The nursing home failed to protect residents from abuse and neglect by others. Cited September 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
LEGEND OAKS HEALTHCARE AND REHABILITATION - NORTH
AUSTIN, TX · Medicare-certified · 124 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
1 out of 5 stars overall. This home has 1-star health inspection and staffing ratings, nurse staffing below the federal benchmark (3.17 vs 4.1 hours per resident per day), $41,890 in fines over the last 24 months, and a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.1725 hrs/resident/day
Quality measures
Last inspection: April 23, 2026Penalties, last 24 months: $41,890recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1725.
Staffing detail
- Registered nurses
- 0.66
- Licensed practical nurses
- 0.41
- Nurse aides
- 2.10
- Weekend nursing
- 2.68
Hours per resident per day.
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
3.1%4.7%Worsening
Residents with a fall causing major injury
2.2%4.3%Worsening
Residents with pressure ulcers (bedsores)
0.9%2%Worsening
Residents with a urinary tract infection
1.1%1.1%No change
Residents who lost too much weight
2.5%3.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
53.9%11%Improving
Residents whose ability to walk got worse
39%14.8%Improving
Long-stay residents on antianxiety or sleep medication
14.5%13.6%Improving
Short-stay residents newly given an antipsychotic
1%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
20%15.6%Improving
Residents with depressive symptoms
1.1%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
—100%—
Long-stay residents given the pneumonia vaccine
98.9%100%Improving
Short-stay residents given the seasonal flu vaccine
—65.7%—
Short-stay residents given the pneumonia vaccine
57.2%42.3%Worsening
What the inspectors found
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited September 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: J
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: E
The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 919 — 42 CFR §483.90 — 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 6 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $41,890 was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $41,890 in total fines.
- $41,890
Federal fine
Sep 17, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
- Occupancy
- 109.9 residents on an average day (89% of 124 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 16 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.