LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR
2468 FM 1101, NEW BRAUNFELS, TX 78130 · CCN 676392
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- Government - Hospital district
- Certified beds
- 126
- Avg residents/day
- 107.3
- Phone
- 8304206500
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-28 | 17 | 9.1 | 9.5 | +7.9 worse |
| 2 | 2024-01-27 | 11 | 9.4 | 9.8 | +1.6 worse |
| 3 | 2022-11-18 | 7 | 8.1 | 9.3 | -1.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 2 |
| Nutrition and dietary | 2 |
| Pharmacy service | 2 |
| Administration | 5 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.52 | 50.9% |
| RN staffing (reported) | 0.37 | 46.2% |
| Total nurse staffing (adjusted) | 3.47 | — |
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 (35)
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-09-10 · Health · corrected 2025-09-15
Potential for more than minimal harm
- DF0887Educate 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.2025-09-10 · Health · corrected 2025-09-15
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-03-28 · Health · corrected 2025-03-31
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-28 · Health · corrected 2025-03-31
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-03-28 · Health · corrected 2025-04-03
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-28 · Health · corrected 2025-04-02
Potential for more than minimal harm
- DF0700Try 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.2025-03-28 · Health · corrected 2025-03-31
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-28 · Health · corrected 2025-04-02
Potential for more than minimal harm
- 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.2025-03-28 · Health · corrected 2025-03-31
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-28 · Health · corrected 2025-03-29
Potential for more than minimal harm
- DF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2025-03-28 · Health · corrected 2025-04-03
Potential for more than minimal harm
- DF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2025-03-28 · Health · corrected 2025-04-03
Potential for more than minimal harm
- DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2025-03-28 · Health · corrected 2025-04-03
Potential for more than minimal harm
- DF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-03-28 · Health · corrected 2025-04-03
Potential for more than minimal harm
- DF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2025-03-28 · Health · corrected 2025-04-03
Potential for more than minimal harm
- DF0946Provide training in compliance and ethics.2025-03-28 · Health · corrected 2025-04-03
Potential for more than minimal harm
- DF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2025-03-28 · Health · corrected 2025-04-03
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-02-06 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-02-06 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-02-06 · Health · corrected 2025-02-12
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-06 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-03 · Health · corrected 2024-08-04
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-08-03 · Health · corrected 2024-08-04
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-29 · Health · corrected 2024-02-27
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-01-27 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-01-27 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-01-27 · Health · corrected 2024-02-29
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-01-27 · Health · corrected 2024-02-29
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-27 · Health · corrected 2024-01-29
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-20 · Health · corrected 2024-03-20
Potential for more than minimal harm
- 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.2022-11-18 · Health · corrected 2022-12-12
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2022-11-18 · Health · corrected 2022-12-31
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-11-18 · Health · corrected 2022-12-15
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-11-18 · Health · corrected 2022-11-19
Potential for more than minimal harm
- EF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2022-11-18 · Health · corrected 2022-12-31
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-04-01 |
| RIVERWALK HEALTHCARE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-04-01 |
| NEWSOME, GARRETT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-11-12 |
| YU, HAORAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-11-01 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2019-04-01 |
| GANN, KODY | Individual | CORPORATE OFFICER | — | 2021-02-01 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2011-03-01 |
Other facilities in NEW BRAUNFELS
| Name | Overall | Beds |
|---|---|---|
| SUNDANCE INN HEALTH CENTER | ★★★☆☆ | 128 |
| KIRKWOOD MANOR | ★★☆☆☆ | 162 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.