Nursing home report
San Antonio, TX · Medicare-certified · 124 beds
Legend Oaks Healthcare and Rehabilitation - West S in San Antonio has a 3-star overall rating, with 3 stars for health inspections, 2 stars for staffing, and 4 stars for quality measures. Reported nurse staffing is 3.48 hours per resident per day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Health inspections
Staffing
3.4813 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4813.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to ensure residents had reasonable access to and privacy when using communication methods. Cited October 2024 — widespread issue, potential for harm.
F-Tag 576 — 42 CFR §483.10 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2026 — limited pattern, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited January 2026 — limited pattern, potential for harm.
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited January 2026 — limited pattern, potential for harm.
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 6 health deficiencies.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
On record with Medicare: 1 fine · $8,632 in total fines.
Federal fine
Apr 12, 2024
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.
