-26F0695, F0842Provide 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.E
2026-01-29F0584Honor 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.E
2026-01-29F0552Ensure that residents are fully informed and understand their health status, care and treatments.D
2025-12-12F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2025-12-12F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-12-12F0636, F0880Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Provide and implement an infection prevention and control program.D
2024-11-20F0880Provide and implement an infection prevention and control program.E
2024-11-20F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2024-09-05F0550, F0583, F0812Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Keep residents' personal and medical records private and confidential. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-09-05F0578, F0677, F0791, F0919Honor 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide or obtain dental services for each resident. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2023-11-21F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2023-08-10F0552, F0658, F0758Ensure that residents are fully informed and understand their health status, care and treatments. / Ensure services provided by the nursing facility meet professional standards of quality. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.E
2023-06-30F0755, F0812Provide 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
2023-06-30F0578, F0684, F0698, F0758, F0805, F0814Honor 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Dispose of garbage and refuse properly.D

Why was Legend Oaks Healthcare and Rehabilitation-Kyle fined?

DateTypeAmount
2025-12-12Fine$8,407

How is Legend Oaks Healthcare and Rehabilitation-Kyle staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.382223.38539
Total nursing staff turnover (%)38.155.3
Average number of residents per day115.975.8

Who owns Legend Oaks Healthcare and Rehabilitation-Kyle, and what chain is it in?

Legend Oaks Healthcare and Rehabilitation-Kyle is registered with CMS as For profit - Limited Liability company, 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 04/01/2017
MANAGING CONTROL - GOVERNING BODYFOWERS, MATTHEW, KROL, MICHAELsince 03/12/2019
CORPORATE OFFICERBURNAM, SOON, GANN, KODY, KEETCH, CHADsince 02/01/2021
OPERATIONAL/MANAGERIAL CONTROLTREATY HEALTHCARE, INC, FOWERS, MATTHEW, KROL, MICHAELsince 03/12/2019
ADP OF THE SNFENSIGN SERVICES INC, NATIONAL HEALTH INVESTORS, INC., TEXAS NHI INVESTORS, LLC, TREATY HEALTHCARE, INC, FOWERS, MATTHEW, KROL, MICHAELsince 03/12/2019

Were you or a family member harmed at Legend Oaks Healthcare and Rehabilitation-Kyle?