Starfile

Starfile / Texas

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.

CycleInspection dateThis facilityTexas avgNational avgvs state
12025-03-28179.19.5+7.9 worse
22024-01-27119.49.8+1.6 worse
32022-11-1878.19.3-1.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care3
Resident assessment and care planning2
Nutrition and dietary2
Pharmacy service2
Administration5
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.5250.9%
RN staffing (reported)0.3746.2%
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)

  1. 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

  2. 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

  3. DF0641Ensure each resident receives an accurate assessment.2025-03-28 · Health · corrected 2025-03-31

    Potential for more than minimal harm

  4. 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

  5. DF0692Provide enough food/fluids to maintain a resident's health.2025-03-28 · Health · corrected 2025-04-03

    Potential for more than minimal harm

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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

  16. DF0946Provide training in compliance and ethics.2025-03-28 · Health · corrected 2025-04-03

    Potential for more than minimal harm

  17. 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

  18. 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

  19. 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

  20. 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

  21. 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

  22. 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

  23. 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

  24. 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

  25. 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

  26. 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

  27. 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

  28. 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

  29. 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

  30. 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

  31. 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

  32. 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

  33. 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

  34. EF0880Provide and implement an infection prevention and control program.2022-11-18 · Health · corrected 2022-11-19

    Potential for more than minimal harm

  35. 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

OwnerTypeRolePercentSince
GUADALUPE COUNTY HOSPITAL BOARDOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2019-04-01
RIVERWALK HEALTHCARE INCOrganizationOPERATIONAL/MANAGERIAL CONTROL2019-04-01
NEWSOME, GARRETTIndividualOPERATIONAL/MANAGERIAL CONTROL2020-11-12
YU, HAORANIndividualOPERATIONAL/MANAGERIAL CONTROL2017-11-01
BURNAM, SOONIndividualCORPORATE OFFICER2019-04-01
GANN, KODYIndividualCORPORATE OFFICER2021-02-01
KEETCH, CHADIndividualCORPORATE OFFICER2011-03-01

Other facilities in NEW BRAUNFELS

NameOverallBeds
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.