The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
Nursing home report
LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR
NEW BRAUNFELS, TX · Medicare-certified · 126 beds
In good standing
Government-runChain member
3 of 5 overall
Legend Oaks Healthcare and Rehabilitation - New Br is rated 3 out of 5 stars overall. Its staffing is low at 2 out of 5 stars, with reported nurse staffing of 3.30 hours per resident per day below the 4.1-hour federal benchmark; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.2977 hrs/resident/day
Quality measures
Last inspection: September 10, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2977.
Staffing detail
- Registered nurses
- 0.41
- Licensed practical nurses
- 0.79
- Nurse aides
- 2.10
- Weekend nursing
- 2.88
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
3.2%Improving
Residents with a fall causing major injury
4.7%Improving
Residents with pressure ulcers (bedsores)
2.2%Improving
Residents with a urinary tract infection
0.3%Steady
Residents who lost too much weight
1.1%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
19.6%Improving
Residents whose ability to walk got worse
15.8%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
19.4%Improving
Short-stay residents newly given an antipsychotic
1.6%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
16.7%Improving
Residents with depressive symptoms
2.5%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
89.3%Worsening
Short-stay residents given the seasonal flu vaccine
88.7%Steady
Short-stay residents given the pneumonia vaccine
79.8%Worsening
What the inspectors found
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited March 2025 — 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 make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited March 2025 — limited pattern, potential for harm.
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F-Tag 755 — 42 CFR §483.45 — S/S: E
The nursing home failed to make sure all staff got required training on its quality improvement program. Cited November 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 944 — 42 CFR §483.95 — 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
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Government - Hospital district
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 112.9 residents on an average day (90% of 126 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 10 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.