The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Legend Oaks Rehabilitation and Healthcare of Kyle
Registered name: Legend Oaks Healthcare and Rehabilitation-Kyle
Kyle, TX · Medicare-certified · 126 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Legend Oaks Rehabilitation and Healthcare of Kyle has a 3-star overall rating, with a 2-star staffing rating and nurse staffing below the federal benchmark (3.38 vs. 4.1 hours per resident per day). It also had $8,278 in fines in the last 24 months and a recent federal penalty; inspection citations included pressure ulcer care, food safety, and respiratory care.
Facility ratings
Health inspections
Staffing
3.3822 hrs/resident/day
Quality measures
Last inspection: May 26, 2026Penalties, last 24 months: $8,278recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3822.
Staffing detail
- Registered nurses
- 0.36
- Licensed practical nurses
- 0.96
- Nurse aides
- 2.06
- Weekend nursing
- 2.74
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 60%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
1.4%5.5%Worsening
Residents with a fall causing major injury
2.2%7.9%Worsening
Residents with pressure ulcers (bedsores)
4.4%0.9%Improving
Residents with a urinary tract infection
1.1%0%Improving
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
25.3%11.8%Improving
Residents whose ability to walk got worse
36.3%12.1%Improving
Long-stay residents on antianxiety or sleep medication
9.2%12.9%Worsening
Short-stay residents newly given an antipsychotic
0%0.6%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
12.6%12.6%No change
Residents with depressive symptoms
1.3%1.2%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—87.6%—
Long-stay residents given the pneumonia vaccine
95.6%97.8%Improving
Short-stay residents given the seasonal flu vaccine
—94.9%—
Short-stay residents given the pneumonia vaccine
93.8%90.4%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: E
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $8,278 was recorded.
- PENALTY
A federal fine of $12,735 was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,278 in total fines.
- $8,278
Federal fine
Dec 12, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
- Occupancy
- 115.9 residents on an average day (92% of 126 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 15 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.