Starfile / Texas

LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER -

2003 W HUTCHINS PLACE, SAN ANTONIO, TX 78224 · CCN 676113

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

THE ENSIGN GROUP

Facilities in chain

329

Chain avg overall

3.20 / 5

Inspection citations (25)

1. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-12-04 · Health · corrected 2025-12-30

   Potential for more than minimal harm

2. DF0583Keep residents' personal and medical records private and confidential.2025-12-04 · Health · corrected 2025-12-30

   Potential for more than minimal harm

3. DF0641Ensure each resident receives an accurate assessment.2025-12-04 · Health · corrected 2025-12-30

   Potential for more than minimal harm

4. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-12-04 · Health · corrected 2025-12-30

   Potential for more than minimal harm

5. DF0759Ensure medication error rates are not 5 percent or greater.2025-12-04 · Health · corrected 2025-12-30

   Potential for more than minimal harm

6. DF0761Ensure 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.2025-12-04 · Health · corrected 2025-12-30

   Potential for more than minimal harm

7. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-04 · Health · corrected 2025-12-30

   Potential for more than minimal harm

8. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-04 · Health · corrected 2025-12-30

   Potential for more than minimal harm

9. DF0578Honor 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.2024-09-27 · Health · corrected 2024-10-20

   Potential for more than minimal harm

10. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-09-27 · Health · corrected 2024-10-20

    Potential for more than minimal harm

11. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-09-27 · Health · corrected 2024-10-20

    Potential for more than minimal harm

12. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-09-27 · Health · corrected 2024-10-20

    Potential for more than minimal harm

13. EF0700Try 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.2024-09-27 · Health · corrected 2024-10-20

    Potential for more than minimal harm

14. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-09-27 · Health · corrected 2024-10-20

    Potential for more than minimal harm

15. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-09-27 · Health · corrected 2024-10-20

    Potential for more than minimal harm

16. DF0880Provide and implement an infection prevention and control program.2024-09-27 · Health · corrected 2024-10-20

    Potential for more than minimal harm

17. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-22 · Health · corrected 2024-03-26

    Potential for more than minimal harm

18. EF0790Provide routine and 24-hour emergency dental care for each resident.2024-03-22 · Health · corrected 2024-03-26

    Potential for more than minimal harm

19. DF0558Reasonably accommodate the needs and preferences of each resident.2023-07-28 · Health · corrected 2023-08-16

    Potential for more than minimal harm

20. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-07-28 · Health · corrected 2023-08-16

    Potential for more than minimal harm

21. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-07-28 · Health · corrected 2023-08-16

    Potential for more than minimal harm

22. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-28 · Health · corrected 2023-08-16

    Potential for more than minimal harm

23. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-07-28 · Health · corrected 2023-08-16

    Potential for more than minimal harm

24. DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2023-07-28 · Health · corrected 2023-08-16

    Potential for more than minimal harm

25. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-07-28 · Health · corrected 2023-08-16

    Potential for more than minimal harm

Ownership

Other facilities in SAN ANTONIO

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.