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.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-02-20 | 9 | 9.1 | 9.5 | -0.1 better |
| 2 | 2023-12-13 | 8 | 9.4 | 9.8 | -1.4 better |
| 3 | 2022-10-16 | 11 | 8.1 | 9.3 | +2.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 2 |
| Resident rights | 2 |
| Environmental | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.12 | 27.6% |
| RN staffing (reported) | 0.61 | 23.1% |
| 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
- 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
- JF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-09-17 · Health · corrected 2025-09-18
Immediate jeopardy
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2025-02-05 · Health · corrected 2025-02-06
Potential for more than minimal harm
- 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
- EF0880Provide and implement an infection prevention and control program.2024-11-08 · Health · corrected 2024-11-11
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2024-09-13 · Health · corrected 2024-09-14
Potential for more than minimal harm
- 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
- EF0880Provide and implement an infection prevention and control program.2024-01-06 · Health · corrected 2024-01-07
Potential for more than minimal harm
- 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
- DF0880Provide and implement an infection prevention and control program.2023-12-13 · Health · corrected 2023-12-14
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2022-10-16 · Health · corrected 2022-11-28
Potential for more than minimal harm
- 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
- 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
- DF0637Assess the resident when there is a significant change in condition2022-10-16 · Health · corrected 2022-11-28
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-04-01 |
| DESSAU HEALTHCARE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 |
| QUINTERO, JOSELYN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-06-27 |
| RATHI, ANIL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-10 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2017-04-01 |
| GANN, KODY | Individual | CORPORATE OFFICER | — | 2021-02-01 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2011-03-01 |
Other facilities in AUSTIN
| Name | Overall | Beds |
|---|---|---|
| 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.