LEGEND OAKS HEALTHCARE AND REHABILITATION - NORTH

CMS abuse icon · CCN 676238 · GUADALUPE COUNTY HOSPITAL BOARD · For profit - Limited Liability company · THE ENSIGN GROUP chain · 124 certified beds · Travis · TX


LEGEND OAKS HEALTHCARE AND REHABILITATION - NORTH is a 124-bed nursing home in AUSTIN, Texas. CMS has certified it for Medicare and Medicaid since 2009-10-20. It averages 109.9 residents a day.

What harm was found in the violations cited at LEGEND OAKS HEALTHCARE AND REHABILITATION - NORTH?

CMS lists 24 health-inspection deficiencies for LEGEND OAKS HEALTHCARE AND REHABILITATION - NORTH, 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 2026-04-23.

Survey dateTagDeficiencySeverity
2026-04-23F0550, F0803, F0919Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Make sure that a working call system is available in each resident's bathroom and bathing area.E
2026-04-23F0677, F0687, F0761Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate foot care. / 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
2025-09-17F0600, F0607Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement policies and procedures to prevent abuse, neglect, and theft.J
2025-09-17F0609, F0684, F0925Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D
2025-04-28F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.D
2025-02-20F0550, F0677Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide care and assistance to perform activities of daily living for any resident who is unable.E
2025-02-20F0919Make sure that a working call system is available in each resident's bathroom and bathing area.D
2025-02-05F0880Provide and implement an infection prevention and control program.E
2025-02-05F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-01-17F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.E
2024-11-08F0880Provide and implement an infection prevention and control program.E
2024-09-13F0558Reasonably accommodate the needs and preferences of each resident.E
2024-09-13F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-01-06F0880Provide and implement an infection prevention and control program.E
2023-12-13F0695, F0880Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program.D

Why was LEGEND OAKS HEALTHCARE AND REHABILITATION - NORTH fined?

DateTypeAmount
2025-09-17Fine$42,726

How is LEGEND OAKS HEALTHCARE AND REHABILITATION - NORTH staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.172513.38539
Average number of residents per day109.975.8

Who owns LEGEND OAKS HEALTHCARE AND REHABILITATION - NORTH, and what chain is it in?

LEGEND OAKS HEALTHCARE AND REHABILITATION - NORTH 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 BODYQUINTERO, JOSELYN, RATHI, ANILsince 04/10/2025
CORPORATE OFFICERBURNAM, SOON, GANN, KODY, KEETCH, CHADsince 02/01/2021
OPERATIONAL/MANAGERIAL CONTROLDESSAU HEALTHCARE INC, QUINTERO, JOSELYN, RATHI, ANILsince 04/01/2017
ADP OF THE SNFDESSAU HEALTHCARE INC, ENSIGN SERVICES INC, NATIONAL HEALTH INVESTORS, INC., TEXAS NHI INVESTORS, LLC, QUINTERO, JOSELYN, RATHI, ANILsince 04/01/2017

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