Legend Oaks Healthcare and Rehabilitation - West S
222 Bertetti Dr, San Antonio, TX 78227 · CCN 676312
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 124
- Avg residents/day
- 108.2
- Phone
- 2106731700
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 | 2024-10-31 | 3 | 9.1 | 9.5 | -6.1 better |
| 2 | 2023-09-15 | 7 | 9.4 | 9.8 | -2.4 better |
| 3 | 2022-07-15 | 2 | 8.1 | 9.3 | -6.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.49 | 32.5% |
| RN staffing (reported) | 0.46 | 35.7% |
| Total nurse staffing (adjusted) | 3.61 | — |
Fines & penalties
- Total fines
- $8,632
- 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 (12)1 immediate jeopardy
- DF0880Provide and implement an infection prevention and control program.2025-12-09 · Health · corrected 2025-12-10
Potential for more than minimal harm
- FF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2024-10-31 · Health · corrected 2024-11-22
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.2024-10-31 · Health · corrected 2024-11-22
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-12 · Health · corrected 2024-04-15
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-12 · Health · corrected 2024-04-15
Immediate jeopardy
- DF0638Assure that each resident’s assessment is updated at least once every 3 months.2023-09-15 · Health · corrected 2023-10-12
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-09-15 · Health · corrected 2023-10-12
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-09-15 · Health · corrected 2023-10-12
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-15 · Health · corrected 2023-10-12
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.2023-09-15 · Health · corrected 2023-10-12
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.2022-07-15 · Health · corrected 2022-07-22
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-07-15 · Health · corrected 2022-08-11
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| DEWITT MEDICAL DISTRICT | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2017-04-01 |
| BERTETTI HEALTHCARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-01 |
| GRAY, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-12-15 |
| MANSOOR, SAAD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-09-12 |
| ALEXANDER, ALMA | Individual | CORPORATE OFFICER | — | 2020-05-27 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2017-04-01 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2011-03-01 |
Other facilities in San Antonio
| Name | Overall | Beds |
|---|---|---|
| Parklane West Healthcare Center | ★★☆☆☆ | 124 |
| Harbor Valley Health and Rehabilitation | ★★☆☆☆ | 120 |
| San Antonio North Nursing and Rehabilitation | ★☆☆☆☆ | 118 |
| Castle Hills Rehabilitation and Care Center | ★☆☆☆☆ | 143 |
| Normandy Terrace Nursing & Rehabilitation Center | ★☆☆☆☆ | 320 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.