Starfile

Starfile / Texas

LEGEND OAKS HEALTHCARE AND REHABILITATION - NORTH

11020 DESSAU RD, AUSTIN, TX 78754 · CCN 676238

Abuse icon

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★★☆ 4
Staffing
★★★☆☆ 3

Facility

Ownership type
For profit - Limited Liability company
Certified beds
124
Avg residents/day
115.4
Phone
5128732244

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
12025-02-2099.19.5-0.1 better
22023-12-1389.49.8-1.4 better
32022-10-16118.19.3+2.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation3
Quality of life and care2
Resident rights2
Environmental2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.1227.6%
RN staffing (reported)0.6123.1%
Total nurse staffing (adjusted)3.01

Fines & penalties

Total fines
$41,890
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
THE ENSIGN GROUP
Facilities in chain
329
Chain avg overall
3.20 / 5

Inspection citations (28)3 immediate jeopardy

  1. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-17 · Health · corrected 2025-09-18

    Immediate jeopardy

  2. JF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-09-17 · Health · corrected 2025-09-18

    Immediate jeopardy

  3. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-09-17 · Health · corrected 2025-09-18

    Potential for more than minimal harm

  4. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-17 · Health · corrected 2025-09-18

    Potential for more than minimal harm

  5. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-09-17 · Health · corrected 2025-09-18

    Potential for more than minimal harm

  6. DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2025-04-28 · Health · corrected 2025-04-28

    Potential for more than minimal harm

  7. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-02-20 · Health · corrected 2025-02-21

    Potential for more than minimal harm

  8. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-02-20 · Health · corrected 2025-02-21

    Potential for more than minimal harm

  9. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-02-20 · Health · corrected 2025-02-21

    Potential for more than minimal harm

  10. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-05 · Health · corrected 2025-02-06

    Potential for more than minimal harm

  11. EF0880Provide and implement an infection prevention and control program.2025-02-05 · Health · corrected 2025-02-06

    Potential for more than minimal harm

  12. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-01-17 · Health · corrected 2025-01-20

    Potential for more than minimal harm

  13. EF0880Provide and implement an infection prevention and control program.2024-11-08 · Health · corrected 2024-11-11

    Potential for more than minimal harm

  14. EF0558Reasonably accommodate the needs and preferences of each resident.2024-09-13 · Health · corrected 2024-09-14

    Potential for more than minimal harm

  15. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-13 · Health · corrected 2024-09-14

    Potential for more than minimal harm

  16. EF0880Provide and implement an infection prevention and control program.2024-01-06 · Health · corrected 2024-01-07

    Potential for more than minimal harm

  17. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-12-13 · Health · corrected 2023-12-14

    Potential for more than minimal harm

  18. DF0880Provide and implement an infection prevention and control program.2023-12-13 · Health · corrected 2023-12-14

    Potential for more than minimal harm

  19. DF0583Keep residents' personal and medical records private and confidential.2022-10-16 · Health · corrected 2022-11-28

    Potential for more than minimal harm

  20. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-10-16 · Health · corrected 2022-11-28

    Immediate jeopardy

  21. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-10-16 · Health · corrected 2022-11-28

    Potential for more than minimal harm

  22. DF0637Assess the resident when there is a significant change in condition2022-10-16 · Health · corrected 2022-11-28

    Potential for more than minimal harm

  23. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-10-16 · Health · corrected 2022-11-28

    Potential for more than minimal harm

  24. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-10-16 · Health · corrected 2022-11-28

    Potential for more than minimal harm

  25. 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.2022-10-16 · Health · corrected 2022-11-28

    Potential for more than minimal harm

  26. EF0803Ensure 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.2022-10-16 · Health · corrected 2022-11-28

    Potential for more than minimal harm

  27. EF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2022-10-16 · Health · corrected 2022-11-28

    Potential for more than minimal harm

  28. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-10-16 · Health · corrected 2022-11-28

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
GUADALUPE COUNTY HOSPITAL BOARDOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2017-04-01
DESSAU HEALTHCARE INCOrganizationOPERATIONAL/MANAGERIAL CONTROL2017-04-01
QUINTERO, JOSELYNIndividualOPERATIONAL/MANAGERIAL CONTROL2018-06-27
RATHI, ANILIndividualOPERATIONAL/MANAGERIAL CONTROL2025-04-10
BURNAM, SOONIndividualCORPORATE OFFICER2017-04-01
GANN, KODYIndividualCORPORATE OFFICER2021-02-01
KEETCH, CHADIndividualCORPORATE OFFICER2011-03-01

Other facilities in AUSTIN

NameOverallBeds
THE CENTER AT PARMER★★★★★80
LONGHORN VILLAGE★★★★★60
THE ARBOUR AT WESTMINSTER MANOR★★★★★90
GRACY WOODS II LIVING CENTER★★★★★110
SEDONA TRACE HEALTH AND WELLNESS CENTER★★★★☆119

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