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
Nursing home report
LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR
NEW BRAUNFELS, TX · Medicare-certified · 126 beds
In good standing
Government-runChain member
Data as of July 1, 2026
3 of 5 overall
Overall, LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR is rated 3 out of 5 stars. Its staffing rating is low at 2 stars, with reported nurse staffing of 3.30 hours per resident per day below the federal benchmark of 4.1, while there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.3027 hrs/resident/day
Quality measures
Last inspection: May 20, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3027.
Staffing detail
- Registered nurses
- 0.45
- Licensed practical nurses
- 0.71
- Nurse aides
- 2.15
- Weekend nursing
- 2.87
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 54%
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
3.8%1.7%Improving
Residents with a fall causing major injury
5.6%4.8%Improving
Residents with pressure ulcers (bedsores)
4.1%2%Improving
Residents with a urinary tract infection
1.5%0%Improving
Residents who lost too much weight
0%1.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22.6%13.2%Improving
Residents whose ability to walk got worse
22.3%10.4%Improving
Long-stay residents on antianxiety or sleep medication
16.7%14.9%Improving
Short-stay residents newly given an antipsychotic
1.4%1.1%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
17.4%14.7%Improving
Residents with depressive symptoms
0%4.2%Worsening
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
—100%—
Long-stay residents given the pneumonia vaccine
95.8%98.8%Improving
Short-stay residents given the seasonal flu vaccine
—88.7%—
Short-stay residents given the pneumonia vaccine
82.2%77.5%Worsening
What the inspectors found
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
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 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 create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited May 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 7 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 1 health deficiency.
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
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Apr 1, 2019
Now operated by Guadalupe County Hospital Board, previously Riverwalk Healthcare INC.
- Ownership
- Government - Hospital district
- Chain
- Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
- Occupancy
- 115.1 residents on an average day (91% 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.